腰肌劳损外科护理学 ppt课件
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• Back muscle practice: The flying swallow is supported by five-point,, 1-2 weeks and then the 3-point support method, 3-4 times a day, 50 times each time
Nursing measures
Relieves pain: • Create a quiet, comfortable hospital
environment, distract the attention of patient and guide it. • When the pain is apparent, you can take NSAID to relieve muscle pain. Psychological care
• Use the waistline, take it off when rest, lest the secondary apraxia of muscle atrophy
• Always move the waist and avoid prolonged periods in the same position
• 临床表现 症状
无明显诱因的慢性腰部或腰骶部疼痛，反复发作，疼 痛随气候变化或劳累程度而变化，时轻时重，迁延不愈
呈钝性胀痛或酸痛不适，休息、适当活动或经常改变 体位姿势可使症状减轻。腰部喜热怕冷，局部皮肤感觉 迟钝或粗糙感。
腰部活动：有时在活动时有牵掣不适感。不耐久坐久 站，不能胜任弯腰工作，弯腰稍久，便直腰困难
• When the pain in the waist is obvious, you can take NSAID to relieve muscle pain, but not long-term
Functional exercise
• Quadriceps muscle contraction practice: 5-10 minutes each time, 3-4 times a day
• Avoid damp, cold
• Sleep hard bed
• Make the waist posture compatible with biomechanics
• When the disease is heavier, bed rest is appropriate and the bed position is often changed
骶棘肌痉挛征 ：为腰部劳损所致，有单侧或双侧骶 棘肌痉挛征，肌收缩隆起，由于患侧腰肌收缩，骨盆 倾斜，腰部显得板硬，起卧床较费力
• 辅助检查
X线检查多无异常，少数可有骨质增生或 脊柱畸形；年老或骨质疏松病人，可选 择ECT检查或骨密度检查
nursing diagnosis
• Pain related to tissue chronic injury • The lack of knowledge related to
lack of functional exercise and disease prevention • Anxiety related to recurrent episodes of disease
principle of management
To eliminate the cause:
• Improve your position, posture, and avoid bending over long
慢性软组织损伤之
腰肌劳损
strain of the lumbar muscles
主讲人：夏婼
• 病理生理
肌肉、筋膜及韧带持续受到牵拉时，肌肉 内的压力增加，血供受阻，肌纤维在收缩 时消耗的能源得不到补充，产生大量乳酸， 加之代谢产物不Βιβλιοθήκη Baidu得到及时清除，积聚过 多而引起炎症、粘连，如此反复可导致组 织变性、增厚及痉挛，并刺激相应的神经 引起慢性腰痛
• Keep proper posture in your daily work life, keep warm and avoid the cause of the disease
Health guide:
• Explain the etiology, pathology, treatment and prevention of diseases, rehabilitation training methods and precautions
• The waistline method and the use time
急性发作时，可有明显的肌痉挛，甚至出现腰脊柱侧 弯，下肢牵擎作痛等症状。
体征
压痛：腰背部固定压痛点，多在骶髂关节背面、骶 骨背面和腰椎横突等处。轻者压痛多不明显。常被迫 伸腰双手捶击或叉腰等动作，以减轻疼痛，这是与深 部骨骼疾患的区别之一
放射痛：不同压痛点产生不同部位放射痛，临床常 据此对腰部损伤与椎间盘突出症进行鉴别诊断
Comprehensive treatment:
Physical therapy: waxing, electrotherapy, Medical massage, acupuncture cupping
Drug therapy:
• The pain point is feasible for adrenal corticosteroid injection.
Nursing measures
Relieves pain: • Create a quiet, comfortable hospital
environment, distract the attention of patient and guide it. • When the pain is apparent, you can take NSAID to relieve muscle pain. Psychological care
• Use the waistline, take it off when rest, lest the secondary apraxia of muscle atrophy
• Always move the waist and avoid prolonged periods in the same position
• 临床表现 症状
无明显诱因的慢性腰部或腰骶部疼痛，反复发作，疼 痛随气候变化或劳累程度而变化，时轻时重，迁延不愈
呈钝性胀痛或酸痛不适，休息、适当活动或经常改变 体位姿势可使症状减轻。腰部喜热怕冷，局部皮肤感觉 迟钝或粗糙感。
腰部活动：有时在活动时有牵掣不适感。不耐久坐久 站，不能胜任弯腰工作，弯腰稍久，便直腰困难
• When the pain in the waist is obvious, you can take NSAID to relieve muscle pain, but not long-term
Functional exercise
• Quadriceps muscle contraction practice: 5-10 minutes each time, 3-4 times a day
• Avoid damp, cold
• Sleep hard bed
• Make the waist posture compatible with biomechanics
• When the disease is heavier, bed rest is appropriate and the bed position is often changed
骶棘肌痉挛征 ：为腰部劳损所致，有单侧或双侧骶 棘肌痉挛征，肌收缩隆起，由于患侧腰肌收缩，骨盆 倾斜，腰部显得板硬，起卧床较费力
• 辅助检查
X线检查多无异常，少数可有骨质增生或 脊柱畸形；年老或骨质疏松病人，可选 择ECT检查或骨密度检查
nursing diagnosis
• Pain related to tissue chronic injury • The lack of knowledge related to
lack of functional exercise and disease prevention • Anxiety related to recurrent episodes of disease
principle of management
To eliminate the cause:
• Improve your position, posture, and avoid bending over long
慢性软组织损伤之
腰肌劳损
strain of the lumbar muscles
主讲人：夏婼
• 病理生理
肌肉、筋膜及韧带持续受到牵拉时，肌肉 内的压力增加，血供受阻，肌纤维在收缩 时消耗的能源得不到补充，产生大量乳酸， 加之代谢产物不Βιβλιοθήκη Baidu得到及时清除，积聚过 多而引起炎症、粘连，如此反复可导致组 织变性、增厚及痉挛，并刺激相应的神经 引起慢性腰痛
• Keep proper posture in your daily work life, keep warm and avoid the cause of the disease
Health guide:
• Explain the etiology, pathology, treatment and prevention of diseases, rehabilitation training methods and precautions
• The waistline method and the use time
急性发作时，可有明显的肌痉挛，甚至出现腰脊柱侧 弯，下肢牵擎作痛等症状。
体征
压痛：腰背部固定压痛点，多在骶髂关节背面、骶 骨背面和腰椎横突等处。轻者压痛多不明显。常被迫 伸腰双手捶击或叉腰等动作，以减轻疼痛，这是与深 部骨骼疾患的区别之一
放射痛：不同压痛点产生不同部位放射痛，临床常 据此对腰部损伤与椎间盘突出症进行鉴别诊断
Comprehensive treatment:
Physical therapy: waxing, electrotherapy, Medical massage, acupuncture cupping
Drug therapy:
• The pain point is feasible for adrenal corticosteroid injection.