1.清华大学玉泉医院 清华大学中西医结合医院 手足外科, 北京, 100049
2.清华大学玉泉医院 清华大学中西医结合医院 护理部, 北京, 100049
王华枝, E-mail: 718053259@qq.com
收稿:2025-06-28,
修回:2025-08-25,
录用:2025-08-26,
网络出版:2025-11-18,
移动端阅览
赵燕燕, 王华枝, 孙燕, 等. 1例多指离断伤患者行再植术后的中西医结合护理[DB/OL].中西医结合临床案例库, 2025.
ZHAO Yanyan, WANG Huazhi, SUN Yan, et al. Combined Traditional Chinese and Western Medicine Nursing for a Patient with Multiple-digit Amputation after Replantation Surgery[DB/OL].Clinical Archives of Integrative Medicine, 2025.
赵燕燕, 王华枝, 孙燕, 等. 1例多指离断伤患者行再植术后的中西医结合护理[DB/OL].中西医结合临床案例库, 2025. DOI: 10.12209/CAIM202506280001.
ZHAO Yanyan, WANG Huazhi, SUN Yan, et al. Combined Traditional Chinese and Western Medicine Nursing for a Patient with Multiple-digit Amputation after Replantation Surgery[DB/OL].Clinical Archives of Integrative Medicine, 2025. DOI: 10.12209/CAIM202506280001.
本文总结1例多指离断伤患者行再植术后的中西医结合护理经验。术后在常规护理基础上结合中医特色护理技术,针对患者进行个体化护理,包括密切观察病情、疼痛护理、情志护理及康复锻炼等,有效缩短治疗周期,加速患者康复进程,最终手指成活,功能恢复,疗效显著,可为临床治疗提供护理借鉴。
This article summarizes the nursing experience of combining Traditional Chinese Medicine (TCM) with Western medicine for a patient with multiple-digit amputation after replantation surgery. Postoperative care incorporated TCM-specific nursing techniques alongside conventional methods, including individualized interventions such as close monitoring, pain management, emotional support, and rehabilitation exercises. These measures effectively shortened the treatment cycle, accelerated recovery, and achieved successful digit survival with functional restoration. The outcomes demonstrate significant clinical efficacy, offering valuable nursing insights for similar cases.
黄晓春 , 邓小兵 , 万颖 , 等 . 加速康复外科护理在多指离断再植术患者中的临床疗效 [J]. 中华手外科杂志 , 2020 , 36 ( 1 ): 44 - 46 .
HUANG X C , DENG X B , WAN Y , et al . The clinical efficacy of enhanced recovery after surgery nursing in patients with multiple finger amputation replantation [J]. Chin J Hand Surg , 2020 , 36 ( 1 ): 44 - 46 . (in Chinese)
陈艳梅 , 韩景璐 , 陈晓松 . 膀胱灌注化疗后延迟拔除导尿管对缓解尿道疼痛的护理观察 [J]. 现代泌尿生殖肿瘤杂志 , 2020 , 12 ( 2 ): 113 - 114 .
CHEN Y M , HAN J L , CHEN X S . Observation on the Nursing Care of Delayed Removal of Urinary Catheter after Bladder Intravesical Chemotherapy for Alleviating Urinary Tract Pain [J]. J Contemp Urol Reprod Oncol , 2020 , 12 ( 2 ): 113 - 114 . (in Chinese)
李青云 , 张颖 , 徐亚红 , 等 . 成人ICU患者出院后疼痛情况与生活质量的纵向研究 [J/OL]. 武汉大学学报(医学版) , 2025 : 1 - 6 . ( 2025-07-10 ). https://link.cnki.net/doi/10.14188/j.1671-8852.2025.0177.LI Q Y https://link.cnki.net/doi/10.14188/j.1671-8852.2025.0177.LIQY ,
ZHANG Y , XU Y H , et al . Longitudinal study of pain and quality of life in adult ICU patients after discharge [J/OL]. Med . J. Wuhan Univ. , 2025 : 1 - 6 . ( 2025-07-10 ). https://link.cnki.net/doi/10.14188/j.1671-8852.2025.0177 https://link.cnki.net/doi/10.14188/j.1671-8852.2025.0177 . (in Chinese)
潘奎静 , 陈晖 , 濮士斌 , 等 . 手外伤患者PTSD发生及其与手功能恢复的相关性 [J]. 实用手外科杂志 , 2020 , 34 ( 1 ): 109 - 112 .
PAN K J , CHEN H , PU S B , et al . The occurrence of PTSD in patients with hand injuries and its correlation with the recovery of hand function [J]. J Pract Hand Surg , 2020 , 34 ( 1 ): 109 - 112 . (in Chinese)
浦梦俭 . 综合营养护理在无痛肠镜检查患者中的应用效果分析 [J]. 中外医药研究 , 2024 ( 15 ): 150 - 152 .
PU M J . Application effect analysis of comprehensive nutrition nursing in patients with painless colonoscopy [J]. J Chin Foreign Med Pharm Res , 2024 ( 15 ): 150 - 152 . (in Chinese)
刘婷 , 蔡奔 , 陈南星 , 等 . 缺血性脑卒中病人日常生活活动能力的影响因素分析 [J]. 蚌埠医学院学报 , 2021 , 46 ( 5 ): 669 - 672 .
