中药湿敷联合腕踝针治疗1例口服依托考昔致Stevens-Johnson综合征患者的护理体会

Nursing Experience of Traditional Chinese Medicine Wet Compress Combined with Wrist and Ankle Acupuncture in the Treatment of a Patient with Stevens-Johnson Syndrome Caused by Oral Etoricoxib

摘要: 本文总结1例口服依托考昔后Stevens-Johnson综合征患者行中药湿敷以及腕踝针技术治疗的护理经验，包括中药湿敷的药方组成、操作方法、注意事项及生活护理等护理干预措施，以及腕踝针操作方法及注意事项。患者入院时口腔黏膜弥散性糜烂，面部、四肢及躯干可见大小不等的片状红斑伴少许渗液，部分红斑表面附着砺壳状痂壳，尼氏征阳性，触之灼热，皮损面积占全身10%左右(SJS综合征)。面部皮肤症状为SJS综合征中期，躯干四肢皮肤症状为SJS综合征早期，右面颊及颏部疼痛评分为6分。在中医辨证施护理论指导下，采取中药湿敷治疗面部、四肢、躯干皮肤以及腕踝针缓解右面颊及颏部疼痛，患者症状明显改善。

Abstract: This article summarizes the nursing experience of a patient with Stevens-Johnson syndrome after oral etoricoxib treated with TCM wet compress and wrist and ankle acupuncture technique, including the composition of TCM wet compress, operation methods, precautions and life care and other nursing interventions, as well as wrist and ankle acupuncture operation methods and precautions. On admission, the patient has diffuse erosions of the oral mucosa, with patchy erythema of various sizes with a small amount of exudate on the face, limbs, and trunk, and some of the erythema has a scaly, crusty shell attached to the surface, a positive Nikols sign, burning to the touch, and skin lesions covering about 10% of the body (SJS syndrome). The skin symptoms of the face were in the middle of SJS syndrome, the skin symptoms of the trunk and limbs were in the early stage of SJS syndrome, and the pain in the right cheek and chin was scored as 6. Under the guidance of TCM syndrome differentiation and nursing theory, TCM wet compress was used to treat the skin of the face, limbs, trunk, wrist and ankle to relieve the pain in the right cheek and chin, and the patient’s symptoms were significantly improved.