护理医学中医护理学课件心悸.ppt
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护理医学中医护理学课件心悸.ppt
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心悸,Palpitation,Palpitation,DefinitionPalpitation是指病人自觉心中悸动,惊慌不安,甚则不能自主为主要表现的一种病证。
心悸包括惊悸和怔忡两方面,因惊而悸者谓之惊悸,时发时止,病情较轻;若无外因而悸者,谓之怔忡,发作无定时,病情较重。
金匮要略首提惊悸,济生方首提怔忡,CauseofDiseaseandPathomechanismPalpitation的病位在心,其发病与脾、肾、肝、肺四脏功能失调相关。
本病为本虚标实,本为气血不足,阴阳亏损;标为气滞,血瘀,痰浊,水饮。
Palpitation,Analysesofpathologicalconditions心虚胆怯(timidityduetoheart-deficiency)心血不足(insufficiencyofheartblood)阴虚火旺(flaringoffireduetoyin-asthenia)心阳不振(inactivationofheart-yang)水饮凌心(fluidretentioninvadingheart)心血瘀阻(stasisofheartblood),Palpitation,AnalysesofpathologicalconditionsTimidityduetoheart-deficiency心悸,善惊易恐,坐卧不安,少寐多梦,舌苔薄白或如常,脉象动数或虚弦。
Insufficiencyofheartblood心悸,头晕,面色不华,倦怠乏力,舌质淡红,脉象细弱。
Palpitation,AnalysesofpathologicalconditionsFlaringoffireduetoyin-asthenia心悸不宁,心烦少寐,头晕目眩,手足心热,腰酸耳鸣,舌质红,少苔或无苔,脉象细数。
Inactivationofheart-yang心悸不安,胸闷气短,面色苍白,形寒肢冷,舌质淡白,脉象虚弱或沉细而数。
Palpitation,AnalysesofpathologicalconditionsFluidretentioninvadingheart心悸,眩晕,胸脘痞满,形寒肢冷,小便短少;或下肢浮肿,渴不欲饮,恶心吐涎,舌苔白滑,脉弦滑。
Stasisofheartblood心悸不安,胸闷不舒,心痛时作,或见唇甲青紫,舌质暗或有瘀斑,脉涩或结代。
Palpitation,Problemsofpatients,Palpitation,心输出量减少恐惧活动无耐力睡眠形态紊乱知识缺乏潜在并发症,Nursinggoals,NursinginterventionsTimidityduetoheart-deficiencyPrincipleofnursing:
镇惊定志,养心安神Entiretynursing,Lifecare:
Dietarycare:
Drugscare:
Othernursingmethods:
Palpitation,NursinginterventionsInsufficiencyofheartbloodPrincipleofnursing:
补血养心,益气安神Entiretynursing,Lifecare:
Dietcare:
Drugscare:
Othernursingmethods:
Palpitation,NursinginterventionsFlaringoffireduetoyin-astheniaPrincipleofnursing:
滋阴请火,养心安神Entiretynursing,Lifecare:
Dietcare:
Drugscare:
Othernursingmethods:
Palpitation,NursinginterventionsInactivationofheart-yangPrincipleofnursing:
温补心阳,安神定悸Entiretynursing,Lifecare:
Dietcare:
Drugscare:
Othernursingmethods:
Palpitation,NursinginterventionsFluidretentioninvadingheartPrincipleofnursing:
振奋心阳,化气行水Entiretynursing,Lifecare:
Dietcare:
Drugscare:
Othernursingmethods:
Palpitation,NursinginterventionsStasisofheartbloodPrincipleofnursing:
活血化瘀,理气通结Entiretynursing,Lifecare:
Dietcare:
Drugscare:
Othernursingmethods:
Palpitation,NursingevaluationIntroductiononhealth积极治疗引起心悸的原发病。
避免诱发心悸的因素,如寒热变化、饮食不节、情志不遂等。
保证充足的休息与睡眠是减轻病情的重要条件。
Palpitation,胸痹,Chestblockage,Chestblockage,Definition,Chestblockage是以胸部闷痛,甚则胸痛彻背,短气,喘息不得卧为主症的一种疾病。
轻者仅感胸闷如窒,呼吸欠畅;重者则有胸痛,严重者胸痛彻背,背痛彻心,手足青冷。
