北京市健宫医院 普外肿瘤科, 北京, 100054
收稿:2026-05-27,
修回:2026-07-04,
录用:2026-07-14,
网络首发:2026-09-18,
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郭晶晶, 李瑾, 赵盼盼. 1例胃癌术后化疗期脾胃虚弱证患者中西医结合护理报告[DB/OL].中西医结合临床案例库, 2026.
GUO Jingjing, LI Jin, ZHAO Panpan. Integrated Chinese and Western Medicine Nursing Care for a Postoperative Gastric Cancer Patient with Spleen-Stomach Deficiency Syndrome During Chemotherapy: A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026.
郭晶晶, 李瑾, 赵盼盼. 1例胃癌术后化疗期脾胃虚弱证患者中西医结合护理报告[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202605270011.
GUO Jingjing, LI Jin, ZHAO Panpan. Integrated Chinese and Western Medicine Nursing Care for a Postoperative Gastric Cancer Patient with Spleen-Stomach Deficiency Syndrome During Chemotherapy: A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202605270011.
胃癌术后化疗阶段,药毒易损伤中焦脾胃运化机能,老年合并基础慢病人群脏腑机能偏弱,更易出现脾胃亏虚证候,进而降低化疗耐受水平。本文以健脾和胃、益气化湿为核心干预思路,整合中药内服、穴位推拿、耳穴埋籽、中药热敷、膳食调护、情志干预,联合规范化化疗专科护理开展全程干预,同步监测消化道反应、体力水平、排便状态、营养状况及并发症发生情况。经中西医协同干预,可减轻化疗所致脾胃功能损伤,严控恶心呕吐反应程度,规避化疗相关不良事件,改善躯体乏力与焦虑情绪。该个体化干预方案适配老年合并慢病化疗人群,可为同类辨证护理工作提供实践参考。
During the postoperative chemotherapy phase of gastric cancer, the toxic properties of chemotherapeutic agents readily impair the transportation and transformation functions of the spleen and stomach in the middle burner. Elderly patients with pre-existing chronic comorbidities often present with inherently weakened visceral organ function, rendering them particularly susceptible to the manifestation of spleen-stomach deficiency syndrome, which in turn diminishes their tolerance to chemotherapy. Guided by the core intervention principles of fortifying the spleen and harmonizing the stomach, replenishing qi and resolving dampness, this study implemented a comprehensive intervention protocol that integrated oral administration of Chinese herbal medicine, acupoint massage, auricular bean embedding, Chinese herbal hot compress, dietary regulation, and emotional support, in conjunction with standardized specialized chemotherapy nursing care throughout the treatment course. Concurrent monitoring was conducted on gastrointestinal reactions, physical performance levels, defecation status, nutritional condition, and the occurrence of complications. The synergistic application of Chinese and Western medicine interventions effectively attenuated chemotherapy-induced impairment of spleen-stomach function, strictly controlled the severity of nausea and vomiting, averted chemotherapy-related adverse events, and ameliorated physical fatigue as well as anxiety. This individualized intervention protocol is well-suited for elderly patients with chronic comorbidities undergoing chemotherapy, and may serve as a practical reference for nursing care guided by syndrome differentiation in similar clinical contexts.
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