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1.北京中医药大学东方医院 肾病科, 北京 100078
2.北京中医药大学东方医院 护理部, 北京 100078
李玉欣, E-mail: 1570963515@qq.com
网络出版日期:2023-12-25,
收稿日期:2023-11-30,
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胡芳芳, 李玉欣, 邓建华, 等. 五浴养肾按摩手法治疗1例慢性肾衰腰痛患者的护理[DB/OL].中西医结合临床案例库, 2023.
HU Fangfang, LI Yuxin, DENG Jianhua, et al. Nursing care of a patient with chronic kidney failure and low back pain treated by five baths nourishing kidney massage[DB/OL].Clinical Archives of Integrative Medicine, 2023.
胡芳芳, 李玉欣, 邓建华, 等. 五浴养肾按摩手法治疗1例慢性肾衰腰痛患者的护理[DB/OL].中西医结合临床案例库, 2023. DOI: 10.12209/CAIM202311300001.
HU Fangfang, LI Yuxin, DENG Jianhua, et al. Nursing care of a patient with chronic kidney failure and low back pain treated by five baths nourishing kidney massage[DB/OL].Clinical Archives of Integrative Medicine, 2023. DOI: 10.12209/CAIM202311300001.
目的
2
总结五浴养肾按摩手法治疗1例慢性肾衰腰痛患者的护理体会。
方法
2
对1例慢性肾衰腰痛患者进行五浴养肾按摩手法治疗,取腰部督脉上的肾俞穴、耳部全身脏器对应的耳穴、腹部任脉上的关元穴、头部经外奇穴的太阳穴、足底足少阴肾经的涌泉穴,通过不同手法对五个部位的穴位进行五浴养肾按摩手法护理,1次/d,每个浴法实施36次,一个疗程为14 d。临床运用疼痛视觉模拟评分量表(visual analogue scale, VAS)来评价患者的疼痛程度。
结果
2
通过实施五浴养肾按摩手法治疗后,患者疼痛评分由8分降到了2分,患者腰痛症状得到改善。
结论
2
对腰痛患者实施五浴养肾按摩手法治疗,能有效缓解患者腰痛、焦虑等症状,且该手法具有副作用小、安全性高、操作无痛、患者易于接受的优势,提高了患者对中医护理的满意度,值得临床推广普及。
Objective
2
To summarize the nursing experience of a patient with chronic kidney failure and low back pain treated by five baths nourishing kidney massage.
Methods
2
A patient with chronic kidney failure and low back pain was treated with five baths nourishing kidney massage techniques. Shenshu point on the lumbar Du pulse, ear point corresponding to the whole body organs, Guanyuan point on the abdominal Ren pulse, temple point of the head at Weiqi point, Yongquan point of the foot foot Shaoyin kidney channel were treated with five baths nourishing kidney massage techniques through different methods, once a day. Each bath was performed 36 times for 14 days. The visual analogue scale (VAS) was used to evaluate the pain degree of patients.
Results
2
The pain score of patients decreased from 8 to 2 and the symptoms of low back pain were improved after five baths nourishing kidney massage therapy.
Conclusion
2
Five bath nourishing kidney massage therapy for patients with low back pain can effectively relieve the symptoms of patients with low back pain, anxiety and other symptoms, and this technique has the advantages of few side effects, high safety, painless operation and easy acceptance by patients, improve patients' satisfaction with traditional Chinese medicine nursing, and is worthy of clinical popularization.
慢肾衰腰痛五浴养肾按摩手法经穴按摩中医护理
chronic renal failurelower back painfive baths nourishing kidney massage techniquemeridian massageTraditional Chinese medicine nursing
杨文, 沈建伟, 钱宝鑫, 等. 不同腹膜透析置管术对腹部手术或感染史慢性肾衰竭患者的疗效分析[J]. 重庆医学, 2019, 48(22): 3866-3869, 3873.
