南方医科大学深圳市市妇幼保健院 中医科, 广东 深圳, 518000
宁艳, E-mail: cxwm9@qq.com
收稿:2026-03-11,
修回:2026-05-24,
录用:2026-05-25,
网络首发:2026-06-08,
移动端阅览
黄莺, 邱萍萍, 宁艳. 耳穴三序疗法在1例早期妊娠稽留流产患者管理中的护理体会[DB/OL].中西医结合临床案例库, 2026.
HUANG Ying, QIU Pingping, NING Yan. Nursing Experience of Auricular Three-Step Therapy in the Management of a Patient with Missed Abortion in Early Pregnancy[DB/OL].Clinical Archives of Integrative Medicine, 2026.
黄莺, 邱萍萍, 宁艳. 耳穴三序疗法在1例早期妊娠稽留流产患者管理中的护理体会[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202603110002.
HUANG Ying, QIU Pingping, NING Yan. Nursing Experience of Auricular Three-Step Therapy in the Management of a Patient with Missed Abortion in Early Pregnancy[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202603110002.
本文总结1例早期妊娠稽留流产保守治疗患者的护理管理经验。患者在常规保守治疗期间,出现明显下腹部阵发性疼痛及腰骶部酸痛,伴焦虑、失眠等情绪症状。临床实施以耳穴三序疗法(按摩、刮痧、压豆)为核心的中医特色护理干预,同时配合疼痛护理、情志护理及饮食护理。经个体化综合干预后,患者疼痛程度显著减轻,疼痛持续时间缩短,焦虑情绪缓解,治疗耐受性提升。本案例体现了耳穴疗法在早孕期稽留流产保守治疗疼痛管理中的独特优势,为该类患者的疼痛护理提供了安全有效的新思路,也为中医护理技术在妇产科疼痛管理领域的推广应用提供了实践依据。
This article summarizes the nursing management experience of a patient with missed abortion in early pregnancy receiving conservative treatment. During routine conservative therapy, the patient developed obvious paroxysmal pain in the lower abdomen and soreness in the lumbosacral region, accompanied by emotional symptoms including anxiety and insomnia. A characteristic Traditional Chinese Medicine (TCM) nursing intervention was clinically implemented, with the auricular three-step therapy (massage, scraping, and seed-pressing) as the core regimen, supplemented by pain care, emotional care, and dietary guidance. Following individualized and comprehensive intervention, the patient's pain intensity was markedly alleviated, the duration of pain was shortened, anxiety was relieved, and treatment tolerance was improved. This case demonstrates the unique advantages of auricular therapy in pain management during conservative treatment of missed abortion in early pregnancy, providing a safe and effective new approach for pain care in this patient population, and offering practical evidence for the promotion and application of TCM nursing techniques in the field of pain management in obstetrics and gynecology.
TANG Y H , ZHANG X Y , ZHANG Y , et al . Senescent changes and endoplasmic reticulum stress may be involved in the pathogenesis of missed miscarriage [J]. Front Cell Dev Biol , 2021 , 9 : 656549 .
郑伯媛 , 康宁 . 稽留流产的诊治研究进展 [J]. 河南医学高等专科学校学报 , 2025 , 37 ( 6 ): 717 - 721 .
ZHENG B Y , KANG N . Research progress on diagnosis and treatment of missed abortion [J]. J Henan Med Coll , 2025 , 37 ( 6 ): 717 - 721 . (in Chinese)
崔亚美 , 张媛媛 , 冯旺琴 , 等 . 稽留流产的现况及影响因素分析 [J]. 生殖医学杂志 , 2020 , 29 ( 7 ): 919 - 924 .
CUI Y M , ZHANG Y Y , FENG W Q , et al . Analysis of current status and influencing factors of missed abortion [J]. J Reprod Med , 2020 , 29 ( 7 ): 919 - 924 . (in Chinese)
郑峥 , 顾向应 , 刘欣燕 , 等 . 早期妊娠稽留流产治疗专家共识 [J]. 中国实用妇科与产科杂志 , 2020 , 36 ( 1 ): 70 - 73 .
ZHENG Z , GU X Y , LIU X Y , et al . Expert consensus on treatment of missed abortion in early pregnancy [J]. Chin J Pract Gynecol Obstet , 2020 , 36 ( 1 ): 70 - 73 . (in Chinese)
林晓倩 , 顾波 , 宋丽君 , 等 . 积极心理干预联合授权教育对稽留流产患者负面情绪及疼痛程度的影响 [J]. 现代养生 , 2025 , 25 ( 12 ): 919 - 922 .
