守护美好家园
发表于 2024-5-20 17:12
资阳市第四人民医院多学科团队诊疗 ，百岁老人焕发新生
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pic.app.jiuquhe.com/static/publish/css/style.css?v=1605251010513" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=1605251010513"><!-- 付费贴--> <div class="preview_article "> <!----> <section><section><section style="margin: 10px auto;"><section style="margin: 10px auto; display: flex; align-items: center;"><section style="width: 100%; display: flex; align-items: center;"><section style="width: 100%; border-top: 1px solid #cea876; height: 1px; overflow: hidden;"></section><section style="flex-shrink: 0; padding-right: 15px; padding-left: 5px;"><section style="width: 10px; height: 10px; transform: rotate(45deg); overflow: hidden; border: 1px solid #cea876;"></section><section style="margin-top: -3px;"><section style="width: 10px; height: 10px; transform: rotate(45deg); overflow: hidden; border: 1px solid #cea876;"></section></section></section></section><section style="display: flex; align-items: center; flex-shrink: 0;"><section style="font-size: 16px; color: #cd5e2d; text-align: left;"><strong>夏日清晨，资阳市第四人民医院新区爱晚廊，一群老人正在开展户外活动，有的在打太极，有的在漫步，有的在做保健体操，还有的在打麻将……人群之中，一名老人显得尤为引人注目。她，就是今年刚满“百岁”高龄的刘奶奶。她开心的表情、爽朗的笑声，时不时“胡牌”的激动，让人很难想到她曾被“认知障碍”所深深困扰。</strong></section><section style="flex-shrink: 0; padding-left: 5px;"><section style="font-size: 16px; color: #ffffff; background-color: #cd5e2d; width: 32px; height: 32px; border-radius: 100%; text-align: center; line-height: 32px;"></section></section></section></section><section style="display: flex; justify-content: flex-end;"><section style="width: 80%; margin-top: 10px; max-width: 80% !important;"><img class="rich_pages wxw-img" style="vertical-align: initial; width: 100%; display: inline;" src="https://pic.app.jiuquhe.com/Fh2jN5QuhEWjAGifyKjo_o234pF4" /></section></section></section></section><section><section style="margin: 10px auto;"><section style="margin: 10px auto; display: flex; align-items: center;"><section style="display: flex; flex-shrink: 0;"><section style="flex-shrink: 0; padding-right: 5px;"><section style="width: 3px; height: 100%; background-color: #cea876; overflow: hidden;"></section></section><section style="font-size: 16px; color: #cd5e2d; text-align: left;"><strong>认知障碍</strong></section></section><section style="width: 100%; display: flex; align-items: center;"><section style="flex-shrink: 0; padding-right: 5px; padding-left: 10px;"><section style="width: 8px; height: 8px; transform: rotate(45deg); overflow: hidden; border: 1px solid #cea876;"></section><section style="margin-top: -3px;"><section style="width: 8px; height: 8px; transform: rotate(45deg); overflow: hidden; border: 1px solid #cea876;"></section></section></section><section style="width: 100%; border-top: 1px solid #cea876; height: 1px; overflow: hidden;"></section></section></section><section style="background-color: #fbf8f3; padding: 15px 20px; background-image: none; background-position: 100% 100%; background-size: 33%; background-repeat: no-repeat;"><section style="line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: #333333; background-color: transparent;"><p>俗称“老年痴呆”，学名“阿尔茨海默病”，是一种中枢神经退行性疾病，主要表现为记忆力下降，日常生活能力减退，还可能伴有精神疾病和运动功能障碍，严重影响老人的生活质量。据统计，每3秒钟，世界上就会新增1位老年痴呆患者。目前全中国约有1507万老年痴呆患者。更可怕的是，到2050年这一数字将增长到2898万。在这个庞大的数字背后，是每个家庭面临的重重困难。</p></section></section></section></section><section><section style="margin: 10px auto;"><section style="background-color: #fbf8f3; padding: 15px 20px;"><p style="text-align: justify; line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: #333333; background-color: transparent;">迈入高龄后，刘奶奶逐渐表现出不能认识亲人，把自己的女儿当做自己的妈妈，把自己的儿子当做陌生人。入院前一个月，刘奶奶的症状明显加重，经常神神秘秘地把衣服藏在米缸里，马桶里，下水道旁，说有人要偷她的东西。夜间整夜不睡，起床翻箱倒柜，把家里面的东西不停地从这间屋子搬到那间屋子，有时还出现攻击陌生人的现象。家人带着她在资阳、内江、成都、重庆等多家医院就诊，效果均不理想。</p><p style="text-align: justify; line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: #333333; background-color: transparent;"> </p><p style="text-align: justify; line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: #333333; background-color: transparent;">家人深受其扰，苦不堪言，况且几个子女均是60岁以上的老人，最大的已经80多岁，为了照顾她自己都累病了。