《腰肌劳损外科护理学》课件.pptVIP

慢性软组织损伤之 腰肌劳损 strain of the lumbar muscles;概念;病因;病理生理;临床表现;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 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;nursing diagnosis;principle of management;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 ;Comprehensive treatment:;Functional exercise;Nursing measures;Health guide: Explain the etiology, pathology, treatment and prevention of diseases, rehabilitation training methods and precautions The waistline method and the use time Keep proper posture in your daily work life, keep warm and avoid the cause of the disease