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中国中医科学院广安门医院 重症医学科, 北京, 100032
王学勤, E-mail: 164123836@qq.com
收稿日期:2025-04-27,
录用日期:2025-06-25,
网络出版日期:2025-07-31,
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杨贺壹, 王学勤, 石福霞, 等. 应用五音疗法联合经穴推拿技术治疗1例ICU获得性衰弱患者的护理体会[DB/OL].中西医结合临床案例库, 2025.
YANG Heyi, WANG Xueqin, SHI Fuxia, et al. Nursing Experience of Five-Element Music Therapy Combined with Meridian-Acupoint Tuina for ICU-Acquired Weakness[DB/OL].Clinical archives of integrative medicine, 2025.
杨贺壹, 王学勤, 石福霞, 等. 应用五音疗法联合经穴推拿技术治疗1例ICU获得性衰弱患者的护理体会[DB/OL].中西医结合临床案例库, 2025. DOI: 10.12209/CAIM202504270003.
YANG Heyi, WANG Xueqin, SHI Fuxia, et al. Nursing Experience of Five-Element Music Therapy Combined with Meridian-Acupoint Tuina for ICU-Acquired Weakness[DB/OL].Clinical archives of integrative medicine, 2025. DOI: 10.12209/CAIM202504270003.
本文总结1例ICU获得性衰弱患者在早期康复锻炼的基础上,给予五音疗法联合经穴推拿中医适宜技术的护理体会。2024年02月04日,我科收治1例Ⅱ型呼吸衰竭、支气管扩张合并感染患者,住院46 d后患者肌力分级(Medical Research Council, MRC)评分为32分,巴氏指数(Barthel index)评分为0分,诊断为ICU获得性衰弱;应用五音疗法联合经穴推拿技术,39 d后患者MRC评分为54分,BI评分为65分,患者于入院后85 d出院。
This article summarizes the nursing experience of applying Five-Element Music Therapy combined with meridian-acupoint tuina as complementary TCM techniques for a patient with ICU-acquired weakness, alongside early rehabilitation exercises. On February 4, 2024, a patient with type II respiratory failure and bronchiectasis complicated by infection was admitted. After 46 days of hospitalization, the patient was diagnosed with ICU-acquired weakness, presenting a Medical Research Council (MRC) score of 32 points and Barthel Index (BI) score of 0 points. Following 39 days of Five-Element Music Therapy and meridian-acupoint tuina intervention, the MRC score improved to 54 points and BI score to 65 points. The patient was discharged 85 days post-admission.
CARTOTTO R , JOHNSON L , ROOD J M , et al . Clinical practice guideline: early mobilization and rehabilitation of critically ill burn patients [J]. J Burn Care Res , 2023 , 44 ( 1 ): 1 - 15 .
余小萍 , 方祝元 . 中医内科学 [M]. 3版 . 上海 : 上海科学技术出版社 , 2018 : 375 .
刘哲君 , 林新锋 , 赵馥 , 等 . ICU获得性肌无力的发病与中医“痿证” 相关性的探讨 [J]. 中医药导报 , 2018 , 24 ( 11 ): 33 - 35 .
LIU Z J , LIN X F , ZHAO F , et al . Discussion on the correlation between ICU acquired weakness and Wei syndrome [J]. Guid J Tradit Chin Med Pharm , 2018 , 24 ( 11 ): 33 - 35 . (in Chinese)
齐文升 . ICU获得性衰弱的西医诊疗及中医辨治策略 [J]. 北京中医药 , 2018 , 37 ( 1 ): 27 - 29 .
QI W S . Diagnosis and treatment of acquired weakness in ICU by western medicine and strategy of differentiation and treatment by traditional Chinese medicine [J]. Beijing J Tradit Chin Med , 2018 , 37 ( 1 ): 27 - 29 . (in Chinese)
刘雨欣 , 翁家俊 , 洪婷 , 等 . 基于《黄帝内经》五音疗疾探析其现代临床应用 [J]. 中医临床研究 , 2022 , 14 ( 3 ): 145 - 148 .
LIU Y X , WENG J J , HONG T , et al . Effect analysis of Wuxing music treatment of disease on the basis of Huangdi Neijing and its modern clinical application [J]. Clin J Chin Med , 2022 , 14 ( 3 ): 145 - 148 . (in Chinese)
许继宗 , 张波 , 张喆 , 等 . 《黄帝内经》五音疗法对脑卒中患者肌力恢复的影响 [J]. 中国中医药现代远程教育 , 2015 , 13 ( 16 ): 1 - 3 .
XU J Z , ZHANG B , ZHANG Z , et al . The influence of five notes therapy in huangdi neijing on recovery of myodynamia of stroke patients [J]. Chin Med Mod Distance Educ China , 2015 , 13 ( 16 ): 1 - 3 . (in Chinese)
赵春红 , 蒋雅琼 , 曹丹 . 指压穴位刺激配合肢体功能锻炼预防ICU获得性衰弱的效果研究 [J]. 实用临床护理学电子杂志 , 2017 , 2 ( 11 ): 173 - 174 .