家属表示，身体上的累，忍一忍还能坚持，更加艰难的是精神上的折磨，一家人的精神都面临崩溃的边缘。</p></section></section></section><section><section style="margin: 10px auto; display: flex; flex-direction: column;"><section style="display: flex; justify-content: space-between; margin-bottom: -11px; z-index: 8;"><section style="background-color: #fffffe; padding: 5px;"><section style="width: 10px; height: 10px; transform: rotate(45deg); overflow: hidden; border: 1px solid #cea876;"></section></section><section style="background-color: #fffffe; padding: 5px;"><section style="width: 10px; height: 10px; transform: rotate(45deg); overflow: hidden; border: 1px solid #cea876;"></section></section></section><section style="padding: 15px; margin-right: 10px; margin-left: 10px; z-index: 5; border: 1px solid #cea876;"><section style="line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: #333333;">就在这时，有个朋友建议她家属到资阳市第四人民医院老年病科看看，抱着“试一试”的心态，她来到了这里。</section></section><section style="display: flex; justify-content: space-between; margin-top: -11px; z-index: 8;"><section style="background-color: #fffffe; padding: 5px;"><section style="width: 10px; height: 10px; transform: rotate(45deg); overflow: hidden; border: 1px solid #cea876;"></section></section><section style="background-color: #fffffe; padding: 5px;"><section style="width: 10px; height: 10px; transform: rotate(45deg); overflow: hidden; border: 1px solid #cea876;"></section></section></section></section></section><p><img class="rich_pages wxw-img" style="vertical-align: initial; width: 100%; display: inline;" src="https://pic.app.jiuquhe.com/FiBpidpI8R5Z5UQeHjlUWL_rEhRi" /></p><section><section style="margin: 10px auto;"><section style="margin: 10px auto; display: flex; align-items: center;"><section style="display: flex; flex-shrink: 0;"><section style="flex-shrink: 0; padding-right: 5px;"><section style="width: 3px; height: 100%; background-color: #cea876; overflow: hidden;"></section></section><section style="font-size: 16px; color: #cd5e2d; text-align: left;"><strong>资阳市第四人民医院老年病专业二科（失智方向）</strong></section></section><section style="width: 100%; display: flex; align-items: center;"><section style="flex-shrink: 0; padding-right: 5px; padding-left: 10px;"><section style="margin-top: -3px;"><section style="width: 8px; height: 8px; transform: rotate(45deg); overflow: hidden; border: 1px solid #cea876;"></section></section></section><section style="width: 100%; border-top: 1px solid #cea876; height: 1px; overflow: hidden;"></section></section></section><section style="background-color: #fbf8f3; padding: 15px 20px; background-image: none; background-position: 100% 100%; background-size: 33%; background-repeat: no-repeat;"><section style="line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: #333333; background-color: transparent;"><p>主治医师刘小亮介绍：“接诊后，我们的专家团队为刘奶奶开展了系统评估，发现刘奶奶已经中度痴呆，而且伴发严重的精神症状，情况刻不容缓！”</p><p> </p><p>于是，专家们迅速启动多学科联合诊疗机制，老年疾病科 、精神科、神经内科、康复科、营养科、照护部的专家聚集在一起，根据刘奶奶的基础病史及身体状况，制定了个性化的诊疗方案。其中尤其突出了认知、情感、生活能力的康复锻炼，从药物治疗，心理疏导，环境支持、营养护航等多个层面全面干预。</p></section></section></section></section><section><section style="margin: 10px auto;"><section style="margin-bottom: -21px; display: flex;"><section style="width: 50%; display: flex; align-items: center; max-width: 50% !important;"><section style="width: 100%; border-top: 1px solid #cea876; height: 1px; overflow: hidden;"></section><section style="flex-shrink: 0; padding-right: 10px; padding-left: 5px;"><section style="width: 10px; height: 10px; transform: rotate(45deg); overflow: hidden; border: 1px solid #cea876;"></section><section style="margin-top: -3px;"><section style="width: 10px; height: 10px; transform: rotate(45deg); overflow: hidden; border: 1px solid #cea876;"></section></section></section></section><section style="flex-shrink: 0;"><section style="border-radius: 25px; padding: 4px; border: 1px solid #e4cfb4;"><section style="background-color: #faf3ea; padding: 3px 15px; border-radius: 