北京中医药大学东方医院 肾病科, 北京, 100078
刘司春, E-mail: 598779439@qq.com
收稿:2026-04-16,
修回:2026-05-12,
录用:2026-05-26,
网络首发:2026-10-14,
移动端阅览
吴春丽, 杨明颖, 刘司春. 耳部刮痧联合腹部脏腑疾病推拿治疗1例肾虚血瘀型便秘患者的护理体会[DB/OL].中西医结合临床案例库, 2026.
WU Chunli, YANG Mingying, LIU Sichun. Nursing Experience of Auricular Scraping Combined with Abdominal Visceral Massage for a Patient with Constipation of the Kidney Deficiency and Blood Stasis Pattern: A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026.
吴春丽, 杨明颖, 刘司春. 耳部刮痧联合腹部脏腑疾病推拿治疗1例肾虚血瘀型便秘患者的护理体会[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202604160002.
WU Chunli, YANG Mingying, LIU Sichun. Nursing Experience of Auricular Scraping Combined with Abdominal Visceral Massage for a Patient with Constipation of the Kidney Deficiency and Blood Stasis Pattern: A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202604160002.
本文总结耳部刮痧联合腹部脏腑推拿治疗1例肾虚血瘀型便秘患者的护理体会。基于中医辨证施护原则,针对患者肾虚血瘀、肠道传导失常的核心病机,采用耳部刮痧调理脏腑、腹部脏腑推拿疏通腑气的联合方案,配合饮食、情志、运动等综合护理干预。通过护理评估、干预实施及效果评价,发现该联合疗法能有效改善患者便秘症状、缓解焦虑情绪,且安全性高、患者耐受度好,可为慢性肾衰合并便秘的临床护理提供实践借鉴。
This paper summarizes the nursing experience of auricular scraping combined with abdominal visceral massage in the treatment of a patient with constipation of the kidney deficiency and blood stasis pattern. Based on the principles of nursing care guided by traditional Chinese medicine (TCM) syndrome differentiation, and targeting the core pathogenesis of kidney deficiency with blood stasis and impaired intestinal transmission, a combined intervention was implemented comprising auricular scraping to regulate the zang-fu organs and abdominal visceral massage to unblock the fu-qi, supplemented by comprehensive nursing measures including dietary guidance, emotional regulation, and exercise prescription. Through nursing assessment, implementation of interventions, and outcome evaluation, the combined therapy was found to effectively alleviate constipation symptoms and relieve anxiety, while demonstrating a favorable safety profile and good patient tolerability. This case may serve as a practical reference for the clinical nursing care of patients with chronic renal failure complicated by constipation.
黎建颜 , 邱沈虹 , 钟燕妮 . 竹筒灸治疗肾虚型非特异性下腰痛伴便秘的效果 [J]. 名医 , 2024 ( 6 ): 9 - 11 .
Li J Y , Qiu S H , Zhong Y N . Effect of bamboo tube moxibustion on nonspecific low back pain with constipation due to kidney deficiency [J]. Renowned Doctor , 2024 ( 6 ): 9 - 11 . (in Chinese)
李磊磊 , 刘安 , 熊之焰 . 基于数据挖掘研究《景岳全书》治疗便秘用药规律 [J]. 山西中医 , 2022 , 38 ( 1 ): 57 - 59 .
Li L L , Liu A , Xiong Z Y . Based on data mining, this paper studies the medication law of Jingyue Quanshu in treating constipation [J]. Shanxi J Tradit Chin Med , 2022 , 38 ( 1 ): 57 - 59 . (in Chinese)
马鸿斌 . 慢性肾衰竭中医诊疗方案 [M]. 兰州 : 甘肃中医药大学附属医院名中医工作站 , 2025 : 1 - 8 .
王芳 , 黄朝萍 , 马欣 , 等 . 脑卒中后便秘患者“三步腹推”疗法的回顾性研究 [J]. 中国中医基础医学杂志 , 2022 , 28 ( 11 ): 1821 - 1823 .
Wang F , Huang C P , Ma X , et al . Retrospective study of “three-step abdominal push” therapy in patients with constipation after stroke [J]. J Basic Chin Med , 2022 , 28 ( 11 ): 1821 - 1823 . (in Chinese)
赵家君 , 施聪聪 , 张红石 . 五音疗法治疗五脏疾病的溯源与临床应用 [J]. 光明中医 , 2022 , 37 ( 6 ): 986 - 990 .
Zhao J J , Shi C C , Zhang H S . The origin and clinical application of five-tone therapy in the treatment of five viscera diseases [J]. Guangming J Chin Med , 2022 , 37 ( 6 ): 986 - 990 . (in Chinese)
柯晓 , 袁建业 , 赵培琳 , 等 . 功能性便秘中医药临床及基础研究现状 [J]. 中医杂志 , 2026 , 67 ( 3 ): 277 - 282, 313 .
Ke X , Yuan J Y , Zhao P L , et al . Current status of clinical and basic research on traditional Chinese medicine for functional constipation [J]. J Tradit Chin Med , 2026 , 67 ( 3 ): 277 - 282, 313 . (in Chinese)
魏翠珍 , 杨飞 , 魏茜莹 , 等 . 慢性肾衰竭维持性血液透析患者并发高血压状况及其影响因素分析 [J]. 华南预防医学 , 2024 , 50 ( 10 ): 970 - 973 .
