
浏览全部资源
扫码关注微信
北京中医药大学东直门医院 骨科, 北京, 100700
王秋洁, E-mail: 327833339@qq.com
网络出版日期:2024-08-22,
收稿日期:2024-06-17,
扫 描 看 全 文
张倩, 王秋洁. 芒硝封包联合白脉软膏治疗全膝关节置换术后肿痛1例护理体会[DB/OL].中西医结合临床案例库, 2024.
ZHANG Qian, WANG Qiujie. Nursing of a patient with swelling and pain after total knee arthroplasty treated by mirabilite package combined with Baimai ointment therapy[DB/OL].Clinical Archives of Integrative Medicine, 2024.
张倩, 王秋洁. 芒硝封包联合白脉软膏治疗全膝关节置换术后肿痛1例护理体会[DB/OL].中西医结合临床案例库, 2024. DOI: 10.12209/CAIM202406170003.
ZHANG Qian, WANG Qiujie. Nursing of a patient with swelling and pain after total knee arthroplasty treated by mirabilite package combined with Baimai ointment therapy[DB/OL].Clinical Archives of Integrative Medicine, 2024. DOI: 10.12209/CAIM202406170003.
本文总结应用芒硝封包外敷疗法联合白脉软膏治疗1例全膝关节置换(TKA)术后患者患肢水肿的护理经验。患者入院后,根据患者膝关节的病变程度,在手术室麻醉下为患者实施左侧人工全膝关节置换术。术后针对患者进行个体化护理,包括密切观察病情、基础护理、皮肤护理、心理护理及健康教育等。基于中西医基础理论,运用快速康复理念,在康复护理环节中运用中医特色技术芒硝封包外敷联合白脉软膏外治,能够有效缓解患者左下肢肿胀、疼痛等症状,加速患者康复进程,提高护理质量,缩短患者的住院周期。
This paper summarizes the nursing experience of a patient with limb edema after total knee arthroplasty (TKA) treated with mirabilite package and Baimai ointment therapy. After hospital admission, according to the severity of disease of the patient's knee joint, left limb TKA was performed under anesthesia in the operating room. After surgery, individualized nursing was carried out for the patient: observation of the condition, basic nursing, skin care, psychological nursing and health education. Based on the basic theory of traditional Chinese and Western medicine, the concept of enhanced recovery after surgery was applied. Nursing measures such as the Traditional Chinese Medicine technology of mirabilite package and external treatment with Baimai ointment were applied, which effectively relieved the swelling and pain of the patient's left lower limb, accelerated the rapid rehabilitation process of the patient, improved the quality of nursing, and shortened the hospitalization period of the patient.
芒硝封包白脉软膏中医护理中西医结合护理
mirabilite packageBaimai ointmentTraditional Chinese medicine nursingNursing of integrated traditional Chinese and western medicine
李爽, 王伟. 膝骨性关节炎手术治疗的研究进展[J]. 中国骨与关节损伤杂志, 2019, 34(6): 666-669.
LI S, WANG W. Research progress in surgical treatment of knee osteoarthritis[J]. Chin J Bone Jt Inj, 2019, 34(6): 666-669.(in Chinese)
边焱焱, 程开源, 常晓, 等. 2011至2019年中国人工髋膝关节置换手术量的初步统计与分析[J]. 中华骨科杂志, 2020(21): 1453-1460.
BIAN Y Y, CHENG K Y, CHANG X, et al. Reports and analysis of amount of hip and knee arthroplasty in China from 2011 to 2019[J]. Chin J Orthop, 2020(21): 1453-1460.(in Chinese)
DEFRANCE M J, SCUDERI G R. Are 20% of patients actually dissatisfied following total knee arthroplasty? A systematic review of the literature[J]. J Arthroplasty, 2023, 38(3): 594-599.
刘娅楠, 侯怀晶, 薛建军, 等. 全膝关节置换术后疼痛机制与针刺镇痛研究进展[J]. 西部中医药, 2020, 33(4): 146-150.
LIU Y N, HOU H J, XUE J J, et al. Research progress of the mechanism of pain after TKA and acupuncture analgesia[J]. West J Tradit Chin Med, 2020, 33(4): 146-150.(in Chinese)
金连顺, 张开源. 清明谷雨天 疏肝健脾度“尾春”[J]. 中医健康养生, 2024, 10(4): 22-24.
罗彬. 全膝关节置换术后术膝反复肿胀原因分析与处理对策的研究[D]. 广州: 暨南大学, 2021.
JIN L S, ZHANG K Y. Qingming Grain Rain has a degree of soothing the liver and strengthening the spleen[J]. TCM Healthy Life Nurtur, 2024, 10(4): 22-24.(in Chinese)
LUO B. Study on causes and treatment of recurrent swelling of operative knee after total knee arthroplasty[D]. Guangzhou: Jinan University, 2021.(in Chinese)
李莉. 大黄、芒硝外敷辅助治疗下肢肿胀效果观察[J]. 齐鲁护理杂志, 2006, 12(16): 1581.
