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

doi:10.3761/j.issn.0254-1769.2024.07.006

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

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

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/Abstract

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

张媛媛, 龙秀红, 吕婵, 李鲜, 王艺, 黄兰英, 涂惠琼, 覃惠娟. 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[J]. 中华护理杂志, 2024, 59(7): 808-811.

ZHANG Yuanyuan, LONG Xiuhong, LÜ Chan, LI Xian, WANG Yi, HUANG Lanying, TU Huiqiong, QIN Huijuan. Integrative nursing experience of a case with chronic refractory wound formation caused by drug extravasation[J]. Chinese Journal of Nursing, 2024, 59(7): 808-811.

参考文献 14

[1]	国家卫生健康委员会. 静脉治疗护理技术操作规范WS/T 433-2023[S/OL].(2023-08-29)[2023-12-12]. http://www.nhc.gov.cn/wjw/pjl/202309/596da87e29c24708b531ca226485cdf2/files/6377cea1a74f45b3ae5af0eff974cf25.pdf
	National Health Commission. Technical operation specifications for intravenous therapy nursing WS/T 433-2023[S/OL]. (2023-08-29)[2023-12-12]. http://www.nhc.gov.cn/wjw/pjl/202309/596da87e29c24708b531ca226485cdf2/files/6377cea1a74f45b3ae5af0eff974cf25.pdf
[2]	Han G, Ceilley R. Chronic wound healing:a review of current management and treatments[J]. Adv Ther, 2017, 34(3):599-610. DOI
[3]	Parsa H, Samani S. Microbiological features and risk factors in patients with diabetic foot ulcers[J]. Wounds, 2015, 27(11):308-312. PMID
[4]	Ozer B, Kalacı A, Semerci E, et al. Infections and aerobic bacterial pathogens in diabetic foot[J]. Afr J Microbiol Res, 2010, 4(20):2153-2160.
[5]	Jones RE, Foster DS, Longaker MT. Management of chronic wounds-2018[J]. JAMA, 2018, 320(14):1481-1482. DOI PMID
[6]	樊炜静, 柳国斌. 从气血理论探讨难愈性创面的中医药防治[J]. 中医药学报, 2020, 48(5):6-8.
	Fan WJ, Liu GB. Discussion on TCM prevention and treatment of refractory wounds from the theory of qi and blood[J]. Acta Chin Med Pharmacol, 2020, 48(5):6-8.
[7]	阚宇. 艾灸促进创伤模型大鼠伤口愈合的机制研究[D]. 北京: 中国中医科学院, 2019.
	Kan Y. Moxibustion enhances wound healing in traumatic rats and its underlying mechanism[D]. Beijing: China Academy of Chinese Medical Sciences, 2019.
[8]	黄晴茵, 王小俊, 吴燕. 1例氯化钙外渗致皮下组织坏死患者的中西医结合护理[J]. 天津护理, 2023, 31(1):118-120.
	Huang QY, Wang XJ, Wu Y. Nursing care of a patient with subcutaneous tissue necrosis caused by calcium chloride extravasation with integrated traditional Chinese and western medicine[J]. Tianjin J Nurs, 2023, 31(1):118-120.
[9]	邵燕, 孙志琴, 陆娴, 等. 以专科护士为主导的创面修复病房的建立和管理[J]. 中华护理杂志, 2020, 55(7):965-968. DOI URL
	Shao Y, Sun ZQ, Lu X, et al. Establishment and management of wound repair wards led by specialized nurses[J]. Chin J Nurs, 2020, 55(7):965-968. DOI URL
[10]	Haidari H, Vasilev K, Cowin AJ, et al. Bacteria-activated dual pH-and temperature-responsive hydrogel for targeted elimination of infection and improved wound healing[J]. ACS Appl Mater Interfaces, 2022, 14(46):51744-51762. DOI URL
[11]	Alliance PPPI, Haesler E. Prevention and treatment of pressure ulcers:clinical practice guideline[M]. Cambridge Media, 2014.
[12]	安俊红, 韩雪, 张春萍. 基于伤口评估三角的干预方案在3期及以上压力性损伤病人延续护理中的应用[J]. 护理研究, 2021, 35(24):4475-4477.
	An JH, Han X, Zhang CP. Application of intervention plan based on wound assessment triangle in continuous nursing of patients with pressure injury above stage 3[J]. Chin Nurs Res, 2021, 35(24):4475-4477.
[13]	丁晓杰, 蒯仂, 李斌, 等. 从祛腐生肌到“清、化、补”动态序贯疗法辨治创面修复理论溯源及经验采撷[J]. 中华中医药杂志, 2021, 36(5):2578-2580.
	Ding XJ, Kuai L, Li B, et al. Theory tracing and experience gathering from removing putridity and promoting muscle to ‘clear-disperse-tonify’ dynamic sequential therapy of wound repair treatment[J]. China J Trad Chin Med Pharm, 2021, 36(5):2578-2580.
[14]	唐也笑, 万荷天一, 罗小光. 通络刮痧法对气滞血瘀证雌性大鼠的血液流变学的影响[J]. 贵州医科大学学报, 2019, 44(4):431-434.
	Tang YX, Wan HTY, Luo XG. Effect of Tongluo scrapping on hemorheology of female rats with qi stagnation and blood stasis syndrome[J]. J Guizhou Med Univ, 2019, 44(4):431-434.

