首都医科大学附属北京中医医院 危重症医学中心, 北京, 100010
王爽, E-mail: wx10051207@qq.com
收稿:2025-09-11,
修回:2025-11-29,
录用:2025-12-01,
网络出版:2026-01-22,
移动端阅览
耿胜华, 高倩倩, 刘书华, 等. 1例急性脑出血患者的中西医结合护理体会[DB/OL].中西医结合临床案例库, 2026.
GENG Shenghua, GAO Qianqian, LIU Shuhua, et al. Nursing Experience of Integrated Traditional Chinese and Western Medicine for a Patient with Acute Cerebral Hemorrhage[DB/OL].Clinical Archives of Integrative Medicine, 2026.
耿胜华, 高倩倩, 刘书华, 等. 1例急性脑出血患者的中西医结合护理体会[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202509110001.
GENG Shenghua, GAO Qianqian, LIU Shuhua, et al. Nursing Experience of Integrated Traditional Chinese and Western Medicine for a Patient with Acute Cerebral Hemorrhage[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202509110001.
本文回顾性总结1例急性脑出血患者的中西医结合护理经验。患者因意识障碍、偏瘫、失语入院,病情危重,合并多种基础疾病。在常规西医治疗与护理基础上,实施中医辨证施护,通过严密监测生命体征、中西医结合精准用药护理、积极预防并发症及中医特色干预,患者病情趋于稳定,未发生严重并发症,康复进展顺利。本个案表明,中西医结合护理模式在急性脑出血患者治疗中可发挥协同增效作用,能有效改善患者预后、提升护理质量,值得临床推广。
This paper retrospectively summarizes the experience of integrated traditional Chinese and Western medicine nursing for a patient with acute cerebral hemorrhage. The patient was admitted to the hospital due to consciousness disorder, hemiplegia, and aphasia, with a critical condition and multiple underlying diseases. On the basis of conventional Western medical treatment and nursing, traditional Chinese medicine syndrome differentiation and nursing were implemented. Through close monitoring of vital signs, precise medication nursing with integrated traditional Chinese and Western medicine, active prevention of complications, and traditional Chinese medicine characteristic interventions, the patient's condition tended to be stable, no serious complications occurred, and rehabilitation progressed smoothly. This case indicates that the integrated traditional Chinese and Western medicine nursing model can play a synergistic role in the treatment of patients with acute cerebral hemorrhage, effectively improve the prognosis of patients and the quality of nursing, and is worthy of clinical promotion.
曹玉能 , 张伟 , 白亚芹 , 等 . 经筋针刺联合康复训练治疗脑卒中后痉挛性瘫痪疗效观察 [J]. 中国针灸 , 2025 , 45 ( 6 ): 717 - 722 .
CAO Y N , ZHANG W , BAI Y Q , et al . Clinical observation on jingjin needling combined with rehabilitation training in patients with post-stroke spastic paralysis [J]. Chin Acupunct Moxibustion , 2025 , 45 ( 6 ): 717 - 722 . (in Chinese)
李元贵 , 杨燕文 , 王晓麒 , 等 . 软通道血肿穿刺引流术与神经内镜颅内血肿清除术治疗高血压脑出血的疗效 [J]. 实用医学杂志 , 2023 , 39 ( 7 ): 833 - 837 .
LI Y G , YANG Y W , WANG X Q , et al . Comparative analysis of soft channel puncture drainage and neural endoscopic intracranial hematoma evacuation in the treatment of hypertensive cerebral hemorrhage [J]. J Pract Med , 2023 , 39 ( 7 ): 833 - 837 . (in Chinese)
王拥军 , 李子孝 , 谷鸿秋 , 等 . 中国卒中报告2020(中文版)(1) [J]. 中国卒中杂志 , 2022 , 17 ( 5 ): 433 - 447 .
WANG Y J , LI Z X , GU H Q , et al . China stroke statistics 2020(1) [J]. Chin J Stroke , 2022 , 17 ( 5 ): 433 - 447 . (in Chinese)
罗菊 , 张慧 , 田臻 , 等 . 老年急性缺血性脑卒中患者静脉溶栓后不同时机应用依达拉奉右莰醇的疗效比较 [J]. 中华老年心脑血管病杂志 , 2025 , 27 ( 11 ): 1458 - 1462 .
