北京中医药大学东方医院 呼吸热病科, 北京, 100078
王梁敏, E-mail: goddessmin@126.com
收稿:2025-11-19,
修回:2025-12-23,
录用:2025-12-24,
网络出版:2026-02-04,
移动端阅览
赵丹丹, 王梁敏, 石明杰. 火龙罐疗法治疗1例AECOPD呼吸衰竭行无创通气合并腹胀患者的护理体会[DB/OL].中西医结合临床案例库, 2026.
ZHAO Dandan, WANG Liangmin, SHI Mingjie. Nursing Experience of Fire Dragon Canister Therapy in Treating a Patient with AECOPD Respiratory Failure Undergoing Non-invasive Ventilation and Abdominal Distension[DB/OL].Clinical Archives of Integrative Medicine, 2026.
赵丹丹, 王梁敏, 石明杰. 火龙罐疗法治疗1例AECOPD呼吸衰竭行无创通气合并腹胀患者的护理体会[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202511190001.
ZHAO Dandan, WANG Liangmin, SHI Mingjie. Nursing Experience of Fire Dragon Canister Therapy in Treating a Patient with AECOPD Respiratory Failure Undergoing Non-invasive Ventilation and Abdominal Distension[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202511190001.
目的
2
总结火龙罐综合灸疗法治疗1例慢性阻塞性肺疾病急性加重期(AECOPD)呼吸衰竭行无创通气合并腹胀患者的护理经验。
方法
2
在患者常规西医治疗及护理基础上,针对其腹胀症状实施火龙罐疗法,选取神阙、中脘、天枢、气海及关元等腹部核心穴位,依托火龙罐温通、调补的功效开展辨证施护。
结果
2
经两个疗程火龙罐疗法干预后,患者腹胀症状显著缓解,肠鸣音恢复正常,腹部叩诊鼓音范围缩小,腹围较前减小,舒适度明显提升,对无创通气治疗的耐受性显著增强。
结论
2
火龙罐疗法作为安全、有效的中医护理技术,可有效改善AECOPD行无创通气患者因多因素引发的腹胀问题,提升患者舒适度与治疗依从性,值得在临床护理中进一步推广应用。
Objective
2
To summarize the nursing experience of using the comprehensive moxibustion therapy of Fire Dragon Canister in treating a patient with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) respiratory failure undergoing non-invasive ventilation and abdominal distension.
Methods
2
On the basis of the patient's conventional Western medical treatment and care, the Fire Dragon Canister therapy was implemented for the patient's abdominal distension symptoms. Core abdominal acupoints such as Shenzhu, Zhongwan, Tianshu, Qihai, and Guanyuan were selected, and the therapy was carried out based on the warming, unblocking, and tonifying effects of the Fire Dragon Canister for differentiated care.
Results
2
After two courses of Fire Dragon Canister therapy intervention, the patient's abdominal distension symptoms were significantly relieved, bowel sounds returned to normal, the range of tympanic sounds on abdominal percussion decreased, abdominal circumference decreased compared to before, comfort level significantly improved, and tolerance to non-invasive ventilation treatment significantly increased.
Conclusion
2
As a safe and effective traditional Chinese nursing technique, Fire Dragon Canister therapy can effectively improve the abdominal distension problems caused by multiple factors in AECOPD patients undergoing non-invasive ventilation, enhance patient comfort and treatment compliance, and is worthy of further promotion and application in clinical nursing.
王朝晖 , 卢顺林 , 范建存 , 等 . 三紫止咳膏+喘可治穴位注射+针刺联合西药治疗老年AECOPD的临床研究 [J]. 内蒙古中医药 , 2022 , 41 ( 12 ): 114 - 115 .
WANG Z H , LU S L , FAN J C , et al . Clinical study on Sanzi Zhike ointment+Chuankezhi acupoint injection+acupuncture combined with western medicine in the treatment of senile AECOPD [J]. Inn Mong J Tradit Chin Med , 2022 , 41 ( 12 ): 114 - 115 . (in Chinese)
熊卓吾 , 李达 , 廖陆雷 , 等 . 四磨汤加味方联合针刺治疗对AECOPD伴Ⅱ型呼吸衰竭无创通气后合并腹胀患者胃肠动力的影响 [J]. 现代中西医结合杂志 , 2022 , 31 ( 5 ): 639 - 644 .
XIONG Z W , LI D , LIAO L L , et al . Effects of modified Simo Decoction combined with acupuncture on gastrointestinal motility in AECOPD patients with typeⅡrespiratory failure complicated with abdominal distension after non-invasive ventilation [J]. Mod J Integr Tradit Chin West Med , 2022 , 31 ( 5 ): 639 - 644 . (in Chinese)
李艳平 , 姚静松 , 刘巍巍 , 等 . 泻白散合桑白皮汤加减联合耳穴贴压对慢性阻塞性肺疾病患者应用无创通气后并发腹胀的临床疗效研究 [J]. 四川中医 , 2020 , 38 ( 10 ): 74 - 77 .
LI Y P , YAO J S , LIU W W , et al . Clinical efficacy of Xiebai powder combined with Sangbaipi decoction combined with auricular point sticking on abdominal distension after noninvasive ventilation in patients with chronic obstructive pulmonary disease [J]. J Sichuan Tradit Chin Med , 2020 , 38 ( 10 ): 74 - 77 . (in Chinese)
龚显田 , 何周欢 . 中药穴位贴敷治疗无创正压通气相关性腹胀的临床效果 [J]. 深圳中西医结合杂志 , 2021 , 31 ( 16 ): 59 - 61 .
