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关于印发新冠肺炎出院患者主要功能障碍康复治疗方案的通知

来源:幸运扑克_新幸运扑克-官网APP下载 文章来源

作者: 国家卫生健康委员会

fabushijian: 2020-05-15 09:33

【字号:

fenxiang:

guoweiyihan〔2020〕207hao

幸运扑克gesheng、zizhiqu、zhixiashijixinjiangshengchanxingyunpukebingtuanweishengjiankangwei、minzhengting(ju)、yibaoju、zhongyiyaoguanliju:

suizhexinguanfeiyanchuyuanhuanzherenshudezhujianzengjia,chuyuanhuanzheduocengci、duoleixingdekangfuyiliaoxuqiuriyituxian。weijinyibujiaqiangxinguanfeiyanchuyuanhuanzhezhuyaogongnengzhangaidekangfuzhiliaogongzuo,luoshiquanliuchengjiankangguanlicuoshi,cujinhuanzhequanmiankangfu,xingyunpukezhidingle《xinguanfeiyanchuyuanhuanzhezhuyaogongnengzhangaikangfuzhiliaofangan》,jingguowuyuanyingduixinxingguanzhuangbingdufeiyanyiqinglianfangliankongjizhitongyi,xianyinfajinimen,qingrenzhenguancheluoshi。

幸运扑克guojiaweishengjiankangwei     min   zheng  bu

guojiayiliaobaozhangju  guojiazhongyiyaoguanliju

2020nian5yue13ri     

(xinxigongkaixingshi: zhudonggongkai)


新冠肺炎出院患者主要功能障碍康复治疗方案

weigaishanxinguanfeiyanhuanzhehuxigongneng、xinzanggongneng、qutigongnengyijixinligongnengzhangai,guifankangfudecaozuojishujiliucheng,zuidaxiandujianqinghuanzhefudan,cujinquanmiankangfu,tezhidingbenfangan。

yi、huxigongnengzhangai

幸运扑克(yi)zhuyaobiaoxian。kebiaoxianweihuxikunnan、huodonghouqiduan,chuanxi、xiongmen,kesouketanwuli,yixianzhixingtongqigongnengzhangai、misanliangjiangdibandiyangxuezhenghuohuxishuaijieweizhuyaobiaoxian。

(er)gongnengpinggu。1.zhengzhuangpinggu: jigailiangdeyixueyanjiulishihuihuxikunnanliangbiao(mmrc)pingjia;2.huodongnailipinggu: ji6fenzhongbuxingshiyan(6mwt)hexinfeiyundongfuheshiyan(cpet)pinggu;3.jingtaifeigongnengpinggu: jifeitongqigongnenghemisangongneng;4.dongmaixueqihuowuchuangmaiyangbaohedupingjia: jidongmaiyangfenyaheyangbaohedudengpingjiahuanzhedequeyangchengdu。

(san)kangfuzhiliao。

1.huxixunlian: baokuohuxigongnengxunlian(zhudongxunhuanhuxijishuacbt,hanhuxikongzhi、xiongkuokuozhangyundongheyonglihuqijishu)、huximoshixunlian(baokuodiaozhenghuxijiezou、fushihuxixunlian、suochunhuxixunliandeng)、huxijililiangxunlian、huxikangfucao(wowei、zuoweijizhanliweixilieyundong)。

2.youyangyundong: fangshiyouxingzou、manpao、qizixingche、youyong、jianshencao,yijizaiqixieshangwanchengdexingzou、tache、huachuandeng。jianyicongdiqiangdukaishi,jieheborgzijuepilaoliangbiaopingfen13-16fenhegailiangborgzijuepilaoliangbiaoqicupingfen≤5-6fen,genjubingqinghehuanzhenaishouchengdu,meiciyundong20-60fenzhong,meizhou3-7ci,xunxujianjin,zhubuzengdayundongqiangduheshijian。

3.yangliao: (1)jingxizhuangtaixia,dongmaixueyangfenya≤55mmhghuojingpixueyangbaohedu(spo2)≤88%,yingjiyuyangliao;(2)ruhebingchongxuexingxinlishuaijie、feidongmaigaoyadengjichujibingzhe,yangliaozhizhengweidongmaixueyangfenya≤60mmhghuospo2≤90%;(3)ruyundongzhongchuxiandiyangxuezhenghuo spo2≤88%,yingjiyubuchongyangliao,yibaozhengyundongzhongspo2weichizai95%。

幸运扑克4.adlxunlian、kangfuxuanjiao(rushenghuofangshizhidaodeng)。

er、xinzanggongnengzhangai

(yi)zhuyaobiaoxian。xinji、xiongmen、huodonghouqicu、laolihuxikunnan,haikechuxianxinqianqubushijixinjiaotong,duoyuhuodongyouguan。xinlvzengkuaihuojianman,kechuxianduozhongxinlvshichang。daozhixingongnengzhangaideyuanyinyuxinxingguanzhuangbingduduixinzangdezhijiesunshangyouguan,yekejifayuxinguanfeiyandaozhidefeigongnengzhangai,yijizhongxing、weizhongxinghuanzhezhangqiwochuang、zhidongsuozhidefeiyongxinggongnengjiantui。ciwai,haikeyuhebingjichujibing,rugaoxueya、guanxinbing、tangniaobingdengyouguan。

幸运扑克(er)gongnengpinggu。genjuhuanzhebingqingheyiyuanzishendetiaojian,youtiaojianzhekecaiyongcpetpingguxinzanggongneng,ruwuxiangyingtiaojian,kecaiyong6mwt、taijieshiyan、daixiedanglianghuodongwenjuandengjinxingpinggu。tongshiyingjiehehuanzhejibinglinchuangqingkuang,ruyuanfabing、jichujibing,xindiantu、xinzangcaichao、xinjimeipudengjinxingzonghepingding。

(san)kangfuzhiliao。jiyuxinfeigongnengpingguzhidingyundongchufang。

幸运扑克1.youyangyundong: tonghuxigongnengzhangaikangfuzhiliaoyouyangyundongneirong。

2.jilijijinailixunlian: fangshiyoukangzuyundongqixie、yaling、yintixiangshang、fuwochengjidanlidaihedanliguandeng。genjuhuanzhedenengli,yizhongfu10-15cidefuhezhongliang(10-15rm),borgpingfen13-14fenhegailiangborgqicupingfen≤5-6fenweiyi。genjubingqinghehuanzhenaishouchengdu,meicixunlian8-16zujiqun,meigejiqun2-3zu,zhongfu10-15ci/zu。jianyigetianyici,meizhouxunlian2-3ci。

幸运扑克3.rourenxingxunlian: youyangyundonghuokangzuxunlianhoujinxing。meigejiqun15-60miao,2-4ci,yiyoumingxianlashengan、wumingxiantengtongweiyi。

幸运扑克4.pinghenggongnenghexiediaoxingxunlian: shiqingkuangjinxing。

yundongzhongyingmiqieguanchaxindian、xueya、xueyangbaohedudeng。biyaoshizaiyangliaodetongshijinxingyundongzhiliao。bingduxingxinjiyanhuodongqishidangdiaozhengyundongchufang。yundongzhiliaodetongshi,buyihushihuanzhejichubingdeyaowuzhiliaoyijiyinshi、shuimian、xinlizhidaodeng。

san、qutigongnengzhangai

幸运扑克(yi)zhuyaobiaoxian。biaoxianweiquanshenfali、yipilao、jirousuantong,bufenkebanyoujirouweisuo、jilixiajiangdeng。duojianyuweizhong、zhongzhengxingxinguanfeiyanchuyuanhuanzhe,youyuzhangqiwochuang、zhidongsuoyinqidejifaxingqutigongnengzhangai。

(er)gongnengpinggu。caiyongborgzijuepilaoliangbiao、tushoujilijiancha、tushoupinghenggongnengpingdingdengjinxingpinggu。

(san)kangfuzhiliao。qingdu、zhongduhuxigongnengzhangaihuanzhekeyixuanzeyouyangyundong、jilijijinailixunlian。zhongduhuxigongnengzhangaijitinengjiduxiajiangdehuanzhe,xuyaocongchuangshangyundong、zhuanyi、pinghenggongneng、buxinggongneng、jishangxialoutidengkaishixunlian。

幸运扑克1.youyangyundong: tonghuxigongnengzhangaikangfuzhiliaoyouyangyundongneirong。

幸运扑克2.jilijijinailixunlian: tongxinzanggongnengzhangaikangfuzhiliaojilijijinailixunlianneirong。

