中华护理杂志 ›› 2024, Vol. 59 ›› Issue (7): 808-811.DOI: 10.3761/j.issn.0254-1769.2024.07.006

• 中医护理推广与应用 • 上一篇    下一篇

1例药液外渗致慢性难愈性创面形成患者的中西医结合护理

张媛媛(), 龙秀红(), 吕婵, 李鲜, 王艺, 黄兰英, 涂惠琼, 覃惠娟   

  1. 530011 南宁市 广西中医药大学附属瑞康医院护理部(张媛媛,龙秀红,涂惠琼),治未病中心(吕婵),重症医学科(李鲜,覃惠娟),肾内科(王艺),肿瘤二区(黄兰英)
  • 收稿日期:2023-12-04 出版日期:2024-04-10 发布日期:2024-04-09
  • 通讯作者: 龙秀红,E-mail:13788406562@163.com
  • 作者简介:张媛媛,女,本科,副主任护师,E-mail:248210609@qq.com
  • 基金资助:
    广西中医药适宜技术开发与推广项目(GZSY22-35)

Integrative nursing experience of a case with chronic refractory wound formation caused by drug extravasation

ZHANG Yuanyuan(), LONG Xiuhong(), LÜ Chan, LI Xian, WANG Yi, HUANG Lanying, TU Huiqiong, QIN Huijuan   

  • Received:2023-12-04 Online:2024-04-10 Published:2024-04-09

摘要:

总结1例药液外渗导致慢性难愈性创面形成患者的中西医结合护理经验。护理要点:实施基于伤口评估三角的结构化护理措施;结合疮疡理论,确定中医护理干预时机;采用铜砭刮痧,促进伤口气血运行;采用火龙罐综合灸,促进伤口新肌再生。在多学科专科护理小组合作下,经过59 d的中西医结合护理干预,创面完全愈合。

关键词: 药液外渗, 慢性难愈性创面, 伤口护理, 中医护理学

Abstract:

To sum up integrative nursing experience of a case with chronic refractory wound formation caused by drug extravasation. The essentials of integrative nursing are:structured nursing intervention of “assessment-management-treatment” based on the Triangle of Wound Assessment;determination of the timing for integrative nursing according to the theory of TCM sores and ulcers;implementation of copper board scraping method to promote circulation of qi and blood;use of Huo-long Comprehensive Moxibustion Therapy to promote muscle regeneration. With the help of the cooperation of the multidisciplinary specialist nursing team,the wound was completely healed after 59 days of integrated traditional Chinese and Western medicine nursing interventions.

Key words: Drug Extravasation, Chronic Refractory Wounds, Wound Care, Traditional Chinese Medicine Nursing