北京市昌平区中西医结合医院 感染科, 北京, 102208
收稿:2025-07-30,
修回:2025-10-18,
录用:2025-10-20,
网络出版:2025-12-19,
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赵雪莹, 任璐瑶, 张浩杰. 1例阑尾炎术后合并腹腔感染患者发热的中西医结合护理分析[DB/OL].中西医结合临床案例库, 2025.
ZHAO Xueying, REN Luyao, ZHANG Haojie. Analysis of Integrated Traditional Chinese and Western Medicine Nursing for Fever in a Patient with Appendicitis Complicated by Postoperative Intra-abdominal Infection[DB/OL].Clinical Archives of Integrative Medicine, 2025.
赵雪莹, 任璐瑶, 张浩杰. 1例阑尾炎术后合并腹腔感染患者发热的中西医结合护理分析[DB/OL].中西医结合临床案例库, 2025. DOI: 10.12209/CAIM202507300001.
ZHAO Xueying, REN Luyao, ZHANG Haojie. Analysis of Integrated Traditional Chinese and Western Medicine Nursing for Fever in a Patient with Appendicitis Complicated by Postoperative Intra-abdominal Infection[DB/OL].Clinical Archives of Integrative Medicine, 2025. DOI: 10.12209/CAIM202507300001.
目的
2
本文总结1例阑尾炎术后合并腹腔感染患者发热的中西医结合护理经验,为临床护理实践提供理论依据。
方法
2
实施三黄散加芒硝加压外敷、体温护理、疼痛护理、情志护理、睡眠护理及便秘护理等中西医结合护理。
结果
2
患者VAS评分从7分降至2分,SAS评分从53分降至32分,PSQI评分从10分降至5分,体温从39.5℃降至36.3℃,患者自诉治疗后临床症状减轻,生活质量明显提高。
结论
2
临床对于阑尾炎术后合并腹腔感染的发热患者,实施中西医结合护理的效果显著,可加速患者康复进程。
Objective
2
This article summarizes the integrated Traditional Chinese and Western medicine nursing experience for fever in a patient with appendicitis complicated by postoperative intra-abdominal infection, aiming to provide a theoretical basis for clinical nursing practice.
Methods
2
Integrated nursing interventions were implemented, including external application of Sanhuang San (a traditional Chinese herbal formula) mixed with Mangxiao (sodium sulfate) under pressure, temperature management, pain management, emotional care, sleep care, and constipation management.
Results
2
The patient’s VAS score decreased from 7 to 2, SAS score from 53 to 32, PSQI score from 10 to 5, and body temperature from 39.5°C to 36.3°C. The patient reported significant alleviation of clinical symptoms and improved quality of life after treatment.
Conclusion
2
For patients with fever due to appendicitis complicated by postoperative intra-abdominal infection, integrated Traditional Chinese and Western medicine nursing demonstrates remarkable efficacy and accelerates recovery.
陈志亮 , 丁嘉宁 , 陶凯雄 , 等 . 美国胃肠内镜外科医师学会《阑尾炎诊断与治疗指南(2024)》解读 [J]. 中国实用外科杂志 , 2024 , 44 ( 12 ): 1343 - 1346 .
CHEN Z L , DING J N , TAO K X , et al . Interpretation of the“guidelines for the diagnosis and treatment of appendicitis(2024)” by the society of American gastrointestinal and endoscopic surgeons [J]. Chin J Pract Surg , 2024 , 44 ( 12 ): 1343 - 1346 . (in Chinese)
阙勇华 , 邱烽磊 , 邓美玲 , 等 . 大黄牡丹汤联合腹腔镜下阑尾切除术治疗急性坏疽性阑尾炎疗效观察 [J]. 北方药学 , 2024 , 21 ( 5 ): 66 - 68 .
QUE Y H , QIU F L , DENG M L , et al . Clinical observation of Dahuang Mudan decoction combined with laparoscopic appendectomy in the treatment of acute gangrenous appendicitis [J]. J N Pharm , 2024 , 21 ( 5 ): 66 - 68 . (in Chinese)
邹一鸣 , 周英妮 . 三黄散联合芒硝冰片湿敷治疗外周静脉炎的临床疗效研究 [J]. 临床医学进展 , 2024 , 14 ( 12 ): 258 - 262 .
