冲击波疼痛治疗课件

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,ST RZ MEDICAL,体外冲击波疗法,RSWT WORKSHOP,R,copyTight G STORZ MEDICAL AG,冲击波疼痛治疗ST RZ MEDICAL,体外冲击波疗法,RSWT WORKSHOP,R,copyTight G STORZ MEDICAL AG,ST RZ MEDICAL,有效治疗范围,Radial Extension,在组织中传播,spreads in the tissue,探头 Transmitter,Handpiece手柄,ED:能流密度,ED: energy flux density,表面,高能流密度,深度,低能流密度,urface, high ED,depth, low ED,0, 35 mJ/mm2,copyTight G STORZ MEDICAL AG,ST RZ MEDICAL,生物效应 Biological effects,声学边界的能量释放 Energy release at acoustic boundaries,空化作用 Cavitation,增加细胞壁的通透性 ncrease of cell wall permeability,刺激微循环(血液、淋巴) Stimulation of Microcirculation(Bood, Lymph),释放P物质 Release of substance P,减少非髓鞘神经 Reduction of unmyelinated nerves,释放一氧化氮(血管舒张,细胞新陈代谢增加,血管新生,抗炎作用) Release of,Nitric oxide(vasodilation, increased cell metabolism, neoangogenesis,anti-inflammatory effect,抗菌作用 Antibacterial effect,刺激生长因子(血管、骨骼、胶原蛋白新生) Stimulation of growth factors,(neogenesis of vessels, bone, collagen),刺激干细胞 Stimulation of stem cells,copyTight G STORZ MEDICAL AG,ST RZ MEDICAL冲击波疼痛治疗ST RZ ME,1,ST RZ MEDICAL,有效治疗范围,Radial Extension,在组织中传播,spreads in the tissue,探头 Transmitter,Handpiece手柄,ED:能流密度,ED: energy flux density,表面,高能流密度,深度,低能流密度,urface, high ED,depth, low ED,0, 35 mJ/mm2,copyTight G STORZ MEDICAL AG,ST RZ MEDICAL,2,ST RZ MEDICAL,生物效应 Biological effects,声学边界的能量释放 Energy release at acoustic boundaries,空化作用 Cavitation,增加细胞壁的通透性 ncrease of cell wall permeability,刺激微循环(血液、淋巴) Stimulation of Microcirculation(Bood, Lymph),释放P物质 Release of substance P,减少非髓鞘神经 Reduction of unmyelinated nerves,释放一氧化氮(血管舒张,细胞新陈代谢增加,血管新生,抗炎作用) Release of,Nitric oxide(vasodilation, increased cell metabolism, neoangogenesis,anti-inflammatory effect,抗菌作用 Antibacterial effect,刺激生长因子(血管、骨骼、胶原蛋白新生) Stimulation of growth factors,(neogenesis of vessels, bone, collagen),刺激干细胞 Stimulation of stem cells,copyTight G STORZ MEDICAL AG,ST RZ MEDICAL,3,ST RZ MEDICAL,绝对禁忌症,ABSOLUTE CONTRAINDICATIONS,妊娠 Pregnancy,血栓症 athrombosis,血凝固紊乱(血友病) coagulation disorders( haemophilia,肿瘤疾病 tumour diseases,急性炎症 acute inflammation,目标治疗区脓肿 pus focus in the target area,copyTight G STORZ MEDICAL AG,ST RZ MEDICAL,4,ST RZ MEDICAL,相对禁忌症,RELATIVE CONTRAINDICATIONS,抗凝血剂使用者,特别是苯丙香豆素(维生素K拮抗剂),use of anticoagulants, especially marcumar (vitamin k antagonist),有多发性神经病的糖尿病,polyneuropathy in case of diabetes mellitus,可的松治疗结束六周后才能使用体外冲击波治疗,cortisone therapy up to 6 weeks before first ESWT treatment,风湿性疾病,rheumatic disease,copyTight G STORZ MEDICAL AG,ST RZ MEDICAL,5,ST RZ MEDICAL,副作用,SIDE EFFECTS,肿胀 swelling,变红 reddening,血肿 Haematomas,瘀点 petechiae,灼伤般疼痛感 pain like sunburn,治疗初期病情恶化 first worsening,copyTight G STORZ MEDICAL AG,ST RZ MEDICAL,6,ST RZ MEDICAL,冲击波治疗的益处,Benefits of shock Wave Treatment,几次治疗后,疼痛即得到缓解减轻,pain relief/ reduction after a few treating sessions,治疗依从性好,the compliance is very good,治疗后病人能直接感受到第一疗效,the patients can feel first effects directly after the treatment,能治疗复杂症状及相关适应症,treatment of complex symptoms/indications possible,copyTight G STORZ MEDICAL AG,ST RZ MEDICAL,7,ST RZ MEDICAL,冲击波治疗的益处,Benefits of shock Wave Treatment,治疗结缔组织,treatment of connective tissue,活化淋巴系统,activation of lymphatic system,大面积治疗,treatment of large areas possible,作用于神经系统(门控制、疼痛记忆),effects on the nervous system(gate control, pain memory?,copyTight G STORZ MEDICAL AG,ST RZ MEDICAL,8,ST RZ MEDICAL,经典适应症,CLASSIC INDICATIONS,copyTight G STORZ MEDICAL AG,ST RZ MEDICAL,9,ST RZ MEDICAL,经典适应症,Classic Indications,-Calcific tendonitis/ shoulder pain,Radial humeral epicondylitis,钙化性肌腱炎/肩痛,肱骨外上髁炎,UInar humeral epicondylitis,肱骨内上踝炎,Trochanteric tendonitis,转子肌腱炎,Achillodynia跟腱痛,Patellar tendonitis,髌腱炎,Plantar fasciitis足底筋膜炎,Tibial stress syndrome,胫骨压力症候群,copyTight G STORZ MEDICAL AG,ST RZ MEDICAL,10,冲击波疼痛治疗课件,11,冲击波疼痛治疗课件,12,冲击波疼痛治疗课件,13,冲击波疼痛治疗课件,14,冲击波疼痛治疗课件,15,冲击波疼痛治疗课件,16,冲击波疼痛治疗课件,17,冲击波疼痛治疗课件,18,冲击波疼痛治疗课件,19,冲击波疼痛治疗课件,20,冲击波疼痛治疗课件,21,冲击波疼痛治疗课件,22,冲击波疼痛治疗课件,23,冲击波疼痛治疗课件,24,冲击波疼痛治疗课件,25,冲击波疼痛治疗课件,26,冲击波疼痛治疗课件,27,冲击波疼痛治疗课件,28,冲击波疼痛治疗课件,29,冲击波疼痛治疗课件,30,冲击波疼痛治疗课件,31,冲击波疼痛治疗课件,32,冲击波疼痛治疗课件,33,冲击波疼痛治疗课件,34,冲击波疼痛治疗课件,35,冲击波疼痛治疗课件,36,冲击波疼痛治疗课件,37,冲击波疼痛治疗课件,38,冲击波疼痛治疗课件,39,冲击波疼痛治疗课件,40,冲击波疼痛治疗课件,41,冲击波疼痛治疗课件,42,冲击波疼痛治疗课件,43,冲击波疼痛治疗课件,44,冲击波疼痛治疗课件,45,冲击波疼痛治疗课件,46,冲击波疼痛治疗课件,47,冲击波疼痛治疗课件,48,冲击波疼痛治疗课件,49,冲击波疼痛治疗课件,50,冲击波疼痛治疗课件,51,冲击波疼痛治疗课件,52,冲击波疼痛治疗课件,53,