Wei C Z , Yang F , Wei Q Y , et al . Prevalence and influencing factors of hypertension in patients with chronic renal failure undergoing maintenance hemodialysis [J]. South China J Prev Med , 2024 , 50 ( 10 ): 970 - 973 . (in Chinese)
王黎骏 . 慢性便秘不同分型患者的生活质量及饮食习惯的比较分析 [D]. 扬州 : 扬州大学 , 2024 .
陈静 , 王炎 , 岳晓红 . 基于饮食、运动、睡眠、情绪、疼痛的多维循证护理对血液透析患者症状群的影响 [J]. 海南医学 , 2026 , 37 ( 2 ): 300 - 304 .
Chen J , Wang Y , Yue X H . Effect of multidimensional evidence-based nursing based on diet, exercise, sleep, emotions, and pain on symptom clusters in hemodialysis patients [J]. Hainan Med J , 2026 , 37 ( 2 ): 300 - 304 . (in Chinese)
龚华 , 何玉琴 . 中医特色护理干预对功能性便秘患者临床症状的影响 [J]. 婚育与健康 , 2025 , 31 ( 17 ): 115 - 117 .
Gong H , He Y Q . Effect of nursing intervention characterized by traditional Chinese medicine on clinical manifestations of patients with functional constipation [J]. Fertil Heal , 2025 , 31 ( 17 ): 115 - 117 . (in Chinese)
刘海燕 , 吴峰芬 , 潘永金 , 等 . 归补血汤联合八段锦对糖尿病肾病腹膜透析患者预后及相关指标的影响 [J]. 中国药物与临床 , 2024 , 24 ( 12 ): 756 - 759 .
Liu H Y , Wu F F , Pan Y J , et al . Effect of Danggui Buxue Decoction combined with Baduanjin on prognosis and related indicators of diabetic nephropathy patients with peritoneal dialysis [J]. Chin Remedies Clin , 2024 , 24 ( 12 ): 756 - 759 . (in Chinese)
谷思薇 , 唐鸿 , 林翠萍 , 等 . 清肺化痰方联合虎符铜砭刮痧治疗痰热壅肺型慢性阻塞性肺疾病急性加重期的临床疗效 [J]. 实用心脑肺血管病杂志 , 2025 , 33 ( 5 ): 16 - 20 .
Gu S W , Tang H , Lin C P , et al . Clinical efficacy of Qingfei Huatan formula combined with hufu Tongbian scrapping in the treatment of acute exacerbation of chronic obstructive pulmonary disease with phlegm heat obstructing lung type [J]. Pract J Card Cereb Pneumal Vasc Dis , 2025 , 33 ( 5 ): 16 - 20 . (in Chinese)
邓海燕 , 陈信义 , 刘丹 , 等 . 中药穴位贴敷神阙穴治疗阿片类药物所致便秘的临床观察 [J]. 中国医刊 , 2016 , 51 ( 7 ): 110 - 112 .
Deng H Y , Chen X Y , Liu D , et al . Clinical observation on the treatment of constipation caused by opioid drugs by acupoint application of traditional Chinese medicine to Shenque point [J]. Chin J Med , 2016 , 51 ( 7 ): 110 - 112 . (in Chinese)
刘洋 , 石雅丽 , 吴燕萍 , 等 . 当归肉苁蓉纤维复方的润肠通便药效及机制探索 [J]. 药学学报 , 2024 , 59 ( 5 ): 1238 - 1244 .
Liu Y , Shi Y L , Wu Y P , et al . Efficacy and mechanisms of an Angelica sinensis Cistanche Fiber Compound for constipation relief [J]. Acta Pharm Sin , 2024 , 59 ( 5 ): 1238 - 1244 . (in Chinese)
王小蓉 , 那威微 , 王芳 . 基于思维导图的多维度阶段护理对慢性肾衰竭血透患者负性情绪及并发症的影响 [J]. 山西医药杂志 , 2024 , 53 ( 12 ): 936 - 939 .
Wang X R , Na W W , Wang F . Effect of multi-dimensional stage nursing based on mind map on negative emotions and complications of hemodialysis patients with chronic renal failure [J]. Shanxi Med J , 2024 , 53 ( 12 ): 936 - 939 . (in Chinese)
袁梦秋 . 环腹推摩法治疗气虚型功能性便秘的临床疗效观察 [D]. 昆明 : 云南中医药大学 , 2024 .
孙文军 , 曲淼 , 徐向青 , 等 . 焦虑障碍中医临床诊疗指南释义 [J]. 北京中医药 , 2018 , 37 ( 2 ): 105 - 110 .
Sun W J , Qu M , Xu X Q , et al . Explanation of clinical diagnosis and treatment for anxiety disorder in TCM [J]. Beijing J Tradit Chin Med , 2018 , 37 ( 2 ): 105 - 110 . (in Chinese)
袁海滨 , 李春蕾 , 范晓燕 , 等 . 热敏灸联合润肠通便丸治疗阳气亏虚型慢性心力衰竭所致便秘的疗效及对CSS评分的影响 [J]. 中医研究 , 2022 , 35 ( 11 ): 26 - 29 .
Yuan H B , Li C L , Fan X Y , et al . Clinical efficacy of constipation and effect of CSS score of combination therapy of heat-sensitive moxibustion and Runchang Tongbian pills in patients with chronic heart failure of Yang deficiency type [J]. Tradit Chin Med Res , 2022 , 35 ( 11 ): 26 - 29 . (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
