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北京市肛肠医院 外一病区, 北京, 100120
收稿日期:2025-06-17,
录用日期:2025-07-21,
网络出版日期:2025-09-05,
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郑鑫鑫, 刘玲芳. 1例高位复杂肛瘘合并高血压术后出血患者的中西医结合护理[DB/OL].中西医结合临床案例库, 2025.
ZHENG Xinxin, LIU Lingfang. Integrated Traditional Chinese and Western Medicine Nursing for a Patient with High Complex Anal Fistula Complicated by Postoperative Hemorrhage and Hypertension[DB/OL].Clinical archives of integrative medicine, 2025.
郑鑫鑫, 刘玲芳. 1例高位复杂肛瘘合并高血压术后出血患者的中西医结合护理[DB/OL].中西医结合临床案例库, 2025. DOI: 10.12209/CAIM202506170004.
ZHENG Xinxin, LIU Lingfang. Integrated Traditional Chinese and Western Medicine Nursing for a Patient with High Complex Anal Fistula Complicated by Postoperative Hemorrhage and Hypertension[DB/OL].Clinical archives of integrative medicine, 2025. DOI: 10.12209/CAIM202506170004.
本文总结1例高位复杂肛瘘合并高血压术后出血患者的护理经验。护理要点包括进行多维度评估,实施个体化营养干预,联合渐进式运动指导,控制体重;注重渗液管理与控制感染,定期监测血压,完善疼痛护理,加强并发症护理;应用积极二元应对干预策略,实施心理护理。践行以中医理论为指导的护理理念,通过实施中西医结合治疗护理干预措施,患者于术后27 d出院,出院随访1月余,伤口恢复良好。
This article summarizes the nursing experience of a patient with high complex anal fistula complicated by postoperative hemorrhage and hypertension. Key nursing interventions included multidimensional assessment, individualized nutritional intervention, combined progressive exercise guidance, and weight control. Emphasis was placed on exudate management and infection control, regular blood pressure monitoring, comprehensive pain care, and complication prevention. Active dyadic coping intervention strategies were applied alongside psychological support. Guided by Traditional Chinese Medicine (TCM) theory, integrated TCM-Western nursing measures were implemented. The patient was discharged after 27 days with satisfactory wound recovery confirmed during a 1-month follow-up.
SANCHEZ-HARO E , VELA E , CLERIES M , et al . Clinical characterization of patients with anal fistula during follow-up of anorectal abscess: a large population-based study [J]. Tech Coloproctol , 2023 , 27 ( 10 ): 897 - 907 .
刘安乐 , 胡亚琴 . IGF-1对肛瘘镜下手术治疗肛瘘患者切口愈合的预测价值 [J]. 吉林医学 , 2023 , 44 ( 11 ): 3080 - 3082 .
LIU A L , HU Y Q . Predictive value of IGF-1 on incision healing of patients with anal fistula treated by endoscopic surgery [J]. Jilin Med J , 2023 , 44 ( 11 ): 3080 - 3082 . (in Chinese)
白德胜 . 切开挂线对口引流术治疗高位复杂性肛瘘合并高血压患者的疗效观察 [J]. 中西医结合心血管病电子杂志 , 2015 , 3 ( 12 ): 4 - 5 .
BAI D S . Observate the curative effect of Incision and thread drawing drainage in the treatment of high complex anal fistula complicated with hypertension [J]. Cardiovasc Dis J Integr Tradit Chin West Med , 2015 , 3 ( 12 ): 4 - 5 . (in Chinese)
毛丹 , 屈玉华 , 陈凤鸣 . 层级护理对肛瘘术后患者疼痛程度及创面愈合的影响 [J]. 中外医学研究 , 2023 , 21 ( 17 ): 115 - 118 .
MAO D , QU Y H , CHEN F M . Effect of hierarchical nursing on pain degree and wound healing of patients after anal fistula surgery [J]. Chin Foreign Med Res , 2023 , 21 ( 17 ): 115 - 118 . (in Chinese)
国家卫生健康委食品安全标准与监测评估司 , 中国疾病预防控制中心营养与健康所 , 成人肥胖食养指南编写专家组 , 等 . 成人肥胖食养指南(2024年版) [J]. 卫生研究 , 2024 , 53 ( 3 ): 347 - 351 .
