Integrative Chinese and Western Medicine Nursing Care of One Postoperative Patient with Intestinal Abscess of Damp-Heat Accumulation Pattern Treated by Acupoint Application Combined with Traditional Chinese Medicine Hot Compress Package

GAO Wanqing; LI Jin; WANG Xiaoming

doi:10.12209/CAIM202605050002

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Integrative Chinese and Western Medicine Nursing Care of One Postoperative Patient with Intestinal Abscess of Damp-Heat Accumulation Pattern Treated by Acupoint Application Combined with Traditional Chinese Medicine Hot Compress Package

更新时间：2026-07-23

- Integrative Chinese and Western Medicine Nursing Care of One Postoperative Patient with Intestinal Abscess of Damp-Heat Accumulation Pattern Treated by Acupoint Application Combined with Traditional Chinese Medicine Hot Compress Package
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  北京市健宫医院普通外科，北京， 100054
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202605050002
  CLC：
- Received：05 May 2026，
  
  Revised：2026-06-04，
  
  Accepted：05 June 2026，
  
  Online First：23 July 2026，
- 稿件说明：
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GAO Wanqing, LI Jin, WANG Xiaoming. Integrative Chinese and Western Medicine Nursing Care of One Postoperative Patient with Intestinal Abscess of Damp-Heat Accumulation Pattern Treated by Acupoint Application Combined with Traditional Chinese Medicine Hot Compress Package[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

GAO Wanqing, LI Jin, WANG Xiaoming. Integrative Chinese and Western Medicine Nursing Care of One Postoperative Patient with Intestinal Abscess of Damp-Heat Accumulation Pattern Treated by Acupoint Application Combined with Traditional Chinese Medicine Hot Compress Package[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202605050002.

摘要

本文报告1例湿热蕴结型肠痈（急性化脓性阑尾炎）术后患者采用穴位贴敷联合中药热奄包中西医结合护理的临床实践。患者为19岁女性，因转移性右下腹痛1 d入院，中医辨证为湿热蕴结证，行腹腔镜下阑尾切除术。术后在常规护理基础上，予中药热奄包腹部热敷以行气通腑、活血止痛，联合穴位贴敷（足三里、上巨虚及天枢）以健脾和胃、通调腑气，并配合饮食、情志及康复指导。干预后患者术后18 h排气、48 h排便，疼痛视觉模拟评分法（VAS）评分由6分降至2分，无并发症发生，术后第4天顺利出院。提示该中西医结合护理方案可有效促进肠痈术后患者快速康复，值得临床借鉴。

Abstract

This article reports the clinical practice of integrative Chinese and Western medicine nursing care using acupoint application combined with a traditional Chinese medicine （TCM） hot compress package for one postoperative patient with intestinal abscess （acute suppurative appendicitis） of damp-heat accumulation pattern. The patient was a 19-year-old female admitted for migratory right lower abdominal pain lasting one day. The TCM pattern was identified as damp-heat accumulation， and laparoscopic appendectomy was performed. In addition to routine postoperative care， a TCM hot compress package was applied to the abdomen to promote qi movement， unblock the fu-organs， activate blood circulation， and relieve pain， while acupoint application was administered at Zusanli， Shangjuxu， and Tianshu to strengthen the spleen， harmonize the stomach， and regulate fu-qi. Dietary， emotional， and rehabilitation guidance were provided concurrently. Following the intervention， the patient experienced flatulence at 18 hours and defecation at 48 hours postoperatively， with the Visual Analog Scale （VAS） pain score decreasing from 6 to 2. No complications occurred， and the patient was discharged smoothly on postoperative day 4. These findings suggest that this integrative Chinese and Western medicine nursing protocol can effectively promote rapid recovery in postoperative patients with intestinal abscess and is worthy of clinical reference.

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彭晓兵，王英霞，张向涛 . 腹腔镜系膜剥离法阑尾切除术联合加速康复外科理念治疗急性穿孔性阑尾炎的临床观察［J］. 腹腔镜外科杂志， 2025 ， 30 （ 8 ）： 595 - 599 .

