Integrated Chinese and Western Medicine Nursing Care for a Postoperative Gastric Cancer Patient with Spleen-Stomach Deficiency Syndrome During Chemotherapy： A Case Report

GUO Jingjing; LI Jin; ZHAO Panpan

doi:10.12209/CAIM202605270011

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Integrated Chinese and Western Medicine Nursing Care for a Postoperative Gastric Cancer Patient with Spleen-Stomach Deficiency Syndrome During Chemotherapy： A Case Report

更新时间：2026-09-18

- Integrated Chinese and Western Medicine Nursing Care for a Postoperative Gastric Cancer Patient with Spleen-Stomach Deficiency Syndrome During Chemotherapy： A Case Report
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  北京市健宫医院普外肿瘤科，北京， 100054
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202605270011
  CLC：
- Received：27 May 2026，
  
  Revised：2026-07-04，
  
  Accepted：14 July 2026，
  
  Online First：18 September 2026，
- 稿件说明：
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GUO Jingjing, LI Jin, ZHAO Panpan. Integrated Chinese and Western Medicine Nursing Care for a Postoperative Gastric Cancer Patient with Spleen-Stomach Deficiency Syndrome During Chemotherapy： A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

GUO Jingjing, LI Jin, ZHAO Panpan. Integrated Chinese and Western Medicine Nursing Care for a Postoperative Gastric Cancer Patient with Spleen-Stomach Deficiency Syndrome During Chemotherapy： A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202605270011.

摘要

胃癌术后化疗阶段，药毒易损伤中焦脾胃运化机能，老年合并基础慢病人群脏腑机能偏弱，更易出现脾胃亏虚证候，进而降低化疗耐受水平。本文以健脾和胃、益气化湿为核心干预思路，整合中药内服、穴位推拿、耳穴埋籽、中药热敷、膳食调护、情志干预，联合规范化化疗专科护理开展全程干预，同步监测消化道反应、体力水平、排便状态、营养状况及并发症发生情况。经中西医协同干预，可减轻化疗所致脾胃功能损伤，严控恶心呕吐反应程度，规避化疗相关不良事件，改善躯体乏力与焦虑情绪。该个体化干预方案适配老年合并慢病化疗人群，可为同类辨证护理工作提供实践参考。

Abstract

During the postoperative chemotherapy phase of gastric cancer， the toxic properties of chemotherapeutic agents readily impair the transportation and transformation functions of the spleen and stomach in the middle burner. Elderly patients with pre-existing chronic comorbidities often present with inherently weakened visceral organ function， rendering them particularly susceptible to the manifestation of spleen-stomach deficiency syndrome， which in turn diminishes their tolerance to chemotherapy. Guided by the core intervention principles of fortifying the spleen and harmonizing the stomach， replenishing qi and resolving dampness， this study implemented a comprehensive intervention protocol that integrated oral administration of Chinese herbal medicine， acupoint massage， auricular bean embedding， Chinese herbal hot compress， dietary regulation， and emotional support， in conjunction with standardized specialized chemotherapy nursing care throughout the treatment course. Concurrent monitoring was conducted on gastrointestinal reactions， physical performance levels， defecation status， nutritional condition， and the occurrence of complications. The synergistic application of Chinese and Western medicine interventions effectively attenuated chemotherapy-induced impairment of spleen-stomach function， strictly controlled the severity of nausea and vomiting， averted chemotherapy-related adverse events， and ameliorated physical fatigue as well as anxiety. This individualized intervention protocol is well-suited for elderly patients with chronic comorbidities undergoing chemotherapy， and may serve as a practical reference for nursing care guided by syndrome differentiation in similar clinical contexts.

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references

《胃癌中西医结合诊疗指南》标准化项目组 . 胃癌中西医结合诊疗指南（2023年）［J］. 中国中西医结合杂志， 2024 ， 44 （ 3 ）： 261 - 272 .

