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1、上海中醫(yī)藥大學(xué)課程建立工程上海中醫(yī)藥大學(xué)課程建立工程 推拿學(xué)科系列雙語(yǔ)教學(xué)課程建立三中期匯報(bào)推拿學(xué)科系列雙語(yǔ)教學(xué)課程建立三中期匯報(bào) 李征宇李征宇 針灸推拿學(xué)院針灸推拿學(xué)院 2021年年11月月一、課程建立的既定目的一、課程建立的既定目的v建立推拿學(xué)科系列推拿臨床雙語(yǔ)查房教學(xué)課程。 二、課程建立的內(nèi)容二、課程建立的內(nèi)容v1. 在以往推拿學(xué)科系列雙語(yǔ)(英語(yǔ))教學(xué)課程建立一、二的根底上,繼續(xù)開(kāi)展推拿學(xué)科系列雙語(yǔ)(英語(yǔ))教學(xué)課程三推拿臨床雙語(yǔ)(英語(yǔ))查房教學(xué)課程的建立,使推拿學(xué)科系列的雙語(yǔ)教學(xué)更顯系統(tǒng)化和延續(xù)性。v2從臨床實(shí)踐運(yùn)用和學(xué)生才干培育視角出發(fā),選擇推拿臨床的常見(jiàn)病腰椎間盤(pán)突出癥和頸椎病為典型
2、病例進(jìn)展雙語(yǔ)教學(xué),起到以點(diǎn)帶面的效果。 二、課程建立的內(nèi)容二、課程建立的內(nèi)容v(1 ) 用雙語(yǔ)(英語(yǔ))對(duì)腰椎間盤(pán)突出癥的病史、病癥、體征、影像學(xué)檢查、診斷、鑒別診斷、推拿治療、調(diào)護(hù)、國(guó)內(nèi)外研討進(jìn)展等進(jìn)展臨床查房教學(xué),并著重強(qiáng)調(diào)該病臨床病史的雙語(yǔ)書(shū)寫(xiě);v(2) 編寫(xiě)腰椎間盤(pán)突出癥的臨床雙語(yǔ)查房教學(xué)資料片的雙語(yǔ)拍攝劇本;v(3) 按照劇本,拍攝腰椎間盤(pán)突出癥的臨床雙語(yǔ)查房教學(xué)資料片。二、課程建立的內(nèi)容二、課程建立的內(nèi)容v(4) 用雙語(yǔ)對(duì)頸椎病的病史、病癥、體征、影像學(xué)檢查、診斷、鑒別診斷、推拿治療、調(diào)護(hù)、國(guó)內(nèi)外研討進(jìn)展等進(jìn)展臨床查房教學(xué),并著重強(qiáng)調(diào)該病臨床病史的雙語(yǔ)書(shū)寫(xiě);v(5) 編寫(xiě)頸椎病的臨床
3、雙語(yǔ)查房教學(xué)資料片的雙語(yǔ)拍攝劇本;v(6) 按照劇本,拍攝頸椎病的臨床雙語(yǔ)查房教學(xué)資料片。三、課程建立的意義三、課程建立的意義v 該課程建立凸現(xiàn)了我校在推拿教學(xué)方面的特征和領(lǐng)先其它中醫(yī)院校的優(yōu)勢(shì)。四、建立中采取的措施四、建立中采取的措施v1. 前期的預(yù)備任務(wù)v 主要是相關(guān)文獻(xiàn)的回想,查閱和分析有關(guān)的雙語(yǔ)教學(xué)文件,著重了解臨床雙語(yǔ)查房教學(xué)課程的性質(zhì)及重要性、并制定適宜的課時(shí)數(shù)。v2. 雙語(yǔ)劇本編寫(xiě)任務(wù)v 在前期預(yù)備的根底上,參閱了大量的國(guó)內(nèi)相關(guān)的書(shū)籍和一些國(guó)外資料,經(jīng)過(guò)教研室教師反復(fù)共同討論,對(duì)腰椎間盤(pán)突出癥和頸椎病的內(nèi)容經(jīng)行了反復(fù)琢磨,緊扣臨床雙語(yǔ)查房教學(xué)特點(diǎn),編寫(xiě)推拿雙語(yǔ)查房劇本,并反復(fù)修正
4、。四、建立中采取的措施四、建立中采取的措施v 3拍攝任務(wù)v 積極與拍攝人員商討拍攝事宜、預(yù)備任務(wù)及其拍攝細(xì)節(jié)等問(wèn)題;同時(shí)組織參拍人員并進(jìn)展培訓(xùn)任務(wù)及英語(yǔ)臺(tái)詞記憶;參與最后定片任務(wù)。五、目前完成情況五、目前完成情況v(1 ) 已對(duì)2003級(jí)針灸推拿專業(yè)七年制外向型及部分其他七年制專業(yè)學(xué)生完成了用雙語(yǔ)(英語(yǔ))對(duì)腰椎間盤(pán)突出癥的病史、病癥、體征、影像學(xué)檢查、診斷、鑒別診斷、推拿治療、調(diào)護(hù)、國(guó)內(nèi)外研討進(jìn)展等進(jìn)展臨床查房教學(xué)任務(wù),并也完成了該病臨床病史的英語(yǔ)書(shū)寫(xiě)樣本;v(2) 已完成了編寫(xiě)腰椎間盤(pán)突出癥的臨床雙語(yǔ)查房教學(xué)資料片的雙語(yǔ)拍攝劇本;v(3) 按照劇本,已完成了腰椎間盤(pán)突出癥的臨床雙語(yǔ)查房教學(xué)資
5、料片的拍攝。五、目前完成情況五、目前完成情況v(4) 已對(duì)2003級(jí)針灸推拿專業(yè)七年制外向型及部分其他七年制專業(yè)學(xué)生完成了用雙語(yǔ)(英語(yǔ))對(duì)頸椎病的病史、病癥、體征、影像學(xué)檢查、診斷、鑒別診斷、推拿治療、調(diào)護(hù)、國(guó)內(nèi)外研討進(jìn)展等進(jìn)展臨床查房教學(xué)任務(wù),并也完成了該病臨床病史的英語(yǔ)書(shū)寫(xiě)樣本;v(5) 已完成了編寫(xiě)頸椎病的臨床雙語(yǔ)查房教學(xué)資料片的雙語(yǔ)拍攝劇本Example of case historyvName: Mr. Peng, Sex: male, v Age: 45v vChief Complaint(C.C.): Waist pain with numbness in the right l
6、imb for a monthv vHistory of present illness (HPT):The patient has a history of long-term and repeated lumbago for ten years.About one month ago,he sprained his lumbus because of carrying heavythings, after that he was unable to sit up or turn over on bed. Then the stabbing pain is gradually felt ra