LUO J , ZHANG H , TIAN Z , et al . Therapeutic efficacy of edaravone dexmedetomidine at different time points after intravenous thrombolysis in elderly patients with acute ischemic stroke [J]. Chin J Geriatr Heart Brain Vessel Dis , 2025 , 27 ( 11 ): 1458 - 1462 . (in Chinese)
中华人民共和国国家卫生健康委员会 . 脑血管病防治指南(2024年版) [J]. 磁共振成像 , 2025 , 16 ( 1 ): 1 - 8 .
National Health Commission of the People's Republic of China . Guideline for prevention and treatment of cerebrovascular disease(2024 edition) [J]. Chin J Magn Reson Imag , 2025 , 16 ( 1 ): 1 - 8 . (in Chinese)
杨若彤 , 陈晨 , 刘飞凤 , 等 . 脑出血超急性期血压管理的研究进展 [J]. 中国卒中杂志 , 2025 , 20 ( 7 ): 819 - 828 .
YANG R T , CHEN C , LIU F F , et al . Research advances in blood pressure management during the hyperacute phase of intracerebral hemorrhage [J]. Chin J Stroke , 2025 , 20 ( 7 ): 819 - 828 . (in Chinese)
张娣 . 中西医结合护理干预高血压脑出血的效果和预后分析 [J]. 当代临床医刊 , 2021 , 34 ( 3 ): 98 , 25 .
ZHANG D . Effect and prognosis analysis of nursing intervention of integrated traditional Chinese and western medicine on hypertensive cerebral hemorrhage [J]. J Contemp Clin Med , 2021 , 34 ( 3 ): 98 , 25 . (in Chinese)
刘洋 , 董旭 , 郑应康 , 等 . 耳穴结合五音治疗脑卒中后失眠的研究现状及展望 [J]. 世界中医药 , 2023 , 18 ( 1 ): 146 - 153 .
LIU Y , DONG X , ZHENG Y K , et al . Research status and prospect of auricular points combined with five notes in the treatment of post-stroke insomnia [J]. World Chin Med , 2023 , 18 ( 1 ): 146 - 153 . (in Chinese)
张煌霞 , 李壮苗 , 罗文楠 , 等 . 穴位按摩对脑卒中上肢运动功能康复效果的Meta分析 [J]. 湖南中医杂志 , 2024 , 40 ( 12 ): 126 - 133, 195 .
ZHANG H X , LI Z M , LUO W N , et al . Meta-analysis of the effect of acupoint massage on the rehabilitation of upper limb motor function in stroke patients [J]. Hunan J Tradit Chin Med , 2024 , 40 ( 12 ): 126 - 133, 195 . (in Chinese)
邱建英 . 中西医结合护理在脑出血患者中的应用 [J]. 中国中医药现代远程教育 , 2020 , 18 ( 22 ): 123 - 124 .
QIU J Y . The application of integrated traditional Chinese and western medicine nursing in patients with cerebral hemorrhage [J]. Chin Med Mod Distance Educ China , 2020 , 18 ( 22 ): 123 - 124 . (in Chinese)
陈聪颖 , 戴燕铃 , 杨紫琳 , 等 . 五音疗法对卒中后相关功能障碍的康复护理研究进展 [J]. 中国民族民间医药 , 2024 , 33 ( 9 ): 57 - 62 .
CHEN C Y , DAI Y L , YANG Z L , et al . Progress in the study of five-tone therapy for post-stroke related dysfunction [J]. Chin J Ethnomed Ethnopharmacy , 2024 , 33 ( 9 ): 57 - 62 . (in Chinese)
刘汉锋 , 厉喆 , 孙瑞玥 . 重症高血压脑出血术后不同时期不同鼻饲途径肠内营养干预的疗效比较 [J]. 现代医学 , 2020 , 48 ( 4 ): 468 - 474 .
