中西医结合护理 (Nov 2022)

Plum-blossom needle combined with bloodletting therapy and nursing management for a patient with lower limb peripheral neuropathy caused by postoperative chemotherapy of colorectal cancer (梅花针疗法治疗1例大肠癌术后化疗导致左下肢周围神经病变患者的护理)

  • ZHAO Baoya (赵保亚),
  • ZHANG Lei (张蕾),
  • LIU Shuhong (刘书红)

DOI
https://doi.org/10.55111/j.issn2709-1961.202208023
Journal volume & issue
Vol. 8, no. 11
pp. 137 – 140

Abstract

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This paper reported the efficacy of plum-blossom needle combined with bloodletting therapy in the treatment of lower limb peripheral neuropathy caused by postoperative chemotherapy of colorectal cancer in a patient, and summarized related nursing measures. Plum-blossom needle therapy was used to tap and stab the collaterals of the legs, Yin collaterals and Yang collaterals alternately, twice a week and Thursday, and three drops of blood were bled to the ten toes of the foot twice a week to dredge the peripheral blood stasis. The numbness and pain of lower limbs were reduced, and the nerve conduction velocity was significantly recovered. From the perspective of Traditional Chinese Medicine, plum-blossom needle combined with bloodletting therapy is helpful to alleviate the peripheral neuropathy of lower limbs caused by postoperative chemotherapy of colorectal cancer and improve the quality of life of patients. (本文观察梅花针联合放血疗法治疗1例大肠癌术后化疗导致下肢周围神经病变的疗效, 总结护理经验。使用梅花针叩刺腿部络脉, 阴络阳络交替叩刺, 每周一、周四叩刺两次, 同时给足趾叩刺放血, 每周两次, 以疏通末梢瘀堵。通过使用多伦多临床评分系统(TCSS)评分显示, 患者下肢麻木感、疼痛感减轻, 神经传导速度较之前有显著恢复。从中医视角看, 梅花针疗法有助于缓解大肠癌术后化疗导致下肢周围神经病变, 提高患者舒适感。)

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