7、diating to the right limb, and the radiating pain becomes worse when the abdominal pressure is increased during coughing or sneezing.The patient cannot stand and walk for a relatively long time. The stabbing pain in the lumbaus which occurs at a fixed location. He likes to lie on the normal side,and
8、 the affected lower limb is often bent.He consulted the doctor in a local clinic and the X-ray showed that the disc problem was between L5 and S1,and he took some pain-killing pills.Then the symptoms has alleveited a little.Now he comes to our hospital for an examination.Example of case historyvPast
9、 History: Denied any history of kidney and bladder problems. vExamination:v Neck flexion test (Lindnerssign)(+),Supine-position-abdomen-straighten-test(+), Straight leg-raising test :left 80,right 30,Bragrads test(+),Patellar reflex: left and right+,Achilles reflex: left +, right+,Hypoesthesia of th
10、e dorsum of the right foot and the posterior and lateral parts of the right leg. The lateral curvature of the lumbar vertebral column decreased .Tenderness and percussion pain in the lumbar between L5 and S1 which radiates to the sole through the lower extremity of the right side and marked tenderne
11、ss in the distributing areas of the sciatic nerve of the right side.The tongue looks dark with ecchymoses on it.The pulse is taut and uneven.Example of case historyvDiagnosis in Traditional Chinese Medicine:Yaotuitong (The stasis of Blood and Qi)vDiagnosis in Westen Medicine:Lumbar Disc Hernationv v
12、Therapeutic Principle:Relaxing muscles and tendons,activating meridians and promoting the flow of Qi and blood.Example of case historyvTuina treatmentv1. Manipulations vRolling, pressing, digital-pressing, kneading, and obliquely pulling etc.v2. Location of Pointsv Ashi Point, Shenshu (UB 23), Dacha
13、ngshu (UB 25), Yaoyangguan (Du 3), Zhibian (UB 54),Huantiao (GB .30), Yinmen (UB 37), Weizhong (UB 40),Chengshan (UB 57), Yanglingquan (GB 34) and Jiexi(st 4o).v3. Operationv1) Rolling the two sides of the lumbar vertebrae, the hip muscles andvthe points of Shenshu (UB 23), Yaoyangguan (Du 3), Dacha
14、ngshu (UB 25), Zhibian (UB 54)and Huantiao (GB 30).v2) Palm-kneading and digital pressing to the points of Chengfu (UB 36),vYinmen (UB 37), Weizhong (UB 40), Chengshan (UB 57),Yanglingquan (GB 34), Feiyang (UB 58) and Juegu (GB 39)in the affected limb for 2 or 3 times.v3) Pressing-kneading to the As
15、hi point on the sides of the lumbar vertebrae for 2-3 minutes. v4) Obliquely pulling manipulation on lumbar vertebral region.v5) Stretching and rotating his knee(s) and hip(s) to help move the lumbar vertebrae 35 times.Example of case historyv4. Course of Treatment: vThe patient recievcs treatment o
