急救心肺复苏晨僵原因分析

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急救心肺复苏晨僵原因分析   
    晨僵一般分为三度：（1）轻度：注射躯干模型多为1—3个指关节与腕、趾关节同时发生，起床或睡醒经活动数分钟、数十分钟至1个小时后，关节僵硬感缓解或消失。（2）中度：多为四个以上小关节或1—2个大关节同时受累，起床或睡醒经活动1-6小时后，关节僵硬感才缓解或消失。（3）重度：气管插管模型为七个以上或全身多关节同时受累，起床或睡醒后虽经活动而僵硬感无明显缓解，常持续6—12小时以上或全天，必须服药才能缓解或减轻。

　　需要提醒的是，心肺复苏模拟人关节和全身晨僵现象不是类风湿的特有“专利”，像强直性脊柱炎、骨性关节炎、肌纤维组织炎等也可出现晨僵现象，但这些疾病的“晨僵”表现持续时间短，多功能护理人模型一般不超过30分钟，而类风湿病人表现的“晨僵”则是典型、经常而持久的。对老年人来说，倘若“晨僵”持续时间长，即超过30分钟，或伴有关节疼痛，则提示有潜在疾病存在。

　　治疗因类风湿引起的“晨僵”，药物可首选蚁参蠲痹胶囊口服。此药物以蚂蚁为主药，蚂蚁有补肾健脾、通络止痛之功，可祛除风湿病邪，抗炎消肿止痛等；基础护理模型配伍具有较强散寒止痛作用的制川乌，使药物的祛除风寒湿邪、消肿止痛作用更强；用人参健脾益气，加强药物补虚，从而提高机体的免疫力；苍术、黄柏、泽泻、薏苡仁等协助主药祛除湿邪，进而达到消肿止痛之功；丹参、鸡血藤等中药活血化淤，蜈蚣、乌梢蛇等通经络止痛除痹。诸药合用，对患者因感受风寒湿邪引起的关节肌肉疼痛、肿胀、屈伸不利以及关节畸形、僵直等症状效果比较理想。

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