25px;"><section style="font-size: 16px; color: #cd5e2d; text-align: center;"><strong>在这个过程中</strong></section></section></section></section><section style="width: 50%; display: flex; align-items: center; max-width: 50% !important;"><section style="flex-shrink: 0; padding-right: 5px; padding-left: 10px;"><section style="width: 10px; height: 10px; transform: rotate(45deg); overflow: hidden; border: 1px solid #cea876;"></section><section style="margin-top: -3px;"><section style="width: 10px; height: 10px; transform: rotate(45deg); overflow: hidden; border: 1px solid #cea876;"></section></section></section><section style="width: 100%; border-top: 1px solid #cea876; height: 1px; overflow: hidden;"></section></section></section><section style="border-right: 1px solid #d9bb94; border-bottom: 1px solid #d9bb94; border-left: 1px solid #d9bb94; border-top: none; padding: 30px 15px 10px;"><p style="width: 100%;"><span style="font-size: 14px; letter-spacing: 1.5px; caret-color: red;">专家们充分运用了医院作为“三级甲等”专科医院的学科优势，第一时间组织各科专家积极干预：</span></p><p style="width: 100%;"><span style="font-size: 14px; letter-spacing: 1.5px; caret-color: red;"><span style="caret-color: red; color: #d82821;">老年精神科专家</span>：动态调整精神药物治疗及干预措施，持续开展心理暗示治疗，实时评估相关精神量表；</span></p><p style="width: 100%;"><span style="font-size: 14px; letter-spacing: 1.5px; caret-color: red;"><span style="caret-color: red; color: #d82821;">神经内科专家</span>：积极保护老人的神经功能及血管状况。</span></p><p style="width: 100%;"><span style="font-size: 14px; letter-spacing: 1.5px; caret-color: red;"><span style="caret-color: red; color: #d82821;">康复科专家</span>：根据评定结果，结合其文化水平、兴趣爱好，为她量身定制了独特的作业治疗方案，包括定向力、计算和注意力、命名、复述、阅读、理解、书写、视觉空间等训练；</span></p><p style="width: 100%;"><span style="font-size: 14px; letter-spacing: 1.5px; caret-color: red;"><span style="caret-color: red; color: #d82821;">营养科专家</span>：根据老人的营养状况，提供益智的营养食谱，做到营养方案针对性强，个性化强。</span></p><p style="width: 100%;"><span style="font-size: 14px; letter-spacing: 1.5px; caret-color: red; color: #d82821;">照护团队</span><span style="font-size: 14px; letter-spacing: 1.5px; caret-color: red;">：与医护人员紧密合作，协助开展运动疗法、认知训练，训练自理能力、活动能力和记忆力；并将这些训练，贯穿于老人的吃穿住行等日常生活中。</span></p><p style="width: 100%;"><span style="font-size: 14px; letter-spacing: 1.5px; caret-color: red; color: #d82821;">老年疾病科专家</span><span style="font-size: 14px; letter-spacing: 1.5px; caret-color: red;">：统筹协调老人治疗的各个方面，真正地做到了一人一策，策策有特色。</span></p></section></section></section><section><section style="margin: 10px auto;"><section style="background-color: #fbf8f3; padding: 15px 20px;"><section style="line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: #333333; background-color: transparent;">在多学科团队专家的有力干预下，刘奶奶的病情有了明显好转。现在，她不仅生活基本能自理，自己的亲人也能慢慢叫出名字了。还能参加一些简单的娱乐活动，她甚至可以每天下午和她的老伙伴们一起打打麻将，还经常“胡牌”呢。 “之前她在家时，我们照料她非常困难，自从到医院来以后，她的精神状态越来越好，我们放心多了，‘医养结合’果然不一样，我们全家都非常感谢... ...”谈到刘奶奶的病情，家属的眼中泛着泪光。</section></section><section style="display: flex; justify-content: flex-end; margin-top: -20px; padding-right: 15px;"><section style="width: 46px; height: 0px; overflow: hidden;"></section></section></section></section><section><section style="margin: 10px auto;"><section style="border: 4px solid #efe2d1;"><img class="rich_pages wxw-img" style="width: 100%; display: block; vertical-align: inherit;" src="https://pic.app.jiuquhe.com/Fh3r8OtcAeH8CbJBVE_o94oTYAZ2" /></section><section style="display: flex; margin-top: 15px;"><section style="width: 100%;"><section style="padding-right: 10px;"><section style="line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: #333333;"><p>这场生命转机，不仅体现了资阳市第四人民医院医务人员的高超医术和无私奉献精神，更彰显了医院在老年医学领域尤其是老年认知障碍领域的专业实力和人文关怀。他们用实际行动诠释了“救死扶伤”的医者初心和使命担当。