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网球肘和韧带拉伤课件_1

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网球肘和韧带拉伤
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Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 网球肘和韧带拉伤 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. • 网球肘,又称肱骨外上髁炎,好发于 常使前臂旋转长期反复主动收缩伸腕 肌、伸指肌的劳动者,少数见于直接 受外来暴力的打击损伤,与职业关系 较为密切。 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 网球肘的解剖结构 • 网球肘痛症状 1.肘痛 2.不能持重 3.痛 4.肘关节伸屈不受影响,但前臂旋 活 ,可疼痛 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 网球肘的易患人群 1. 网球、羽毛球、棒球运动员。此类型运动员常见此症,其 中网球运动员尤为多见,网球肘名称即源于于此。因网球 运动员须反复挥拍,极易导致肘关节附近肌肉肌腱撕裂, 从而导致网球肘的发病。 2. 家庭主妇、钻瓦工、木工、修理工等反复使用肘部劳作的 人群。此类人群容易经常使用肘部劳作,故肘部受损机会 增大,长久以往可使附着在肘关节部位的一些肌腱和软组 织,发生部位分纤维撕裂,从而导致网球肘的发病。 3. 中老年人。此类人群因年龄原因,身体各项机能趋于衰弱 ,肌腱纤维退变,老化,损伤后往往不能很快恢复,故致 发网球肘的几率也很高。 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 检查方法 • 实验室检查: • 无相关实验室检查。 • 其他辅助检查: • X射线检查:X射线摄片一般无异常表现。病程长 者可见骨膜反应,在肱骨外上髁附近有钙化沉积 。 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 网球肘的早起处理方法 • 针对网球肘外伤筋络、内伤气血之病理特 征,思华堂舒肘痛筋贴以疗伤修损、消炎 止痛、理气行血、通络除痹之法,其药物 能在患处局部形成较高药物浓度,能有效 刺激局部神经回路,促进血液循环,改善 周围组织营养,令气能载血,血能荣筋, 肌肉筋骨皆得以儒养,而病症得以痊愈。 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 用药治疗 • 轻型病例 可采取休息、服抗炎镇痛药物等治疗; 对服药不愈者,可做局部封闭,每周1次,2~4 次多可痊愈。 • 顽固性病例 可在局部麻醉下于肱骨外上髁处做纵 切口,手术剥离或松解伸肌总腱,切断或松解血 管神经束。亦有人认为,顽固性病例大多系由桡 侧腕短伸肌腱膜及旋后肌腱膜弓对桡神经深支的 牵拉所致,需行该神经松解术方可使症状消失。 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 外科方法 • 停止做刺激胳膊的任何活动,对于业余网球运动员很简单 ,但对手工劳动者、办公室工作人员或职业运动员并非易 事。 • 最有效的常规和辅助治疗方法的目的是相同的,休息受伤 的手臂直至疼痛消失,然后按摩减轻肌肉压力和紧张,进 行锻炼增加受伤部位功能,预防再损伤。如果你必须回到 最初引起受伤的状态,那么在开始任何活动前,保证至少 做5~10分钟的热身轻微伸展胳膊的活动,并经常休息。 • 属于无菌性炎症,打针吃消炎药是没有办法消除无菌性炎症 的. Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 饮食保健 • 一、肱骨外上髁炎吃哪些对身体好? • 1、多吃含有微量元素的食物。动物肝脏、海产品、黄豆 、葵花子、蘑菇中含锌较多;动物肝脏、鸡蛋、豆类、绿叶 蔬菜、面粉中含铁较多;麦片、芥菜、蛋黄、乳酪中含锰较 多。 • 2、多吃新鲜的蔬菜和水果,以保证摄入足够的维生素。 • 二、肱骨外上髁炎最好不要吃哪些食物? • 1、少食油腻、煎炸食物。 • 2、忌烟、酒及辛辣刺激性食物。 • 3、茶应少喝,茶中鞣质含量高,能影响钙、铁及蛋白吸 收。 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 网球肘的康复训练 • 第一阶段 改善正常功能 • 增加抓握力。这是比较常见的训练方法。可以使用握力器 或者通过抓握软式网球、弹力球进行练习。 • 前臂屈肌肌力训练。坐在椅子上,身体前倾。肘关节轻度 弯曲,前臂自然放置于膝盖上,同时手心朝上。手中持倚 重物向上抬举,做负重练习。抬举-放下-抬举,重复进行 。10-15次。 • 前臂伸肌肌力训练。如同屈肌训练,肘关节弯曲,前臂放 于膝盖上,但此时手心朝下。手中持重物向上提起,做负 重练习。提起-放下-提起。渐进增加到3组练习,每组10- 20次 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. • 保持正常的体能训练,建议每周3次跑步(20-30分钟) 或骑车(30-60分钟)。条件允许的情况下,游泳也是不 错的选择。但是应避免使用踢水板 • 第二阶段 在这个阶段,重点加强网球专项训练。可以通 过以下这些方式逐渐增加训练量: • 小场地网球,正手和反手同时训练。 • 底线击球,只进行正手和反手击球练习。练习最好现在慢 速场地进行,因为在快递场地,球速快,需要短时间内击 球,瞬间发力易发猛,不益于伤后恢复。 • 底线击球,先进性平行击球或者双手握拍反手击球,逐渐 引入反手削球。 • 截击球练习 • 进行各种类型的底线反手击球训练 • 过顶高压球和发球训练 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. • 练习赛 • 正式比赛 • 在第二阶段训练中,需要注重练习的时机和技术的把握。 良好的时机把握能帮助重新掌握和改进技术,使用最小的 力量完成。这样就能保持腕部伸直姿势,更流畅的击球, 所以非常重要。 • 预防再损伤 • 几乎很难有比较有效的方法预防网球肘的发生。然而,通 过渐进的康复训练,运动前做好热身准备以及伸展训练, 同时选择合适的球拍装备、正确的击球技术(身体前击球 时,保持腕部伸直且稳定性好)均能够帮助降低网球肘发 生的风险 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 韧带拉伤 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 1.休息、马上停止运动,不要让受伤的关节再负重 2.冷敷。冰块或者其它冷敷可以帮助减少疼痛和肿胀,因为 降低温度可以减少血液循环。每次冷敷15到20分钟,每天三 到四次。 3.压迫。用绷带或其他办法压迫受伤局部可以减少出血、淤 血。绷带产的紧度要适中,你能感觉到有压力但又不会让你 支端发麻或缺血 4.抬高患肢。抬高患肢的主要目的是减少肿胀,促进血液回 流。关于韧带拉伤锻炼中由于外力使关节活动超出正常生理 范围,造成关节周围的韧带拉伤、部分断裂或完全断裂,这 称作关节韧带扭伤。 韧带损伤注意事项 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. 韧带拉伤的恢复练习 早期正确处理关韧带扭伤非常重要。因为韧带组织不易再生 恢复,如果处理不当或误诊而转成慢性疾病,可能遗留功能 障碍,且以后易再次扭伤。急性损伤发生后,应立即停止活 动,以减少出血。立刻用冷水冲损伤部位或用冰块冷敷局部 以达到止血的目的。然后覆盖绷带加压包扎防止肿胀。韧带 完全断裂或怀疑并发骨折的,在加压包扎后必须请医生进一 步检查和治疗经过24~48小时后,损伤部位的内出血已停止 , Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B. • 这时可用温热毛巾热敷或按摩以消肿和促进血液吸收,在 进行温热敷时,温度不要太高,时间不宜太长,按摩时也 不宜太重,以免加重渗出、水肿或发生再出血。为了促进 关节功能的恢复,应注意动静结合,在没有疼痛感觉的前 提下进行 • 早期活动。基本痊愈后,应加强关节周围肌肉的力量练习 ,提高关节的相对稳定性。 Set up safety production leading group and provide Party A with copies of job certificate, operation certificate and ID card of the responsible person on site, safety responsible person and all employees. Party B shall be responsible for the personal safety, construction equipment, living facilities, mechanical and electrical equipment and construction safety of Party B.
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