3.pinghenggongnenghexiediaoxingxunlian: shiqingkuangjinxing。

4.yangliao: cankaohuxigongnengzhangaikangfuzhiliaoyangliaoneirong。

si、xinligongnengzhangai

(yi)zhuyaobiaoxian。

1.qingxufanying: jiaolvdanxinhaipa、qingxubuwending、yiyubeishang、wuzhuyufennu。

2.renzhigaibian: yixiehuanzhehuiyouganjueshizhen、wufajizhongzhuyili、youyubujue、zizedeng。

3.xingweizhangai: shimian、huibixingwei、guodujinshi、guoliangyinjiu、zishangshenzhizishaxingwei。

4.shenglifanying: kenenghuichuxianyinqingxueryinqidexinhuang、toutong、jirousuantong、xiaohuabuliang,weizhang,fanwei,shiyuxiajiangdengxinshenfanying。

(er)gongnengpinggu。

幸运扑克1.yiyuzhengshaichaliangbiao9xiang(phq-9): you9gexiangmuzucheng,caiyong0-3fende4jipingfenfa。zongfenzai0-4fenweiwuyiyuzhengzhuang,5-9fenweiqingduyiyu,10-14fenweizhongduyiyu,15fenyishangweizhongduyiyu。

2.guangfanxingjiaolvliangbiao7xiang(gad-7): you7gexiangmuzucheng,caiyong0-3fende4jipingfenfa。zongfenzai0-4fenweiwujiaolvzhengzhuang,5-9fenweiqingdujiaolv,10-14fenweizhongdujiaolv,15fenyishangweizhongdujiaolv。

幸运扑克3.pizibaoshuimianwenjuan: weizipingliangbiao,yongyupingdingjinyigeyueshuimianzhiliang,anzhao0-3dengjijifen,zongfenfanwei0-21fen,defenyuegao,biaoshishuimianzhiliangyuecha。

幸运扑克4.chuangshanghouyingjizhangaizhengzhuangqingdan(pcl-c): shiwoguo《chuangshanghouyingjizhangaifangzhizhinan》tuijiandebanben,weizipingliangbiao,baokuo17gexiangmu,fenwei1-5jipingding,fenshuyuegao,daibiaoptsdfashengdekenengxingyueda。

(san)kangfuganyu。

1.guangfankaizhankepuxuanjiao。mianxiangshequjuminguangfankaizhankepuxuanjiao。jishitongguoquanweimeitifabuxinxi。tongguozhangtiexuanchuanhaibao、xuanchuanye,jishequjuminfafangfeiyanzhishixuanchuanshoucejixinlijiankangxingyunpukeshoucedengfangshi,zaishequkaizhanzhenduixingkepuxuanchuanhehuodong。

2.xinguanfeiyankepuxuanchuan。kaizhanxinguanfeiyanxiangguankepuzhishidexuanchuan,yindaodazhongzhengquelejiexinguanfeiyandetedian,jianshaoduixinguanfeiyankangfuhuanzhejijiashudeqishihepaiji,baozhengkangfuhuanzhefugongquanyi。

幸运扑克3.xinlijiankangkepuxuanchuan。weikangfuhuanzhefafangxinlijiankangxingyunpukexuanchuanye,neirongbaokuoxinlijiankangzhishi、xinliziwodiaoshichangshi,yijixinlizhichipingtaierweima、xinlirexiandianhuadengzhichixingziyuan。

4.zuohaozhenduixingxinlishudaoheshehuigongzuoxingyunpuke。genjushouyiqingyingxiangqingkuang,zaiyoutiaojiandeshequweishengxingyunpukezhongxinshezhixinlizhuangangangwei。zaijiedao(xiangzhen)shezhishehuigongzuozhan,peibeizhuanjianzhishehuigongzuozhe。youtiaojiandeshequkejianliyoushequgongzuozhe、shehuigongzuozhe、zhiyuanzhe、xinlizixunshi、xinlizhiliaoshi、jingshenkeyishengdengzuchengdeshequxinlishudaoheshehuigongzuoxingyunpukedui。jianlixinlijiankangxingyunpukedangan,anxuqiu、fencengcitigongduozhongxingshidexinlijiankangxingyunpuke,baokuogetizixun、fuqizixun、jiatingzixunhetuantixinlifudaohuoxianshangxinlizixunxingyunpuke。faxianjuyouzishang、zisha、chongdongshangrenfengxiandechuyuanhuanzhejijiashu,shequgongzuorenyuan、shehuigongzuozhe、xinlizhuangandengrenyuanyaozengjiazoufangmidu,liuxiajinjilianxidianhuahuoxinlirexian。youxinlizixunshi、jingshenweishengshehuigongzuozhedengjierujinxingweijiganyu,biyaoshixiangjingshenweishengyiliaojigouzhuanzhen。

