北京市门头沟区中医医院 综合护理门诊, 北京, 102300
收稿:2026-04-23,
修回:2026-06-29,
录用:2026-06-30,
网络首发:2026-09-03,
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程悦. 耳穴贴压联合皮内针治疗1例胆囊切除术后高龄患者疼痛的护理体会[DB/OL].中西医结合临床案例库, 2026.
CHENG Yue. Nursing Experience of Auricular Point Sticking Combined with Intradermal Needle Therapy for Pain Relief in an Elderly Patient after Cholecystectomy[DB/OL].Clinical Archives of Integrative Medicine, 2026.
程悦. 耳穴贴压联合皮内针治疗1例胆囊切除术后高龄患者疼痛的护理体会[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202604230002.
CHENG Yue. Nursing Experience of Auricular Point Sticking Combined with Intradermal Needle Therapy for Pain Relief in an Elderly Patient after Cholecystectomy[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202604230002.
高龄胆囊切除术后患者的疼痛管理与情绪干预是临床护理的重点与难点。本文总结1例高龄胆囊结石术后患者的医护一体化护理实践,以辨证施护为指导,采用耳穴贴压、皮内针治疗等中医护理技术,配合疼痛管理、心理干预及健康指导,患者术后疼痛明显缓解,焦虑情绪改善,无不良反应,康复进程顺利。本案例证实中医护理适宜技术在高龄术后疼痛管理中的有效性与安全性,为同类高龄患者的围手术期护理提供了可参考的实践经验,对优化高龄患者术后护理方案具有借鉴价值。
Pain management and emotional intervention in elderly patients after cholecystectomy remain key challenges in clinical nursing. This paper summarizes the integrated medical and nursing care practice for an elderly patient following cholecystectomy for gallstones. Guided by syndrome differentiation-based nursing, traditional Chinese medicine (TCM) nursing techniques including auricular point sticking and intradermal needle therapy were applied, in combination with pain management, psychological intervention, and health guidance. Postoperative pain was significantly alleviated, anxiety was relieved, no adverse reactions occurred, and the patient recovered smoothly. This case confirms the effectiveness and safety of appropriate TCM nursing techniques in postoperative pain management for elderly patients, providing a referable practical experience for perioperative nursing of similar elderly patients and offering valuable insights for optimizing postoperative care plans in this population.
林建泉 , 杜丕波 , 黄灿坡 . 腹腔镜胆囊切除术联合十二指肠镜与联合胆管镜手术治疗胆结石并肝外胆管结石临床效果比较 [J]. 山东医药 , 2024 , 64 ( 2 ): 55 - 58 .
Lin J Q , Du P B , Huang C P . Comparison of clinical effects of laparoscopic cholecystectomy combined with duodenoscopy and choledochoscopy in the treatment of cholelithiasis complicated with extrahepatic bile duct stones [J]. Shandong Med J , 2024 , 64 ( 2 ): 55 - 58 . (in Chinese)
蒋林哲 , 王月华 , 吕鹏 , 等 . 微孔腹腔镜无异物胆囊切除术治疗胆囊结石的疗效及对生活质量的影响研究 [J]. 中国实用医药 , 2024 , 19 ( 5 ): 50 - 53 .
Jiang L Z , Wang Y H , Lv P , et al . Efficacy of microporous laparoscopic cholecystectomy without corpus alienum on cholecystolithiasis and its influence on quality of life [J]. China Pract Med , 2024 , 19 ( 5 ): 50 - 53 . (in Chinese)
陈大勇 , 郭宏志 , 李权 . 腹腔镜胆囊切除术联合同期内镜逆行胰胆管造影术治疗高龄胆囊结石合并继发性胆总管结石患者的效果 [J]. 河南医学研究 , 2024 , 33 ( 6 ): 1060 - 1063 .
Chen D Y , Guo H Z , Li Q . Clinical effect of laparoscopic cholecystectomy combined with simultaneous endoscopic cholangiopancreatography for elderly patients with cholecystolithiasis and secondary common bile duct stone [J]. Henan Med Res , 2024 , 33 ( 6 ): 1060 - 1063 . (in Chinese)
林素玲 . “随症采集”对促进中医护理技术临床应用的影响 [J]. 中医药管理杂志 , 2021 , 29 ( 15 ): 80 - 81 .
