北京中医药大学东方医院 急诊科, 北京, 100078
韩建萍, E-mail: hanyim80@163.com
收稿:2025-02-17,
修回:2025-06-12,
录用:2025-06-13,
网络出版:2025-11-14,
移动端阅览
杨雨薇, 韩建萍, 李影, 等. 中药膏摩联合中药热奄包治疗1例重症肺炎伴腹胀的护理体会[DB/OL].中西医结合临床案例库, 2025.
YANG Yuwei, HAN Jianping, LI Ying, et al. Nursing Experience of Combined Chinese Herbal Ointment Massage and Hot Herbal Compress in Treating a Patient with Severe Pneumonia Complicated by Abdominal Distension[DB/OL].Clinical archives of integrative medicine, 2025.
杨雨薇, 韩建萍, 李影, 等. 中药膏摩联合中药热奄包治疗1例重症肺炎伴腹胀的护理体会[DB/OL].中西医结合临床案例库, 2025. DOI: 10.12209/CAIM202502170002.
YANG Yuwei, HAN Jianping, LI Ying, et al. Nursing Experience of Combined Chinese Herbal Ointment Massage and Hot Herbal Compress in Treating a Patient with Severe Pneumonia Complicated by Abdominal Distension[DB/OL].Clinical archives of integrative medicine, 2025. DOI: 10.12209/CAIM202502170002.
本文总结1例重症肺炎伴腹胀患者的中医特色护理实践。基于中医辨证施护原则,联合应用中药膏摩与中药热奄包干预,并采用标准化评估工具动态监测疗效,即肠内营养不耐受性评分表(GI intolerance score)与营养风险筛查(NRS2002)。治疗后患者腹胀分级从3级降至1级,胃残留量由≥200 mL减少至10~50 mL,肠内营养不耐受评分由4分降至2分。该联合疗法通过促进胃肠蠕动与温通经络,有效改善患者腹胀症状,使其肠内营养耐受性提升,加速重症肺炎康复进程。
This article summarizes the practice of traditional Chinese medicine-based nursing for a patient with severe pneumonia and abdominal distension. Based on the principle of syndrome differentiation and treatment, combined application of Chinese herbal ointment massage and Chinese herbal hot compress was adopted, and standardized assessment tools such as the GI intolerance score and the NRS2002 were used to dynamically monitor the therapeutic effect. After treatment, the abdominal distension grade of the patient decreased from grade 3 to grade 1, the gastric residual volume decreased from ≥ 200 mL to 10-50 mL, and the intestinal nutrition intolerance score decreased from 4 points to 2 points. This combined therapy effectively improved the patient's abdominal distension symptoms by promoting gastrointestinal peristalsis and warming and unblocking meridians, enhancing the intestinal nutrition tolerance, and accelerating the recovery process of severe pneumonia.
游俊杰 , 刘波 , 陈梦玲 , 等 . 重症肺炎患者营养管理的最佳证据总结 [J]. 中华护理杂志 , 2024 ( 13 ): 1616 - 1623 .
YOU J J , LIU B , CHEN M L , et al . Summary of the Best Evidence on Nutritional Management for Patients with Severe Pneumonia [J]. Chinese Journal of Nursing , 2024 ( 13 ): 1616 - 1623 . (in Chinese)
侯佳彤 , 吴筱箐 , 梁杰佳 , 等 . 重症肺炎营养治疗进展 [J]. 中国 医师杂志 , 2020 ( 7 ): 1118 - 1120 .
HOU J T , WU X Q , LIANG J J , et al . Progress in Nutritional Therapy for Severe Pneumonia [J]. Chinese Physician Magazine , 2020 ( 7 ): 1118 - 1120 . (in Chinese)
倪秀梅 , 胡少华 , 韩江英 , 等 . 护士主导的床旁超声在ICU肠内营养患者腹胀管理中的应用 [J]. 中华护理杂志 , 2024 , 59 ( 17 ): 2123 - 2129 .
NI X M , HU S H , HAN J Y , et al . The application of nurse-performed point-of-care ultrasound in the management of abdominal distension in patients with enteral nutrition in ICU [J]. Chin J Nurs , 2024 , 59 ( 17 ): 2123 - 2129 . (in Chinese)
仲文莉 , 明雨 , 楼鹏飞 , 等 . 中药热奄包源流探析 [J]. 现代中医临床 , 2023 , 30 ( 2 ): 90 - 96 .
ZHONG W L , MING Y , LOU P F , et al . Exploration of the origin and development of traditional Chinese medicine heat packages [J]. Mod Chin Clin Med , 2023 , 30 ( 2 ): 90 - 96 . (in Chinese)
张敏 . 中药穴位敷贴联合穴位按摩对缓解术后腹胀的疗效观察 [J]. 中国现代药物应用 , 2015 , 9 ( 3 ): 233 - 234 .
ZHANG M . Observation on the Therapeutic Effect of Traditional Chinese Medicine Acupoint Plastering Combined with Acupoint Massage in Alleviating Postoperative Abdominal Distension [J]. Chin J Mod Drug Appl , 2015 , 9 ( 3 ): 233 - 234 . (in Chinese)
徐春艳 , 黄砚萍 . 穴位贴敷联合中药热奄包治疗1例慢性胃炎腹胀患者的护理体会 [J]. 中西医结合护理 , 2023 ( 1 ): 88 - 90 .
