北京中医药大学东方医院(二七院区) 综合内科, 北京, 100072
高冬华, E-mail: 172339663@qq.com
收稿:2025-11-10,
修回:2026-01-02,
录用:2026-01-04,
网络首发:2026-02-12,
移动端阅览
李鹏云, 高冬华, 宋莹. 中西医结合治疗1例带状疱疹患者的护理体会[DB/OL].中西医结合临床案例库, 2026.
LI Pengyun, GAO Donghua, SONG Ying. Nursing Experience in the Treatment of a Patient with Herpes Zoster by Integrated Traditional Chinese and Western Medicine[DB/OL].Clinical Archives of Integrative Medicine, 2026.
李鹏云, 高冬华, 宋莹. 中西医结合治疗1例带状疱疹患者的护理体会[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202511100002.
LI Pengyun, GAO Donghua, SONG Ying. Nursing Experience in the Treatment of a Patient with Herpes Zoster by Integrated Traditional Chinese and Western Medicine[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202511100002.
本文总结1例带状疱疹患者应用中西医结合护理的实践经验。在常规抗病毒及镇痛治疗基础上,通过系统护理评估,针对患者疼痛、皮损及睡眠障碍等核心问题,实施中西医结合护理措施,包括乳酸依沙吖啶溶液湿敷(抗感染)、解毒生肌膏外用(祛腐生肌)、红光治疗(抗炎促愈合)及辨证施护的情志、饮食干预。经系统性干预,患者疼痛视觉模拟评分(VAS)由8分降至2分,匹兹堡睡眠质量指数(PSQI)评分由15分降至6分,皮损愈合良好,未发生继发感染,护理效果满意。结果表明,中西医结合护理模式能有效缓解带状疱疹急性期症状,促进患者康复。
This paper summarizes the practical experience of integrated traditional Chinese and Western medicine nursing for a patient with herpes zoster. On the basis of conventional antiviral and analgesic treatment, through systematic nursing assessment, integrated traditional Chinese and Western medicine nursing measures were implemented to address the patient’s core problems such as pain, skin lesions, and sleep disorders, including ethacridine lactate solution wet compress (anti-infection), Jiedu Shengji Ointment for external use (removing necrosis and promoting granulation), red light therapy (anti-inflammatory and promoting healing), as well as emotional and dietary interventions based on syndrome differentiation. After systematic intervention, the patient’s Visual Analogue Scale (VAS) score for pain decreased from 8 to 2, the Pittsburgh Sleep Quality Index (PSQI) score decreased from 15 to 6, the skin lesions healed well without secondary infection, and the nursing effect was satisfactory. The results show that the integrated traditional Chinese and Western medicine nursing model can effectively relieve the acute symptoms of herpes zoster and promote patient recovery.
中国医师协会皮肤科医师分会带状疱疹专家共识工作组 . 带状疱疹中国专家共识 [J]. 中华皮肤科杂志 , 2018 , 51 ( 6 ): 403 - 408 .
The Expert Consensus Working Group on Herpes Zoster of the Dermatology Branch of the Chinese Medical Doctor Association . China expert consensus on herpes zoster [J]. Chin J Dermatol , 2018 , 51 ( 6 ): 403 - 408 . (in Chinese)
张旭杰 , 曾丽元 , 曹硕 . 带状疱疹后遗神经痛病人中医护理研究进展 [J]. 护理研究 , 2023 , 37 ( 12 ): 2208 - 2212 .
ZHANG X J , ZENG L Y , CAO S . Research progress in traditional Chinese medicine nursing for patients with postherpetic neuralgia [J]. Chin Nurs Res , 2023 , 37 ( 12 ): 2208 - 2212 . (in Chinese)
王珂 , 张雪竹 . 带状疱疹后遗神经痛中医病机及治疗的研究进展 [J]. 吉林中医药 , 2024 , 44 ( 2 ): 245 - 248 .
WANG K , ZHANG X Z . Research progress in the pathogenesis and treatment of postherpetic neuralgia of traditional Chinese medicine [J]. Jilin J Tradit Chin Med , 2024 , 44 ( 2 ): 245 - 248 . (in Chinese)
朱禹 , 岳仁宋 . 中医治疗带状疱疹与带状疱疹后遗神经痛的药物新进展 [J]. 中药材 , 2021 , 44 ( 9 ): 2251 - 2254 .
ZHU Y , YUE R S . New progress of traditional Chinese medicine in treating herpes zoster and neuralgia after herpes zoster [J]. J Chin Med Mater , 2021 , 44 ( 9 ): 2251 - 2254 . (in Chinese)
潘亚娟 , 薛明 , 王柯娜 , 等 . 4种疼痛评估量表在房颤射频消融术患者中的应用比较 [J]. 护理学杂志 , 2024 , 39 ( 4 ): 29 - 32 .
PAN Y J , XUE M , WANG K N , et al . Comparison of different pain scales in pain assessment of patients receiving radio-frequency ablation for atrial fibrillation [J]. J Nurs Sci , 2024 , 39 ( 4 ): 29 - 32 . (in Chinese)
刘贤臣 , 唐茂芹 , 胡蕾 , 等 . 匹兹堡睡眠质量指数的信度和效度研究 [J]. 中华精神科杂志 , 1996 , 29 ( 2 ): 103 - 107 .
LIU X C , TANG M Q , HU L , et al . Reliability and validity of the Pittsburgh sleep quality index [J]. Chin J Psychiatry , 1996 , 29 ( 2 ): 103 - 107 . (in Chinese)
国家药典委员会 . 中华人民共和国药典-四部: 2020年版 [M]. 北京 : 中国医药科技出版社 , 2020 .
孙彩虹 , 顾恒 . 皮肤光动力疗法的研究进展 [J]. 中华皮肤科杂志 , 2014 , 47 ( 6 ): 449 - 451 .
SUN C H , GU H . Research progress of skin photodynamic therapy [J]. Chin J Dermatol , 2014 , 47 ( 6 ): 449 - 451 . (in Chinese)
曹丽 . 疼痛护理干预对带状疱疹后遗神经痛患者视觉模拟评分及睡眠质量的影响 [J]. 中国药物与临床 , 2020 , 20 ( 2 ): 309 - 310 .
CAO L . Effect of pain nursing intervention on visual analog score and sleep quality of patients with postherpetic neuralgia [J]. Chin Remedies Clin , 2020 , 20 ( 2 ): 309 - 310 . (in Chinese)
高霞 . 音乐疗法结合针刺治疗肝经郁热型带状疱疹急性期的临床研究 [D]. 济南 : 山东中医药大学 , 2021 .
王蕊 , 景丽伟 , 张莉 , 等 . 原发性便秘老年患者盆底肌功能评估的研究进展 [J]. 护理学报 , 2025 , 32 ( 20 ): 29 - 34 .
WANG R , JING L W , ZHANG L , et al . Research progress of pelvic floor muscle function evaluation in elderly patients with primary constipation [J]. J Nurs China , 2025 , 32 ( 20 ): 29 - 34 . (in Chinese)
唐玲 , 郭红 , 祝静 , 等 . 《北京市“十四五”中医护理发展规划》解读 [J]. 中西医结合护理 , 2022 ( 7 ): 157 - 162 .
TANG L , GUO H , ZHU J , et al . Interpretation of the 14th Five-Year Plan for the develop⁃ment of traditional Chinese medicine nursing in Beijing [J]. Chin J Integr Nurs , 2022 ( 7 ): 157 - 162 . (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