LIU H F , LI Z , SUN R Y . Effects of different nasal feeding methods on enteral nutrition in patients with severe hypertensive intracerebral hemorrhage at different stages after operation [J]. Mod Med J , 2020 , 48 ( 4 ): 468 - 474 . (in Chinese)
刘书华 , 杨思雯 , 李学艳 , 等 . 结肠滴注大承气汤在有创机械通气患者中的应用效果观察 [J]. 北京中医药 , 2023 , 42 ( 3 ): 322 - 325 .
LIU S H , YANG S W , LI X Y , et al . Observation on the application effect of Dachengqi Decoction with colonic infusion in patients with invasive mechanical ventilation [J]. Beijing J Tradit Chin Med , 2023 , 42 ( 3 ): 322 - 325 . (in Chinese)
陈赛赛 , 娅茹 , 黄昊 , 等 . 被动踏车运动对重症脑卒中患者心功能和脑血氧水平影响的初步研究 [J]. 上海医药 , 2023 , 44 ( 23 ): 75 - 80 .
CHEN S S , YA R , HUANG H , et al . Preliminary study on effects of passive treadmill exercise on cardiac function and brain blood oxygen levels in patients with severe stroke [J]. Shanghai Med Pharm J , 2023 , 44 ( 23 ): 75 - 80 . (in Chinese)
陈玲 , 钟健 , 陈菲菲 , 等 . 中西医护理干预及早期肠内营养在急性脑出血患者中的应用 [J]. 新中医 , 2020 , 52 ( 9 ): 153 - 156 .
CHEN L , ZHONG J , CHEN F F , et al . Application of nursing intervention of integrated Chinese and western medicine and early enteral nutrition in patients with acute cerebral hemorrhage [J]. J New Chin Med , 2020 , 52 ( 9 ): 153 - 156 . (in Chinese)
周瑜 , 李直苹 , 漆钜霞 , 等 . 出血性中风病急性期中经络型中脏腑型病灶CT定量规律分析 [J]. 基层医学论坛 , 2023 , 27 ( 7 ): 76 - 78, 119 .
ZHOU Y , LI Z P , QI J X , et al . CT quantitative analysis of acute hemorrhagic stroke involved with the meridian and viscera [J]. Med Forum , 2023 , 27 ( 7 ): 76 - 78, 119 . (in Chinese)
王艺 , 郭华 , 鲍丽丽 . 早期肠内营养在急性脑出血患者护理中的应用 [J]. 国际护理学杂志 , 2024 , 43 ( 23 ): 4283 - 4286 .
WANG Y , GUO H , BAO L L . Application of early enteral nutrition in nursing care of patients with acute cerebral hemorrhage [J]. Int J Nurs , 2024 , 43 ( 23 ): 4283 - 4286 . (in Chinese)
李娟 . 耳穴埋豆结合穴位贴敷辅治颅脑损伤伴头痛疗效观察 [J]. 实用中医药杂志 , 2024 , 40 ( 5 ): 911 - 913 .
LI J . Observation on the curative effect of auricular point burying beans combined with acupoint application in the adjuvant treatment of craniocerebral injury with headache [J]. J Pract Tradit Chin Med , 2024 , 40 ( 5 ): 911 - 913 . (in Chinese)
顾海燕 , 郏芮芸 . 音乐疗法联合穴位按摩对脑外伤患者头痛的影响 [J]. 当代护士(下旬刊) , 2020 , 27 ( 10 ): 68 - 70 .
GU H Y , JIA R Y . Effect of music therapy combined with acupoint massage on headache of patients with traumatic brain injury [J]. Today Nurse , 2020 , 27 ( 10 ): 68 - 70 . (in Chinese)
杨风菊 , 刘远杰 . 中药通腑开窍液灌肠在高血压性脑出血治疗中的应用 [J]. 中国中医急症 , 2015 , 24 ( 4 ): 608 - 610, 621 .
YANG F J , LIU Y J . C linical observation of stilling tongfukaiqiao liquor into rectum on hypertension brain hemorrhage [J]. J Emerg Tradit Chin Med , 2015 , 24 ( 4 ): 608 - 610, 621 . (in Chinese)
0
浏览量
0
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
