牽引術(shù)及護(hù)理培訓(xùn)課件

1牽引的目的和作用2牽引治療的適應(yīng)癥3牽引的種類和方法4牽引治療的常見并發(fā)癥及護(hù)理學(xué)習(xí)內(nèi)容1牽引術(shù)及護(hù)理8/8/20231牽引的目的和作用2牽引治療的適應(yīng)癥3牽引的種類和方法4牽引1牽引可達(dá)到復(fù)位和固定的雙重目的作用：使骨折復(fù)位，骨折斷端穩(wěn)定。使肢體得到休息，減輕局部炎癥的擴(kuò)散。止痛、便于骨折愈合。解除肌肉痙攣，改善靜脈血液回流，消除肢體腫脹。矯正和預(yù)防關(guān)節(jié)屈曲攣縮和畸形。牽引的目的和作用2牽引術(shù)及護(hù)理8/8/2023牽引可達(dá)到復(fù)位和固定的雙重目的牽引的目的和作用2牽引術(shù)及護(hù)理2骨折關(guān)節(jié)脫位關(guān)節(jié)及其周圍的病變骨髂病變頸椎病和腰椎間盤突出癥牽引治療的適應(yīng)癥3牽引術(shù)及護(hù)理8/8/2023骨折牽引治療的適應(yīng)癥3牽引術(shù)及護(hù)理7/31/20233皮牽引：膠布牽引、海綿帶牽引骨牽引：股骨髁上骨牽引、脛骨結(jié)節(jié)骨牽引、指骨骨牽引、跟骨骨牽引、尺骨鷹嘴骨牽引丶顱骨骨牽引兜帶牽引：枕頜帶牽引、骨盤帶牽引、骨盆懸吊牽引牽引的種類和方法4牽引術(shù)及護(hù)理8/8/2023皮牽引：膠布牽引、海綿帶牽引牽引的種類和方法4牽引術(shù)及護(hù)理74請(qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽臉?biāo)題5牽引術(shù)及護(hù)理8/8/2023請(qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋尽?請(qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋尽Ｕ?qǐng)?jiān)诖溯斎肽奈谋?。牽引的種類和方法6牽引術(shù)及護(hù)理8/8/2023請(qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋尽?請(qǐng)?jiān)诖溯斎肽奈谋尽Ｕ?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽臉?biāo)題7牽引術(shù)及護(hù)理8/8/2023請(qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋尽Ｕ?qǐng)?jiān)诖溯斎肽奈谋尽?請(qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋尽Ｕ?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽臉?biāo)題8牽引術(shù)及護(hù)理8/8/2023請(qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋尽?請(qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋尽Ｕ?qǐng)?jiān)诖溯斎肽臉?biāo)題9牽引術(shù)及護(hù)理8/8/2023請(qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋尽?請(qǐng)?jiān)诖溯斎肽奈谋尽Ｕ?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽臉?biāo)題10牽引術(shù)及護(hù)理8/8/2023請(qǐng)?jiān)诖溯斎肽奈谋尽Ｕ?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋尽?0請(qǐng)?jiān)诖溯斎肽奈谋尽Ｕ?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋尽Ｕ?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽臉?biāo)題11牽引術(shù)及護(hù)理8/8/2023請(qǐng)?jiān)诖溯斎肽奈谋尽Ｕ?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋尽?1請(qǐng)?jiān)诖溯斎肽奈谋尽Ｕ?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋尽Ｕ?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽臉?biāo)題12牽引術(shù)及護(hù)理8/8/2023請(qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋尽?2請(qǐng)?jiān)诖溯斎肽奈谋尽Ｕ?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋尽Ｕ?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽臉?biāo)題13牽引術(shù)及護(hù)理8/8/2023請(qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋尽?3請(qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋尽Ｕ?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽臉?biāo)題14牽引術(shù)及護(hù)理8/8/2023請(qǐng)?jiān)诖溯斎肽奈谋尽Ｕ?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋尽?4請(qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋尽Ｕ?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽臉?biāo)題15牽引術(shù)及護(hù)理8/8/2023請(qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋尽Ｕ?qǐng)?jiān)诖溯斎肽奈谋尽?5請(qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽臉?biāo)題16牽引術(shù)及護(hù)理8/8/2023請(qǐng)?jiān)诖溯斎肽奈谋?。?qǐng)?jiān)诖溯斎肽奈谋尽Ｕ?qǐng)?jiān)诖溯斎肽奈谋尽?6皮膚破潰、壓瘡：

每天檢查皮膚情況，Q2h翻身，下肢皮牽引者，用柔軟大毛巾包裹下肢后再牽引，保持床單位整潔，足跟、內(nèi)外踝等骨突部位，予懸空或墊水墊，減輕壓力。牽引治療的常見并發(fā)癥及護(hù)理17牽引術(shù)及護(hù)理8/8/2023皮膚破潰、壓瘡：牽引治療的常見并發(fā)癥及護(hù)理17牽引術(shù)及護(hù)理717牽引針孔感染：

保持牽引針孔周圍皮膚清潔，防止?fàn)恳樧笥一瑒?dòng)，每日換藥，發(fā)現(xiàn)針眼異常分泌物，報(bào)告醫(yī)生，并取標(biāo)本送細(xì)菌培養(yǎng)。

牽引治療的常見并發(fā)癥及護(hù)理18牽引術(shù)及護(hù)理8/8/2023牽引針孔感染：牽引治療的常見并發(fā)癥及護(hù)理18牽引術(shù)及護(hù)理7/18肺部感染：

常見于老年人，應(yīng)指導(dǎo)患者深呼吸，鼓勵(lì)其咳嗽將痰咳出，定時(shí)叩背，協(xié)助翻身，必要時(shí)可行霧化治療。牽引治療的常見并發(fā)癥及護(hù)理19牽引術(shù)及護(hù)理8/8/2023肺部感染：牽引治療的常見并發(fā)癥及護(hù)理19牽引術(shù)及護(hù)理7/3119泌尿系統(tǒng)并發(fā)癥：牽引患者往往仰臥，頭低腳高位，容易引起排尿不完，尿渣沉淀，可鼓勵(lì)多飲水，必要時(shí)行會(huì)陰抹洗。牽引治療的常見并發(fā)癥及護(hù)理20牽引術(shù)及護(hù)理8/8/2023泌尿系統(tǒng)并發(fā)癥：牽引治療的常見并發(fā)癥及護(hù)理20牽引術(shù)及護(hù)理720關(guān)節(jié)僵直、肌肉萎縮：

從牽引時(shí)起，即主動(dòng)教會(huì)患者主動(dòng)做有規(guī)律的功能鍛煉，如踝關(guān)節(jié)的背伸、跖屈和趾關(guān)節(jié)活動(dòng)，肌肉等長(zhǎng)收縮，輔以肌肉按摩。牽引治療的常見并發(fā)癥及護(hù)理21牽引術(shù)及護(hù)理8/8/2023關(guān)節(jié)僵直、肌肉萎縮：牽引治療的常見并發(fā)癥及護(hù)理21牽引術(shù)及護(hù)21足下垂：可