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脑卒中同质化康复
$38.48
脑卒中康复学速查
本书立足于目前对于脑卒中的常用评定方法、康复治疗方法、护理方法等,加以归纳整理,使之更加符合医联体脑卒中康复治疗的实际...
本书立足于目前对于脑卒中的常用评定方法、康复治疗方法、护理方法等,加以归纳整理,使之更加符合医联体脑卒中康复治疗的实际工作。书中介绍了脑卒中的一般概念、转诊标准、常用的评定方法、各期康复治疗的具体内容和操作、护理要点和健康教育等,有效地帮助医务人员对脑卒中患者进行全过程的康复管理,有一定的参考价值。
林万隆1996.8-1998.8 上海市闸北区市北医院消化科 医师1998.9-2003.7 上海第二医科大学 硕博连读研究生2003.8-2008.1 上海市闸北区市北医院内科 主治医师--主任2008.1-2009.1 上海市闸北区市北医院 院长助理2009.2-2014.5 上海市闸北区市北医院副院长2014.6-至今 上海市第三康复医院 院长
目录
基本理论1 概论1.1脑卒中定义1.2流行病学1.3常见病因1.4病理改变2诊断及鉴别诊断3 精准定位、精准诊断、精准康复3.1定性3.2定位3.3主要功能障碍4 功能测评4.1如何评定4.2传统评定量表5 康复治疗5.1康复的基本条件5.2脑卒中的康复目标与时机选择 5.3康复治疗的基本原则5.4康复治疗5.5健康宣教5.6合并症的预防和处理6 中国脑卒中三级康复治疗及转诊方案6.1治疗要点6.2分级康复7 双向转诊的诊断标准7.1脑卒中/脑外伤双向转诊标准7.2信息支持
康复评估1 评定原则2 评定目的3 评定内容3.1神经功能损伤程度的评定3.2运动功能的评定3.3感觉功能评定3.4言语功能评定3.5 吞咽功能评定3.6认知功能评定3.7膀胱及直肠功能的评定3.8日常生活活动能力的评定3.9精神、心理的评定
康复治疗1 急性期康复治疗1.1良肢位摆放1.2关节活动度维持1.3体位变化的适应性训练1.4体位转变1.5翻身、坐起、转移训练1.6自我辅助训练1.7物理因子治疗1.8言语、吞咽训练2脑卒中恢复期康复治疗2.1运动治疗 2.2作业治疗 2.3物理因子治疗2.4言语治疗2.5构音训练2.6吞咽障碍的治疗2.7认知障碍3 脑卒中后遗症期康复治疗 3.1运动疗法 3.2作业治疗 3.3物理因子治疗 3.4言语治疗、构音训练、吞咽障碍治疗、认知障碍治疗
护理知识1 康复护理1.1康复护理目标1.2康复护理1.3常见并发症的康复护理1.4护理不良事件的预防1.5脑卒中患者饮食指导1.6康复护理教育2 社区家庭康复指导2.1指导自我护理技术2.2 ADL训练指导2.3家庭环境改造2.4定期随访3康复护理技术操作3.1偏瘫患者抗痉挛体位摆放技术3.2床上运动及转移3.3呼吸功能的指导训练技术3.4日常生活活动指导训练3.5轮椅应用指导训练
前 言
康复医疗服务体系是整个医疗服务体系的重要组成部分,加强康复医疗服务体系建设有利于提高医疗资源整体利用效率与效益,满足人民群众日益增长的康复医疗服务需求。因此,《中共中央国务院关于深化医药卫生体制改革的意见》、《上海市卫生计生改革和发展"十三五"规划》、《上海市康复医疗服务体系发展规划(2016-2020年)》等文件也相继将康复服务能力的提高作为工作的重点。2017年,复旦大学附属华东医院与静安区卫生计生委签署合作协议,正式结成"华东医院--静安区康复医疗联合体",以"注重预防、治疗、康复三结合"为指引,以"建体系、扩队伍、立机制、增能力"为目标,构建符合疾病发展规律的早期、系统、专业、连续的康复医疗服务模式,提升区域康复医疗服务能力和水平。上海市第三康复医院作为"华东医院--静安区康复医疗联合体"的重要组成部分,2014年转型为康复专科医院以来,通过积极探索康复发展的路径,大力发展特色康复,与华东医院康复医学科合作,参与撰写国家《ICF活动和参与评价量表应用技术指南》,主持撰写《医联体脑卒中康复防治一体化管理指南》,并在静安区北部医联体中充分发挥康复医疗牵头单位的作用,深入北部医联体各成员单位开展康复治疗、康复护理等服务,在区域内多次举办康复培训班,组织康复治疗、护理技术竞赛活动,并在国内率先倡导"脑卒中闭环管理模式",为三级康复医疗服务体系建设作了有益的探索,也对区域康复治疗与护理技术的普及、提升做出了很大贡献,静安区"发挥区域康复优势,全面落实康复分级诊疗"成功入选2019年"上海医改十大创新举措"。在此基础上,上海市第三康复医院以脑卒中的分级康复为重点,根据医联体的工作特点编写此书,以期医联体内各级医疗机构脑卒中康复治疗达到规范化,同质化,使脑卒中病人能在医联体的任何一家医疗机构中根据病情需要都能得到同等水平的康复治疗。本书分为四章,分别介绍了脑卒中康复的基本理论、常用评估量表、分期康复治疗方法和护理操作方法,浅显易懂,对于各级医疗机构的工作有一定的借鉴作用。本书在编辑和出版过程中也得到了岳阳中西医结合医院、华东医院、华山医院、世界图书出版上海有限公司各位专家、老师的指导和帮助,在此表示衷心感谢。由于是一次新的尝试,经验不足,书中的缺点错误一定很多,希望广大读者批评指正,使我们能够进一步完善和提高。
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