LIN X Q , GU B , SONG L J , et al . Effect of positive psychological intervention combined with authorized education on negative emotions and pain degree of patients with missed abortion [J]. Health Prot Promot , 2025 , 25 ( 12 ): 919 - 922 . (in Chinese)
倪博然 , 赵进喜 , 黄为钧 , 等 . 基于视觉模拟评分法探究中医临床疗效评价新方法 [J]. 中华中医药杂志 , 2021 , 36 ( 1 ): 288 - 292 .
NI B R , ZHAO J X , HUANG W J , et al . A new method to evaluate the clinical efficacy of traditional Chinese medicine based on visual analog scoring [J]. China J Tradit Chin Med Pharm , 2021 , 36 ( 1 ): 288 - 292 . (in Chinese)
王征宇 , 迟玉芬 . 焦虑自评量表(SAS) [J]. 上海精神医学 , 1984 ( 2 ): 73 - 74 .
WANG Z Y , CHI Y F . Self-rating anxiety scale (SAS) [J]. Shanghai Arch Psychiatry , 1984 ( 2 ): 73 - 74 . (in Chinese)
刘帅 , 张斌 . 《中国失眠障碍诊断和治疗指南》解读 [J]. 中国现代神经疾病杂志 , 2017 , 17 ( 9 ): 633 - 638 .
LIU S , ZHANG B . Interpretation of “Guidelines for the diagnosis and treatment of insomnia disorder in China” [J]. Chin J Contemp Neurol Neurosurg , 2017 , 17 ( 9 ): 633 - 638 . (in Chinese)
宋凯麒 , 段金辉 , 姜维成 . 耳穴疗法治疗疼痛的研究进展 [J]. 当代医药论丛 , 2025 , 23 ( 11 ): 17 - 20 .
SONG K Q , DUAN J H , JIANG W C . Research progress of auricular point therapy in treating pain [J]. Contemp Med Symp , 2025 , 23 ( 11 ): 17 - 20 . (in Chinese)
张睿 . 瑜伽、体操与穴位按压多元融合在产后康复中的效果分析 [J]. 婚育与健康 , 2025 , 31 ( 23 ): 16 - 18 .
ZHANG R . Analysis on the effect of multiple integration of yoga, gymnastics and acupressure in postpartum rehabilitation [J]. Fertil Health , 2025 , 31 ( 23 ): 16 - 18 . (in Chinese)
邓颖辉 , 彭瑶 , 余芳 , 等 . 五音疗法联合耳穴压豆干预在先兆流产合并失眠患者中的应用效果 [J]. 中国医学创新 , 2026 , 23 ( 4 ): 124 - 128 .
DENG Y H , PENG Y , YU F , et al . Application effect of five-tone therapy combined with auricular point pressing beans on patients with threatened abortion complicated with insomnia [J]. Med Innov China , 2026 , 23 ( 4 ): 124 - 128 . (in Chinese)
张其成 , 熊益亮 . 医以载道,道以医显: 论易儒道佛与中医的关系 [J]. 山东中医药大学学报 , 2025 , 49 ( 6 ): 701 - 708 .
ZHANG Q C , XIONG Y L . Medicine carrying Dao and Dao manifested via medicine: on relationship between yi-ology, Confucianism, Taoism, Buddhism and traditional Chinese medicine [J]. J Shandong Univ Tradit Chin Med , 2025 , 49 ( 6 ): 701 - 708 . (in Chinese)
刘娅玲 , 李卉 , 刘莉丽 . 火龙罐联合耳穴压豆在子宫肌瘤术后腹胀护理中的应用 [J]. 现代医学 , 2024 , 52 ( 9 ): 1455 - 1459 .
LIU Y L , LI H , LIU L L . Application of fire dragon pot combined with auricular acupoint in nursing patients with abdominal distension after hysteromyoma surgery [J]. Mod Med J , 2024 , 52 ( 9 ): 1455 - 1459 . (in Chinese)
邢易 , 果金玉 , 刘鹏 , 等 . 良方温经汤调控CHCHD4表达干预寒凝血瘀型子宫内膜异位症乏氧的机制研究 [J]. 中国中药杂志 , 2024 , 49 ( 14 ): 3818 - 3827 .
XING Y , GUO J Y , LIU P , et al . Mechanism of Liangfang Wenjing Decoction in treatment of hypoxia on endometriosis with cold coagulation and blood stasis by regulating CHCHD4 expression [J]. China J Chin Mater Med , 2024 , 49 ( 14 ): 3818 - 3827 . (in Chinese)
黄奕涵 , 刘炫斯 . 耳穴压豆联合耳部刮痧治疗高校女生原发性痛经的效果分析 [J]. 内蒙古中医药 , 2025 , 44 ( 6 ): 98 - 100 .
HUANG Y H , LIU X S . Effect analysis of auricular point pressing beans combined with ear scraping on primary dysmenorrhea of college girls [J]. Inn Mong J Tradit Chin Med , 2025 , 44 ( 6 ): 98 - 100 . (in Chinese)
0
浏览量
23
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
