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1、护理学基础 理论教学护理学基础 理论教学冷热疗法冷、热疗法第九单元Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.护理学基础 理论教学护理学基础 理论教学冷热疗法主要内容第一节 概述第二节
2、 冷、热疗法的应用一、冷疗法二、热疗法Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.护理学基础 理论教学护理学基础 理论教学冷热疗法课程要求掌握:用冷用热的禁忌症和适应症常用的冷热疗技术
3、:热水袋、热湿敷、温水擦 浴、酒精擦浴、冰袋的使用 熟悉:冷热疗法的生理效应及继发效应影响冷热疗法的因素Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.护理学基础 理论教学护理学基础 理论
4、教学冷热疗法问题 1男,男,2020岁,参加体育活动时不慎踝关节扭伤岁,参加体育活动时不慎踝关节扭伤, ,疼疼 痛难忍,不能走动,被同学急送校医务室痛难忍,不能走动,被同学急送校医务室. .1.1.应立即采取何种处理方法应立即采取何种处理方法? ? 为什么? 2.48h2.48h后,应指导患者采取何种护理方法后,应指导患者采取何种护理方法? ? 为什么?Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides
5、 for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.护理学基础 理论教学护理学基础 理论教学冷热疗法问题 2患儿,女,患儿,女,3 3岁岁, , 因上呼吸道感染引起高热因上呼吸道感染引起高热, , T40.5T40.5,P120P120次次/min/min,R24R24次次/min/min,首选,首选 物理降温。物理降温。1. 1. 应采取何种有效方式为患儿降温应采取何种有效方式为患儿降温? ? 2. 2. 如何操作如何操作? ?E
6、valuation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.护理学基础 理论教学护理学基础 理论教学冷热疗法这些情况如何处理?手烫伤鼻出血 麦粒肿传染性结膜炎急性腹痛Evaluation only.Ev
7、aluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.护理学基础 理论教学护理学基础 理论教学冷热疗法第一节 概述一、冷、热疗法的概念 二、冷、热疗法的效应 三、影响冷、热疗法效果的因素Evaluation only.Evalua
8、tion only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.护理学基础 理论教学护理学基础 理论教学冷热疗法一、冷、热疗法(cold and heat therapy)是利用低于或高于人体温度的物质作用于体 表皮肤,通过神经传导引起皮肤和内脏器
9、官血 管的收缩和舒张,从而改变机体各系统体液循 环和新陈代谢,达到治疗的目的方法。冷疗:止血、止痛、消炎、退热; 热疗:促进血液循环、消炎、解痉、促进 舒适.Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose
10、 Pty Ltd.护理学基础 理论教学护理学基础 理论教学冷热疗法冷热应用的生理机制冷觉感受器-真皮上层(乳头状层),接受冷 的信息温觉感受器-真皮下层(网状层 ),接受热的 信息25-30万个 3万个 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Cop
11、yright 2004-2011 Aspose Pty Ltd.护理学基础 理论教学护理学基础 理论教学冷热疗法冷刺激热刺激真皮下层传入神经纤维大脑皮质感觉中枢传出神经纤维机体产生相应运动 反射性地引起皮肤和内脏 器官血管收缩或扩张 改变机体各系统的体液循环和代谢活动 真皮上层Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. C
12、opyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.护理学基础 理论教学护理学基础 理论教学冷热疗法二、冷、热疗法的效应(一)生理效应(二)机体对冷热应用反应的特点感受器的适应继发性效应 (secondary effect)Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Pr
13、ofile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.护理学基础 理论教学护理学基础 理论教学冷热疗法(一)冷热疗法的生理效应生理指标血管舒/缩 舒张 收缩 细胞代谢 增加 减少 需氧量 增加 减少 毛细血管通透性 增加 减少 血液粘稠度 降低 增加 血液流动 增快 减慢 淋巴流动 增快 减慢 结缔组织伸展性 增强 减弱 神经传导速度 增快 减慢 体温 上升 下降生理效应用 热 用 冷Evaluation only.Evaluation only. Created with As
14、pose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.护理学基础 理论教学护理学基础 理论教学冷热疗法(二)机体对冷热应用反应的特点感受器的适应在皮肤上用冷或用热时, 冷热刺激会引起温度感受 器产生强烈的反应, 但在几秒钟后, 对温度的感 受会逐渐减弱, 这种现象称为感受器的适应.皮肤在1
15、642 范围内作用一段时间时,皮肤感 受器会产生适应反应.Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd.护理学基础 理论教学护理学基础 理论教学冷热疗法(二)机体对冷热应用反应的特点继发性效应用冷或用热超过一定时间,产生与原发性生理效 应相反的作用,这种现象称为继发性效应.Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0.Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty L