黄土汤治疗1例慢性肾功能衰竭患者急性上消化道出血的护理体会  

Chinese herbal medicine Huangtu decoction in the treatment of acute upper gastrointestinal hemorrhage in a patient with chronic renal failure and related nursing measures

作　　者：王佳丽 马新童 王艳云 白东海 王逸飞 孔令新 WANG Jiali;MA Xintong;WANG Yanyun;BAI Donghai;WANG Yifei;KONG Lingxin(Department of Nursing,Fangshan Hospital Beijing University of Chinese Medicine,Beijing,102400;Department of Nephrology,Fangshan Hospital Beijing University of Chinese Medicine,Beijing,102400;Department of Pharmacy,Fangshan Hospital Beijing University of Chinese Medicine,Beijing,102400)

机构地区：[1]北京中医药大学房山医院护理部,北京102400 [2]北京中医药大学房山医院肾病科,北京102400 [3]北京中医药大学房山医院药剂科,北京102400

出　　处：《中西医结合护理》2023年第12期138-142,共5页Chinese Journal of Integrative Nursing

摘　　要：本文总结黄土汤治疗1例慢性肾功能衰竭患者急性上消化道出血的效果,总结护理体会。运用特殊煎法个性化煎煮经方黄土汤加味并控制中药出汁量,同时采用子午流注服药法,以增强中药疗效。治疗期间加强患者饮食护理、心理护理、皮肤护理,积极预防贫血,进行运动指导,实施耳穴压丸、穴位贴敷等中医护理技术,旨在缓解临床症状,帮助患者平稳过渡至持续性腹膜透析治疗。This paper summarized the Chinese herbal medicine Huangtu decoction treatment and nursing management of acute upper gastrointestinal hemorrhage in a patient with chronic renal failure.The Chinese herbal medicine Huangtu decoction processed by special decocting method was administrated under the guidance of midnight-midday ebb flow.Comprehensive interventions including nutrition support,skin care,psychological care,prevention of anemia,exercise guid⁃ance and Traditional Chinese Medicine nursing techniques were carried out during the treatment,in order to relive the clinical symptoms of acute upper gastrointestinal hemorrhage and ensure pa⁃tient safety and follow-up dialysis treatment.

关 键 词：中药汤剂 急性上消化道出血 子午流注法 慢性肾功能衰竭 贫血 中医护理 

分 类 号：R248.1[医药卫生—中医临床基础]