中国中医科学院广安门医院南区 肾病科, 北京, 102600
任凤兰, E-mail: wangmiaorfl@163.com
收稿:2026-04-03,
修回:2026-04-28,
录用:2026-04-29,
网络首发:2026-05-12,
移动端阅览
陈迎旭, 任凤兰. 穴位贴敷疗法缓解1例腹膜透析患者便秘的护理体会[DB/OL].中西医结合临床案例库, 2026.
CHEN Yingxu, REN Fenglan. Nursing Experience of Acupoint Application Therapy in Relieving Constipation in a Peritoneal Dialysis Patient[DB/OL].Clinical Archives of Integrative Medicine, 2026.
陈迎旭, 任凤兰. 穴位贴敷疗法缓解1例腹膜透析患者便秘的护理体会[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202604030003.
CHEN Yingxu, REN Fenglan. Nursing Experience of Acupoint Application Therapy in Relieving Constipation in a Peritoneal Dialysis Patient[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202604030003.
本文以1例穴位贴敷疗法缓解腹膜透析患者便秘的临床实践应用为例,基于中医辨证基础,予患者穴位贴敷治疗并进行动态观察,同时配合情志护理、饮食护理、运动护理及心理护理等常规护理措施,有效改善腹膜透析患者便秘症状,延长患者腹膜透析时长,保护残余肾功能,提高生活质量,维持患者的生命通路。
This article presents a clinical case of acupoint application therapy to alleviate constipation in a peritoneal dialysis patient. Based on traditional Chinese medicine (TCM) syndrome differentiation, the patient received acupoint application treatment with dynamic observation, combined with conventional nursing interventions such as emotional care, dietary guidance, exercise therapy, and psychological support. The integrated approach effectively improved constipation symptoms, prolonged peritoneal dialysis duration, preserved residual renal function, enhanced quality of life, and maintained the patient’s vital access.
李绍桂 . 中医内科学 [M]. 北京 : 中国中医药出版社 , 2003 : 261 - 269 .
陶明 , 高静芳 . 修订焦虑自评量表(SAS-CR)的信度及效度 [J]. 中国神经精神疾病杂志 , 1994 , 20 ( 5 ): 301 - 303 .
TAO M , GAO J F . Reliability and validity of revised SAS-CR [J]. Chin J Nerv Ment Dis , 1994 , 20 ( 5 ): 301 - 303 . (in Chinese)
王征宇 , 迟玉芬 . 抑郁自评量表(SDS) [J]. 上海精神医学 , 1984 ( 2 ): 112 - 114 .
WANG Z Y , CHI Y F . Self-rating depression scale (SDS) [J]. Shanghai Arch Psychiatry , 1984 ( 2 ): 112 - 114 . (in Chinese)
张红波 , 曹建峰 , 韩振中 . Hp根治治疗对消化性溃疡伴良性幽门梗阻患者内镜球囊扩张术后的影响 [J]. 海南医学 , 2018 , 29 ( 5 ): 621 - 624 .
ZHANG H B , CAO J F , HAN Z Z . Effects of Helicobacter pylori radical treatment on endoscopic balloon dilatation in patients with benign pyloric obstruction complicated with peptic ulcer [J]. Hainan Med J , 2018 , 29 ( 5 ): 621 - 624 . (in Chinese)
赵建军 , 许丽华 . 采用Wexner评分系统的综合护理在脑梗死患者便秘中的应用 [J]. 中华现代护理杂志 , 2017 , 23 ( 34 ): 4395 - 4397 .
ZHAO J J , XU L H . Application of comprehensive nursing care with Wexner scoring system in constipation of patients with cerebral infarction [J]. Chin J Mod Nurs , 2017 , 23 ( 34 ): 4395 - 4397 . (in Chinese)
DONG R . Gastrointestinal symptoms: a comparison between patients undergoing peritoneal dialysis and hemodialysis [J]. World J Gastroenterol , 2014 , 20 ( 32 ): 11370 .
YASUDA G , SHIBATA K , TAKIZAWA T , et al . Prevalence of constipation in continuous ambulatory peritoneal dialysis patients and comparison with hemodialysis patients [J]. Am J Kidney Dis , 2002 , 39 ( 6 ): 1292 - 1299 .
门春翠 , 芦丽霞 , 乔婕 , 等 . 维持性腹膜透析患者便秘情况调查及其影响因素分析 [J]. 中国血液净化 , 2017 , 16 ( 10 ): 684 - 687 .
MEN C C , LU L X , QIAO J , et al . Constipation and its influence factors in peritoneal dialysis patients: a single center study [J]. Chin J Blood Purif , 2017 , 16 ( 10 ): 684 - 687 . (in Chinese)
于小勇 , 徐新丽 . 慢性肾病患者便秘处理 [J]. 中国中西医结合肾病杂志 , 2024 , 25 ( 9 ): 763 .
YU X Y , XU X L . Treatment of constipation in patients with chronic kidney disease [J]. Chin J Integr Tradit West Nephrol , 2024 , 25 ( 9 ): 763 . (in Chinese)
樊永平 , 仝延萍 , 杨涛 . 多发性硬化的中西医结合诊疗方案 [J]. 北京中医药 , 2024 , 43 ( 2 ): 124 - 127 .
