中国中医科学院广安门医院 肿瘤内科, 北京, 100053
杨茉, E-mail: Yangmozhang @163.com
收稿:2026-04-27,
修回:2026-07-02,
录用:2026-07-03,
网络首发:2026-09-09,
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赵丹, 杨茉, 李雪, 等. 耳部活络推拿联合耳尖放血干预1例晚期乙状结肠癌患者西妥昔单抗所致皮疹的护理体会[DB/OL].中西医结合临床案例库, 2026.
ZHAO Dan, YANG Mo, LI Xue, et al. Nursing Experience of Auricular Active-Dredging Tuina Combined with Ear Apex Bloodletting in Managing Cetuximab-Induced Skin Rash in a Patient with Advanced Sigmoid Colon Cancer[DB/OL].Clinical Archives of Integrative Medicine, 2026.
赵丹, 杨茉, 李雪, 等. 耳部活络推拿联合耳尖放血干预1例晚期乙状结肠癌患者西妥昔单抗所致皮疹的护理体会[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202604270001.
ZHAO Dan, YANG Mo, LI Xue, et al. Nursing Experience of Auricular Active-Dredging Tuina Combined with Ear Apex Bloodletting in Managing Cetuximab-Induced Skin Rash in a Patient with Advanced Sigmoid Colon Cancer[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202604270001.
本文总结1例晚期乙状结肠癌患者,在西妥昔单抗联合化疗后出现CTCAE 2级皮肤不良反应,采用耳部活络推拿联合耳尖放血中医护理的体会。患者中医辨证为脾虚湿热、湿热蕴肤、痰毒瘀结证,护理中予以耳部活络推拿、耳尖放血,配合辨证施膳与宫调音乐情志调护,以达清热解毒、祛湿通络及调和气血之效。干预后患者皮疹瘙痒显著缓解,睡眠及焦虑状态明显改善。该方法安全简便,初步显示有效,可为临床提供参考。
This article summarizes the nursing experience of traditional Chinese medicine (TCM) interventions, specifically auricular active-dredging Tuina combined with ear apex bloodletting, applied to a patient with advanced sigmoid colon cancer who developed CTCAE Grade 2 cutaneous adverse reactions following cetuximab combined with chemotherapy. Based on TCM pattern differentiation, the patient was diagnosed with spleen deficiency with dampness-heat, dampness-heat accumulation in the skin, and phlegm-toxin stasis obstruction. The nursing protocol incorporated auricular active-dredging Tuina and ear apex bloodletting, in conjunction with syndrome-differentiated dietary therapy and Gong-tone music therapy for emotional regulation, aiming to clear heat and resolve toxins, eliminate dampness and unblock collaterals, as well as harmonize qi and blood. Following the intervention, the patient's rash-related pruritus was significantly alleviated, with notable improvements in sleep quality and anxiety status. This approach is safe, convenient, and demonstrates preliminary efficacy, thereby offering a valuable reference for clinical practice.
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