腰腿痛護(hù)理查房課件

護(hù)理查房-腰腿痛Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL護(hù)理查房-腰腿痛1主要內(nèi)容疾病知識病史簡介相關(guān)護(hù)理健康教育Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL主要內(nèi)容2概述腰腿痛是臨床常見的一組癥狀,以腰部和腿部疼痛為主要癥狀,其發(fā)病率僅次于感冒。主要包括現(xiàn)代醫(yī)學(xué)的腰椎間盤突9出癥、腰椎椎管狹窄癥、慢性腰肌勞損等。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL概述3生理特點(diǎn)SpinalColumnwithvertebrae透明軟骨板髓核纖維環(huán)前縱韌帶后縱韌帶L圖1-1-2-9纖維環(huán)前部寬而厚,后部較薄umValadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL生理特點(diǎn)4椎間盤770ysValadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL椎間盤5腰椎間盤突出癥椎間盤實(shí)出由于腰椎間盤退變與損傷,導(dǎo)致脊柱內(nèi)外力學(xué)平衡失調(diào),使椎間Lk正織推間盤盤的髓核自破裂口突出,壓迫和刺激腰脊神經(jīng)根而引起腰腿痛的臨床疾患。好發(fā)年齡:30-50歲體力芳動男>女發(fā)部位:L4/L5,L5/S1,Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL腰椎間盤突出癥6病因1、椎間盤退變(主因)2.累積性損傷(促椎間盤退變的主因,也是椎間盤破裂突出的誘因)3、遺傳基因:有色人種發(fā)病率較低4、妊娠:盆腔、下腰部組織充血松馳,腰骶部承受壓力大展痘晴睞孕婦Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL病因7誘因1突然的負(fù)重或閃腰2腰部外傷姿勢不當(dāng)4腹壓增高受寒與受濕圖1-35不同體位及姿勢時椎間盤內(nèi)壓的變化(以直立位為100%)腰椎間盤壓力坐位>站立>臥位腰椎間盤突出危險(xiǎn)性:屈曲>直立>伸展Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL誘因8臨床癥狀(一)反復(fù)腰部疼痛,下肢疼痛多向一側(cè)放射二)腰部運(yùn)動障礙三)腰椎脊柱姿勢改變(四)主觀麻木感(五)患肢溫度下降Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL臨床癥狀9中醫(yī)對腰腿痛的認(rèn)識一病因年老體虛:肝腎感受寒濕之邪跌仆閃挫:導(dǎo)致虧虛,腎精虧損寒性凝滯收引腰部經(jīng)脈損傷,肝主筋濕邪黏滯不化經(jīng)絡(luò)氣血阻滯腎主骨”,無或濕熱之邪,致瘀血停滯而發(fā)生以濡養(yǎng)經(jīng)脈而發(fā)使腰腿經(jīng)脈受阻,腰腿疼痛生腰腿疼痛阻遏經(jīng)脈,氣血運(yùn)行不暢,發(fā)生腰腿疼痛Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL中醫(yī)對腰腿痛的認(rèn)識一病因10腰腿痛護(hù)理查房課件11腰腿痛護(hù)理查房課件12腰腿痛護(hù)理查房課件13腰腿痛護(hù)理查房課件14腰腿痛護(hù)理查房課件15腰腿痛護(hù)理查房課件16腰腿痛護(hù)理查房課件17腰腿痛護(hù)理查房課件18腰腿痛護(hù)理查房課件19腰腿痛護(hù)理查房課件20腰腿痛護(hù)理查房課件21腰腿痛護(hù)理查房課件22腰腿痛護(hù)理查房課件23腰腿痛護(hù)理查房課件24腰腿痛護(hù)理查房課件25腰腿痛護(hù)理查房課件26腰腿痛護(hù)理查房課件27腰腿痛護(hù)理查房課件28腰腿痛護(hù)理查房課件29腰腿痛護(hù)理查房課件30腰腿痛護(hù)理查房課件31腰腿痛護(hù)理查房課件32腰腿痛護(hù)理查房課件33腰