通督调筋针法治疗慢性关节痛ppt课件.pptVIP

上海中医药大学附属 龙华医院针灸科 裴建 ;一、概述;慢性疼痛;慢性疼痛;疼痛传导通路;Pain-Sensing System in the Malfunction in Chronic Pain;一、概述;一、概述;二、病因病机;二、病因病机;三、辨证分型;辨病+辨证;四、针灸治疗;髋关节检查;变形性髋关节炎;针灸治疗;膝关节检查;膝痛;膝骨关节炎;膝骨关节炎;针刺治疗膝骨关节炎的Ⅲ期多中心临床试验;;;;取穴定位：方向、角度、深度;;;;;;;;;;奇穴;穴位注射疗法 ;穴位注射疗法;穴位注射存在的问题;临床适应病症;禁忌证;药物选择;药物剂量;选穴处方;治疗前准备;操作方法;操作程序;准确注射;不同病变的注射;不良反应;;腰神经根炎;慢性坐骨滑囊炎;急性髋关节囊炎;急、慢性膝关节囊炎;慢性髂胫束滑囊炎;穴位注射疗法应用;通督调筋法治疗下腰痛; Koes BW, Van Tulder MW, Thomas S. Diagnosis and treatment of low back pain [J]. BMJ, 2006, 332(7555):1430-1434. ;Haldeman S, Dagenais S. A supermarket approach to the evidence-informed management of chronic low back pain [J].The Spine Journal, 2008, 8:1-7. 冯传汉, 张铁良. 临床骨科学 [M]. 北京:人民卫生出版社, 2004, 1925-1934.。 Walker BF. The prevalence of low back pain : a systematic review of the literature from 1966 to 1998 [J]. J Spinal Disord, 2000, 13(3): 205-217. Maniadakis N, Gray A. The economic burden of back pain in the UK [J]. Pain, 2000, 84(1): 95-103 ;病因病机;;椎间盘常见病变;椎间盘突出症;腰椎管狭窄症;腰椎滑脱症;古代文献;古代文献;中医药、针灸治疗下腰痛;Haake M, Muller HH, Schade-Brittinger C, et al. German Acupuncture Trials (GERAC) for chronic low back pain: randomized, multicenter, blinded, parallel-group trial with 3 groups. Arch Intern Med 2007;167:1892-1898. Yuan J, Purepong N, Kerr DP, Park J, Bradbury I, McDonough S. Effectiveness of acupuncture for low back pain: a systematic review. Spine 2008; 33: E887-E900. ;腰椎功能评估;通督调筋治疗下腰痛;;治疗下腰痛的常用穴位;治疗下腰痛的常用穴位;治疗下腰痛的常用穴位;治疗下腰痛的常用穴位;治疗下腰痛的常用穴位; 腰背肌筋膜炎;;腰神经痛;臀上皮神经痛;股外侧皮神经痛;Welcom to Longhua hospital!; Thank You !