办公室保健之颈、腰椎病的防治[精品].pptVIP

医用臭氧疼痛治疗适应证 1、椎间盘突出症。 2、腰椎手术失败综合征（Failed?Back?Surgery?Syndrome,　FBSS）。3、软组织痛：各种软组织痛，如：肩周炎、肌肉筋膜疼痛综合征、 第三腰椎横突综合征、梨状肌综合征等。 4、关节炎：注射臭氧可以治疗各种风湿病、股骨头缺血性坏死、骨性膝关节炎等并发的骶髂关节、髋关节和膝关节腔的无菌性炎症。 5、神经病理性疼痛：如对于肋间神经的带状疱疹后神经痛（postherpetic?neuralgia，PHN），局麻、射频后注射臭氧可以作为一种辅助治疗方法。 * 射頻損毀回路 回路的三個部分: 探針, 電極板, 主機 電極板 電極探針 * * * * 确保进针到达病变组织——靶点注射 治疗腰椎间盘突出症时，必须进针到突出的间盘内。椎间隙间盘内穿刺，对膨出的间盘有减压、减容作用，但对于纤维环已破裂、髓核已突出、脱出的腰椎间盘突出症，应行突出物内臭氧注射；而对于脱垂型腰椎间盘突出症，臭氧注射应从突出物的远端开始，分次进行，以防直接注射突出物与间盘连接处导致突出物脱落，卡压神经。 * 技术优势 腰椎间盘病变微创治疗方法曾以其手术创伤小，不破坏脊柱的正常骨性结构，并发症很少，患者痛苦小，效果好，恢复快等特点深受医患双方的欢迎并得到迅速发展 * 发挥多种技术的优势——综合治疗 各种治疗技术都有一定的适应症和禁忌症，有各自的优势和缺陷。一种方法不可能治疗各种疼痛疾患，一种疾病在不同的病例有不同的特点，一个病例也可能有多种病变或一种病变的多种类型。所以，应根据患者的病种、类型和特点选择最适宜的治疗技术和最佳的技术组合。 * * * * During RF lesioning, the body of the patient becomes part of a circuit. The other parts of the circuit are: an active electrode at the lesion site; a radiofrequency generator and a indifferent or passive electrode with a large surface area. Presenter will show Baylis System. This is the Baylis Pain Management generator, which generates the RF energy needed. This is a Baylis probe which attaches to the generator to bring RF energy to the lesion site. This is a Baylis RF cannula, into which the probe is inserted. The cannula is insulated along most of its length except for at the tip. At this bare tip, RF en????This is a grounding pad. It is placed somewhere on the body away from the lesion site. It is then attached to the generator, so that we have a complete circuit. Now the current can travel through this circuit: out of the generator, to the active electrode, through the body to the grounding pad (or passive electrode) and then back towards the generator. During this, tissue in the area of the active electrode heats up, by a mechanism we will discuss next. Heating does not occur at the passive electrode due to its relatively large surface area. 椎动脉型 此型为椎动脉受到骨刺压迫或受到刺激而发生痉挛，造成瞬间或长期血管腔变窄 * 椎动脉型症状 　　眩晕 　　头痛 　　视觉障碍 　　猝倒 　　运动、感觉、精神障碍 　 * 交感神经型 此型为颈部交