Expert Group for the Compilation of Dietary Guidelines for Adult Obesity Prevention and Control , Food Safety Standards and Monitoring and Evaluation Department of the National Health Commission , Institute of Nutrition and Health , Chinese Center for Disease Control and Prevention , et al . Guidelines for eating and feeding adult obesity (2024 edition) [J]. J Hyg Res , 2024 , 53 ( 3 ): 347 - 351 . (in Chinese)
印丽华 , 杨小辉 , 应征 , 等 . 失效模式和效应分析联合中药换药在肛瘘术后患者护理中的应用 [J]. 四川中医 , 2014 , 32 ( 1 ): 157 - 159 .
YIN L H , YANG X H , YING Z , et al . Application of failure mode and effect analysis with traditional Chinese medicine treatment after the anal fistula surgery [J]. J Sichuan Tradit Chin Med , 2014 , 32 ( 1 ): 157 - 159 . (in Chinese)
钱钻子 . 妊娠期体重增加的回顾性队列研究和增重过快孕妇的营养干预研究 [D]. 重庆 : 中国人民解放军陆军军医大学 , 2024 .
邓欣 , 胡蓉 , 李佩芳 , 等 . 慢性伤口渗液管理的最佳证据总结 [J]. 华西医学 , 2024 , 39 ( 6 ): 927 - 933 .
DENG X , HU R , LI P F , et al . Optimal evidence summary for chronic wounds exudate management [J]. West China Med J , 2024 , 39 ( 6 ): 927 - 933 . (in Chinese)
梁爱新 , 蔡玩珠 , 陈宝珍 , 等 . 综合护理干预对缓解肛周脓肿术后伤口疼痛及伤口换药疼痛的效果观察 [J]. 医药前沿 , 2021 ( 35 ): 128 - 129 .
LIANG A X , CAI W Z , CHEN B Z , et al . Observation on the effect of comprehensive nursing intervention on relieving postoperative wound pain and dressing change pain of perianal abscess [J]. J Front Med , 2021 ( 35 ): 128 - 129 . (in Chinese)
魏新业 . 中医特色护理技术对混合痔手术患者疼痛及并发症的影响 [J]. 临床医学研究与实践 , 2025 , 10 ( 8 ): 150 - 153 .
WEI X Y . Effects of traditional Chinese medicine characteristic nursing techniques on pain and complications in patients undergoing mixed hemorrhoids surgery [J]. Clin Res Pract , 2025 , 10 ( 8 ): 150 - 153 . (in Chinese)
杨娜 . 基于二元应对理论的脊髓损伤患者及其配偶干预方案的构建及应用 [D]. 合肥 : 安徽医科大学 , 2024 .
中国医师协会肛肠医师分会临床指南工作委员会 . 肛瘘诊治中国专家共识(2020版) [J]. 中华胃肠外科杂志 , 2020 , 23 ( 12 ): 1123 - 1130 .
The Clinical Guidelines Working Committee of the Anorectal Physicians' Branch of the Chinese Medical Association . Consensus of Chinese experts on the diagnosis and treatment of anal fistula (2020) [J]. Chin J Gastrointest Surg , 2020 , 23 ( 12 ): 1123 - 1130 . (in Chinese)
张硕 , 陈宇欢 , 张锦楠 , 等 . 基于气血理论探究明代著名医家陈实功治疗痈疽的学术思想 [J]. 世界中西医结合杂志 , 2024 , 19 ( 10 ): 1972 - 1975, 1981 .
ZHANG S , CHEN Y H , ZHANG J N , et al . Academic thought of prestigious doctor in the Ming dynasty Chen Shigong in treatment of carbuncle based on qi and blood theory [J]. World J Integr Tradit West Med , 2024 , 19 ( 10 ): 1972 - 1975, 1981 . (in Chinese)
焦珍妮 , 于永铎 . 中医药促进肛瘘术后创面愈合的研究进展 [J]. 实用中医内科杂志 , 2025 , 39 ( 3 ): 102 - 105 .
JIAO Z N , YU Y D . Research progress of traditional Chinese medicine in promoting wound healing after anal fistula operation [J]. J Pract Tradit Chin Intern Med , 2025 , 39 ( 3 ): 102 - 105 . (in Chinese)
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