Peng X B ， Wang Y X ， Zhang X T . Clinical observation of the laparoscopic mesoappendiceal dissection method combined with the enhanced recovery after surgery concept in the treatment of acute perforated appendicitis ［J］. J Laparosc Surg ， 2025 ， 30 （ 8 ）： 595 - 599 . （in Chinese）

蔡瑞，张雪红，曹天生，等 . 消肿透脓汤联合抗生素治疗湿热型阑尾周围脓肿的临床疗效观察［J］. 实用医学杂志， 2026 ， 42 （ 10 ）： 1822 - 1827 .

Cai R ， Zhang X H ， Cao T S ， et al . Clinical efficacy of Xiaozhong Tounong Decoction combined with antibiotics in the treatment of damp-heat type periappendiceal abscess ［J］. J Pract Med ， 2026 ， 42 （ 10 ）： 1822 - 1827 . （in Chinese）

王红，崔乃强 . 从“消托补”到“消托引补”：腹内痈治疗原则的理论演进［J］. 中国中西医结合外科杂志， 2025 ， 31 （ 5 ）： 642 - 645 .

Wang H ， Cui N Q . From “removing entrapment and reinforcing” to “removing entrapment and reinforcing”： theoretical evolution of treatment principles for abdominal carbuncle ［J］. Chin J Surg Integr Tradit West Med ， 2025 ， 31 （ 5 ）： 642 - 645 . （in Chinese）

吴勉华，石岩 . 中医内科学［M］. 5版 . 北京：中国中医药出版社， 2021 ： 489 - 492 .

陈红风 . 中医外科学［M］. 5版 . 北京：中国中医药出版社， 2021 ： 245 - 248 .

孙涛，耿金海，刘畅，等 . 柴木承气汤保留灌肠联合中药热奄包治疗气滞血瘀型粘连性肠梗阻效果观察［J］. 北京中医药， 2025 ， 44 （ 12 ）： 1520 - 1525 .

Sun T ， Geng J H ， Liu C ， et al . Clinical efficacy of Chaimu Chengqi Decoction retention enema combined with Chinese herbal hot pack in treatment of adhesive intestinal obstruction of qi stagnation and blood stasis syndrome ［J］. Beijing J Tradit Chin Med ， 2025 ， 44 （ 12 ）： 1520 - 1525 . （in Chinese）

严广斌 . 视觉模拟评分法［J/OL］. 中华关节外科杂志（电子版）， 2014 ， 8 （ 2 ）： 273 .

Yan G B . Visual analogue scale ［J/OL］. Chin J Jt Surg Electron Ed ， 2014 ， 8 （ 2 ）： 273 . （in Chinese）

段泉泉，胜利 . 焦虑及抑郁自评量表的临床效度［J］. 中国心理卫生杂志， 2012 ， 26 （ 9 ）： 676 - 679 .

Duan Q Q ， Sheng L . Differential validity of SAS and SDS among psychiatric non-psychotic outpatients and their partners ［J］. Chin Ment Heal J ， 2012 ， 26 （ 9 ）： 676 - 679 . （in Chinese）

李燕，何平，高蓓蕾，等 . 精细化早期饮食计划在腹腔镜胃癌根治术后患者中的应用研究［J］. 中华护理杂志， 2025 ， 60 （ 1 ）： 106 - 113 .

Li Y ， He P ， Gao B L ， et al . Application of a refined early diet plan in patients with gastric cancer after laparoscopic radical surgery ［J］. Chin J Nurs ， 2025 ， 60 （ 1 ）： 106 - 113 . （in Chinese）

邓浩健，卢燕妮，黄高飞，等 . 基于CiteSpace探讨中药穴位贴敷对腹部术后胃肠功能恢复的临床研究现状和发展趋势［J］. 医学综述， 2024 ， 30 （ 24 ）： 3065 - 3072 .

Deng H J ， Lu Y N ， Huang G F ， et al . Investigation of clinical research status and development trends of traditional Chinese medicine acupoint application in postoperative gastrointestinal function recovery after abdominal surgery based on CiteSpace ［J］. Med Recapitulate ， 2024 ， 30 （ 24 ）： 3065 - 3072 . （in Chinese）

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