LI L. Observation on the effect of external application of rhubarb and mirabilite in adjuvant treatment of lower limb swelling[J]. J Qilu Nurs, 2006, 12(16): 1581.(in Chinese)
任金霞, 钱莉芳. 芒硝外敷防治闭合性Pilon骨折患者肿胀疼痛的疗效观察[J]. 中外女性健康研究, 2016(11): 81, 84.
REN J X, QIAN L F. Observation on the curative effect of mirabilite external application in preventing and treating swelling and pain in patients with closed Pilon fracture[J]. Women’s Health Res, 2016(11): 81, 84.(in Chinese)
王亚明, 周章武. 芒硝外敷对于全膝关节置换术后下肢疼痛肿胀临床观察[J]. 中医药临床杂志, 2017, 29(2): 256-258.
WANG Y M, ZHOU Z W. The clinical observation of external mirabilite application on lower extremity pain and swelling after total knee arthroplasty[J]. Clin J Tradit Chin Med, 2017, 29(2): 256-258.(in Chinese)
刘闯. 冰硝散外敷联合肢体抬高预防TKA术后下肢肿胀的临床研究[D]. 济南: 山东中医药大学, 2020.
LIU C. Clinical Study on Bingxiao Powder external application with lower limb elevation to prevent lower limb swelling after TKA[D]. Jinan: Shandong University of Traditional Chinese Medicine, 2020.(in Chinese)
陈薇, 詹红生, 罗辉. 白脉软膏临床应用专家意见[J]. 中国中药杂志, 2022, 47(5): 1403-1408.
CHEN W, ZHAN H S, LUO H. Expert opinion on clinical application of Baimai Ointment[J]. China J Chin Mater Med, 2022, 47(5): 1403-1408.(in Chinese)
王荣田, 陈兆军, 吴俊德, 等. 藏药白脉软膏实效性临床研究[J]. 中国中医骨伤科杂志, 2021, 29(11): 32-37.
WANG R T, CHEN Z J, WU J D, et al. Clinical study on the effectiveness of Tibetan baimai ointment[J]. Chin J Tradit Med Traumatol Orthop, 2021, 29(11): 32-37.(in Chinese)
丁增尼玛, 向阳, 强巴旦増, 等. 白脉软膏在膝关节置换术术后多模式镇痛中的对比使用效果[J]. 中西医结合心血管病电子杂志, 2020, 8(6): 151.
DING Z, XIANG Y, QIANG B, et al. Comparative effect of Baimai ointment in multi-mode analgesia after knee replacement[J]. Cardiovasc Dis Electron J Integr Tradit Chin West Med, 2020, 8(6): 151.(in Chinese)
王伟明, 黎碧云. 针刺结合白脉软膏治疗寒湿痹阻型膝骨性关节炎疗效观察[J]. 海峡药学, 2019, 31(12): 123-125.
WANG W M, LI B Y. Observation on therapeutic effect of acupuncture combined with Baimai ointment on knee osteoarthritis of cold-dampness stagnation type[J]. Strait Pharm J, 2019, 31(12): 123-125.(in Chinese)
王思思, 王青青, 黄剑虹, 等. 知信行健康教育模式在手术患者术后疼痛管理中的应用效果[J]. 中国基层医药, 2020, 27(5): 611-613.
WANG S S, WANG Q Q, HUANG J H, et al. Application effect of Zhixinxing health education mode in postoperative pain management of surgical patients[J]. Chin J Prim Med Pharm, 2020, 27(5): 611-613.(in Chinese)
杜玉萍, 王献印, 陈向军, 等. 芒硝外敷减轻全膝关节置换术后早期膝关节肿痛的有效性Meta分析[J]. 中医正骨, 2022, 34(3): 32-37, 41.
DU Y P, WANG X Y, CHEN X J, et al. Clinical efficacy of external application of mirabilite for relieving early knee swelling and pain after total knee arthroplasty: a meta-analysis[J]. J Tradit Chin Orthop Traumatol, 2022, 34(3): 32-37, 41.(in Chinese)
钟露斌, 卢明峰, 潘三元, 等. 大黄芒硝散外敷治疗全膝关节置换术后伤口肿痛的疗效观察[J]. 中医药导报, 2017, 23(21): 90-91, 103.
ZHONG L B, LU M F, PAN S Y, et al. Efficacy of swelling pain in knee replacement by external application of Dahuang Mangxiao San [J]. Guid J Tradit Chin Med Pharm, 2017, 23(21): 90-91, 103.(in Chinese)
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621