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针刀医学临床问题解析
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章 针刀医学基础 1.针刀是什么? 2.什么是针刀疗法? 3.什么是针刀医学? 4.针刀是怎么产生的?为什么命名为“小针刀”? 5.针刀疗法经历了哪几个发展阶段7 6.小针刀疗法学习班何时开始招生的?举办针刀培训班有什么意义? 7.针刀是不是主要治疗颈肩腰腿痛疾病的疗法? 8.应该如何认识和理解针刀这个新型的医疗器械? 9.针刀治疗的操作方法很多,常用的是什么方法? 10.针刀操作不能直接观察到被松解的组织,针感尤为重要,怎样的针感是正常的? 11.什么是软组织?什么是急性软组织损伤?什么是慢性软组织损伤? 12.如何理解朱汉章教授在《针刀医学原理》中提到的软组织的概念,是否与现代医学对软组织的认识相矛盾而应该修订呢? 13.针刀医学理论很多,四大基础理论或说核心理论包括哪些?如何理解? 14.慢性软组织损伤的主要病理变化是什么? 15.如何理解慢性软组织损伤的根本原因是动态平衡失调? 16,在临床中,如何应用动态平衡的理论? 17.如何理解骨质增生的理论?其意义何在? 18.如何理解经络实质的理论? 19.学习针刀医学对经络实质理论的阐述,对针刀临床实践有什么意义? 20.闭合性手术的主要内涵是什么?如何理解闭合性手术的理论? 21.学习闭合性手术理论的意义是什么? 22.什么是疼痛?疼痛有什么特点? 23.何谓原发痛和继发痛? 24.何为牵涉痛?常见的牵涉痛部位在什么地方? 25.牵涉痛的特点是什么? 26.内脏器官病变引起的牵涉痛有什么规律?有什么临床意义? 27.腱周围附属结构都有什么?在针刀临床治疗中有什么意义?
第二章 临床检查和诊断法 28.慢性软组织损伤常见的压痛点有哪些?应该如何认识它们? 29.检查压痛点的关键是什么?如何做到? 30.常见的敏感反应点有什么特征? 31.临床中用指诊寻找治疗点时,应注意些什么才能准确地查出敏感反 应点? 32.除了根据患者的症状外,还要去触摸才能找到真正的病变点,那么应该 怎么去做? 33.治疗脊柱部位病变,多采用三步定位法进行,为什么?具体方法是什么?有什么意义? 34.慢性腰腿痛的推理诊断应如何进行?请举例说明 35.临床治疗中,取穴位或定治疗点,体表骨性标志很重要.尤其是脊柱的棘突序列,请介绍简单快捷的确定棘突序数的方法 36.各脊柱节段棘突与横突的位置有什么对应关系? 37.人体在运动中常可听到某处发出的弹响声。弹响是如何产生的?大致有几类? 38.针刀进针点的选择多从哪些方面分析和考虑? 39.怎样测量肢体的长度? 40.什么是肌力?肌力分几级? 41.腰臀部主要的肌隆起及神经和血管的体表投影有哪些?
第三章 针刀治病的机制探讨 42.针刀治病的机制是剥离粘连,即将粘连、瘢痕剥离开来。但是,针刀剥离粘连也是一种损伤,外科医生是清楚的,肠粘连病人的手术,松解粘连后有可能使粘连更加严重,用针刀松解粘连后是否会再粘连,甚至加重粘连?粘连发生在人体活动较强、肌肉运动幅度较大的地方易于出现症状,为什么多在这些地方发生粘连? ……
第四章 针刀学习辅导 第五章 针刀临床辅导 第六章 颈项部临床问题 第七章 肩部临床问题 第八章 上肢部临床问题 第九章 胸背部临床问题 第十章 腰腹部临床问题 第十一章 髂骶臀部临床问题 第十二章 下肢部临床问题
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