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帕金森病导引康复法(第2版)
$31.18
第1章帕金森病的常见临床表现
一、帕金森病的常见运动症状
1.静止性震颤
2.肌僵直
3.动作迟缓
4.姿势和平衡障碍
5.冻结步态
二、帕金森病常见的运动并发症
1.异动症
2.症状波动
3.“开-关”现象
4.冻结现象
三、帕金森病的非运动症状
神经、精神症状
自主神经功能障碍
睡眠障碍
第2章易学易用的导引康复法
一、中医导引学与帕金森病康复
二、帕金森病导引康复法与运动锻炼
1.体育锻炼与导引康复
2.太极拳与导引康复
3.休闲运动与帕金森病康复
第3章帕金森病导引康复法
一、中医导引术与运动障碍
二、帕金森病导引康复法的要领及禁忌
1.调整形体的要领——伸筋拔骨
2.调整呼吸的要领——屈呼伸吸
3.调摄意念的要领——守中用和
三、坐、卧、站、行导引法
1.坐姿导引法
2.卧姿导引法
3.站立导引法
4.行走导引法
四、消除运动障碍导引法
1.防止摔倒导引法
2.防止重心不稳导引法
3.起步困难的导引法
4.消除下肢肿胀导引法
五、脊柱导引法
1.脊柱健康与帕金森病康复
2.颈椎导引法
3.胸椎导引法
4.脊椎导引法
六、头面部导引按跷法
1.虎戏导引法
2.运转眼球导引法
3.捏耳轮导引法
4.十指梳头导引法
5.按揉承泣导引法
6.脸部小导引法
7.鸣击天鼓导引法
8.抚摩面部导引法
七、呼吸导引法
1.胸式呼吸法
2.吐故导引法
3.呻吟导引法
4.叹息导引法
5.内压导引法
6.龟息导引法
7.发声导引法
八、服药前后导引法
1.调理脾胃导引法
2.双手托举导引法
3.双手高举导引法
4.助动单举导引法
5.助动双举导引法
九、被动导引按跷法
1.捏足趾与手指按跷法
2.点按导引法
3.拍打法
十、其他辅助康复法
1.服药前后的准备
2.鼓腮搅舌导引法
3.关于流涎和咽津
4.数息法
5.养生服饵方
6.艾灸法
十一、导引康复法的机制
大脑皮质感觉区、运动区与导引康复
第4章护理人员强筋导引术
一、经筋与健康
二、强壮筋骨的易筋经十二势导引法
三、易筋经十二势经筋导引图谱
1.韦陀献杵势——疏导手太阴经筋
2.韦陀献杵第二势——疏导手少阳经筋
3.摘星换斗势——疏导手少阴经筋
4.出爪亮翅势——疏导手阳明经筋
5.倒拽九牛尾势——疏导足阳明经筋
6.九鬼拔马刀势——疏导足太阳经筋
7.三盘落地势——疏导手厥阴经筋
8.青龙探爪势——疏导足少阳经筋
9.卧虎扑食势——疏导足厥阴经筋
10.打躬势——疏导足少阴经筋
11.工尾势——疏导手太阳经筋
12.收势——疏导足太阴经筋
附录A帕金森病的诊断标准
一、英国脑库帕金森病诊断标准
二、帕金森病H&Y分级
附录B统一帕金森病评分量表
Ⅰ.精神、行为和情绪
Ⅱ.日常生活能力(“关”和“开”期)
Ⅲ.运动检查………………………………138
Ⅳ.治疗的并发症(记录过去1周的情况
Ⅴ.修订的HOEHN&YAHR分级
Ⅵ.SCHWAB&ENGLAND日常活动能力量表
附录C帕金森病的常用治疗药物及用药原则
一、帕金森病的常用治疗药物
二、帕金森病的药物治疗原则
附录D帕金森病的手术治疗
一、手术的时机
二、手术方法
后记
帕金森病作为现代社会三大老年人脑病之一,无论男、女,也不分种族和社会地位,已成为一种常见的疾病,而且随着社会人口老龄化,发病率也随之高了起来。另外,由于城市的快节奏生活和工作上的压力,为数不少的中、青年人也患了帕金森病。目前,在世界范围内,帕金森病尚没有一个普遍有效的根治方法。但随着科技的发展,相信会有更多的治疗方法和康复手段带给我们希望。帕金森病病名源自英国医生詹姆斯o帕金森(1755-1824)62岁时写的一篇报道《颤抖麻痹症》,50多年后由法国神经学权威先将他的临床病情确立为帕金森病。这篇报道中希望后人:"能提供适当的方法,解除此病带来令人难以承受的长期痛苦。"
帕金森病患者的痛苦和其亲人们的揪心是难以言表的。帕金森病患者脸部没有表情,行动变得迟缓僵硬,还表现在交流、言谈、行走、书写及吞咽等方面都出现障碍,尤其是帕金森病患者的家属,面对着遭受疾病折磨的亲人,除了担心他跌倒和呛咳外,不知道应该如何去帮助亲人减轻痛苦,而病情却还在不断发展,帕金森病患者家属们束手无策,而导致心力交瘁。中医学将帕金森病称为"麻痹震颤",将其归属中医"颤证"范畴。
明代《证治准绳》载:"颤,摇也;振,动也;筋脉约束不住而不能任持,风之象也。"又载:"此病壮年鲜有,中年之后始有之,老年尤多,夫老年阴血不多,少水不能制盛火,极为难治。"古人也已经认识到帕金森病极为难治。《黄帝内经o素问》中《至真要大论第七十四》记载:"诸风掉眩,皆属于肝。"说明帕金森病属风象,与肝有关。
中医学认为:"肝藏血,主筋。"由此可见帕金森病与肝、风、筋有关,而此论一直为历代中医所宗。中医导引学是中医古老的五种治疗技术之一。旨在通过改善人体的自组织能力和自康复能力来达到身、息、意三者和谐统一。中医导引学中特别强调对人体经筋的调摄。中医学认为人体有十二经筋,经筋连骨络肉,遍及全身,与人们的运动和健康息息相关。《医宗己任编》载:"大抵气血俱虚不能荣养筋骨,故为之振摇,而不能主持也。"帕金森病导引康复法主要作用是"导气令和,引体令柔",通过导引经筋来改善气血,使气血和顺从而荣养筋骨和脏腑。现代医药学对于帕金森病有很成熟的药物治疗和外科手术疗法,但是医生们对于服药或手术后的帕金森病患者病情的反复也感到力不从心。因此,帕金森病患者需要全社会来共同关爱。欧洲帕金森病联合会和世界卫生组织将把每年的4月11日定为"世界帕金森日",以此提醒全社会都来关爱帕金森病患者。
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