YANG W, SHEN J W, QIAN B X, et al. Analysis of efficacy of different peritoneal dialysis catheterizations in patients with chronic renal failure and history of abdominal surgery or infection[J]. Chongqing Med, 2019, 48(22): 3866-3869, 3873.(in Chinese)
邱在凤. 消痛型穴位贴敷联合中药热奄包治疗对CKD患者腰痛症状的护理[J]. 中西医结合心血管病电子杂志, 2018, 6(14): 96-97.
QIU Z F. Nursing care of low back pain symptoms of CKD patients treated by pain-relieving acupoint application combined with traditional Chinese medicine hot bag[J]. Cardiovasc Dis J Integr Tradit Chin West Med, 2018, 6(14): 96-97.(in Chinese)
时间, 万芮含, 王亚飞, 等. 经颅直流电刺激技术在慢性腰痛康复中的应用进展[J]. 康复学报, 2023, 33(5): 463-469.
SHI J, WAN R H, WANG Y F, et al. Application progress of transcranial direct current stimulation in rehabilitation of chronic low back pain[J]. Rehabil Med, 2023, 33(5): 463-469.(in Chinese)
孙志涛, 赖居易, 何升华, 等. 补肾活血通络胶囊干预SD大鼠骨性关节炎滑膜及软骨细胞miR-27a的变化[J]. 中国组织工程研究, 2017, 21(16): 2484-2488.
SUN Z T, LAI J Y, HE S H, et al. Effect of Bushen Huoxue Tongluo capsule on miR-27a in the synovium and chondrocytes in sprague-dawley rats with osteoarthritis[J]. Chin J Tissue Eng Res, 2017, 21(16): 2484-2488.(in Chinese)
程继伟, 王洪伟, 郑文杰, 等. 慢性下腰痛疗效评价方法的应用现状[J]. 中国修复重建外科杂志, 2014, 28(1): 119-122.
CHENG J W, WANG H W, ZHENG W J, et al. Evaluation of treatment for chronic low back pain[J]. Chin J Reparative Reconstr Surg, 2014, 28(1): 119-122.(in Chinese)
钱云柯, 李同舟, 吴丹, 等. 医学生抑郁与生活事件、应对方式的关系[J]. 中国健康心理学杂志, 2016, 24(7): 1079-1081.
QIAN Y K, LI T Z, WU D, et al. Relationship among Depression and Life events, Coping styles of Medical students[J]. China J Heath Psychol, 2016, 24(7): 1079-1081.(in Chinese)
中国康复医学会脊柱脊髓专业委员会专家组. 中国急/慢性非特异性腰背痛诊疗专家共识[J]. 中国脊柱脊髓杂志, 2016, 26(12): 1134-1138.
Chinese Rehabilitation Medical Association spinal cord professional committee expert group. Expert consensus on acute/chronic nonspecific low back pain in China[J]. Chin J Spine Spinal Cord, 2016, 26(12): 1134-1138.(in Chinese)
国家中医药管理局.中医病证诊断疗效标准[M].南京大学出版社,1994.
孙磊. 关注疼痛护理专业实践发挥中西医结合护理优势: “中西医结合疼痛护理”专栏导读[J]. 中西医结合护理, 2023(4): 51.
SUN L. Focusing on pain management practices and taking advantages of integrated traditional Chinese and Western Medicine nursing[J]. Chin J Integr Nurs, 2023(4): 51.(in Chinese)
吴春丽,刘司春,杨明颖,等. 1例肾性水肿伴烫伤患者中西医结合护理体会[DB/OL]. 中西医结合临床案例库,2023. DOI:10. 12209/ CAIM202211240001http://dx.doi.org/10.12209/CAIM202211240001.
WU C L, LIU S C, YANG M Y, et al. Nursing ex-perience of a patient with renal edema and scald burn injury treated with integrated traditional Chinese and western medicine[DB/OL]. Clinical Archives of Inte-grative Medicine,2023. DOI:10. 12209/ CAIM202211240001http://dx.doi.org/10.12209/CAIM202211240001.