[1]	姚斌莲, 徐敏, 叶梦华, 陈晓洁, 叶富英, 汪永坚, 林娟英, 倪斐琳, 张晓兰. 浙江省“互联网+中医护理服务”人才培养模式的构建与应用[J]. 中华护理杂志, 2024, 59(8): 980-986.
[2]	王璇, 胡景贤, 韩舒羽, 王颖, 吴璇, 赵艳超, 刘雪娇. 中医五音疗法在肝郁脾虚型自身免疫性肝病患者中的应用研究[J]. 中华护理杂志, 2024, 59(7): 789-795.
[3]	王成龙, 金宁宁, 裴立松, 田媛, 王丽伟, 张仪, 李清萍, 张翠轻, 王彩虹, 韩洋, 郭菊兰, 刘香弟. 7所三级中医院血液透析患者中医健康知识掌握现状及对策[J]. 中华护理杂志, 2024, 59(7): 796-801.
[4]	黄奕敏, 黄丽君, 翁丹婷, 庄平, 谭益冰. 脑卒中肢体功能障碍患者恢复期中医康复护理的最佳证据总结[J]. 中华护理杂志, 2024, 59(7): 812-819.
[5]	胡燕娇, 黎妍, 罗仕妙, 邹涛, 丁美祝. “互联网+中医护理”服务能力评价指标的构建[J]. 中华护理杂志, 2024, 59(15): 1818-1823.
[6]	沈利凤, 朱慧, 孙美蓉, 钱雅芬, 李英, 郭海巍, 金艾香. 体感运动协同经皮穴位电刺激康复护理方案在甲状腺癌术后患者中的应用[J]. 中华护理杂志, 2023, 58(8): 963-970.
[7]	刘瑾, 白蕊, 张佩英, 傅晓瑾, 关辉, 温冰, 齐心, 丁炎明, 李会娟. 2种量表用于慢性伤口患者生活质量测评的对比研究[J]. 中华护理杂志, 2023, 58(5): 558-564.
[8]	徐敏, 黄馨睿, 刘婷, 叶会玲, 帅玮, 孙秋华. 浙江省中医护理技术规范化管理方案的构建[J]. 中华护理杂志, 2023, 58(2): 217-223.
[9]	徐敏, 李孝红, 叶梦华, 陈晓洁, 汪永坚, 孙秋华. 浙江省综合医院中医护理服务现状的调查研究[J]. 中华护理杂志, 2023, 58(17): 2067-2073.
[10]	杨娇娇, 张莉, 许秋群, 秦丹霞, 王莉, 董晓晓, 宁丽. 消瘀通络薰条灸预防骨科大手术后患者深静脉血栓形成的应用研究[J]. 中华护理杂志, 2023, 58(17): 2074-2081.
[11]	金央, 冯莺, 徐秀玲, 董萍培, 陈茗. 基于调周理论的火龙灸对痛经患者的中医护理效果研究[J]. 中华护理杂志, 2023, 58(17): 2082-2087.
[12]	周旭, 黄铮, 朱为康. 乳腺癌相关淋巴水肿患者中医护理的证据总结[J]. 中华护理杂志, 2023, 58(17): 2088-2094.
[13]	王婷婷, 段霞. 妇科恶性肿瘤患者癌因性疲乏中医护理干预的证据总结[J]. 中华护理杂志, 2023, 58(17): 2095-2102.
[14]	叶梦华, 帅玮, 陈晓洁, 张晓兰, 孙秋华, 徐敏. 浙江省中医护理优秀人才培养模式的构建及应用研究[J]. 中华护理杂志, 2023, 58(11): 1338-1344.
[15]	林光燕, 熊俊, 魏平, 吴玉洁. 1例急性淋巴细胞白血病合并腹股沟坏死性筋膜炎患儿的护理[J]. 中华护理杂志, 2022, 57(2): 212-214.

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

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

RichHTML

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献 14

相关文章 15

编辑推荐

Metrics