Integrated Traditional Chinese and Western Medicine Nursing for a Patient with Necrotizing Fasciitis of the Lower Leg Complicated by Diabetic Foot： A Case Report

YUAN Min

doi:10.12209/CAIM202605250005

您当前的位置：

首页 >

文章列表页 >

Integrated Traditional Chinese and Western Medicine Nursing for a Patient with Necrotizing Fasciitis of the Lower Leg Complicated by Diabetic Foot： A Case Report

更新时间：2026-09-11

- Integrated Traditional Chinese and Western Medicine Nursing for a Patient with Necrotizing Fasciitis of the Lower Leg Complicated by Diabetic Foot： A Case Report
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  北京市西城区宣武中医医院周围血管科，北京， 100050
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202605250005
  CLC：
- Received：25 May 2026，
  
  Revised：2026-07-08，
  
  Accepted：10 July 2026，
  
  Online First：11 September 2026，
- 稿件说明：
移动端阅览
YUAN Min. Integrated Traditional Chinese and Western Medicine Nursing for a Patient with Necrotizing Fasciitis of the Lower Leg Complicated by Diabetic Foot： A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

YUAN Min. Integrated Traditional Chinese and Western Medicine Nursing for a Patient with Necrotizing Fasciitis of the Lower Leg Complicated by Diabetic Foot： A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202605250005.

摘要

本文总结1例坏死性筋膜炎合并糖尿病足、下肢动脉硬化闭塞症及骨髓炎患者的中西医协同护理经验。该患者基础疾病复杂、创面感染严重、局部血运差且愈合难度大。在西医切开引流、负压封闭引流（VSD）、微粒皮移植等治疗基础上，联合中医分期清创（蚕食法与鲸吞法）、中药内外同治及中医特色护理技术，同时全程强化病情监测、基础疾病管控与阶段性康复指导。经积极干预，患者感染得到有效控制，创面逐步愈合，患肢功能得以保留，未发生严重并发症。实践表明，中西医结合护理可显著促进重症复杂创面修复，改善患者预后，具有临床推广价值。

Abstract

This paper summarizes the nursing experience of integrated Traditional Chinese and Western medicine in the care of a patient with necrotizing fasciitis complicated by diabetic foot， lower extremity arteriosclerosis obliterans， and osteomyelitis. The patient presented with complex underlying conditions， severe wound infection， poor local blood supply， and significant healing challenges. On the basis of Western medical treatments including incision and drainage， vacuum sealing drainage （VSD）， and micro-skin grafting， staged Traditional Chinese Medicine （TCM） debridement （"Nibbling" and "Whale-swallowing" methods）， internal and external administration of Chinese herbal medicine， and TCM-specific nursing techniques were combined. Throughout the process， condition monitoring， management of underlying diseases， and staged rehabilitation guidance were reinforced. Following active intervention， the infection was effectively controlled， the wound gradually healed， the limb function was preserved， and no serious complications occurred. Practice has demonstrated that integrated Traditional Chinese and Western medicine nursing can significantly promote the repair of severe and complex wounds， improve patient prognosis， and holds considerable value for clinical promotion.

关键词

Keywords

references

Momtaz D ， Heath D ， Ghali A ， et al . Socioeconomic status affects amputation and mortality rates in necrotizing fasciitis patients ［J］. Int Orthop ， 2024 ， 48 （ 10 ）： 2505 - 2512 .

沈晓，张嘉员，李一帆，等 . 基于SOP的顾氏外科特色疗法治疗肛周会阴部坏死性筋膜炎的临床疗效观察［J］. 结直肠肛门外科， 2025 ， 31 （ 2 ）： 112 - 118 .

Shen X ， Zhang J Y ， Li Y F ， et al . Clinical efficacy observation of SOP-based Gu’s Surgical Specialty Therapy for Fournier’s gangrene ［J］. J Colorectal Anal Surg ， 2025 ， 31 （ 2 ）： 112 - 118 . （in Chinese）

Yang Y W ， Zhou Y W ， Ge M L . The effect of externally applied traditional Chinese medicine in diabetic foot： a systematic review and meta-analysis of 34 RCTs ［J］. Foot ， 2023 ， 56 ： 102045 .

张双双，杨萍，张龙，等 . 糖尿病足护理临床路径的研究进展［J］. 中华现代护理杂志， 2026 ， 32 （ 21 ）： 2801 - 2806 .

Zhang S S ， Yang P ， Zhang L ， et al . Research progress on nursing clinical pathways for diabetic foot ［J］. Chin J Mod Nurs ， 2026 ， 32 （ 21 ）： 2801 - 2806 . （in Chinese）

dos Santos Barros V ， Bassi-Dibai D ， Guedes C L R ， et al . Barthel Index is a valid and reliable tool to measure the functional independence of cancer patients in palliative care ［J］. BMC Palliat Care ， 2022 ， 21 （ 1 ）： 124 .