XU C Y , HUANG Y P . Nursing Experience of Acupoint Plaster Application Combined with Chinese Herbal Hot Envelop Therapy for a Patient with Chronic Gastritis and Abdominal Distension [J]. Integrated Traditional Chinese and Western Medicine Nursing , 2023 ( 1 ): 88 - 90 . (in Chinese)
范志芬 . 穴位贴敷联合中药热奄包在治疗老年便秘患者中的应用分析 [J]. 中外医学研究 , 2021 , 19 ( 15 ): 18 - 20 .
FAN Z F . Application of acupoint application combined with traditional Chinese medicine hot package in the treatment of elderly patients with constipation [J]. Chin Foreign Med Res , 2021 , 19 ( 15 ): 18 - 20 . (in Chinese)
赵保亚 , 张蕾 , 刘书红 , 等 . 中药膏摩联合穴位贴敷治疗1例胃癌术后并发胃瘫综合征患者的护理体会 [J]. 中西医结合护理 , 2022 ( 12 ): 217 - 220 .
ZHAO B Y , ZHANG L , LIU S H , et al . Nursing Experience of Combined Treatment with Traditional Chinese Medicine Ointment Massage and Acupoint Plaster Application for a Patient with Gastric Paralysis Syndrome Complicated after Gastric Cancer Surgery [J]. Integrated Traditional Chinese and Western Medicine Nursing , 2022 ( 12 ): 217 - 220 . (in Chinese)
王灿 , 高媛媛 , 刘春霞 , 等 . 中药膏摩联合穴位注射治疗脓毒症胃肠功能障碍疗效观察 [J]. 现代中西医结合杂志 , 2022 , 31 ( 14 ): 1965 - 1968, 1972 .
WANG C , GAO Y Y , LIU C X , et al . Observation on the Therapeutic Effect of Traditional Chinese Medicine Ointment Massage Combined with Acupoint Injections in Treating Gastrointestinal Dysfunction in Sepsis [J]. Mod J Integr Tradit Chin West Med , 2022 , 31 ( 14 ): 1965 - 1968, 1972 . (in Chinese)
梁媛 , 杨雪卿 . 中药膏摩改善无创呼吸机辅助通气心衰患者腹胀的疗效观察 [J]. 护士进修杂志 , 2023 , 38 ( 20 ): 1862 - 1864, 1914 .
LIANG Y , YANG X Q . Observation of curative effect of Chinese ointment on abdominal distension in patients with heart failure assisted by noninvasive ventilator [J]. J Nurses Train , 2023 , 38 ( 20 ): 1862 - 1864, 1914 . (in Chinese)
陈春燕 , 谢莉萍 . 吴茱萸盐热奄包在肛肠疾病术后腹胀护理的应用 [J]. 中国中医药现代远程教育 , 2024 , 22 ( 19 ): 173 - 176 .
CHEN C Y , XIE L P . The application of salt fomentation package of fructus evodiae in abdominal distension nursing after anorectal diseases [J]. Chin Med Mod Distance Educ China , 2024 , 22 ( 19 ): 173 - 176 . (in Chinese)
周月 , 祁向争 , 李萌 . 中脘穴临床应用探析 [J]. 当代医药论丛 , 2022 ( 24 ): 140 - 142 .
ZHOU Y , QI X Z , LI M . Clinical Application Analysis of Zhongwan Acupoint [J]. Contemporary Medical Journal , 2022 ( 24 ): 140 - 142 . (in Chinese)
宁书蔚 , 柳颖 , 曹昌萌 , 等 . 胃窦超声、AGIUS评分联合注射器回抽法指导老年重症病人肠内营养的疗效研究 [J]. 肠外与肠内营养 , 2024 , 31 ( 1 ): 10 - 16 .
NING S W , LIU Y , CAO C M , et al . The efficacy of enteral nutrition feeding guided by ultrasound of gastric antrum, AGIUS score combined with gastric suctioning in elderly critically ill patients [J]. Parenter Enter Nutr , 2024 , 31 ( 1 ): 10 - 16 . (in Chinese)
刘慧 . 重症患者肠内营养护理研究进展 [J]. 黑龙江医学 , 2023 , 47 ( 18 ): 2303 - 2305 .
LIU H . Advances in enteral nutrition care for critically ill patients [J]. Heilongjiang Med J , 2023 , 47 ( 18 ): 2303 - 2305 . (in Chinese)
王晶晶 , 周洁 , 马海莲 , 等 . 1例急性呼吸衰竭气管插管合并重症肺炎患者肠内营养的护理体会 [J]. 中西医结合护理 , 2023 ( 4 ): 20 - 24 .