ZOU Y M , ZHOU Y N . Clinical Efficacy Study of Sanhuang Powder Combined with Mirabilite and Borneol Wet Compress in the Treatment of Peripheral Phlebitis [J]. Progress in Clinical Medicine , 2024 , 14 ( 12 ): 258 - 262 . (in Chinese)
杨天明 , 彭志勇 . 腹腔镜阑尾切除术与开腹阑尾切除术治疗急性阑尾炎的效果及对VAS评分、并发症的影响 [J]. 贵州医药 , 2024 , 48 ( 6 ): 914 - 916 .
YANG T M , PENG Z Y . Effect of laparoscopic appendectomy and open appendectomy on acute appendicitis and its influence on VAS score and complications [J]. Guizhou Med J , 2024 , 48 ( 6 ): 914 - 916 . (in Chinese)
柯艺丽 . 舒适护理干预对阑尾炎手术患者的应用效果及SAS、SDS评分影响评价 [J]. 实用临床护理学电子杂志 , 2022 , 7 ( 1 ): 63 - 65, 75 。
KE Y L . Application effect of comfortable nursing intervention on appendicitis patients and evaluation of SAS and SDS scores [J]. Electron J Pract Clin Nurs Sci , 2022 , 7 ( 1 ): 63 - 65, 75 . Chinese)
马锦山 , 王文清 , 杨长安 . 观察微创小切口急诊手术后快速康复理念对急性阑尾炎的治疗效果及对睡眠质量的影响 [J]. 世界睡眠医学杂志 , 2022 , 9 ( 11 ): 2019 - 2021 .
MA J S , WANG W Q , YANG C A . To observe the effect of rapid rehabilitation concept on acute appendicitis and sleep quality after minimally invasive small incision emergency surgery [J]. World J Sleep Med , 2022 , 9 ( 11 ): 2019 - 2021 . (in Chinese)
秦田雨 , 马师雷 , 贺娟 . 《黄帝内经》痈肿病机辨析 [J]. 北京中医药大学学报 , 2021 , 44 ( 11 ): 982 - 986 .
QIN T Y , MA S L , HE J . Discrimination of the pathogenesis of Yong (carbuncle) and Zhong (swelling) in Huangdi Neijing [J]. J Beijing Univ Tradit Chin Med , 2021 , 44 ( 11 ): 982 - 986 . (in Chinese)
汪琪清 , 徐晓萌 . 大黄牡丹汤加味治疗肠痈1例 [J]. 医师在线 , 2021 ( 35 ): 43 .
WANG Q Q , XU X M . A case of intestinal carbuncle treated by modified Dahuang Mudan decoction [J]. Online Doctor , 2021 ( 35 ): 43 . (in Chinese)
王文博 , 廖晶晶 . 大黄牡丹汤联合针对性干预在阑尾炎腹腔镜手术患者中的应用 [J]. 光明中医 , 2023 , 38 ( 11 ): 2158 - 2161 .
WANG W B , LIAO J J . Application of Dahuang Mudan Decoction combined with targeted intervention in patients undergoing laparoscopic appendectomy [J]. Guangming J Chin Med , 2023 , 38 ( 11 ): 2158 - 2161 . (in Chinese)
李胜 , 段红梅 , 李妍 , 等 . 探讨三黄散加芒硝加压外敷在化脓性阑尾炎病人术后切口感染中的运用 [J]. 结直肠肛门外科 , 2020 , 26 ( S01 ): 23 - 23 .
LI S , DUAN H M , LI Y , et al . Discussion on the Application of Sanhuang Powder Combined with Mirabilite in High-Pressure External Application for Incision Infection after Appendectomy in Patients with Suppurative Appendicitis [J]. Journal of Colorectal & Anal Surgery , 2020 , 26 ( S01 ): 23 - 23 . (in Chinese)
周淑怡 , 黎颖娴 , 卢蔚起 , 等 . 大柴胡汤加味方联合手术治疗急性化脓性阑尾炎的回顾性分析 [J]. 广州中医药大学学报 , 2022 , 39 ( 5 ): 1045 - 1049 .
ZHOU S Y , LI Y X , LU W Q , et al . Retrospective analysis of modified da Chaihu decoction combined with surgery in the treatment of acute suppurative appendicitis [J]. J Guangzhou Univ Tradit Chin Med , 2022 , 39 ( 5 ): 1045 - 1049 . (in Chinese)
杨晶 . 阑尾炎患者手术予以围术期综合护理的效果观察 [J]. 医药前沿 , 2021 ( 1 ): 150 - 151 .
YANG J . Observation on the effect of perioperative comprehensive nursing care for appendicitis patients [J]. J Front Med , 2021 ( 1 ): 150 - 151 . (in Chinese)
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