16、nce every other day, ten times of treatment make one course.The interval between every two courses is 3-5 days.vDoctors advice:vKeep the lumbar warm.vModerate exercise. v SignatureLumbar Disk HerniationWard round in EnglishvResidents Round (the last night)v住院醫(yī)師查房前一天晚上住院醫(yī)師查房前一天晚上vResident: Good eveni
17、ng, Mary , Im Dr, Zhu in charge of the ward. v住院醫(yī)生:晚上好?,旣愖≡横t(yī)生:晚上好?,旣?,我是朱醫(yī)生,主管這間病房。我是朱醫(yī)生,主管這間病房。vPatient: Hello, Dr. Zhu.v病人:晚上好,朱醫(yī)生。病人:晚上好,朱醫(yī)生。vResident: This is Dr. Shi. Can you take the history now?v住院醫(yī)生:這是史醫(yī)生。請(qǐng)您如今訊問(wèn)病史吧?住院醫(yī)生:這是史醫(yī)生。請(qǐng)您如今訊問(wèn)病史吧?vIntern: Yes. How do you feel now?v實(shí)習(xí)醫(yī)生:好的。瑪麗,他如今覺(jué)得怎樣樣?實(shí)
18、習(xí)醫(yī)生:好的?,旣悾缃裼X(jué)得怎樣樣?vPatient: I am fine except for some pain.v病人:除了一些地方疼,其它覺(jué)得良好。病人:除了一些地方疼,其它覺(jué)得良好。vIntern: Oh, how long have you been like this?v實(shí)習(xí)醫(yī)師:疼痛多長(zhǎng)時(shí)間了?實(shí)習(xí)醫(yī)師:疼痛多長(zhǎng)時(shí)間了?vPatient: About 1 year off and on.v病人:大約一年了。疼痛不斷是反復(fù)性的,時(shí)好時(shí)壞。病人:大約一年了。疼痛不斷是反復(fù)性的,時(shí)好時(shí)壞。vIntern: Can you describe the pain?v實(shí)習(xí)醫(yī)師:他能把疼痛的
19、情況描畫(huà)一下嗎?實(shí)習(xí)醫(yī)師:他能把疼痛的情況描畫(huà)一下嗎?CERVICAL SPONDYLOPATHY Ward round in Englishv Directors Roundv主任查房vVisiting physician: As a rule, the director comes to our ward to make a ward round. Professor Wang, weve received a new case with a one-month history of soreness and numbness in the left upper extremity and
20、 decrease of hand strength. There are some troubles in diagnosis and treatment for him. v主治醫(yī)生:作為常規(guī),主任來(lái)病房查房。王教授,我們收了一個(gè)新病例左上肢酸痛麻木、握力減退一月。在為他診斷和治療方時(shí)遇到了問(wèn)題。vDirector: Ok. Well have a look at this new patient. v主任醫(yī)師:讓我們?nèi)タ纯床∪?。vVisiting physician: Dr. Shi, Please report the case briefly to the director. v主治
21、醫(yī)生:史醫(yī)生,請(qǐng)向主任簡(jiǎn)短報(bào)告病例。vIntern: OK. This is a 50-year-old male, who was admitted to our hospital in Jun. 2nd, 2021 because of recurrent attacks of pain in the neck and shoulder for six year, soreness and numbness in the left upper extremity and decrease of hand strength for one month and getting worse fo
22、r one week. He also has a pain in his left chest. He is a cadre in University who needs long terms of deskwork. The patient had no obvious trauma history recently and no spinal disease previously. No special for other histories. The blood, urine routine analysis, the ECG and electrolyte analysis are all normal. Upon physical examination, stiffness of the neck muscle and tenderness around spinous process in C5-C7 w
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