肩周炎PPT课件.pptx

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1、 平凉市中医医院骨2科 王 军This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 m

2、icrocontroller and DS18B20 temperature sensor. 肩周炎的定义肩关节周围炎：又称“冻结肩”、“五十肩”、“漏肩风”、“老年肩”等。是指肩关节疼痛强直的一组临床综合症。特点：多发于50岁左右，女性多于男性。This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digi

3、tal temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor. 发病原因大多是由于急性肩关节扭伤未彻底治愈而留下的无菌性炎症。肩关节过度劳累使局部肌肉劳损所致。中医：中医认为年老体衰，肝肾不足、气血虚损，筋骨失于濡养，加之长期劳累，又因肩部露卧受凉，寒凝筋膜而致。日久则筋脉粘连，不能活动。故气血虚损，血不荣筋为内因，风寒湿邪侵袭为外因。 This p

4、aper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS

5、18B20 temperature sensor. 诱发因素1.制动2.肩关节内在病变3.临近部位的疾患4.神经系统疾病5.内分泌系统疾病6.免疫功能方面的改变7.姿势失调8.心里因素This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 a

6、nd single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.临床表现肩周炎初期为某一肩或上臂疼痛，并向颈部肘部放散，活动后加重，夜间痛醒。后期以肩关节活动受限为主，不能外展、上举，影响工作生活起居。最后严重影响日常生活。This paper mainly introduces the design of an intelligent temperature control system which realiz

7、es the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor. 诊 断本病多发于中、老年人，以50岁左右者最多，多发单侧，偶有交替或者双侧同时发病。多伴有退行性变疾病，初期轻度疼痛，逐渐加重。肩

8、关节活动范围受限，呈持续性疼痛，夜间较重。体格检查时可见患肢肩部肌肉萎缩，肩关节活动范围受限，主要是：外旋、内旋、外展、上举受限。结节间沟处有明显压痛，有时在肩峰下。This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single

9、 chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor. 中医诊断一、诊断：多见于岁左右的中年人或老年人，女多于男。左肩多于右肩。常于肩部受寒后发病。肩部疼痛，渐进性加重，昼轻夜重，并可向颈、耳、肩胛及前臂和手放射。肩关节上举，后伸时疼痛加剧，肩部活动受限，严重者不能做穿衣、梳头、洗脸等动作。肩部肿胀不明显，肩关节周围有广泛性压痛，日久可见肩部肌肉萎缩。二、辨证：风寒湿阻证：肩关节冷痛，活动受限，患处沉重，遇寒痛增，得温痛减

10、，舌质淡红，苔薄白，脉沉紧。血虚寒凝证：肩关节冷痛，得温痛减，遇寒加重，肩部活动受限，头晕眼花，面色淡白，舌质淡，苔薄白，脉沉迟细。瘀血阻络证：肩关节刺痛固定，疼痛拒按，入夜尤甚，活动受限，舌质紫暗，苔薄白，脉涩。This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature s

11、ensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor. 诊 断1.疼痛期 又称早期、急性期或冻结进行期，持续时间10-36周。主要表现为肩关节周围疼痛剧烈，夜间加重。压痛范围较广泛，（在喙肱韧带、肩峰下、冈上肌、肱二头肌长头腱、四边孔）伴有肌肉痉挛和活动受限，主要是剧烈疼痛引起的反射性肌肉痉挛。因此肩关节本身还有一定的活动范围，外展45-75，后伸10-30，外旋30，上举1

12、10。This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroll

13、er and DS18B20 temperature sensor.2.冻结期 又称为中间期，慢性期或僵硬期，持续时间约为4-12个月。改期患者疼痛症状减轻，但压痛仍较为广泛。关节挛缩性功能障碍，活动严重受限。肩关节周围软组织广泛粘连、挛缩、呈冻结状态。各方向活动范围明显缩小，以外展、外旋、上举、后伸最为明显。严重可见三角肌、冈上肌、冈下肌等失用性萎缩。活动范围外展低于45，后伸仅10-20，内旋低于10，上举90。This paper mainly introduces the design of an intelligent temperature control system which

14、 realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.3.恢复期 又称末期，解冻期或功能恢复期，持续时间为5-26个月。改期不仅疼痛逐渐减弱，而且随着日常劳动和各种治疗措施

15、的进行，肩关节的活动范围逐渐增加，粘连、挛缩逐渐消除，大多数可以恢复的正常会接近正常。肌肉萎缩需要较长时间的恢复，虽然肩周炎是自限性疾病但总的病程可达12-42月。This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single

16、chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.4.影像学表现 X线检查多为阴性，病程久者可见骨质疏松。对直接诊断无帮助，但可排除骨与关节疾病。有时可见骨质疏松，冈上肌腱钙化，或大结节处有密度增高的阴影。肩关节造影则有肩关节囊收缩、关节囊下部皱襞消失等改变。 This paper mainly introduces the design of an intelligent temperature control sys

17、tem which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor. 鉴别诊断一、肩部骨关节和软组织损伤：此类患者都有明显外伤史，可查到原发损伤疾患，发病较突然。恢复程

18、度一般较本症差。二、神经根型颈椎病：颈椎病虽有肩臂部放射痛，但在肩部往往无明显压痛点，肩部活动正常，并且有感觉及腱反射的异常。This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer.

19、 The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor. 治 疗 分类 中医 西医中医治疗：一、内治法，采用辨证论治：1风寒湿阻治法：祛风除湿，温经通络。方药：风邪偏胜者，用川羌防风汤加减；寒邪偏胜者，用麻桂温经汤加减；湿邪偏胜者，用薏苡仁汤加减；邪从热化者，用白虎加桂枝汤加减。2气血两虚治法：益气通络，调和营卫。方药：黄芪桂枝五物汤加减。3肝肾亏损治法：益肝肾，温经络。方药：独活寄生汤加减。4筋骨损伤治法：舒筋通络，活血祛瘀。方药：十三太保方加减。二、手法治疗：

20、按摩三、针灸四、外敷药物 膏药等This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51

21、microcontroller and DS18B20 temperature sensor. 西医治疗一、非手术疗法：(一)药物治疗：口服水杨酸制剂或其他消炎止痛药，常和其它方法配合使用。妙纳、芬必得、塞来昔布。(二)局封治疗：可选用1利多卡因10ml加醋酸氢化可的松25mg作痛点封闭或作关节腔内注射，一周一次，共23次。得宝松1ml注射，每月一次。(三）臭氧注射治疗。(三)理疗：超短波，红外线、磁疗及中药离子导入等可使用，有解痉止痛，消除炎症，粘连吸收的作用。(四)练功疗法：This paper mainly introduces the design of an intelligent

22、temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.二、手术疗法：肩周炎经长期保守治疗无效者，可考虑手术治

23、疗，手术方法主要有两种。(一)肱二头肌长头腱固定或移位术：(二)喙肱韧带切断术：This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of

24、 the system are AT89C51 microcontroller and DS18B20 temperature sensor. 疗效评定标准1.治愈：肩部疼痛消失，肩关节活动恢复正常。2.好转：肩部疼痛基本消失，肩关节活动基本恢复正常。3.有效：肩部疼痛有所减轻，肩关节活动有所改善。4.无效：肩部疼痛、肩关节活动受限无改善。 This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer. The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor. 谢 谢