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1.北京中医药大学东方医院 骨科, 北京, 100078
2.中国中医科学院望京医院 运动医学一科, 北京, 100102
收稿:2025-06-17,
修回:2025-07-27,
录用:2025-07-28,
网络出版:2025-10-20,
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张聘, 张盼, 邢亮, 等. 基于胃气为本理论改善1例骨折术后胃肠功能紊乱患者的病例报告[DB/OL].中西医结合临床案例库, 2025.
ZHANG Pin, ZHANG Pan, XING Liang, et al. A Case Report on Improving Gastrointestinal Dysfunction in a Patient after Fracture Surgery Based on the Theory of Stomach Qi as the Foundation[DB/OL].Clinical archives of integrative medicine, 2025.
张聘, 张盼, 邢亮, 等. 基于胃气为本理论改善1例骨折术后胃肠功能紊乱患者的病例报告[DB/OL].中西医结合临床案例库, 2025. DOI: 10.12209/CAIM202506170012.
ZHANG Pin, ZHANG Pan, XING Liang, et al. A Case Report on Improving Gastrointestinal Dysfunction in a Patient after Fracture Surgery Based on the Theory of Stomach Qi as the Foundation[DB/OL].Clinical archives of integrative medicine, 2025. DOI: 10.12209/CAIM202506170012.
本文总结1例气阴两虚型胫骨平台骨折术后患者胃肠功能紊乱的护理经验。根据中医辨证分型,基于胃气为本理论给予患者运用特色中医护理技术,即穴位贴敷及子午流注便秘推拿,结合生活、饮食与情志护理等方法,有效缓解患者术后胃痛、胃胀、苦干、口苦及便秘等胃肠功能紊乱症状,提高患者舒适度,加快患者康复。
This study summarizes the nursing experience of a patient with gastrointestinal dysfunction following tibial plateau fracture surgery, presenting as a pattern of qi and yin deficiency. Based on Traditional Chinese Medicine (TCM) syndrome differentiation and the theory of stomach qi as the foundation, specialized TCM nursing techniques were applied, including acupoint application and meridian flow acupressure for constipation, combined with lifestyle, dietary, and emotional regulation interventions. These methods effectively alleviated postoperative symptoms such as stomach pain, bloating, dry mouth, bitter taste, and constipation, improving patient comfort and accelerating recovery.
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CHEN H Y , LU M , WEI L Y , et al . Effect of flat responsibility nursing guided by clinical nursing path on postoperative recovery of tibial plateau fracture [J]. International Journal of Nursing Science , 2023 , 42 ( 14 ): 2596 - 2600 . (in Chinese)
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WAN H F , YANG X Q , WANG L . Regulatory effect of the new Jianzhong Qiangxin decoction from the wu school of medicine on gastrointestinal dysfunction in patients with chronic heart failure(qi-Yang deficiency syndrome) [J]. J Emerg Tradit Chin Med , 2025 , 34 ( 6 ): 1020 - 1022 . (in Chinese)
李振兴 . 中药穴位贴敷联合腹部按摩治疗对脑出血术后便秘患者便秘相关症状评分及胃肠激素的影响 [J]. 反射疗法与康复医学 , 2025 , 6 ( 7 ): 22 - 26 .
LI Z X . Effect of acupoint application of Chinese medicine combined with abdominal massage on scores of constipation-related symptoms and gastrointestinal hormones in patients with constipation after cerebral hemorrhage surgery [J]. Reflexology Rehabil Med , 2025 , 6 ( 7 ): 22 - 26 . (in Chinese)
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LI Y , XU D . Clinical effect of Jiawei Huangqi ginseng soup on gastrointestinal dysfunction after trauma [J]. J Med Pharm Chin Minor , 2025 , 31 ( 1 ): 4 - 6 . (in Chinese)
王付启 , 秦合伟 , 王媛 . 丁苯酞联合会厌逐瘀方穴位贴敷治疗急性脑梗死后吞咽障碍的临床疗效 [J]. 中西医结合心脑血管病杂志 , 2023 , 21 ( 20 ): 3827 - 3830 .
WANG F Q , QIN H W , WANG Y . Clinical effect of bupropion combined with acupoint application of epiglottis Zhuyu recipe on dysphagia after acute cerebral infarction [J]. Chin J Integr Med Cardio Cerebrovasc Dis , 2023 , 21 ( 20 ): 3827 - 3830 . (in Chinese)
李文佳 , 马冰清 , 刘亚红 . 五子贴敷联合腹部推拿对腰椎骨折术后腹胀的防治效果 [J]. 西部中医药 , 2022 , 35 ( 3 ): 130 - 132 .
LI W J , MA B Q , LIU Y H . Application of Wuzi application combined with abdominal massage in the prevention of abdominal distension after lumbar fracture [J]. West J Tradit Chin Med , 2022 , 35 ( 3 ): 130 - 132 . (in Chinese)
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