Standardization Project Group for the "Guidelines for Integrated Traditional Chinese and Western Medicine Diagnosis and Treatment of Gastric Cancer" . Guidelines for diagnosis and treatment of gastric cancer with integrative medicine（2023）［J］. Chin J Integr Tradit West Med ， 2024 ， 44 （ 3 ）： 261 - 272 . （in Chinese）

邹炎铃，王晓庆，李洵，等 . 胃癌术后化疗患者消化道症状群核心症状及影响因素研究［J］. 中国全科医学， 2024 ， 27 （ 29 ）： 3641 - 3647 .

Zou Y L ， Wang X Q ， Li X ， et al . Analysis of gastrointestinal core symptoms and influencing factors in postoperative chemotherapy patients with gastric cancer ［J］. Chin Gen Pract ， 2024 ， 27 （ 29 ）： 3641 - 3647 . （in Chinese）

周东晶，黄逸菡 . 中医营养支持联合中医适宜技术对肿瘤科化疗患者生活质量的影响［J］. 中医药管理杂志， 2024 ， 32 （ 22 ）： 154 - 156 .

Zhou D J ， Huang Y H . Effect of nutritional support of traditional Chinese medicine combined with appropriate technology of traditional Chinese medicine on quality of life of patients undergoing chemotherapy in oncology department ［J］. J Tradit Chin Med Manag ， 2024 ， 32 （ 22 ）： 154 - 156 . （in Chinese）

商文娟 . 易罐醒穴联合健脾和胃方穴位贴敷对胃癌化疗患者消化道症状群及营养状况的影响［J］. 中华养生保健， 2025 ， 43 （ 18 ）： 1 - 4， 8 .

Shang W J . The Effect of Acupoint Patching with Yiguan Xingxue Combined with Jianpi Hewei Formula on Gastrointestinal Symptom Cluster and Nutritional Status in Gastric Cancer Patients Undergoing Chemotherapy ［J］. Zhonghua Yangsheng Baojian ， 2025 ， 43 （ 18 ）： 1 - 4， 8 . （in Chinese）

李丽，韩倩倩，张建华，等 . 中医特色护理在老年肿瘤化疗患者中的应用效果分析［J］. 中国社区医师， 2025 ， 41 （ 13 ）： 55 - 57 .

Li L ， Han Q Q ， Zhang J H ， et al . Analysis of application effect of traditional Chinese medicine characteristic nursing in elderly tumor patients undergoing chemotherapy ［J］. Chin Community Dr ， 2025 ， 41 （ 13 ）： 55 - 57 . （in Chinese）

蔡玉亮，黄邦荣，俞小艳，等 . 米登海教授基于胃癌化疗期的 “分阶段动态干预” 理论体系解析［J］. 西部中医药， 2025 ， 38 （ 9 ）： 25 - 29 .

Cai Y L ， Huang B R ， Yu X Y ， et al . Professor mi Denghai’s theoretical system of “phased dynamic intervention” based on gastric cancer chemotherapy ［J］. West J Tradit Chin Med ， 2025 ， 38 （ 9 ）： 25 - 29 . （in Chinese）

赵中亭，王小花，曹洁，等 . 药物铺灸辅助治疗胃癌脾胃虚寒型化疗相关性恶心呕吐：随机对照试验［J］. 中国针灸， 2025 ， 45 （ 12 ）： 1723 - 1729 .

Zhao Z T ， Wang X H ， Cao J ， et al . Herb-spreading moxibustion as an adjuvant treatment for chemotherapy-induced nausea and vomiting of spleen and stomach deficiency cold in gastric cancer： a randomized controlled trial ［J］. Chin Acupunct Moxibustion ， 2025 ， 45 （ 12 ）： 1723 - 1729 . （in Chinese）

王蕾，李晨，管友文，等 . Orem自护理论在老年消化道肿瘤化疗病人中的应用［J］. 实用老年医学， 2025 ， 39 （ 3 ）： 312 - 316 .

Wang L ， Li C ， Guan Y W ， et al . Application of Orem self-care theory in elderly patients with gastrointestinal cancer undergoing chemotherapy ［J］. Pract Geriatr ， 2025 ， 39 （ 3 ）： 312 - 316 . （in Chinese）

陈敏玲，廖惠莲，伍慧群 . 四子散热奄包腹部穴位外敷对腰椎术后患者胃肠功能恢复的影响［J］. 护理学报， 2011 ， 18 （ 13 ）： 48 - 50 .

