北京中医药大学第三附属医院 针灸微创肿瘤科, 北京, 100029
王阳阳, E-mail: 19856011985@163.com
收稿:2026-06-12,
修回:2026-07-13,
录用:2026-07-15,
网络首发:2026-10-08,
移动端阅览
张秘, 王阳阳, 梅雨薇, 等. 隔盐灸联合砭石疗法改善1例癌性不完全性肠梗阻患者的护理报告[DB/OL].中西医结合临床案例库, 2026.
ZHANG Mi, WANG Yangyang, MEI Yuwei, et al. Nursing Report of Salt-isolation Moxibustion Combined with Bian-stone Therapy in Improving Malignant Incomplete Intestinal Obstruction: A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026.
张秘, 王阳阳, 梅雨薇, 等. 隔盐灸联合砭石疗法改善1例癌性不完全性肠梗阻患者的护理报告[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202606120004.
ZHANG Mi, WANG Yangyang, MEI Yuwei, et al. Nursing Report of Salt-isolation Moxibustion Combined with Bian-stone Therapy in Improving Malignant Incomplete Intestinal Obstruction: A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202606120004.
本文总结1例晚期胰腺癌伴腹膜转移患者并发不完全性肠梗阻应用隔盐灸联合砭石疗法的干预效果及护理经验。患者因行周期性化疗入院,化疗当日因腹部胀满、排便困难行X线检查,确诊为不完全性肠梗阻;根据患者辨证给予温阳行气、通腑降逆治法,配合饮食指导及规范护理后,患者不完全性肠梗阻完全缓解,生活质量提高。本案例可为临床癌性不完全性肠梗阻的中医护理实践提供参考。
This article summarizes the intervention effects and nursing experience of applying salt-isolation moxibustion combined with bian-stone therapy for a patient with advanced pancreatic cancer complicated by peritoneal metastasis who developed incomplete intestinal obstruction. The patient was admitted for periodic chemotherapy, and on the day of chemotherapy, X-ray examination was performed due to abdominal distension and difficulty in defecation, confirming the diagnosis of incomplete intestinal obstruction. Based on pattern differentiation, the therapeutic principles of warming yang, promoting qi movement, and unblocking the fu organs to direct counterflow downward were adopted. Combined with dietary guidance and standardized nursing care, the patient's incomplete intestinal obstruction was completely relieved and quality of life was improved. This case may provide a reference for the clinical Traditional Chinese Medicine nursing practice of malignant incomplete intestinal obstruction.
中国抗癌协会 , 饶本强 , 王冰 . 恶性肠梗阻治疗中国专家共识(2023年) [J]. 肿瘤代谢与营养电子杂志 , 2023 , 10 ( 6 ): 730 - 737 .
Chinese Anti-Cancer Association , Rao B Q , Wang B . Chinese expert consensus on the treatment of malignant bowel obstruction(2023) [J]. Electron J Metab Nutr Cancer , 2023 , 10 ( 6 ): 730 - 737 . (in Chinese)
Perysinakis I , Vassalou E E , Saridakis G , et al . Postoperative bowel obstruction as a rare complication of an abdominal drain [J]. Ann Ital Chir , 2024 , 95 ( 2 ): 132 .
吴兵 , 黄鸿菲 , 任斌 . 老年急性肠梗阻保守治疗与手术治疗研究进展 [J]. 老年医学与保健 , 2024 , 30 ( 2 ): 560 - 564 .
Wu B , Huang H F , Ren B . Research progress on conservative and surgical treatment of acute intestinal obstruction in the elderly [J]. Geriatr Heal Care , 2024 , 30 ( 2 ): 560 - 564 . (in Chinese)
李英艳 , 卢丽 , 杨士民 , 等 . 中西医结合康复护理治疗老年肠梗阻的临床观察 [J]. 中国中西医结合外科杂志 , 2019 , 25 ( 2 ): 190 - 192 .