Lin S L . Influence of “collecting with symptoms” on promoting clinical application of TCM nursing technology [J]. J Tradit Chin Med Manag , 2021 , 29 ( 15 ): 80 - 81 . (in Chinese)
中华护理学会 . 中医护理技术操作规范(2022版) [M]. 北京 : 人民卫生出版社 , 2022 .
高静 , 黄申怡 , 林佳婷 , 等 . “一针二灸三巩固”整合针灸疗法治疗子宫肌瘤病的临床经验 [J]. 环球中医药 , 2020 , 13 ( 9 ): 1592 - 1594 .
Gao J , Huang S Y , Lin J T , et al . Clinical experience of “one needle, two moxibustion and three consolidation” integrated acupuncture therapy in the treatment of hysteromyoma [J]. Glob Tradit Chin Med , 2020 , 13 ( 9 ): 1592 - 1594 . (in Chinese)
高淑芳 , 王姝 , 王枝枝 , 等 . 盆底磁刺激联合中药灌肠治疗慢性盆腔疼痛的疗效研究 [J]. 辽宁中医杂志 , 2022 , 49 ( 5 ): 74 - 77 .
Gao S F , Wang S , Wang Z Z , et al . Effect of pelvic floor magnetic stimulation combined with traditional Chinese medicine enema in treatment of chronic pelvic pain [J]. Liaoning J Tradit Chin Med , 2022 , 49 ( 5 ): 74 - 77 . (in Chinese)
彭美玉 , 丘景妮 , 郑文戈 , 等 . 经皮穴位电刺激联合中医情志干预对腹腔镜直肠癌根治术患者免疫功能和心理应激的影响 [J]. 广州中医药大学学报 , 2024 , 41 ( 4 ): 951 - 958 .
Peng M Y , Qiu J N , Zheng W G , et al . Effects of transcutaneous electrical acupoint stimulation combined with Chinese medicine emotional intervention on immune function and psychological stress in patients undergoing laparoscopic radical surgery for rectal cancer [J]. J Guangzhou Univ Tradit Chin Med , 2024 , 41 ( 4 ): 951 - 958 . (in Chinese)
李春燕 , 李琪 , 李晨 , 等 . 血栓分子标志物联合Caprini评分在静脉血栓栓塞性疾病中的诊断价值 [J]. 中国现代医药杂志 , 2023 , 25 ( 6 ): 53 - 56 .
Li C Y , Li Q , Li C , et al . Diagnostic value of thrombus molecular markers combined with Caprini score in venous thromboembolic diseases [J]. Mod Med J China , 2023 , 25 ( 6 ): 53 - 56 . (in Chinese)
王翠婷 , 尹海兰 . 蜜芽罐咽部走罐治疗1例小儿急性扁桃体炎咽痛的护理体会 [J]. 中西医结合护理 , 2022 ( 5 ): 83 - 86 .
Wang C T , Yin H L . Nursing of a pediatric patient with acute tonsillitis and sore throat treated by moving-cupping therapy in anterior cervical region [J]. Chin J Integr Nurs , 2022 ( 5 ): 83 - 86 . (in Chinese)
付雪平 , 吕芳 , 邱慧静 . 四黄水蜜外敷配合中医护理干预对急性胆囊炎患者生活质量的影响 [J]. 光明中医 , 2021 , 36 ( 23 ): 4068 - 4070 .
Fu X P , Lv F , Qiu H J . The Effect of External Application of Si Huang Water Honey Combined with Traditional Chinese Medicine Nursing Intervention on the Quality of Life in Patients with Acute Cholecystitis [J]. Guangming J Chin Med , 2021 , 36 ( 23 ): 4068 - 4070 . (in Chinese)
刘雪贞 . 胆胀(胆囊炎)中医护理方案在临床中的应用分析 [J]. 当代临床医刊 , 2021 , 34 ( 2 ): 99 - 100 .
