消化性溃疡英文修改版_培训课件.pptVIP

Psychotherapy and heath education Information about the relationship between peptic ulcer and factors such as Hp, NSAIDs, smoking, alcohol intake ,stress. Education about both therapeutic and preventive strategies. Lifestyle management Avoid the use of steroid, caffeine , aspirin and other NSAIDs . Instruction about the medication regimen prescribed and how to take the drugs. Teach the client the symptoms that may indicate a complication, such as increased abdominal pain or distention, vomiting, black or tarry stools ,or fainting. Question Which type of PUD will have abdominal pain at night? How can we diagnosis the infection of Hp? A?peptic?ulcer, also known as?peptic ulcer disease?(PUD),[1]?is the most common ulcer?of an area of the?gastrointestinal tract * A?peptic?ulcer, also known as?peptic ulcer disease?(PUD),[1]?is the most commonulcer?of an area of the?gastrointestinal tract * * Mortality rate decreased d/t discovery of H. Pylori and PPI’s. * [?hi:m?temisis] * 胃窦溃疡性胃癌 Peptic Ulcer disease(PUD) by Kelly minyi xu from Guangzhou Medical University Learning Objectives To master the cause of peptic ulcer clinical manifestations and complications; Be familiar with the key points of the pathogenesis and treatment of peptic ulcer; To master the peptic ulcer nursing intervention and health education; Definition A circumscribed ulceration of the gastrointestinal mucosa occurring in areas exposed to acid and pepsin and most often caused by Helicobacter pylori infection. (Uphold Graham, 2003) Peptic Ulcers: Gastric Dudodenal Peptic Ulcers: Gastric Duodenal gastric ulcer : the ulcer that occurs in the stomach lining ,some of them may be malignant. duodenal ulcer : most often seen in first portion of duodenum . GU DU PUD Demographics （流行病学） Lifetime prevalence is ~10%. The incidence of duodenal is 4 times as common as gastric ulcer most common in middle age peak 30-50 years Male to female ratio—4:1 Etiology（病