Li Y Y , Lu L , Yang S M , et al . Experience of rapid rehabilitation nursing for senilelleus treatsd by integrative Chinese and western medicine [J]. Chin J Surg Integr Tradit West Med , 2019 , 25 ( 2 ): 190 - 192 . (in Chinese)
刘泽豪 , 谢虹亭 , 安宸 , 等 . 基于“温通三结法”探讨恶性肠梗阻中医病机及外治思路 [J]. 中医肿瘤学杂志 , 2025 , 7 ( 1 ): 72 - 77 .
Liu Z H , Xie H T , An C , et al . Exploration on traditional Chinese medicine pathogenesis and external treatment approach of malignant bowel obstruction with “warming and promoting circulation of three junctions method” [J]. J Oncol Chin Med , 2025 , 7 ( 1 ): 72 - 77 . (in Chinese)
陈烁 , 李珊珊 , 罗卫 , 等 . 恶性肠梗阻的治疗现状与展望 [J]. 中国临床研究 , 2025 , 38 ( 8 ): 1283 - 1286 .
Chen S , Li S S , Luo W , et al . Treatment status and prospect of malignant bowel obstruction [J]. Chin J Clin Res , 2025 , 38 ( 8 ): 1283 - 1286 . (in Chinese)
严广斌 . NRS疼痛数字评价量表numerical rating scale [J/OL]. 中华关节外科杂志 (电子版), 2014 , 8 ( 3 ): 92 .
Yan G B . NRS pain digital rating scale [J/OL]. Chin J Jt Surg Electron Ed , 2014 , 8 ( 3 ): 92 . (in Chinese)
杨隽 , 洪新宇 , 肖萍 , 等 . 运用睡眠状况自评量表评价保健食品改善睡眠功能的研究 [J]. 环境与职业医学 , 2012 , 29 ( 2 ): 69 - 71 .
Yang J , Hong X Y , Xiao P , et al . Application of SRSS in the test on improving sleep function through taking one health food [J]. J Environ Occup Med , 2012 , 29 ( 2 ): 69 - 71 . (in Chinese)
Lewis S J , Heaton K W . Stool form scale as a useful guide to intestinal transit time [J]. Scand J Gastroenterol , 1997 , 32 ( 9 ): 920 - 924 .
中华中医药学会 . T/ CACM 1075-2018 中医治未病技术操作规范 艾灸 [S]. 北京 : 中国中医药出版社 , 2018 .
Chinese Association of Traditional Chinese Medicine . T/ CACM 1075-2018 Technical Operation Specifications for TCM Preventive Care: Moxibustion [S]. Beijing : China Press of Traditional Chinese Medicine , 2018 . (in Chinese)
国家中医药管理局 . 护理人员中医技术使用手册 [S]. 国中医药医政医管便函〔2015〕 89号, 2015.National Administration of Traditional Chinese Medicine (NATCM) Handbook for the Use of Traditional Chinese Medicine Techniques by Healthcare Personnel [S]. National Administration of Traditional Chinese Medicine, Medical Policy and Management Office Letter No. 89 ( 2015), 2015 . (in Chinese)
中国中医药信息学会外治分会 . 中药外用膏剂临床应用技术规范(草案) [J]. 中国现代应用药学 , 2019 , 36 ( 24 ): 3108 - 3111 .
Chinese Society of Traditional Chinese Medicine Information - Branch of External Therapy . Technical specification for clinical application of traditional Chinese medicine external plaster(draft) [J]. Chin J Mod Appl Pharm , 2019 , 36 ( 24 ): 3108 - 3111 . (in Chinese)
李雯喆 , 张云杰 , 王猛 , 等 . 术后粘连性肠梗阻的中西医结合诊疗现状 [J]. 中国中西医结合外科杂志 , 2025 , 31 ( 4 ): 618 - 621 .
