北京市健宫医院 脑病科, 北京, 100054
收稿:2026-05-21,
修回:2026-06-22,
录用:2026-06-23,
网络首发:2026-08-18,
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段慧青. 1例急性脑梗死患者行静脉溶栓的中西医结合护理[DB/OL].中西医结合临床案例库, 2026.
DUAN Huiqing. Integrated Traditional Chinese and Western Medicine Nursing Care for a Patient with Acute Cerebral Infarction Undergoing Intravenous Thrombolysis[DB/OL].Clinical Archives of Integrative Medicine, 2026.
段慧青. 1例急性脑梗死患者行静脉溶栓的中西医结合护理[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202605210009.
DUAN Huiqing. Integrated Traditional Chinese and Western Medicine Nursing Care for a Patient with Acute Cerebral Infarction Undergoing Intravenous Thrombolysis[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202605210009.
目的
2
探讨1例急性脑梗死患者行静脉溶栓的中西医结合护理效果。
方法
2
选取1例68岁急性脑梗死患者为研究对象,针对其存在的出血风险、躯体活动障碍等5项护理诊断,落实中西医结合护理措施,涵盖溶栓后出血防控、肢体康复训练、吞咽护理、皮肤护理及心理护理,联合中医耳穴压丸、情志相胜疗法及穴位按摩。
结果
2
患者住院期间未发生并发症,出院时右上肢肌力恢复正常,吞咽功能改善,焦虑情绪缓解。
结论
2
对接受静脉溶栓治疗的急性脑梗死患者实施针对性中西医结合护理,可有效防控并发症,促进患者肢体功能与心理健康恢复,具有较高临床应用价值。
Objective
2
To explore the effectiveness of integrated traditional Chinese and Western medicine (TCM-Western) nursing care for a patient with acute cerebral infarction undergoing intravenous thrombolysis.
Methods
2
A 68-year-old patient with acute cerebral infarction was selected as the study subject. In response to five identified nursing diagnoses, including hemorrhage risk and impaired physical mobility, integrated TCM-Western nursing interventions were implemented, encompassing post-thrombolysis hemorrhage prevention and control, limb rehabilitation training, swallowing care, skin care, and psychological care, combined with TCM auricular acupressure, emotional restraint-counteraction therapy, and acupoint massage.
Results
2
No complications occurred during hospitalization. At discharge, the muscle strength of the right upper limb had returned to normal, swallowing function was improved, and anxiety symptoms were alleviated.
Conclusion
2
Targeted integrated TCM-Western nursing care for patients with acute cerebral infarction receiving intravenous thrombolysis can effectively prevent and control complications, promote the recovery of limb function and psychological well-being, and demonstrates high clinical application value.
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