FAN Y P , TONG Y P , YANG T . Diagnosis and treatment plan of integrated Chinese and western medicine for multiple sclerosis [J]. Beijing J Tradit Chin Med , 2024 , 43 ( 2 ): 124 - 127 . (in Chinese)
王福民 , 孙思涵 , 银子涵 , 等 . 穴位贴敷治疗功能性便秘的选穴用药规律挖掘 [J]. 中国针灸 , 2021 , 41 ( 10 ): 1166 - 1170 .
WANG F M , SUN S H , YIN Z H , et al . Rule mining of acupoint and medication selection of acupoint application therapy for functional constipation [J]. Chin Acupunct Moxibustion , 2021 , 41 ( 10 ): 1166 - 1170 . (in Chinese)
孟肖蒙 , 刘晓亭 . 中药贴敷双侧“天枢”穴对功能性便秘大鼠结肠肌间神经丛血管活性肠肽、P物质的影响 [J]. 针刺研究 , 2019 , 44 ( 12 ): 906 - 910 .
MENG X M , LIU X T . Effect of application of herbal medicine paste to “Tianshu” (ST25)on intestinal mobility and expression of vasoactive intestinal peptide and substance P in colonic myenteric plexus in rats with functional constipation [J]. Acupunct Res , 2019 , 44 ( 12 ): 906 - 910 . (in Chinese)
曹亮 , 韩娟 , 金淳民 , 等 . 四磨汤加减联合生大黄粉穴位贴敷对功能性便秘的疗效分析 [J]. 中华中医药学刊 , 2019 , 37 ( 10 ): 2551 - 2553 .
CAO L , HAN J , JIN C M , et al . Therapeutic effect of Sima decoction combined with rhubarb powder acupoint application on patients with functional constipation [J]. Chin Arch Tradit Chin Med , 2019 , 37 ( 10 ): 2551 - 2553 . (in Chinese)
董朋峻 , 蔡彬 . 基于网络药理学与代谢组学探讨枳实-厚朴药对治疗慢传输型便秘的作用机制 [J]. 山东科学 , 2023 , 36 ( 3 ): 18 - 26, 37 .
DONG P J , CAI B . Action mechanism of the herb pair Aurantii Fructus Immaturus-Magnoliae Officinalis Cortex in the treatment of slow transit constipation based on network pharmacology and metabolomics [J]. Shandong Sci , 2023 , 36 ( 3 ): 18 - 26, 37 . (in Chinese)
胡婕 , 郭修田 , 周大成 , 等 . 黄芩汤加减结合美沙拉嗪对溃疡性结肠炎(活动期)肠黏膜组织炎症因子的影响 [J]. 中华中医药学刊 , 2021 , 39 ( 1 ): 123 - 126 .
HU J , GUO X T , ZHOU D C , et al . Effect of Huangqin decoction combined with mesalazine on inflammatory factors of intestinal mucosa in patients with ulcerative colitis(active stage) [J]. Chin Arch Tradit Chin Med , 2021 , 39 ( 1 ): 123 - 126 . (in Chinese)
王博 , 魏清琳 , 张雪 . 基于数据挖掘探究针刺治疗老年功能性便秘的选穴规律 [J]. 西部中医药 , 2025 , 38 ( 3 ): 70 - 74 .
WANG B , WEI Q L , ZHANG X . Data mining-based probe into the laws of acupoint selection for acupuncture treatment of senile functional constipation [J]. West J Tradit Chin Med , 2025 , 38 ( 3 ): 70 - 74 . (in Chinese)
陈文文 , 尚德师 , 贺敏 , 等 . 蜜煎导方联合耳穴贴压治疗老年难治性便秘 [J]. 吉林中医药 , 2025 , 45 ( 9 ): 1099 - 1102 .
CHEN W W , SHANG D S , HE M , et al . Effect of honey suppository combined with auricular sticking in the treatment of refractory constipation in elderly patients [J]. Jilin J Chin Med , 2025 , 45 ( 9 ): 1099 - 1102 . (in Chinese)
中国医师协会肾脏内科医师分会 , 中国中西医结合学会肾脏疾病专业委员会 , 国家肾病专业医疗质量管理与控制中心 . 自动化腹膜透析中国专家共识 [J]. 中华医学杂志 , 2021 , 101 ( 6 ): 388 - 399 .
Chinese Society of Nephrology , Chinese Society of Integrated Traditional Chinese and Western Medicine , National Center for Medical Quality Management and Control of Nephrology . China expert consensus on automated peritoneal dialysis [J]. Natl Med J China , 2021 , 101 ( 6 ): 388 - 399 . (in Chinese)
方秀才 . 罗马Ⅳ功能性肠病诊断标准的修改对我国的影响 [J]. 胃肠病学和肝病学杂志 , 2017 , 26 ( 5 ): 481 - 483 .
FANG X C . Do the changes of Rome Ⅳ diagnostic criteria for functional bowel diseases impact our practice? [J]. Chin J Gastroenterol Hepatol , 2017 , 26 ( 5 ): 481 - 483 . (in Chinese)
0
浏览量
10
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