Li W Z , Zhang Y J , Wang M , et al . Present situation of diagnosis and treatment of postoperative adhesive intestinal obstruction with integrated traditional Chinese and western medicine [J]. Chin J Surg Integr Tradit West Med , 2025 , 31 ( 4 ): 618 - 621 . (in Chinese)
周鹏飞 , 颜帅 , 刘佃温 , 等 . 基于“六腑以通为用”理论探讨急性肠梗阻的治疗 [J]. 中国中医急症 , 2018 , 27 ( 7 ): 1217 - 1218, 1228 .
Zhou P F , Yan S , Liu D W , et al . Discussion on treatment of acute intestinal obstruction based on the theory of “sixfu-organ keeping unobstructed ”[J]. J Emerg Tradit Chin Med , 2018 , 27 ( 7 ): 1217 - 1218, 1228 . (in Chinese)
葛媛莎 , 王新苗 , 李杰 , 等 . 从“阳化气,阴成形”论治肿瘤术后不完全肠梗阻 [J]. 吉林中医药 , 2023 , 43 ( 4 ): 385 - 388 .
Ge Y S , Wang X M , Li J , et al . Differentiating and treating incomplete intestinal obstruction after tumor operations based on the theory of “Yang transforming qi, while Yin shaping up body ”[J]. Jilin J Chin Med , 2023 , 43 ( 4 ): 385 - 388 . (in Chinese)
吴兵 , 黄鸿菲 , 任斌 . 老年急性肠梗阻保守治疗与手术治疗研究进展 [J]. 老年医学与保健 , 2024 , 30 ( 2 ): 560 - 564 .
Wu B , Huang H F , Ren B . Research progress on conservative and surgical treatment of acute intestinal obstruction in the elderly [J]. Geriatr Heal Care , 2024 , 30 ( 2 ): 560 - 564 . (in Chinese)
史娟英 , 李云云 . 腹部手术后粘连性肠梗阻患者的临床护理中开展综合护理干预的效果 [J]. 现代消化及介入诊疗 , 2021 , 26 ( S2 ): 866 .
Shi J Y , Li Y Y . Effect of comprehensive nursing intervention in clinical nursing of patients with adhesive intestinal obstruction after abdominal surgery [J]. Mod Dig Interv , 2021 , 26 ( S2 ): 866 . (in Chinese)
王光义 . 针灸学 [M]. 北京 : 中国中医药出版社 , 2020 .
刘忠芹 , 方敏 . 电刺激联合隔盐灸对脑卒中后排尿困难治疗进展 [J]. 中文科技期刊数据库(全文版)医药卫生 , 2022 ( 6 ): 45 - 48 .
Liu Z Q , Fang M . Progress in the treatment of dysuria after stroke by electrical stimulation combined with salt-separated moxibustion [J]. Chinese Science and Technology Journal Database (Full Text) - Medicine and Health , 2022 ( 6 ): 45 - 48 . (in Chinese)
章琳 . 神阙穴隔盐灸联合腹部按摩治疗肺结核患者便秘的疗效观察及对胃肠激素的影响 [J]. 中国中医药科技 , 2025 , 32 ( 2 ): 260 - 263 .
Zhang L . Clinical observation on curative effect of Shenque(RN8)salt-separated moxibustion combined with abdominal massage in treatment of constipation in pulmonary tuberculosis patients and effects on gastrointestinal hormones [J]. Chin J Tradit Med Sci Technol , 2025 , 32 ( 2 ): 260 - 263 . (in Chinese)
潘艳春 , 王敬 , 张文文 , 等 . 中药膏摩治疗癌性腹胀临床观察 [J]. 光明中医 , 2022 , 37 ( 24 ): 4563 - 4566 .
Pan Y C , Wang J , Zhang W W , et al . Clinical observation on Chinese medicine ointment rubbing in the treatment of cancerous abdominal distension [J]. Guangming J Chin Med , 2022 , 37 ( 24 ): 4563 - 4566 . (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