腿痛護(hù)理查房課件34腰腿痛護(hù)理查房課件35腰腿痛護(hù)理查房課件36腰腿痛護(hù)理查房課件37腰腿痛護(hù)理查房課件38腰腿痛護(hù)理查房課件39腰腿痛護(hù)理查房課件40腰腿痛護(hù)理查房課件41腰腿痛護(hù)理查房課件42腰腿痛護(hù)理查房課件43腰腿痛護(hù)理查房課件44護(hù)理查房-腰腿痛Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL護(hù)理查房-腰腿痛45主要內(nèi)容疾病知識病史簡介相關(guān)護(hù)理健康教育Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL主要內(nèi)容46概述腰腿痛是臨床常見的一組癥狀,以腰部和腿部疼痛為主要癥狀,其發(fā)病率僅次于感冒。主要包括現(xiàn)代醫(yī)學(xué)的腰椎間盤突9出癥、腰椎椎管狹窄癥、慢性腰肌勞損等。Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL概述47生理特點(diǎn)SpinalColumnwithvertebrae透明軟骨板髓核纖維環(huán)前縱韌帶后縱韌帶L圖1-1-2-9纖維環(huán)前部寬而厚,后部較薄umValadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL生理特點(diǎn)48椎間盤770ysValadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL椎間盤49腰椎間盤突出癥椎間盤實(shí)出由于腰椎間盤退變與損傷,導(dǎo)致脊柱內(nèi)外力學(xué)平衡失調(diào),使椎間Lk正織推間盤盤的髓核自破裂口突出,壓迫和刺激腰脊神經(jīng)根而引起腰腿痛的臨床疾患。好發(fā)年齡:30-50歲體力芳動男>女發(fā)部位:L4/L5,L5/S1,Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL腰椎間盤突出癥50病因1、椎間盤退變(主因)2.累積性損傷(促椎間盤退變的主因,也是椎間盤破裂突出的誘因)3、遺傳基因:有色人種發(fā)病率較低4、妊娠:盆腔、下腰部組織充血松馳,腰骶部承受壓力大展痘晴睞孕婦Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL病因51誘因1突然的負(fù)重或閃腰2腰部外傷姿勢不當(dāng)4腹壓增高受寒與受濕圖1-35不同體位及姿勢時椎間盤內(nèi)壓的變化(以直立位為100%)腰椎間盤壓力坐位>站立>臥位腰椎間盤突出危險(xiǎn)性:屈曲>直立>伸展Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL誘因52臨床癥狀(一)反復(fù)腰部疼痛,下肢疼痛多向一側(cè)放射二)腰部運(yùn)動障礙三)腰椎脊柱姿勢改變(四)主觀麻木感(五)患肢溫度下降Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL臨床癥狀53中醫(yī)對腰腿痛的認(rèn)識一病因年老體虛:肝腎感受寒濕之邪跌仆閃挫:導(dǎo)致虧虛,腎精虧損寒性凝滯收引腰部經(jīng)脈損傷,肝主筋濕邪黏滯不化經(jīng)絡(luò)氣血阻滯腎主骨”,無或濕熱之邪,致瘀血停滯而發(fā)生以濡養(yǎng)經(jīng)脈而發(fā)使腰腿經(jīng)脈受阻,腰腿疼痛生腰腿疼痛阻遏經(jīng)脈,氣血運(yùn)行不暢,發(fā)生腰腿疼痛Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL中醫(yī)對腰腿痛的認(rèn)識一病因54腰腿痛護(hù)理查房課件55腰腿痛護(hù)理查房課件56腰腿痛護(hù)理查房課件57腰腿痛護(hù)理查房課件58腰腿痛護(hù)理查房課件59腰腿痛護(hù)理查房課件60腰腿痛護(hù)理查房課件61腰腿痛護(hù)理查房課件62腰腿痛護(hù)理查房課件63腰腿痛護(hù)理查房課件64腰腿痛護(hù)理查房課件65腰腿痛護(hù)理查房課件66腰腿痛護(hù)