LIU T , CAI B , CHEN N X , et al . Analysis of the influencing factors of activity of daily living in patients with ischemic stroke [J]. J Bengbu Med Coll , 2021 , 46 ( 5 ): 669 - 672 . (in Chinese)
杜振华 , 李新华 . 等速肌力训练联合早期量化康复护理对胫骨平台骨折患者关节功能的影响 [J]. 反射疗法与康复医学 , 2024 , 5 ( 2 ): 73 - 76 .
DU Z H , LI X H . Effect of isokinetic muscle strength training combined with early quantitative rehabilitation nursing on joint function in patients with tibial plateau fractures [J]. Reflexology Rehabil Med , 2024 , 5 ( 2 ): 73 - 76 . (in Chinese)
鹿岁岁 , 杨妮妮 , 孟盼丽 , 等 . 早期量化活动训练结合正念减压疗法对乳腺癌根治术后患者上肢功能及疾病自我感受负担的影响 [J]. 临床医学研究与实践 , 2023 , 8 ( 32 ): 165 - 168 .
LU S S , YANG N N , MENG P L , et al . Effects of early quantitative activity training combined with mindfulness decompression therapy on upper limb function and disease self-perceived burden in patients after radical mastectomy for breast cancer [J]. Clin Res Pract , 2023 , 8 ( 32 ): 165 - 168 . (in Chinese)
王丽春 , 黄芳艳 . 踝泵运动在预防下肢深静脉血栓中应用的研究进展 [J]. 循证护理 , 2021 , 7 ( 16 ): 2176 - 2180 .
WANG L C , HUANG F Y . Research progress in the application of ankle pump exercises in prevention of lower extremity deep venous thrombosis [J]. Chin Evid Based Nurs , 2021 , 7 ( 16 ): 2176 - 2180 . (in Chinese)
蒋春燕 , 何玉珍 , 谢文婷 . 断指再植术后患者的精细化护理 [J]. 当代护士(上旬刊) , 2019 , 26 ( 2 ): 72 - 74 .
JIANG C Y , HE Y Z , XIE W T . Precise nursing care for patients after amputation replantation surgery [J]. Today Nurse , 2019 , 26 ( 2 ): 72 - 74 . (in Chinese)
孙文萍 , 周英 . 心理护理对骨科高龄患者生活质量及护理满意度的影响 [J]. 心理月刊 , 2020 , 15 ( 22 ): 92 - 93 .
SUN W P , ZHOU Y . Effect of psychological nursing on quality of life and nursing satisfaction of elderly orthopedic patients [J]. Psychological Magazine , 2020 , 15 ( 22 ): 92 - 93 . (in Chinese)
贾慧 , 杨鸽 , 黄彬倩 , 等 . 中医护理技术预防股骨颈骨折术后深静脉血栓形成的Meta分析 [J]. 中西医结合护理 , 2023 , 9 ( 11 ): 122 - 129 .
JIA H , YANG G , HUANG B Q , et al . A meta-analysis of effect of Traditional Chinese Medicine nursing technology in prevention of deep venous thrombosis after surgery for femoral neck fracture [J]. Chin J Integr Nurs , 2023 , 9 ( 11 ): 122 - 129 . (in Chinese)
周丽梅 , 安方静 , 王晚晚 , 等 . 耳穴贴压治疗非特异性腰痛的快速止痛通络疗效观察 [J]. 颈腰痛杂志 , 2023 , 44 ( 2 ): 277 - 278, 290 .
ZHOU L M , AN F J , WANG W W , et al . Observation on the Rapid Analgesic and Meridian-Regulating Effect of Auricular Point Pressing Therapy for Non-specific Low Back Pain [J]. J Cervicodynia Lumbodynia , 2023 , 44 ( 2 ): 277 - 278, 290 . (in Chinese)
彭涛 , 贾鹏 , 韩晓明 . 不同术前时间经皮椎体后凸成形术对骨质疏松椎体压缩性骨折患者脊柱功能预后的临床研究 [J]. 临床和实验医学杂志 , 2021 ( 11 ): 1202 - 1206 .
PENG T , JIA P , HAN X M . Clinical Study on the Prognosis of Spinal Function in Patients with Osteoporotic Vertebral Compression Fractures Treated with Percutaneous Kyphoplasty at Different Preoperative Time Intervals [J]. Journal of Clinical and Experimental Medicine , 2021 ( 11 ): 1202 - 1206 . (in Chinese)
侯燕丽 , 陆镇涛 , 郭敬 , 等 . 肺癌患者不同证型咳嗽耳穴贴压技术方案构建及效果研究 [J]. 中华护理杂志 , 2025 , 60 ( 12 ): 1427 - 1433 .