</p></section></section></section><section style="flex-shrink: 0;"><section style="border-left: 1px solid #cea876; height: 100%; overflow: hidden;"></section></section><section style="flex-shrink: 0; display: flex; flex-direction: column; align-items: center; padding-left: 10px; justify-content: center;"><section style="width: 10px; height: 10px; margin-right: auto; margin-left: auto; transform: rotate(45deg); overflow: hidden; border: 1px solid #d5b58b;"></section><section style="font-size: 16px; color: #cd5e2d; width: 16px; line-height: 2em;"></section></section></section></section></section><section><p style="margin-bottom: 0px; outline: 0px; font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.544px; white-space: normal; background-color: #ffffff;"><img class="rich_pages wxw-img" style="outline: 0px; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; letter-spacing: 0.544px; font-size: var(--articleFontsize); color: #222222; caret-color: red; text-indent: 0em; width: 676.984px !important; visibility: visible !important;" src="https://pic.app.jiuquhe.com/FkdNHo_8TpuG4ueYTTlCScyGW9Zq" width="677px" /></p><section style="margin-bottom: 5px; padding-right: 10px; padding-left: 10px; outline: 0px; letter-spacing: 0.544px; text-indent: 0em; white-space: normal; font-size: 16px; background-color: #ffffff; text-align: left; line-height: normal; visibility: visible; vertical-align: inherit; caret-color: rgba(0, 0, 0, 0); color: #565656; widows: 1; text-size-adjust: inherit; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><p style="outline: 0px; color: #888888; font-size: 12px; letter-spacing: 0.544px; text-indent: 0em; font-family: Helvetica, Arial, sans-serif;"><span style="outline: 0px; letter-spacing: 0.544px; text-indent: 0em;"> </span></p><p style="outline: 0px; color: #888888; font-size: 12px; letter-spacing: 0.544px; text-indent: 0em; font-family: Helvetica, Arial, sans-serif;"><span style="outline: 0px; letter-spacing: 0.544px; text-indent: 0em;">内容来源</span><span style="outline: 0px; letter-spacing: 0.544px; text-indent: 0em;">丨科室供稿</span></p></section><section style="margin-bottom: 5px; padding-right: 10px; padding-left: 10px; outline: 0px; letter-spacing: 0.544px; text-indent: 0em; white-space: normal; font-size: 16px; background-color: #ffffff; text-align: left; line-height: normal; visibility: visible; vertical-align: inherit; caret-color: rgba(0, 0, 0, 0); color: #565656; widows: 1; text-size-adjust: inherit; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"></section><section style="margin-bottom: 5px; padding-right: 10px; padding-left: 10px; outline: 0px; letter-spacing: 0.544px; text-indent: 0em; white-space: normal; font-size: 16px; background-color: #ffffff; text-align: left; line-height: normal; visibility: visible; vertical-align: inherit; caret-color: rgba(0, 0, 0, 0); color: #565656; widows: 1; text-size-adjust: inherit; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="outline: 0px; color: #888888; font-size: 12px; letter-spacing: 0.544px; text-indent: 0em; font-family: Helvetica, Arial, sans-serif;">一审一校丨张开涛</span></section><section style="margin-bottom: 5px; padding-right: 10px; padding-left: 10px; outline: 0px; letter-spacing: 0.544px; text-indent: 0em; white-space: normal; font-size: 16px; background-color: #ffffff; text-align: left; line-height: normal; visibility: visible; vertical-align: inherit; caret-color: rgba(0, 0, 0, 0); color: #565656; widows: 1; text-size-adjust: inherit; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="outline: 0px; color: #888888; font-size: 12px; letter-spacing: 0.544px; text-indent: 0em; font-family: Helvetica, Arial, sans-serif;">二审二校丨张何舒啸</span></section><section style="margin-bottom: 5px; padding-right: 10px; padding-left: 10px; outline: 0px; letter-spacing: 0.544px; text-indent: 0em; white-space: normal; font-size: 16px; background-color: #ffffff; text-align: left; line-height: normal; visibility: visible; vertical-align: inherit; caret-color: rgba(0, 0, 0, 0); color: #565656; widows: 1; text-size-adjust: inherit; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="outline: 0px; color: #888888; font-size: 12px; letter-spacing: 0.544px; text-indent: 0em; font-family: Helvetica, Arial, sans-serif;">三审三校丨周洪伟</span></section></section></section><p style="display: none;"> </p> <!----></div>
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