ZHAO C H , JIANG Y Q , CAO D . Study on the effect of acupressure acupoint stimulation combined with limb function exercise in preventing acquired weakness in ICU [J]. J Clin Nursing’s Pract , 2017 , 2 ( 11 ): 173 - 174 . (in Chinese)
林建忠 , 郑文贤 , 陈建乐 , 等 . 循经推拿联合康复训练对脑中风患者运动功能恢复的效果及作用机制 [J]. 世界中医药 , 2017 , 12 ( 4 ): 899 - 902 .
LIN J Z , ZHENG W X , CHEN J L , et al . On the effect and mechanism of tuina along meridians combined with rehabilitation training on motor function recovery of stroke patients [J]. World Chin Med , 2017 , 12 ( 4 ): 899 - 902 . (in Chinese)
方蕊 , 李探 , 张潇月 , 等 . 黄连汤“昼三夜二” 分时给药改善脓毒症相关获得性衰弱随机对照研究 [J]. 中国中西医结合杂志 , 2024 , 44 ( 12 ): 1443 - 1449 .
FANG R , LI T , ZHANG X Y , et al . Taking Huanglian decoction thrice by day and twice by night on sepsis-related acquired weakness: a randomized controlled trial [J]. Chin J Integr Tradit West Med , 2024 , 44 ( 12 ): 1443 - 1449 . (in Chinese)
黄梅英 , 林兰 , 林艳萍 , 等 . 指压穴位刺激配合肢体功能锻炼预防ICU获得性衰弱的效果研究 [J]. 齐齐哈尔医学院学报 , 2016 , 37 ( 13 ): 1664 - 1666 .
HUANG M Y , LIN L , LIN Y P , et al . Study on the efficacy of acupoint press stimulation combined with limb function exercise in the treatment of ICU acquired weakness [J]. J Qiqihar Univ Med , 2016 , 37 ( 13 ): 1664 - 1666 . (in Chinese)
黄建慧 , 丘富程 , 郭丽华 , 等 . 探讨医护技协同下中医院诊疗重症医学病房获得性衰弱特色之路 [J]. 中国中医急症 , 2023 , 32 ( 3 ): 524 - 527, 544 .
HUANG J H , QIU F C , GUO L H , et al . Discussion on the diagnosis and treatment of ICU-AW in TCM hospitals under the collaboration of doctors, nurses and therapists [J]. J Emerg Tradit Chin Med , 2023 , 32 ( 3 ): 524 - 527, 544 . (in Chinese)
王茂生 , 赵馥 , 林新锋 , 等 . “脾主肌肉” 在治疗ICU获得性肌无力中的应用 [J]. 中国中医急症 , 2019 , 28 ( 10 ): 1855 - 1858 .
WANG M S , ZHAO F , LIN X F , et al . Application of “spleen governing muscle” in the treatment of acquired myasthenia in ICU [J]. J Emerg Tradit Chin Med , 2019 , 28 ( 10 ): 1855 - 1858 . (in Chinese)
王尽欢 , 刘军彤 , 石岩 , 等 . 痿证中医病因病机理论框架结构研究 [J]. 辽宁中医药大学学报 , 2023 , 25 ( 12 ): 162 - 165 .
WANG J H , LIU J T , SHI Y , et al . Research on the theoretical framework of TCM etiology and pathogenesis of flaccidity syndrome [J]. J Liaoning Univ Tradit Chin Med , 2023 , 25 ( 12 ): 162 - 165 . (in Chinese)
张勇 , 杨帅 , 肖静怡 , 等 . 《黄帝内经》五音疗法考释 [J]. 中华中医药杂志 , 2022 , 37 ( 12 ): 7276 - 7278 .
ZHANG Y , YANG S , XIAO J Y , et al . Research and explanation of five-tones therapy in huangdi neijing [J]. China J Tradit Chin Med Pharm , 2022 , 37 ( 12 ): 7276 - 7278 . (in Chinese)
张娜 , 张兵 . 早期活动预防ICU获得性衰弱的研究进展 [J]. 解放军护理杂志 , 2014 , 31 ( 5 ): 43 - 45 .
ZHANG N , ZHANG B . Research progress of early activities to prevent acquired weakness in ICU [J]. Nurs J Chin People’s Liberation Army , 2014 , 31 ( 5 ): 43 - 45 . (in Chinese)
RAHIMINEZHAD E , SADEGHI M , AHMADINEJAD M , et al . A randomized controlled clinical trial of the effects of range of motion exercises and massage on muscle strength in critically ill patients [J]. BMC Sports Sci Med Rehabil , 2022 , 14 ( 1 ): 96 .
刘光华 , 吴振起 , 赵明山 . 《黄帝内经》痿病源流及名实 [J]. 中医研究 , 2007 , 20 ( 3 ): 12 - 14 .
LIU G H , WU Z Q , ZHAO M S . Origin and Name of flaccidity in huangdi neijing [J]. Tradit Chin Med Res , 2007 , 20 ( 3 ): 12 - 14 . (in Chinese)
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