久卧床恐不动症候群 医推按6穴位、练习「噘嘴式呼吸」减缓风险
<picture style="box-sizing: border-box;"><font face="宋体" size="4"> <img alt="寒冷的冬天,适当活动可改善疾病与不适,但对年老、受伤或疾病限制活动能力的卧床者,是可遇不可求的事。 示意图。 本报数据照" class=" lazyloaded" data-src="https://pgw.worldjournal.com/gw/photo.php?u=https://uc.udn.com.tw/photo/wj/realtime/2024/12/30/31184603.jpg&x=0&y=0&sw=0&sh=0&sl=W&fw=800&exp=3600&q=75" src="https://pgw.worldjournal.com/gw/photo.php?u=https://uc.udn.com.tw/photo/wj/realtime/2024/12/30/31184603.jpg&x=0&y=0&sw=0&sh=0&sl=W&fw=800&exp=3600&q=75" _mstalt="715369343" _msthash="259" style="box-sizing: border-box; border-style: none; object-fit: contain; width: 580px; height: 386px;"></font></picture><figcaption _msttexthash="715369343" _msthash="260" style="box-sizing: border-box; line-height: 1.4; padding-top: 10px; padding-bottom: 10px; color: rgb(126, 126, 126); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><font face="宋体" size="4">寒冷的冬天,适当活动可改善疾病与不适,但对年老、受伤或疾病限制活动能力的卧床者,是可遇不可求的事。 示意图。 本报数据照</font></figcaption><p _msttexthash="3883676667" _msthash="261" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">寒冷冬天,适当活动可改善疾病与不适,但对年老、受伤或疾病限制活动能力的卧床者,是可遇不可求的事。 台北市立联合医院仁爱院区中医科主治医师林舜谷表示,照顾者可协助按摩穴位,并进行肌肉与呼吸训练,也可用豆蔻、茴香烹煮料理食补等方式,减缓卧床者因为「不动症候群」导致的诸多症状与风险。</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font _mstmutation="1" _msttexthash="4226286350" _msthash="313" style="box-sizing: border-box;" face="宋体" size="4">林舜谷说,适当的活动对肌肉、骨骼、<span style="box-sizing: border-box; background-color: initial; color: rgb(126, 126, 126); text-decoration-line: none; border-bottom: 1px solid rgb(126, 126, 126); transition: color 0.3s linear, border 0.3s linear;">关节</span><font color="#7e7e7e"><span style="box-sizing: border-box; border-bottom: 1px solid rgb(126, 126, 126); transition: color 0.3s linear, border 0.3s linear;">、心肺乃至内脏功能的健康至关重要,然而许多须长期照顾的患者,因为年老、受伤或疾病限制活动能力,甚至须长期卧床,也成为「不动症候群」,又称「废用症候群」的苦主,出现肌肉力量减弱、关节活动受限、血液循环不良、心理问题,增加褥疮、感染及心肺功能衰退的风险。</span></font></font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><blockquote class="article-blockquote article-blockquote__1" style="box-sizing: border-box; color: rgb(0, 0, 0); line-height: 1.8; padding: 45px 35px; border-left: 2px solid rgb(135, 144, 149); background: rgb(249, 249, 249); margin-top: 30px; margin-bottom: 30px;"><font _mstmutation="1" _msttexthash="48755577" _msthash="314" style="box-sizing: border-box;" face="宋体" size="4">不动症候群主要症状:</font><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="194334725" _msthash="315" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">1.肌肉力量减弱:长期不活动会导致肌肉萎缩和力量下降。</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="184862093" _msthash="316" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">2.关节活动受限:缺乏运动使关节僵硬,活动范围缩小。</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="294869731" _msthash="317" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">3.血液循环不良:长期卧床可能引起四肢血液循环不佳,导致水肿或压疮。</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="341072589" _msthash="318" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">4.心肺功能下降:活动量减少会使心肺耐力降低,出现呼吸困难或心跳加快等情况。</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="197426671" _msthash="319" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">5.心理问题:长期不活动可能引发焦虑、忧郁等心理问题。</font></p></blockquote><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font _mstmutation="1" _msttexthash="8244079454" _msthash="320" style="box-sizing: border-box;" face="宋体" size="4">不动症候群常见于因为疾病或心理因素而活动受限的人,包括<span _istranslated="1" style="box-sizing: border-box; background-color: initial; color: rgb(126, 126, 126); text-decoration-line: none; border-bottom: 1px solid rgb(126, 126, 126); transition: color 0.3s linear, border 0.3s linear;">中风</span><font color="#7e7e7e"><span style="box-sizing: border-box; border-bottom: 1px solid rgb(126, 126, 126); transition: color 0.3s linear, border 0.3s linear;">、帕金森氏症、心脏衰竭、严重关节变形或重度</span></font><span _istranslated="1" style="box-sizing: border-box; background-color: initial; color: rgb(126, 126, 126); text-decoration-line: none; border-bottom: 1px solid rgb(126, 126, 126); transition: color 0.3s linear, border 0.3s linear;">忧郁症</span><font color="#7e7e7e"><span style="box-sizing: border-box; border-bottom: 1px solid rgb(126, 126, 126); transition: color 0.3s linear, border 0.3s linear;">患者。 林舜谷提醒,照顾者可通过经络按摩帮助患者提升活动能力,改善局部循环,并减少关节僵硬与褥疮风险。 另,高蛋白饮食不耐受的患者,他建议照顾者在烹煮肉类时加入豆蔻、茴香,搭配消化良好的汤品、粥类或细软食物,有助于提升营养吸收、避免肌肉流失,也可协助肌肉训练与呼吸训练、翻身与拍背,都有利于减缓病情。</span></font></font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="2566083845" _msthash="321" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">针对呼吸训练,林舜谷提到,噘嘴式呼吸(Pursed Lip Breathing)可让呼吸道在吐气时保持一定的压力,降低肺泡塌陷的风险、训练呼吸肌肉力量,也能增加肺部气体交换功能,并利用放松技巧减轻焦虑,降低呼吸速率,缓解呼吸困难。</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><h2 class="content_title_1" _msttexthash="17037449" _msthash="322" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; font-weight: 400; color: rgb(0, 110, 181); line-height: 1.5;"><font face="宋体" size="4">一、穴位按摩</font></h2><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="32727435" _msthash="323" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">1.踝关节活动障碍</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="152091017" _msthash="324" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">商丘穴:位于脚内踝前下方,压按时有明显酸胀感。</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="243081267" _msthash="325" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">丘墟穴:位于脚外踝前下方凹陷处,压按可促进踝关节循环与灵活性。</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="20576985" _msthash="326" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">2.髋关节僵硬</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="451781330" _msthash="327" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">髀关穴:大腿前面,髂前上棘与髌底外侧端的连接上,屈股时,与会阴相平的缝匠肌外侧凹陷处</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="554797529" _msthash="328" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">足五里穴:大腿内侧根部,耻骨结节下方,当气冲直下3寸,长收肌外缘凹陷处。 压按有助于髋部灵活度提升。</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="33165392" _msthash="329" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">3.臀部压迫与褥疮</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="298763387" _msthash="330" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">八髎穴:位于荐骨后侧,分布于骶骨后孔,按摩可促进腰臀部的血液循环。</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="294538140" _msthash="280" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">承扶穴:位于臀部<mh class="chrome-extension-FindManyStrings chrome-extension-FindManyStrings-style-7 CE-FMS-%E4%B8%AD%E5%A4%AE" style="box-sizing: border-box; border-radius: 3px; box-shadow: rgba(0, 0, 0, 0.3) 1px 1px 3px; color: rgb(255, 255, 255); background: rgb(243, 63, 98);">中央</mh>,臀沟上端,压按可放松臀部肌肉并减少压疮风险。</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><h2 class="content_title_1" _msttexthash="21891194" _msthash="331" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; font-weight: 400; color: rgb(0, 110, 181); line-height: 1.5;"><font face="宋体" size="4">二、药食调理</font></h2><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="159580798" _msthash="332" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">1.豆蔻:温中行气,促进消化,缓解腹胀不适。