最新电针参数与临床应用教学讲义PPT课件.ppt

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1、电针参数与临床应用为什么用电针？WHY?替代Alternation取代Substitution规范Normalization经济Economical怎样用电针？HOW?用针的本意？PurposeofNeedling?用电的本意（主or辅）?Purposeofcurrent(dominantorassisting)?高频范围：50－100Hz特点：降低神经应激（止痛、镇静、缓解痉挛、针麻）HighFrequencyRange:50-100HzFeatures:Reducenerveirritability

2、Relievepain,spasmandinducesedation,acupunctureanesthesia波型Waveform连续波ContinuousWave疏密波Distant-DenseWave断续波IntermittentWave呼吸波RespiratoryWave连续波形态特点波型单一感觉最舒适易耐受功能依频率而定ContinuousWaveForm:Feature:SinglewaveformMostcomfortablethanothersEasilytoleratedFunctio

3、n:Dependsonfrequency疏密波形态特点疏、密波交替各1.5秒感觉跳跃不易耐受功能促进代谢、循环，改善组织营养消除炎性水肿（止痛、肌无力等）Distant-DenseWaveForm:Feature:Sparse,densewavealternanteach1.5secondsFeelingtwitchingNoteasilytoleratedFunction:Promotemetabolism,circulation,improvetissuenutritionEliminationof

4、inflammatoryedema(relievepain,gravis)断续波形态特点无电流与密波各1.5秒难调节、多不适感不易耐受功能提高肌肉组织的兴奋性（痿证、瘫痪等）IntermittentWaveForm:Feature:Nocurrent,densewavealternanteach1.5secondsHardtoadjust,feelinguncomfortableNoteasilytoleratedFunction:Enhancetheexcitabilityofmuscle(flacc

5、iditysyndromeandparalysis)呼吸波形态特点6-20次/分，锯齿形波功能提高神经肌肉兴奋性改善气血循环刺激膈神经（人工电呼吸）RespiratoryWaveForm:Feature:6-20times/min,andthesaw-toothwaveFunction:EnhancetheexcitabilityofnerveandmuscleImprovebloodcirculationStimulationofthephrenicnerve(simulateartificialre

6、spiration）强度Intensity感觉阈←-----------------→痛阈弱←-------强度--------→强性別　男↓女↑年龄老↑少↓虚实虚↑实↓SensoryThresholdPainThresholdIntensityWeakStrongGenderAgeDeficiency/ExcessMaleFemaleOldYoungDeficiencyExcess刺激时间Duration常规Routine10--30分钟min局部（体表）Portion(Surface)整体（脏腑）H

7、olisticview(Zang-Fuorgans)刺激時间（局部）Duration(portion)实证Excess长时间（30分钟）Long(30min)虚证Deficiency短时间（3-5分钟×2-3次）Short(3-5min×2-3round)刺激時间（整体）Duration(HolisticView)实证Excess长时间（30分钟）Long(30min)虚证Deficiency？刺激间隔时间Interval急性期Acutestage每天1－2次或隔日1次1-2times/dayoreve

8、ryotherday慢性期Chronicstage每周1次（防止耐受，舒适为度）onceperweek（comfortnottolerance)连接方式Connection常规方式Routine注意事项Caution1防止各穴感觉差异过大Preventlargedifferencesfeelingbetweenacupoints2防止短路Preventshortcircuit同侧ipsilateral－－肢体病变limbssymptoms对