护理医学中医护理学课件心悸PPT推荐.ppt

1、Insufficiency of heart blood 心悸，头晕，面色不华，倦怠乏力，舌质淡红，脉象细弱。,Palpitation,Analyses of pathological conditionsFlaring of fire due to yin-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。Inactivation of heart-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,Analyses of pathological conditionsFluid reten

2、tion invading heart 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。Stasis of heart blood 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,Problems of patients,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,Nursing goals,Nursing interventionsTimidity due to heart-deficiency Principle of nursing：镇惊定志，养心

3、安神 Entirety nursing,Life care:Dietary care:Drugs care:Other nursing methods:,Palpitation,Nursing interventionsInsufficiency of heart blood Principle of nursing：补血养心，益气安神 Entirety nursing,Life care:Diet care:,Palpitation,Nursing interventionsFlaring of fire due to yin-asthenia Principle of nursing：滋阴

4、请火，养心安神 Entirety nursing,Life care:,Palpitation,Nursing interventionsInactivation of heart-yang Principle of nursing：温补心阳，安神定悸 Entirety nursing,Life care:,Palpitation,Nursing interventionsFluid retention invading heart Principle of nursing：振奋心阳，化气行水 Entirety nursing,Life care:,Palpitation,Nursing in

5、terventionsStasis of heart blood Principle of nursing：活血化瘀，理气通结 Entirety nursing,Life care:,Palpitation,Nursing evaluationIntroduction on health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,Chest blockage,Chest blockage,Definition,Chest blockage 是以胸部闷痛，甚则胸痛彻背，短气，喘息不得卧为

6、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,Cause of Disease and Pathomechanism,Chest blockage,Chest blockage 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。,Analyses of pathological conditions心血痹阻：stasis of heart blood 痰浊壅塞：stagnation and obstruction of turbid

7、phlegm 阴寒凝滞：stagnation of yin-cold心肾阴虚：asthenia of cardiac and renal yin气阴两虚：asthenia of both qi and yin阳气虚衰：declination of yangqi,Chest blockage,Analyses of pathological conditionsStasis of heart blood 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。Stagnation and obstruction of turbid phlegm 胸闷如窒而痛，或痛引肩背，气短喘促，

8、肢体沉重，形体肥胖，痰多，苔浊腻，脉滑。,Chest blockage,Analyses of pathological conditionsStagnation of yin-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。Asthenia of cardiac and renal yin 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。,Chest blockage,Analyses of pathological conditionsAsthenia of both qi and yin 胸闷隐痛，时作

9、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。Declination of yangqi 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。,Chest blockage,Problems of patients,Chest blockage,Nursing goals,胸痛 恐惧 知识缺乏 活动无耐力,Nursing interventionsStasis of heart blood Principle of nursing：活血化瘀，通络止痛 Entirety nursing,L

10、ife care:,Chest blockage,Nursing interventionsStagnation and obstruction of turbid phlegm Principle of nursing：通阳泄浊，豁痰开结 Entirety nursing,Life care:,Chest blockage,Nursing interventionsStagnation of yin-cold Principle of nursing：辛温通阳，开痹散结 Entirety nursing,Life care:,Chest blockage,Nursing interventi

11、onsAsthenia of cardiac and renal yin Principle of nursing：滋阴益肾，养心安神 Entirety nursing,Life care:,Chest blockage,Nursing interventionsAsthenia of both qi and yin Principle of nursing：益气养阴，活血通络 Entirety nursing,Life care:,Chest blockage,Nursing interventionsDeclination of yangqi Principle of nursing：益气

12、通阳，活血通络 Entirety nursing,Life care:,Chest blockage,Nursing evaluationIntroduction on health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。,Chest blockage,眩晕,Dizziness/Vertigo,Dizziness/Vertigo,Definition 眩（blurred vision）即眼花，晕（dizziness）即头晕，两者常同时并见，故统称为

13、“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。,Cause of Disease and Pathomechanism 肝阳上亢：hyperactivity of liver-yang 肾精不足：deficiency of renal essence 气血亏虚：asthenia of both qi and blood 痰浊中阻：turbid phlegm obstructing in midst 瘀血内阻：interior retention of blood stasis Dizziness 多为本虚标实，实为风、火、痰、瘀；虚则气血阴阳之