</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="194587094" _msthash="333" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">2.茴香:助于肠胃吸收,增强食欲,适合老人或卧床者。</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><h2 class="content_title_1" _msttexthash="47526037" _msthash="334" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; font-weight: 400; color: rgb(0, 110, 181); line-height: 1.5;"><font face="宋体" size="4">三、肌肉训练与呼吸训练</font></h2><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="481149149" _msthash="335" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">1.肩关节与肘关节训练:单手或两手将约600克的装水宝特瓶向头顶举起、放下,进行上肢屈伸运动。</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="253778044" _msthash="336" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">2.腿部训练:踮脚尖或扶着桌子进行起立坐下,帮助下肢恢复力量。</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="27847638" _msthash="337" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">3.噘嘴式呼吸:</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="1117436372" _msthash="338" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">(1.)选择舒适的姿势:平躺时,将床头擡高45至60度,膝盖弯曲;或采取坐姿,身体坐直,头部微微前倾,双手放在大腿上或支撑在桌面上,放松肩膀。</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="337690054" _msthash="339" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">(2.)吸气:闭上嘴唇,通过鼻子缓慢深吸气,感觉腹部随着吸气而鼓起。</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="150047807" _msthash="340" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">(3.)短暂屏息:吸气结束后,闭气约3秒钟。</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="945999691" _msthash="341" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">(4.)吐气:噘起嘴唇,像吹口哨或吹蜡烛般,通过口腔缓慢将气体吐出。 吐气时间应为吸气时间的两倍,若吸气时心中默数1、2,吐气时则数1、2、3、4。</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="752016200" _msthash="342" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">(5.)重复练习:每天练习10分钟,每日4次,包括早上、中午、下午、晚上,但避免在饭前或饭后一小时内进行,以防止呛咳。</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><h2 class="content_title_1" _msttexthash="98444619" _msthash="343" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; font-weight: 400; color: rgb(0, 110, 181); line-height: 1.5;"><font face="宋体" size="4">四、完全卧床患者的翻身拍背与局部按摩</font></h2><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="346685209" _msthash="344" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" size="4">1.翻身拍背:每2小时进行一次翻身,并轻拍背部,减少痰液堆积与感染风险。</font></p><p style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"></p><p _msttexthash="480878866" _msthash="345" style="box-sizing: border-box; letter-spacing: 1px; margin-bottom: 20px; line-height: 1.75; color: rgb(34, 34, 34); word-break: break-word;"><font face="宋体" style="" size="4">2.局部按摩:对长期受压的部位,包括臀部、背部,按摩八髎穴与承扶穴,改善循环、避免褥疮。</font></p><div align="left"><font color="#444444"><font color="#444444"><font color="#000"><font color="#444444"><font color="#444444"><font face="宋体"><font size="4"><font face="&quot"><font style="font-size: 16px;"><font face="宋体"><font color="#444444"><font face="&quot"><font color="#444444"><font color="#444444"><font face="宋体"><font face="&quot;"><font face="黑体"><div align="center"><font color="#000"><font color="#000"><font face="宋体"><font size="3"><font color="#000"><font face="&quot;"><font style="font-size: 16px;"><font color="#000"><font color="#000"><font face="黑体"><font size="5">点击下面文字<font color="#ff0000">可快速查看</font>或<font color="#ff0000">发布对应</font>的便民信息!</font></font></font></font></font></font></font></font></font></font></font></div><div align="center"><font face="宋体"><font face="&quot;"><font 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