Liu X Z . Analysis on the clinical application of TCM nursing scheme for gallbladder distension (cholecystitis) [J]. J Contemp Clin Med , 2021 , 34 ( 2 ): 99 - 100 . (in Chinese)
程继霞 . 中医情志护理对老年骨科术后患者负面情绪及睡眠质量的影响 [J]. 中国药物与临床 , 2021 , 21 ( 8 ): 1434 - 1436 .
Cheng J X . Effect of emotional nursing of traditional Chinese medicine on negative emotions and sleep quality of elderly patients after orthopedic surgery [J]. Chin Remedies Clin , 2021 , 21 ( 8 ): 1434 - 1436 . (in Chinese)
卢焕章 , 李嘉怡 , 吴瑞兰 , 等 . 揿针埋针联合中药热奄包对肠癌围化疗期胃肠道反应及生活质量的影响 [J]. 现代中西医结合杂志 , 2022 , 31 ( 13 ): 1828 - 1832 .
Lu H Z , Li J Y , Wu R L , et al . Effect of pressing needle and burying needle combined with Chinese medicine reyanbao on gastrointestinal reaction and quality of life of colorectal cancer during perioperative chemotherapy [J]. Mod J Integr Tradit Chin West Med , 2022 , 31 ( 13 ): 1828 - 1832 . (in Chinese)
陈梦丽 , 许一吟 , 蒋艳红 , 等 . 皮内针对改善髋膝关节置换术后病人恶心呕吐的临床疗效观察 [J]. 全科护理 , 2022 , 20 ( 36 ): 5099 - 5101 .
Chen M L , Xu Y Y , Jiang Y H , et al . Clinical observation of intradermal acupuncture in improving nausea and vomiting of patients after hip and knee replacement [J]. Chin Gen Pract Nurs , 2022 , 20 ( 36 ): 5099 - 5101 . (in Chinese)
施冬青 , 陈冬梅 , 唐艳 . 揿针埋针防治妇科腔镜术后恶心呕吐临床研究 [J]. 现代中医药 , 2021 , 41 ( 6 ): 102 - 105 .
Shi D Q , Chen D M , Tang Y . Clinical study on prevention and treatment of nausea and vomiting after gynecological endoscopy by pressing and burying needles [J]. Mod Tradit Chin Med , 2021 , 41 ( 6 ): 102 - 105 . (in Chinese)
杨薇 , 汪子栋 , 姜楠 , 等 . 上脘中脘下脘穴汇解及临床应用 [J]. 光明中医 , 2023 , 38 ( 1 ): 35 - 38 .
Yang W , Wang Z D , Jiang N , et al . Analysis and clinical application of Shangwan (RN13), Zhongwan (RN12) and Xiawan (RN10) [J]. Guangming J Chin Med , 2023 , 38 ( 1 ): 35 - 38 . (in Chinese)
白彩霞 , 雷雅婷 , 莫林 , 等 . 耳穴贴压在改善骨科病人疼痛、焦虑、睡眠质量中的应用研究进展 [J]. 全科护理 , 2021 , 19 ( 18 ): 2492 - 2495 .
Bai C X , Lei Y T , Mo L , et al . Research progress of auricular acupressure in improving pain, anxiety and sleep quality of orthopedic patients [J]. Chin Gen Pract Nurs , 2021 , 19 ( 18 ): 2492 - 2495 . (in Chinese)
周俊英 , 许笑蕊 , 周艳艳 . 耳穴压豆干预对宫颈癌术后化疗患者临床疗效、应激指标及不良反应的影响 [J]. 癌症进展 , 2021 , 19 ( 10 ): 1058 - 1060, 1070 .
Zhou J Y , Xu X R , Zhou Y Y . Effect of auricular pressure intervention on clinical efficacy, stress indicators and adverse reactions of patients with cervical cancer after postoperative chemotherapy [J]. Oncol Prog , 2021 , 19 ( 10 ): 1058 - 1060, 1070 . (in Chinese)
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