幸运扑克5.yaojiaqiangduixinguanfeiyanchuyuanhuanzhejiqijiashuderenwenguanhuai,bangzhuhuanzhehuifuzhengchangshenghuo,gulidazhonghubanghuzhu,xiaochuqishi。

wu、richangshenghuohuodongnenglizhangai

(yi)zhuyaobiaoxian。bufenbingqingjiaozhong、hebingjichujibingdehuanzhe,kenengwufaduliwanchengchuantuoyi、ruce、xizaodeng。

(er)pinggufangfa。caiyonggailiangbashizhishupingdingbiaodengjinxingpinggu。

(san)kangfuxunlian。duihuanzhejinxingrichangshenghuohuodongzhidao。zhuyaoshijienengjishuzhidao,jiangchuantuoyi、ruce、xizaodengrichangshenghuohuodongdongzuofenjiechengxiaojiejianxiejinxing,suizhetilihuifuzailianguanwancheng,zhubuhuifuzhizhengchang。duibunengshengrengongzuogangweidechuyuanhuanzhejinxingyouguangongnengxunlianhezhiyekangfu。

liu、zhongyikangfu

(yi)zhuyaobiaoxian。biaoxianweifali、qiduan、kesou、xiongmen、xinji、shimian、nacha、ouedeng。

(er)zhongyikangfuzhiliao。

幸运扑克1.jichufangji: huangqi15g、dangcan15g、chaobaishu15g、nanbeishacange9g、maidong15g、chenpi15g、fuling15g、fabanxia9g、zhimu12g、dancan15g、zhebeimu15g、chishao15g、jiegeng9g、fangfeng9g、gancao6g、chaosanxiange9g、shanyao15g。

幸运扑克fufa: meiri1ji,shuijian400ml,fen2cifuyong,zaowange1ci。

2.zhongyishiyijishu。

幸运扑克(1)aijiuliaofa: xuanquzhongwan、qihai、tianshu(shuangce)、neiguan(shuangce)、zusanli(shuangce)dengxuewei。

(2)xueweianmo: xuanquneiguan(shuangce)、kongzui(shuangce)、shanzhong、zusanli(shuangce)dengxuewei。

(3)baguanliaofa: xuanqufeiyu(shuangce)、geyu(shuangce)、piyu(shuangce)、fengmen(shuangce)dengxuewei。

(4)erxueanmoheyadou: mocaerlun、tilaerjian、xialaerchui、mingtiangu。erxueyadouchangyongzhiqiguan、fei、neifenmi、shenmen、zhen、pi、wei、dachang、jiaogandeng。

3.bianzhenglunzhi。

(1)zhengxuxielianzheng: fareyitui,kouku,yangan,xiongxiekuman,fanzao,jiaolv,miancha,kesou,huoyouhuangtan,exinnacha。shehong,taibainihuohuangni,mairushuhuoxianshu。

tuijianchufang: chaihu9g、huangqin15g、guizhi9g、chishao15g、baishao15g、zhigancao6g、duanlonggu15g(xianjian)、duanmuli15g(xianjian)、xiyangcan9g、beishacan15g、qingbanxia9g、chenpi9g、liushenqu9g、fuling15g。

幸运扑克fufa: meiri1ji,shuijian400ml,fen2cifuyong,zaowange1ci。

tuijianzhongchengyao: hejieqingrelei。

(2)tanyuzuluozheng: xiongmen,xiongtong,dongzeqiduan,fali,kesou。shezianhuoyouyuban、yudian,taibobai,maiseruo。shiyongyuzhongxing、weizhongxinghuifuqihuanzhe,feigongnengsunshanghuofeibuctyouxianweihuabiaoxian。

tuijianchufang: huangqi15g、dangcan9g、fuchaobaishu9g、nanshacan9g、beishacan9g、maidong15g、chenpi9g、fuling15g、fabanxia6g、dancan9g、zhebeimu3g、shuizhi3g、tubiechong3g、gancao6g、chaoshanzha3g、chaoliushenqu3g、chaomaiya3g、shanyao9g。