Chen M L ， Liao H L ， Wu H Q . Influence of sizi powder hot-cover packet applied in abdomen acupoint on the recovery of gastrointestinal function of patients after lumbar operation ［J］. J Nurs ， 2011 ， 18 （ 13 ）： 48 - 50 . （in Chinese）

高宏，殷东风，邢向荣，等 . 重建中气抗癌汤Ⅰ号治疗胃癌术后化疗不良反应［J］. 中医学报， 2020 ， 35 （ 3 ）： 637 - 641 .

Gao H ， Yin D F ， Xing X R ， et al . Adverse reactions of postoperative chemotherapy of Chongjian zhongqi kang’ai decoction I in the treatment of gastric cancer ［J］. China J Chin Med ， 2020 ， 35 （ 3 ）： 637 - 641 . （in Chinese）

李思宇，朱凯丽，夏超，等 . 基于交叉滞后网络分析胃癌化疗病人体质对症状网络的影响［J］. 护理研究， 2025 ， 39 （ 5 ）： 705 - 715 .

Li S Y ， Zhu K L ， Xia C ， et al . Impact of physical constitution on the symptom network of gastric cancer patients undergoing chemotherapy based on cross-lagged network analysis ［J］. Chin Nurs Res ， 2025 ， 39 （ 5 ）： 705 - 715 . （in Chinese）

卢曼，丁大伟，邹玺，等 . “健脾养正消癥方”联合PD-1抑制剂与XELOX化疗治疗脾胃气虚型晚期胃癌40例临床研究［J］. 江苏中医药， 2026 ， 58 （ 3 ）： 35 - 40 .

Lu M ， Ding D W ， Zou X ， et al . Clinical study on “Jianpi Yangzheng Xiaozheng decoction” combined with PD-1 inhibitor and XELOX chemotherapy in treating 40 cases of advanced gastric cancer with spleen-stomach qi deficiency ［J］. Jiangsu J Tradit Chin Med ， 2026 ， 58 （ 3 ）： 35 - 40 . （in Chinese）

张星星，张粲粲，韩博，等 . 健脾养正方联合新辅助化疗对脾胃气虚证胃癌患者Treg代谢及生活质量影响［J］. 辽宁中医药大学学报， 2024 ， 26 （ 12 ）： 5 - 10 .

Zhang X X ， Zhang C C ， Han B ， et al . Effect of Jianpi Yangzheng decoction combined with neoadjuvant chemotherapy on Treg metabolism and quality of life in patients with gastric cancer of spleen and stomach qi deficiency syndrome ［J］. J Liaoning Univ Tradit Chin Med ， 2024 ， 26 （ 12 ）： 5 - 10 . （in Chinese）

周强，张晓双，孙琳，等 . 胃癌术后患者肠内营养不耐受预防及管理的最佳证据总结［J］. 中华现代护理杂志， 2025 ， 31 （ 23 ）： 3117 - 3125 .

Zhou Q ， Zhang X S ， Sun L ， et al . Summary of best evidence for prevention and management of enteral nutrition intolerance in postoperative patients with gastric cancer ［J］. Chin J Mod Nurs ， 2025 ， 31 （ 23 ）： 3117 - 3125 . （in Chinese）

田青怡，德吉央宗，张丽娜，等 . 新辅助免疫治疗联合化疗联合或不联合其他疗法治疗可切除局部进展期胃癌或胃食管结合部癌疗效和安全性的Meta分析［J］. 中国肿瘤临床与康复， 2024 ， 31 （ 1 ）： 17 - 29 .

Tian Q Y ， Dejiyangzong ， Zhang L N ， et al . Efficacy and safety analysis on the combination neoadjuvant therapy of immunotherapy and chemotherapy with or without other therapy in patients with gastric cancer or gastroesophageal junction cancer： a meta-analysis ［J］. Chin J Clin Oncol Rehabil ， 2024 ， 31 （ 1 ）： 17 - 29 . （in Chinese）

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