上海中医药大学课程建设项目ppt课件

1、上海中医药大学课程建立工程上海中医药大学课程建立工程 推拿学科系列双语教学课程建立三中期汇报推拿学科系列双语教学课程建立三中期汇报 李征宇李征宇 针灸推拿学院针灸推拿学院 2021年年11月月一、课程建立的既定目的一、课程建立的既定目的v建立推拿学科系列推拿临床双语查房教学课程。 二、课程建立的内容二、课程建立的内容v1. 在以往推拿学科系列双语(英语)教学课程建立一、二的根底上，继续开展推拿学科系列双语(英语)教学课程三推拿临床双语(英语)查房教学课程的建立，使推拿学科系列的双语教学更显系统化和延续性。v2从临床实践运用和学生才干培育视角出发，选择推拿临床的常见病腰椎间盘突出症和颈椎病为典型

2、病例进展双语教学，起到以点带面的效果。 二、课程建立的内容二、课程建立的内容v(1 ) 用双语(英语)对腰椎间盘突出症的病史、病症、体征、影像学检查、诊断、鉴别诊断、推拿治疗、调护、国内外研讨进展等进展临床查房教学，并着重强调该病临床病史的双语书写；v(2) 编写腰椎间盘突出症的临床双语查房教学资料片的双语拍摄剧本；v(3) 按照剧本，拍摄腰椎间盘突出症的临床双语查房教学资料片。二、课程建立的内容二、课程建立的内容v(4) 用双语对颈椎病的病史、病症、体征、影像学检查、诊断、鉴别诊断、推拿治疗、调护、国内外研讨进展等进展临床查房教学，并着重强调该病临床病史的双语书写；v(5) 编写颈椎病的临床

3、双语查房教学资料片的双语拍摄剧本；v(6) 按照剧本，拍摄颈椎病的临床双语查房教学资料片。三、课程建立的意义三、课程建立的意义v 该课程建立凸现了我校在推拿教学方面的特征和领先其它中医院校的优势。四、建立中采取的措施四、建立中采取的措施v1. 前期的预备任务v 主要是相关文献的回想，查阅和分析有关的双语教学文件，着重了解临床双语查房教学课程的性质及重要性、并制定适宜的课时数。v2. 双语剧本编写任务v 在前期预备的根底上，参阅了大量的国内相关的书籍和一些国外资料，经过教研室教师反复共同讨论，对腰椎间盘突出症和颈椎病的内容经行了反复琢磨，紧扣临床双语查房教学特点，编写推拿双语查房剧本，并反复修正

4、。四、建立中采取的措施四、建立中采取的措施v 3拍摄任务v 积极与拍摄人员商讨拍摄事宜、预备任务及其拍摄细节等问题；同时组织参拍人员并进展培训任务及英语台词记忆；参与最后定片任务。五、目前完成情况五、目前完成情况v(1 ) 已对2003级针灸推拿专业七年制外向型及部分其他七年制专业学生完成了用双语(英语)对腰椎间盘突出症的病史、病症、体征、影像学检查、诊断、鉴别诊断、推拿治疗、调护、国内外研讨进展等进展临床查房教学任务，并也完成了该病临床病史的英语书写样本；v(2) 已完成了编写腰椎间盘突出症的临床双语查房教学资料片的双语拍摄剧本；v(3) 按照剧本，已完成了腰椎间盘突出症的临床双语查房教学资

5、料片的拍摄。五、目前完成情况五、目前完成情况v(4) 已对2003级针灸推拿专业七年制外向型及部分其他七年制专业学生完成了用双语(英语)对颈椎病的病史、病症、体征、影像学检查、诊断、鉴别诊断、推拿治疗、调护、国内外研讨进展等进展临床查房教学任务，并也完成了该病临床病史的英语书写样本；v(5) 已完成了编写颈椎病的临床双语查房教学资料片的双语拍摄剧本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住院医师查房前一天晚上住院医师查房前一天晚上vResident: Good eveni

17、ng, Mary , Im Dr， Zhu in charge of the ward. v住院医生：晚上好。玛丽住院医生：晚上好。玛丽 ,我是朱医生，主管这间病房。我是朱医生，主管这间病房。vPatient: Hello, Dr. Zhu.v病人：晚上好，朱医生。病人：晚上好，朱医生。vResident: This is Dr. Shi. Can you take the history now?v住院医生：这是史医生。请您如今讯问病史吧？住院医生：这是史医生。请您如今讯问病史吧？vIntern: Yes. How do you feel now?v实习医生：好的。玛丽，他如今觉得怎样样？实

18、习医生：好的。玛丽，他如今觉得怎样样？vPatient: I am fine except for some pain.v病人：除了一些地方疼，其它觉得良好。病人：除了一些地方疼，其它觉得良好。vIntern: Oh, how long have you been like this?v实习医师：疼痛多长时间了？实习医师：疼痛多长时间了？vPatient: About 1 year off and on.v病人：大约一年了。疼痛不断是反复性的，时好时坏。病人：大约一年了。疼痛不断是反复性的，时好时坏。vIntern: Can you describe the pain?v实习医师：他能把疼痛的

19、情况描画一下吗？实习医师：他能把疼痛的情况描画一下吗？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主治医生：作为常规，主任来病房查房。王教授，我们收了一个新病例左上肢酸痛麻木、握力减退一月。在为他诊断和治疗方时遇到了问题。vDirector: Ok. Well have a look at this new patient. v主任医师：让我们去看看病人。vVisiting physician: Dr. Shi, Please report the case briefly to the director. v主治

21、医生：史医生，请向主任简短报告病例。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