HOU Y L , LU Z T , GUO J , et al . Construction and effect of auricular acupressure in patients with cough with different syndrome types [J]. Chin J Nurs , 2025 , 60 ( 12 ): 1427 - 1433 . (in Chinese)
卢兴军 , 封洪君 , 陈福洪 , 等 . 中西医治疗骨折术后疼痛的研究进展 [J]. 中医学 , 2024 , 13 ( 9 ): 2145 - 2151 .
LU X J , FENG H J , CHEN F H , et al . Research Progress on the Treatment of Postoperative Pain after Fracture with Traditional Chinese and Western Medicine [J]. Tradit Chin Med , 2024 , 13 ( 9 ): 2145 - 2151 . (in Chinese)
钱康琦 , 陈洁 , 陈慧 . 骨科患者术后疼痛管理的研究 [J]. 医学信息 , 2022 , 35 ( 3 ): 57 - 59 .
QIAN K Q , CHEN J , CHEN H . Study on postoperative pain management in orthopedic patients [J]. J Med Inf , 2022 , 35 ( 3 ): 57 - 59 . (in Chinese)
邢晓敏 , 魏丽娜 , 周长凯 , 等 . 镇痛药物治疗临床路径应用于骨科的探索与实践 [J]. 中国医院药学杂志 , 2020 , 40 ( 3 ): 334 - 338 .
XING X M , WEI L N , ZHOU C K , et al . Exploration and practice of analgesicclinical medicine pathway in orthopedic [J]. Chin J Hosp Pharm , 2020 , 40 ( 3 ): 334 - 338 . (in Chinese)
迪丽努尔·吐送托合提 , 黄志龙 , 韩得明 , 等 . 针刺镇痛机制的研究进展 [J]. 临床医学进展 , 2023 , 13 ( 9 ): 14750 - 14757 .
TushentokhtiDelinur , HUANG Z L , HAN D M , et al . Research Progress on the Mechanism of Acupuncture Analgesia [J]. Adv Clin Med , 2023 , 13 ( 9 ): 14750 - 14757 . (in Chinese)
胡柳丹 . 吴茱萸贴敷对无痛结肠镜检查术后腹痛、腹胀的缓解作用及舒适度分析 [J]. 医学理论与实践 , 2022 , 35 ( 10 ): 1687 - 1689 .
HU L D . Analysis of the Relieving Effect and Comfort Level of Wuju Yu Decoction on Post-Procedure Abdominal Pain and Distension after Painless Colonoscopy [J]. J Med Theory Pract , 2022 , 35 ( 10 ): 1687 - 1689 . (in Chinese)
张巧娜 , 林海燕 , 孙群 . 散寒通经止痛中药热奄包治疗原发性痛经46例 [J]. 中国中医药科技 , 2022 , 29 ( 6 ): 1126 - 1127 .
ZHANG Q N , LIN H Y , SUN Q . Treatment of 46 cases of primary dysmenorrhea with a traditional Chinese medicine hot compress bag for dispelling cold, promoting circulation and relieving pain [J]. Chin J Tradit Med Sci Technol , 2022 , 29 ( 6 ): 1126 - 1127 . (in Chinese)
王玥 , 王玮 , 李超 , 等 . 中药热奄包联合皮内针治疗腰椎间盘突出症的效果观察 [J]. 实用医院临床杂志 , 2022 , 19 ( 2 ): 73 - 75 .
WANG Y , WANG W , LI C , et al . Observation on the effect of traditional Chinese medicine hot package combined with intradermal acupuncture in the treatment of lumbar intervertebral disc herniation [J]. Pract J Clin Med , 2022 , 19 ( 2 ): 73 - 75 . (in Chinese)
刘晨溪 , 齐文明 , 田伟 , 等 . 腹腔镜输尿管切开取石术联合金钱草颗粒治疗肾盂分离、结石嵌顿输尿管上段结石的临床效果 [J]. 解放军医药杂志 , 2022 ( 4 ): 103 - 106 .
LIU C X , QI W M , TIAN W , et al . Clinical Effect of Laparoscopic Ureterotomy for Stone Removal Combined with Shenqingsha Granules in the Treatment of Renal Pelvis Separation and Stone Entrapment in the Upper Segment of the Ureter [J]. Journal of PLA Medical Sciences , 2022 ( 4 ): 103 - 106 . (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)
陈晨 , 刘倩 , 高华 . 活血化瘀药药理作用研究进展 [J]. 中国药事 , 2011 , 25 ( 6 ): 603 - 605 .
CHEN C , LIU Q , GAO H . Research progress on the pharmacological actions of blood-activating and stasis-resolving medicine [J]. Chin Pharm Aff , 2011 , 25 ( 6 ): 603 - 605 . (in Chinese)
李鹏 , 张豪 , 郑付扬 , 等 . 中药汤剂联合七叶皂苷钠在粉碎性髌骨骨折术后患者中的应用 [J]. 医学理论与实践 , 2023 , 36 ( 15 ): 2581 - 2584 .
LI P , ZHANG H , ZHENG F Y , et al . The application of traditional Chinese medicine decoction combined with sodium aescinate in patients after surgical treatment of comminuted patellar fractures [J]. J Med Theory Pract , 2023 , 36 ( 15 ): 2581 - 2584 . (in Chinese)
0
浏览量
1
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