GONG X T , HE Z H . Clinical effect of acupoint application of traditional Chinese medicine in treating abdominal distension associated with non-invasive positive pressure ventilation [J]. Shenzhen J Integr Tradit Chin West Med , 2021 , 31 ( 16 ): 59 - 61 . (in Chinese)
伍敏莉 , 梁金燕 , 许浦生 . 莱菔子热奄包外敷神阙对无创通气并发腹胀患者肠功能的影响 [J]. 中国医学创新 , 2020 , 17 ( 18 ): 81 - 84 .
WU M L , LIANG J Y , XU P S . Effect of semen raphani heat dying bag external application Shenque on intestinal function of patients with noninvasive ventilation and abdominal distention [J]. Med Innov China , 2020 , 17 ( 18 ): 81 - 84 . (in Chinese)
肖鹏云 , 辛大永 , 秦鸿 . 针灸联合四君子汤治疗慢性阻塞性肺疾病急性加重期无创通气并发腹胀的疗效观察 [J]. 世界中医药 , 2020 , 15 ( 13 ): 1993 - 1997 .
XIAO P Y , XIN D Y , QIN H . Effect of acupuncture combined with sijunzi decoction on abdominal distension induced by non-invasive ventilation of AECOPD patients [J]. World Chin Med , 2020 , 15 ( 13 ): 1993 - 1997 . (in Chinese)
余知依 , 侯静 , 许媛 , 等 . 中医定向透药配合穴位敷贴对ICU机械通气患者胃肠功能障碍的疗效观察 [J]. 江西中医药大学学报 , 2022 , 34 ( 5 ): 32 - 34 .
YU Z Y , HOU J , XU Y , et al . Curative effect of directional drug penetration of traditional Chinese medicine combined with acupoint application on gastrointestinal dysfunction in ICU patients with mechanical ventilation [J]. J Jiangxi Univ Tradit Chin Med , 2022 , 34 ( 5 ): 32 - 34 . (in Chinese)
贾成玲 , 刘明 , 王婷婷 , 等 . 火龙罐对呼吸衰竭行无创通气合并腹胀患者的临床应用效果观察 [J]. 中外医学研究 , 2024 , 22 ( 36 ): 151 - 155 .
JIA C L , LIU M , WANG T T , et al . Effect of dragon pot on symptom improvement and prognosis of patients with respiratory failure combined with abdominal distension by non-invasive ventilation [J]. Chin Foreign Med Res , 2024 , 22 ( 36 ): 151 - 155 . (in Chinese)
丁培琴 , 许玉荣 , 瞿佳雯 , 等 . 全程护理对COPD合并呼吸衰竭患者无创呼吸机耐受率及血气指标的影响 [J]. 齐鲁护理杂志 , 2021 , 27 ( 23 ): 167 - 169 .
DING P Q , XU Y R , QU J W , et al . Effect of whole-course nursing on tolerance rate of noninvasive ventilator and blood gas index in COPD patients complicated with respiratory failure [J]. J Qilu Nurs , 2021 , 27 ( 23 ): 167 - 169 . (in Chinese)
殷晓娜 , 杨万春 . CAT和mMRC评分系统在慢性阻塞性肺疾病病情评估中的应用价值分析 [J]. 中国现代医药杂志 , 2021 , 23 ( 3 ): 19 - 22 .
YIN X N , YANG W C . Analysis on the significance of application of CAT and mMRC for evaluation of COPD [J]. Mod Med J China , 2021 , 23 ( 3 ): 19 - 22 . (in Chinese)
魏道琳 , 杨亚婷 , 荚娟华 , 等 . 综合干预对无创机械通气患者腹胀发生的影响研究 [J]. 当代护士(下旬刊) , 2020 , 27 ( 2 ): 44 - 46 .
WEI D L , YANG Y T , JIA J H , et al . Study on the effect of comprehensive intervention on abdominal distension in patients with noninvasive mechanical ventilation [J]. Today Nurse , 2020 , 27 ( 2 ): 44 - 46 . (in Chinese)
李应娜 , 熊淑云 , 袁增红 , 等 . 四子散热熨腹部腧穴预防及改善COPD无创通气患者腹胀症状及生活质量的疗效观察 [J]. 中医药导报 , 2022 , 28 ( 7 ): 120 - 122, 150 .
LI Y N , XIONG S Y , YUAN Z H , et al . Observation on the curative effect of sizi San hot pack on abdominal acupoints to prevent and improve abdominal distension symptoms and quality of life in patients with COPD with noninvasive ventilation [J]. Guid J Tradit Chin Med Pharm , 2022 , 28 ( 7 ): 120 - 122, 150 . (in Chinese)
李艳平 , 姚静松 , 张立宏 . 耳穴贴压对慢性阻塞性肺疾病患者无创通气后并发腹胀的疗效观察 [J]. 医学综述 , 2021 , 27 ( 4 ): 829 - 833 .
LI Y P , YAO J S , ZHANG L H . Observation on efficacy of auricular point sticking in treatment of abdominal distension in chronic obstructive pulmonary disease patients after noninvasive ventilation [J]. Med Recapitul , 2021 , 27 ( 4 ): 829 - 833 . (in Chinese)
谭巨丹 , 瞿荣兰 , 邓乾素 , 等 . 大承气汤保留灌肠联合穴位指针疗法缓解无创通气患者并发腹胀的疗效观察 [J]. 中国中医急症 , 2022 , 31 ( 7 ): 1218 - 1220 .
TAN J D , QU R L , DENG Q S , et al . Effect observation of Dachengqi decoction retention enema combined with acupoint pointer therapy on alleviating abdominal distension in patients with non-invasive ventilation [J]. J Emerg Tradit Chin Med , 2022 , 31 ( 7 ): 1218 - 1220 . (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