最早的相关论述见与内经,金匮要略首先正式提出胸痹一名,CauseofDiseaseandPathomechanism,Chestblockage,Chestblockage的主要病机为心脉痹阻;病位以心为主,多与肝、脾、肾三脏功能失调有关,其病理变化主要表现为本虚标实,虚实夹杂。
Analysesofpathologicalconditions心血痹阻:
stasisofheartblood痰浊壅塞:
stagnationandobstructionofturbidphlegm阴寒凝滞:
stagnationofyin-cold心肾阴虚:
astheniaofcardiacandrenalyin气阴两虚:
astheniaofbothqiandyin阳气虚衰:
declinationofyangqi,Chestblockage,AnalysesofpathologicalconditionsStasisofheartblood胸部刺痛,固定不移,入夜更甚,时或心悸不宁,胸闷气短,舌紫暗,脉沉涩。
Stagnationandobstructionofturbidphlegm胸闷如窒而痛,或痛引肩背,气短喘促,肢体沉重,形体肥胖,痰多,苔浊腻,脉滑。
Chestblockage,AnalysesofpathologicalconditionsStagnationofyin-cold胸痛彻背,感寒痛甚,胸闷气短,心悸,重则喘息,不能平卧,面色苍白,四肢厥冷,舌苔白,脉沉细。
Astheniaofcardiacandrenalyin胸闷且痛,心悸盗汗,心烦不寐,腰膝痰软,耳鸣,头晕,舌红或有紫斑,脉细数或细涩。
Chestblockage,AnalysesofpathologicalconditionsAstheniaofbothqiandyin胸闷隐痛,时作时止,心悸气短,倦怠懒言,面色少华,头晕目眩,遇劳则甚,舌偏红或有齿印,脉细弱无力,或结代。
Declinationofyangqi胸闷气短,甚则胸痛彻背,心悸,汗出,畏寒肢冷,腰酸乏力,面色苍白,唇甲淡白或青紫,舌淡白或紫暗,脉沉细或沉微欲绝。
Chestblockage,Problemsofpatients,Chestblockage,Nursinggoals,胸痛恐惧知识缺乏活动无耐力,NursinginterventionsStasisofheartbloodPrincipleofnursing:
活血化瘀,通络止痛Entiretynursing,Lifecare:
Dietcare:
Drugscare:
Othernursingmethods:
Chestblockage,NursinginterventionsStagnationandobstructionofturbidphlegmPrincipleofnursing:
通阳泄浊,豁痰开结Entiretynursing,Lifecare:
Dietcare:
Drugscare:
Othernursingmethods:
Chestblockage,NursinginterventionsStagnationofyin-coldPrincipleofnursing:
辛温通阳,开痹散结Entiretynursing,Lifecare:
Dietcare:
Drugscare:
Othernursingmethods:
Chestblockage,NursinginterventionsAstheniaofcardiacandrenalyinPrincipleofnursing:
滋阴益肾,养心安神Entiretynursing,Lifecare:
Dietcare:
Drugscare:
Othernursingmethods:
Chestblockage,NursinginterventionsAstheniaofbothqiandyinPrincipleofnursing:
益气养阴,活血通络Entiretynursing,Lifecare:
Dietcare:
Drugscare:
Othernursingmethods:
Chestblockage,NursinginterventionsDeclinationofyangqiPrincipleofnursing:
益气通阳,活血通络Entiretynursing,Lifecare:
Dietcare:
Drugscare:
Othernursingmethods:
Chestblockage,NursingevaluationIntroductiononhealth积极治疗引起胸痹的有关疾病,如高血压,糖尿病等。
坚持适当的体育锻炼,促进心肺功能,使气血调畅,利于康复。
饮食以素食为主,戒除烟酒等不良嗜好,不偏食偏嗜,不暴饮暴食。
参照内科护理学相关知识。
Chestblockage,眩晕,Dizziness/Vertigo,Dizziness/Vertigo,Definition眩(blurredvision)即眼花,晕(dizziness)即头晕,两者常同时并见,故统称为“眩晕”。
轻者闭目可止,重者如坐车,旋转不定,不能站立,或伴有恶心、呕吐、汗出、甚则昏倒等症状。
CauseofDiseaseandPathomechanism肝阳上亢:
hyperactivityofliver-yang肾精不足:
deficiencyofrenalessence气血亏虚:
astheniaofbothqiandblood痰浊中阻:
turbidphlegmobstructinginmidst瘀血内阻:
interiorretentionofbloodstasisDizziness多为本虚标实,实为风、火、痰、瘀;虚则气血阴阳之
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