幸运扑克fufa: meiri1ji,shuijian400ml,fen2cifuyong,zaowange1ci。

幸运扑克tuijianzhongchengyao: yiqihuoxuelei。

幸运扑克(3)feipiqixuzheng、qiyinliangxuzhengtuijianfangyaojian《xinxingguanzhuangbingdufeiyanzhenliaofangan(shixingdiqiban)》。

qi、zuzhibaozhang

(yi)mingquekangfuzhiliaoyuanze。yizhongzheng、weizhongzhenghuanzheweizhongdiankangfurenqun,duibutongbingqing、butonggongnengzhangaidehuanzhecaiqugetihuakangfuzhiliaocuoshi。kaizhankangfuzhiliaoqianquanmiankexuepingguhuanzhedejiankangzhuangkuanghekangfuzhiliaochengshounengli,jiaqiangkangfuqijianshengmingtizheng、naishouqingkuangjiance,quebaohuanzheanquan。kangfuzhiliaoyaozaoqijieru,zuohaolinchuangzhiliaojieduanhechuyuanhoukangfuzhiliaodexianjie,yaozhongshihuanzheduoqiguan、duoxitonggongnenghexinligongnengdezonghekangfu。

(er)mingquekangfujigou。gediyaogenjushijichutaijutidexinguanfeiyanchuyuanhuanzhekangfuguanlifangan,genjuhuanzhebingqingjibie、gongnengzhangaileixingheyiliaojigoudexingyunpukenengli,fenjifenleimingquekangfujigou,kaizhanxinguanfeiyanchuyuanhuanzhekangfuzhiliaogongzuo。

(san)jiaqiangkangfuliliang。gediyaokaizhanduiyiwurenyuan(baokuoyishi、hushi、kangfuzhiliaoshi、yiwushehuigongzuozhedeng)butongcengcidezhuanyepeixun,buduantishengkangfuyishi,zengqiangkangfuyiliaochuzhinengli。youqiyaozhuzhongjiaqiangjicengyiliaojigoushequkangfunenglixingyunpuke,youzhenduixingdikaizhankangfuyiliaojibenzhishi、jibenjinengdepeixun,tishengshequkangfunengliheshuiping,weixinguanfeiyanchuyuanhuanzhetigongfangbiankejidexingyunpuke。

(si)jiaqiangkangfuyiliaobaozhang。gediyaozuohaoxinguanfeiyanchuyuanhuanzhezhuyaogongnengzhangaiyiliaokangfudeyiliaobaozhanggongzuo,qieshijiang《guanyujiangbufenyiliaokangfuxiangmunarujibenyiliaobaozhangfanweidetongzhi(weinongweifa﹝2010﹞80hao)》he《guanyuxinzengbufenyiliaokangfuxiangmunarujibenyiliaobaozhangzhifufanweidetongzhi》(renshebufa﹝2016﹞23hao)guidingde29xiangyiliaokangfuxiangmuyibaozhengceluoshidaowei,bingkegenjujijinchengshounengli,jiangfuhetiaojiandexinlizhiliaoanguidingnaruyibaozhifufanwei,tongbujiaqiangkangfuyiliaoxingweijianguan。xinguanfeiyanchuyuanhuanzhefuheguidingdemenzhenkangfuyiliaofeiyongnarumenzhenmantebingguanli。yibaobumenyaojiaqiangduikangfuleiyiliaoxingyunpukejiagezhengceluoshidezhidaohedudao。

幸运扑克(wu)jiaqiangjibenshenghuojiuzhu。gediminzhengbumenyaoduifuhejiuzhutiaojiandexukaizhankangfuzhiliaodexinguanfeiyanchuyuanhuanzhejiqijiating,anguidingjishinarudibao、tekunjiuzhugongyangfanwei。duidibao、tekunjiuzhugongyangzanshiwufafugaidekunnanqunzhong,tongguolinshijiuzhuzuodaofankunbibang、younanbijiu。jiaqiangshehuijiuzhuxingyunpukerexianzhishou,baozhangrexianchangtong,quebaoxukaizhankangfuzhiliaodexinguanfeiyanchuyuanhuanzheqiuzhuyoumen。

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