Luo Y X ， Mai L F ， Liu X Z ， et al . Validity and reliability of Chinese version of the new diabetic foot ulcer assessment scale ［J］. Int Wound J ， 2023 ， 20 （ 9 ）： 3724 - 3730 .

陈坤，陈诺，张秀梅，等 . 基于XGBoost-SHAP方法的老年慢性阻塞性肺疾病患者营养不良风险筛查模型的构建［J］. 临床肺科杂志， 2026 ， 31 （ 7 ）： 1015 - 1022 .

Chen K ， Chen N ， Zhang X M ， et al . Construction of a malnutrition risk model for elderly patients with chronic obstructive pulmonary disease based on the XGBoost-SHAP method ［J］. J Clin Pulm Med ， 2026 ， 31 （ 7 ）： 1015 - 1022 . （in Chinese）

Fernando S M ， Tran A ， Cheng W ， et al . Necrotizing soft tissue infection： diagnostic accuracy of physical examination， imaging， and LRINEC score： a systematic review and meta-analysis ［J］. Ann Surg ， 2019 ， 269 （ 1 ）： 58 - 65 .

中国糖尿病足细胞与介入治疗技术联盟，中国医师协会介入医师分会介入医学与生物工程技术委员会，国家放射与治疗临床医学研究中心，等 . 糖尿病足介入综合诊治临床指南（第九版）［J］. 介入放射学杂志， 2024 ， 33 （ 4 ）： 341 - 354 .

China Alliance of Cellular ， Interventional Therapy Techniques for Diabetic Foot ； Technical Committee on Interventional Medicine ， Bioengineering of Chinese Intervention Physicians Branch ； National Centre for Clinical Medical Research on Radiation ， et al . Clinical guidelines for comprehensive interventional management of the diabetic foot（9th Edition）［J］. J Interv Radiol ， 2024 ， 33 （ 4 ）： 341 - 354 . （in Chinese）

程亚清，曹建春，张东萍，等 . 拔毒生肌散临床应用专家共识［J］. 世界中医药， 2023 ， 18 （ 10 ）： 1357 - 1361 .

Cheng Y Q ， Cao J C ， Zhang D P ， et al . Expert consensus on the clinical application of Badu Shengji Powder ［J］. World Chin Med ， 2023 ， 18 （ 10 ）： 1357 - 1361 . （in Chinese）

吴宇姣，魏佳琪，黄玮铮，等 . 坏死性筋膜炎临床研究进展［J］. 中华医院感染学杂志， 2024 ， 34 （ 5 ）： 793 - 800 .

Wu Y J ， Wei J Q ， Huang W Z ， et al . Progress of clinical research on necrotizing fasciitis ［J］. Chin J Nosocomiology ， 2024 ， 34 （ 5 ）： 793 - 800 . （in Chinese）

Chen P ， Vilorio N C ， Dhatariya K ， et al . Guidelines on interventions to enhance healing of foot ulcers in people with diabetes （IWGDF 2023 update）［J］. Diabetes Metab Res Rev ， 2024 ， 40 （ 3 ）： e3644 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Application of Acupoint Application Combined with Traditional Chinese Medicine Enema in Nursing Care of a Patient with Intestinal Obstruction

Integrated Traditional Chinese and Western Medicine Nursing Report of a Rare Case of Gout Complicated with Nephrogenic Diabetes Insipidus and Hypokalemic Nephropathy

Nursing Experience in the Treatment of a Patient with Herpes Zoster by Integrated Traditional Chinese and Western Medicine

Application of Airway Management Combined with Traditional Chinese Medicine Characteristic Nursing in an Elderly Patient with Bacterial Pneumonia Complicated by Hemoptysis

Application of Refined Nursing Care During Prone Position Ventilation in a Patient with Severe Pneumonia

Related Author

LIU Yilin

KANG Jie

FAN Jiao

WANG Jinhuan

MA Lin

ZHANG Xuan

KANG Qing

LI Pengyun

Related Institution

Department of General Surgery， First Teaching Hospital of Tianjin University of Traditional Chinese Medicine

Department of Outpatient Ultrasound， Dongzhimen Hospital， Beijing University of Chinese Medicine

Department of Radiology， Dongzhimen Hospital， Beijing University of Chinese Medicine

Department of General Internal Medicine， Erqi Campus， Dongfang Hospital Beijing University of Chinese Medicine

Department of Critical Care Medicine， Beijing Jiangong Hospital

⁰