Abstract
This paper summarizes the Traditional Chinese Medicine (TCM) nursing experience of a patient who developed acute inflammatory and edematous external hemorrhoids secondary to postpartum hemorrhage and multiple intrauterine manipulations after vaginal delivery. The patient had a history of multiple pregnancies and deliveries. Postpartum blood loss led to Qi deficiency and blood stasis as well as downward flow of damp-heat. Conventional Western medicine treatment failed to relieve her hemorrhoids. A comprehensive intervention was implemented, including Dilun (Huiyin acupoint) moxibustion combined with intravenous drip wet compress of Kuba Decoction, dietary nursing for clearing heat, draining dampness and nourishing blood, five-tone music therapy for soothing the liver and relieving stagnation, postpartum condition monitoring, and health education on rehabilitation nursing. After two days of intervention, the size of the hemorrhoid decreased from 3 cm×3 cm to 1 cm×0. 5 cm. The Numerical Rating Scale (NRS) score for pain dropped from 5 to 1, the Anorectal Disease Symptom Scale score decreased from 9 to 2, and the Pittsburgh Sleep Quality Index (PSQI) score dropped from 12 to 6. No nursing-related complications occurred, and the patient was discharged on the 4th day postpartum. Two follow-up visits after discharge showed no recurrence of hemorrhoids. (本文总结1例阴道分娩后急性炎性水肿性外痔患者的中医护理经验。患者产后因出血、多次宫腔操作等诱发急性炎性水肿性外痔, 常规西医治疗效果欠佳。基于辨证施护, 给予底轮灸联合苦柏汤输液式中药湿敷, 辅以清热利湿养血膳食、五音疗法疏肝解郁, 以及中医情志护理、产后病情监测及康复宣教等综合措施。干预2 d后, 患者痔核大小由3 cm×3 cm缩小至1 cm×0. 5 cm; 疼痛数字评分量表(NRS)评分由5分降至1分, 肛肠疾病症状评分量表(PMS)评分由9分降至2分, 匹兹堡睡眠质量指数(PSQI)评分由12分降至6分。无护理相关并发症, 于产后第4天顺利出院。出院后行2次随访, 痔疮未复发。)