医学消化性溃疡的健康教育专题.ppt

Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Company LOGO,Company LOGO,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Company name,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Company name,*,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Company name,*,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Company name,*,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Company name,*,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Company name,*,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Company name,*,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Company name,*,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Company name,*,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Company name,*,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Company name,*,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Click to edit Master title style,Company name,*,消化性溃疡的健康教育,3129262237,消化性溃疡,疾病介绍,健康教育,出院指导,目录,消化性溃疡的疾病介绍,消化性溃疡主要指发生于胃和,十二指肠黏膜的慢性溃疡，即,胃溃疡（,GU,）和十二指肠溃疡,（,DU,）。,胃酸和胃蛋白酶,的消,化作用是溃疡形成的基本因素,疾病概述,消化性溃疡的疾病介绍,3129262237,消化性溃疡的疾病介绍,消化性溃疡的疾病介绍,DU,较,GU,多见，两者比例约为,3,：,1,DU,好发于青壮年,GU,的发病年龄一般较,DU,约迟,10,年,秋冬和冬春之交是本病的好发季节,流行病学,精神紧张,吸烟,胆汁反流,服用非甾体,抗炎药,幽门螺旋杆,菌感染,胃酸和胃蛋白酶,发病原因,临床表现,慢性过程,周期性发作,节律性疼痛,消化性溃疡的疾病介绍,鉴别点,胃 溃 疡（,GU,）,十二指肠溃疡,(DU),疼痛时间,餐后,1/2,1h,出现，至下次餐前自行消失，较少发生于夜晚,餐后,3-4h,出现至下次进餐后缓解，常有夜间痛,疼痛部位,剑突下正中或偏左,上腹正中或稍偏右,疼痛性质,烧灼、痉挛感,饥饿感、烧灼感,一般规律,进餐疼痛缓解,疼痛进餐缓解,消化性溃疡的疾病介绍,确诊消化性,溃疡的首选,方法,电子胃镜和,胃黏膜活检,检测幽门螺,旋杆菌感染,对胃镜检查,有禁忌或不,愿接受胃镜,检查者,X,线钡餐,检查,消化性溃疡的疾病介绍,13C,或,14C,尿素呼气,试验,辅助检查,消化性溃疡的疾病介绍,治疗目的,消除病因,缓解症状,.,促进溃疡愈合,防止复发和防治并发症,质子泵抑制剂,胃黏膜保护剂,抗菌药物,奥美拉唑,兰索拉唑,泮托拉唑,埃索拉唑,消化性溃疡的疾病介绍,硫糖铝,枸橼酸铋钾,克拉霉素,阿莫西林,甲硝唑,左氧氟沙星,治疗药物,消化性溃疡的疾病介绍,三联疗法,铋剂（枸橼酸铋钾）,PPI(,质子泵抑制剂,),两种抗菌药物,1,2,3,消化性溃疡的健康教育,急,性,期,戒除烟酒,卧床休息,环境舒适,心情愉悦,夜间疼痛时自备苏打饼干或局部热敷,遵医嘱服用抑酸剂 以保证睡眠,.,缓,解,期,适量活动,劳逸结合,合理饮食,作息规律,建立合理的饮食习惯和结构,定时定量,少食多餐,细嚼慢咽,营养丰富,易于消化,避免刺激,消化性溃疡的健康教育,营养丰富,易于消化,避免刺激,饮食指导,消化性溃疡的健康教育,消化性溃疡的健康教育,消化性溃疡的健康教育,乐观情绪,规律生活,避免刺激,合理饮食,戒除烟酒,定期复诊,用药指导,消化性溃疡的出院指导,消化性溃疡的出院指导,慎用或勿用非甾体抗炎药,阿司匹林,双氯芬酸钠,吲哚美辛,对乙酰氨基酚,布洛芬,塞来昔布,质子泵抑制剂,胃黏膜保护剂,在饭后1h和睡前服用,应避免与奶制品同时服用,OMRZ,可引起头晕避免开车或其他高度集中注意力工作,硫糖铝片宜在进餐前,1h,服用枸橼酸铋钾宜在餐前半小时服用，用吸管吸入,用药指导,消化性溃疡的出院指导,碱性抗酸药,