许诚楷, 丁元林, 孙明谨, 等. 还原型谷胱甘肽对早期慢性肾脏病患者氧化应激、血管新生及免疫功能指标的影响[J]. 中国老年学杂志, 2017, 37(19): 4861-4863.
XU C K, DING Y L, SUN M J, et al. Effects of reduced glutathione on oxidative stress, angiogenesis and immune function in patients with early chronic kidney disease[J]. Chin J Gerontol, 2017, 37(19): 4861-4863.(in Chinese)
左世国, 李姣姣, 向昱阳. 《医宗金鉴·正骨心法要旨》中骨伤外治处方的用药规律分析[J]. 中医正骨, 2022, 34(2): 40-43.
ZUO S G, LI J J, XIANG Y Y. Clinical medication rules of the prescriptions for external treatment of orthopedic and traumatic diseases in Yizong Jinjian, Essentials of Bone Orthopedics[J]. J Tradit Chin Orthop Traumatol, 2022, 34(2): 40-43.(in Chinese)
唐莉, 陈威. 中药熏洗结合按摩手法治疗腰椎间盘突出症[J]. 上海医药, 2015, 36(4): 23-24.
TANG L, CHEN W. Traditional Chinese medicine fumigation combined with massage manipulation in the treatment of lumbar intervertebral disc protrusion[J]. Shanghai Med Pharm J, 2015, 36(4): 23-24.(in Chinese)
梁志芬. 解毒通络汤对急性冠脉综合征伴代谢综合征患者HbA1c、hs-CRP、BNP、NE的影响[J]. 临床合理用药杂志, 2021, 14(25): 38-40.
LIANG Z F. Effect of Jiedu Tongluo Decoction on HbA1c, hs-CRP, BNP and NE in patients with acute coronary syndrome and metabolic syndrome[J]. Chin J Clin Ration Drug Use, 2021, 14(25): 38-40.(in Chinese)
蒋桦, 夏春香, 李淑忱, 等. 丹参注射液联合阿托伐他汀钙片治疗老年急性冠脉综合征的临床疗效及对血清学相关指标的影响[J]. 中西医结合心脑血管病杂志, 2020, 18(11): 1736-1740.
JIANG H, XIA C X, LI S C, et al. Clinical efficacy of Danshen injection combined with atorvastatin calcium tablets in the treatment of elderly acute coronary syndrome and its influence on serological related indexes[J]. Chin J Integr Med Cardio Cerebrovasc Dis, 2020, 18(11): 1736-1740.(in Chinese)
杨林, 王贵平. 肾俞穴位按摩配合中药熏蒸在腰椎间盘突出症术后患者康复中的应用[J]. 中医外治杂志, 2022, 31(4): 71-73.
YANG L, WANG G P. Application of Shenshu point massage combined with Chinese medicine fumigation in postoperative rehabilitation of patients with lumbar disc herniation[J]. J Extern Ther Tradit Chin Med, 2022, 31(4): 71-73.(in Chinese)
何佳薇, 刘瑶, 罗永丽, 等. 耳穴疗法的研究进展[J]. 中国疗养医学, 2023, 32(12): 1317-1320.
HE J W, LIU Y, LUO Y L, et al. Research progress in auricular acupoint therapy[J]. Chin J Conval Med, 2023, 32(12): 1317-1320.(in Chinese)
于竹力. 针刺足运感区结合温针关元、中极治疗小儿遗尿[C]//2011中国针灸学会年会论文集(摘要). 北京, 2011: 1315-1318.
郭林. 中医辨证施护联合参芪知甘汤对骨科术后肢体肿胀疼痛患者疼痛程度、睡眠质量的影响[J]. 国际护理学杂志, 2022, 41(4): 667-671.
GUO L. Effect of TCM syndrome differentiation combined with Shenqi Zhigan Decoction on pain degree and sleep quality of patients with limb swelling and pain after orthopedic surgery [J]. Int J Nurs, 2022, 41(4): 667-671.(in Chinese)
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