Abstract
This paper reviewed the specific clinical manifestations of a patient with Meijie syndrome who developed severe blepharospasm and perioral spasms after deep brain stimulation (DBS) surgery due to lowering the parameters of the brain pacemaker, and summarized the nursing practice of Traditional Chinese Medicine (TCM) characteristic techniques combined with syndrome differentiation and nursing care. Based on the syndrome differentiation and classification of TCM, acupuncture and moxibustion was used in treatment, combined with ear point burying beans, TCM cupping, warm moxibustion and other characteristic therapies. Nurses had dynamically observed and recorded the symptoms of patient’s eyelid and perioral spasm, abdominal fullness, anxiety and other symptoms, and formulated a personalized nursing program. After intervention, the frequency of spasms in both eyelids and around the mouth of the patient decreased, abdominal distension was relieved, anxiety was significantly improved, the risk of falls was effectively reduced, and the overall quality of life was greatly improved. The combination of TCM appropriate techniques and syndrome differentiation nursing can provide a safe and effective nursing pathway for the patient with Meige syndrome who experience worsening symptoms and specific clinical manifestations after DBS surgery, making up for the shortcomings of simple neural regulation treatment. (本文总结1例梅杰综合征患者脑深部电刺激术(DBS)术后因下调刺激参数导致眼睑及口周痉挛加重的中西医结合护理经验。基于中医辨证, 采用针刺法联合耳穴埋豆、闪罐疗法、温灸器灸等中医特色技术, 配合辨证施护、情志调护及运动康复; 动态评估并记录患者眼睑及口周痉挛、腹部胀满、焦虑情绪等症状评分, 制定个体化护理方案。干预后, 患者眼睑及口周痉挛发作频次降低, 腹胀、焦虑症状明显缓解, 跌倒风险有效降低, 自理能力及生活质量显著提高。中医适宜技术联合辨证施护可为DBS术后痉挛症状加重的梅杰综合征患者提供安全、有效的护理路径, 弥补单纯神经调控治疗的不足。)