WANG J J , ZHOU J , MA H L , et al . Nursing Experience of Enteral Nutrition for a Patient with Acute Respiratory Failure and Tracheal Intubation Complicated with Severe Pneumonia [J]. Integrated Traditional Chinese and Western Medicine Nursing , 2023 ( 4 ): 20 - 24 . (in Chinese)
童晓飞 , 杨芷 , 张丹营 , 等 . 神经外科护士对预防误吸知信行的现状调查 [J]. 中华危重症医学杂志电子版 , 2021 , 14 ( 06 ): 489 - 493 .
TONG X F , YANG Z , ZHANG D Y , et al . Investigation on the current status of knowledge, attitude and practice of preventing aspiration among neurosurgical nurses [J]. Electronic Journal of Critical Care Medicine of China , 2021 , 14 ( 06 ): 489 - 493 . (in Chinese)
中国医师协会呼吸医师分会危重症专业委员会 , 中华医学会呼吸病学分会危重症医学学组 , 《中国呼吸危重症疾病营养支持治疗专家共识》专家委员会 , 等 . 中国呼吸危重症患者营养支持治疗专家共识 [J]. 中华医学杂志 , 2020 , 100 ( 8 ): 573 - 585 .
The Critical Care Committee of the Respiratory Physicians' Branch of the Chinese Medical Doctor Association , the Critical Care Medicine Group of the Respiratory Diseases Branch of the Chinese Medical Association , the Expert Committee of "Expert Consensus on Nutritional Support Therapy for Respiratory Critical Illness Patients" , etc . Expert Consensus on Nutritional Support Therapy for Respiratory Critical Illness Patients in China [J]. Natl Med J China , 2020 , 100 ( 8 ): 573 - 585 . (in Chinese)
魏维维 , 赵娜 , 孙泽桑 , 等 . 重症监护病房老年重症肺炎患者肠内营养不耐受的风险预测模型 [J]. 中国现代医生 , 2024 , 62 ( 11 ): 78 - 81, 89 .
WEI W W , ZHAO N , SUN Z S , et al . Risk prediction model of enteral nutrition intolerance in elderly patients with severe pneumonia in intensive care unit [J]. China Mod Dr , 2024 , 62 ( 11 ): 78 - 81, 89 . (in Chinese)
俞晓梅 , 朱世超 . 成人ECMO支持病人肠内营养安全管理方案的构建 [J]. 护理研究 , 2025 , 39 ( 9 ): 1450 - 1455 .
YU X M , ZHU S C . Construction of safe management protocols for enteral nutrition in adult patients supported by ECMO [J]. Chin Nurs Res , 2025 , 39 ( 9 ): 1450 - 1455 . (in Chinese)
王绍辉 , 胡燕 . 古代膏摩应用述要 [J]. 山东中医药大学学报 , 2002 , 26 ( 2 ): 102 .
WANG S H , HU Y . Ancient Treatise on Massage Applications [J]. J Shandong Univ Tradit Chin Med , 2002 , 26 ( 2 ): 102 . (in Chinese)
阎玲 . 基于气机升降理论探讨中药膏摩结合振腹推拿治疗老年慢性功能性腹胀的临床观察 [J]. 中国民间疗法 , 2023 , 31 ( 16 ): 68 - 71 .
YAN L . Based on the theory of qi movement and balance, an observational study was conducted to explore the clinical efficacy of combining traditional Chinese medicine ointment application with abdominal vibration and massage in the treatment of chronic functional abdominal distension in the elderly .[J]. China’s Naturopathy , 2023 , 31 ( 16 ): 68 - 71 . (in Chinese)
粱勇 . 史记 [M]. 长春 : 吉林人民出版社 , 1996 : 1361 - 1362 .
周凤丽 . 中药热奄包腹部外敷恢复腹部手术后胃肠功能效果观察 [J]. 实用中医药杂志 , 2017 , 33 ( 5 ): 566 - 567 .
ZHOU F L . Observation on the Effect of External Application of Traditional Chinese Medicine Hot Envelopes on Restoring Gastrointestinal Function after Abdominal Surgery [J]. J Pract Tradit Chin Med , 2017 , 33 ( 5 ): 566 - 567 . (in Chinese)
李斯 . 基于中医时间理论的中药穴位热敷预防重症患者肠内营养不耐受的应用研究 [D]. 合肥 : 安徽中医药大学 , 2023 .
梁媛 , 杨雪卿 . 中药膏摩改善无创呼吸机辅助通气心衰患者腹胀的疗效观察 [J]. 护士进修杂志 , 2023 , 38 ( 20 ): 1862 - 1864, 1914 .
LIANG Y , YANG X Q . Observation of curative effect of Chinese ointment on abdominal distension in patients with heart failure assisted by noninvasive ventilator [J]. J Nurses Train , 2023 , 38 ( 20 ): 1862 - 1864, 1914 . (in Chinese)
李春红 , 郭敬 . 中药膏摩技术在脾胃虚寒型腹胀患者中的应用效果研究 [J]. 长春中医药大学学报 , 2019 , 35 ( 3 ): 549 - 552 .
LI C H , GUO J . Effect of traditional Chinese medicine ointment and rubbing technique in patients with cold abdominal distension due to deficiency of spleen and stomach [J]. J Changchun Univ Chin Med , 2019 , 35 ( 3 ): 549 - 552 . (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
