北京中医药大学房山医院 心血管病科, 北京, 102400
收稿:2025-06-29,
修回:2025-08-08,
录用:2025-08-11,
网络出版:2025-10-30,
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朱晓藏, 王佳丽, 杨洁, 等. 双心护理联合手指操训练干预1例PCI术后患者的护理体会[DB/OL].中西医结合临床案例库, 2025.
ZHU Xiaozang, WANG Jiali, YANG Jie, et al. Nursing Experience of Dual-Heart Care Combined with Finger Exercise Training in a Post-PCI Patient[DB/OL].Clinical archives of integrative medicine, 2025.
朱晓藏, 王佳丽, 杨洁, 等. 双心护理联合手指操训练干预1例PCI术后患者的护理体会[DB/OL].中西医结合临床案例库, 2025. DOI: 10.12209/CAIM202506290025.
ZHU Xiaozang, WANG Jiali, YANG Jie, et al. Nursing Experience of Dual-Heart Care Combined with Finger Exercise Training in a Post-PCI Patient[DB/OL].Clinical archives of integrative medicine, 2025. DOI: 10.12209/CAIM202506290025.
本文报告1例冠心病经皮冠状动脉介入治疗(PCI)术后患者接受“双心护理”联合手指操训练的中西医结合护理经验。护理团队基于“双心医学”理念,分阶段实施认知行为干预、情绪管理和手指操训练等综合措施,有效改善患者生理功能、心理状态及代谢指标。患者术后恢复顺利,短期无胸痛复发,生活质量显著提高,并在术后3个月随访中保持稳定。本案例证实,融合中医情志调护与手指经络刺激的“双心—体感”模式,可协同改善PCI术后患者心身预后,为心脏康复提供新范式,需进一步开展多中心随机对照试验验证其普适性。
This case report presents an integrated Traditional Chinese and Western medicine nursing approach combining "Dual-Heart Care" with finger exercise training for a patient after percutaneous coronary intervention (PCI). Guided by the Dual-Heart Medical model, the nursing team implemented stage-specific interventions including cognitive-behavioral therapy, emotional regulation, and meridian-based finger exercises. These strategies significantly improved the patient's physiological function, psychological status, and metabolic indicators. The patient achieved uneventful recovery without recurrent angina during 3-month follow-up. This case demonstrates that the "Dual-Heart-Somatosensory" paradigm, integrating TCM emotional regulation with peripheral neuromodulation via finger exercises, can synergistically enhance post-PCI cardiopsychological outcomes. Further multicenter randomized controlled trials are warranted to verify its generalizability.
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