中醫(yī)診療效果評(píng)價(jià)表

1、項(xiàng)痹（頸椎?。┲嗅t(yī)診療效果評(píng)價(jià)表醫(yī)院：患者姓名：性別：年齡：ID文化程度：入院日期：證候診斷：風(fēng)寒濕痹證口血瘀氣滯證口痰濕阻絡(luò)證匚肝腎不足口氣血虧虛 口一、診療效果評(píng)價(jià)其他：主要癥狀中醫(yī)診療技術(shù)護(hù)理效果1.拔罐療法口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間天2.針灸口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間天頸肩疼痛3.推拿口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間天好 口4.穴位貼敷口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間天較好口5、中藥口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間天般口6.放血療法口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間天差 口7、艾灸口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間天8.其他：_應(yīng)用次數(shù)次, 應(yīng)用時(shí)間_ 一天1.拔罐療法口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間天2.針灸口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間_天肢

2、體麻木3.推拿口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間天好口4.穴位貼敷口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間天較好口5、中藥口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間天般口6.放血療法口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間天差 口7、艾灸口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間天8.其他：_應(yīng)用次數(shù)次, 應(yīng)用時(shí)間_天1.拔罐療法口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間天2.針灸口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間天3.推拿口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間天好 口眩暈4.穴位貼敷口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間天較好口5、中藥口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間_天般口6.放血療法口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間天差口7、艾灸口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間天8.其他：_應(yīng)用次數(shù)次, 應(yīng)用時(shí)間_天1.拔罐療法口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間_天頸肩

3、2.針灸口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間_天及上3.推拿口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間_天好 口肢活4.穴位貼敷口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間_天較好口動(dòng)受5、中藥口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間天一般口限6.放血療法口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間_天差 口7、艾灸口應(yīng)用次數(shù)次, 應(yīng)用時(shí)間_天8.其他：_應(yīng)用次數(shù)次， 應(yīng)用時(shí)間_天/、寐1.拔罐療法口應(yīng)用次數(shù)2.針灸口應(yīng)用次數(shù)3.推拿口應(yīng)用次數(shù)4.穴位貼敷口應(yīng)用次數(shù)5.中藥口應(yīng)用次數(shù)6.放血療法口應(yīng)用次數(shù)7.艾灸口應(yīng)用次數(shù)8.其他：_ 應(yīng)用次數(shù)次，應(yīng)用時(shí)間次，應(yīng)用時(shí)間次，應(yīng)用時(shí)間次，應(yīng)用時(shí)間次，應(yīng)用時(shí)間次，應(yīng)用時(shí)間次，應(yīng)用時(shí)間次，應(yīng)用時(shí)間_天_天_天_天_天_天_天_天好 口較好口一般口差 口其他：口（請(qǐng)注明）好 口 較好口一般口 差 口、治療滿(mǎn)意度評(píng)價(jià)評(píng)價(jià)項(xiàng)目患者對(duì)治療的滿(mǎn)意度不洶息拔罐療法中 針 灸醫(yī) 中 藥診拿推療 放血療法技 穴位貼敷術(shù)艾 灸其 他健康指導(dǎo)簽名上級(jí)醫(yī)師或科主任簽%7 .三、 對(duì)本病中醫(yī)診療方案的評(píng)