中山大康复医学本科教学大纲

本科教学大纲一、课程基本说明I.BasicInformation课程名称：（中文）

《康复医学》

（英文）《RehabilitationMedicine》CourseTitle:Chinese

English课程性质CourseType专业必修课程编码CourseCodeAH1002学分Credits3授课学时ClassHours54主讲教师（职称）Instructor(Title)黄东锋（教授）/徐光青（教授）/（其余老师见课程表）开课单位OfferedBy康复治疗学系FacultyofRehabilitationMedicine面向专业TargetStudents四年制康复治疗学Four-yearrehabilitationsciences授课年级YearofStudents一年级二学期2ndsemesterofYear1先修课程PrerequisiteCourse(s)Rehabilitation

Medicine课程目的与教学基本要求CourseObjectiveandRequirements了解：常见疾病的预后的评价及临床处理措施。熟悉：常见疾病的常用评定方法及功能障碍特点；掌握：常见疾病的康复意义、常用评定方法及常用康复治疗方法，临床常见并发症的处理；Toknow:theprognosisevaluationandclinicaltreatmentofcommondiseases.Toacquaint:theevaluationmethodsforcommondiseasesandcharacteristicsofdysfunctionTograsp:therehabilitationsignificance,commonlyusedevaluationmethodsandrehabilitationtreatmentmethodsforcommondeseases,thetreatmentsof

thecommoncomplications二、课程基本内容（一）课程内容（含学时分配，学时分配要落实到“章”或“节”，并对各章节的重点、难点内容加以必要的说明）II.CourseContenti.CourseContent(Pleaseprovideacoursecalendar;specifywhichchapterorsectiontheclasshourwouldcover;providenecessaryinformationonthekeypoints,difficultpointsandotherpointsyouthinknecessarytoclarifyineachweek)常见疾病康复Therehabilitationofcommondieases（一）脑卒中康复:目的要求:了解：脑卒中常见合并症与并发症的处理。脑卒中康复的新进展。熟悉：脑卒中功能评定方法和功能障碍的临床表现。掌握：脑卒中康复的意义、目标与原则，脑卒中不同分期康复治疗的要点。教学时数

2学时教学内容：

1．脑卒中后功能障碍的表现和功能评定。2．脑卒中的康复医疗处理

急性期和恢复期的综合康复治疗方案和措施。3．脑卒中合并症和并发症的康复处理

介绍肩痛、肩手综合征、肌痉挛状态和吞咽障碍的处理。StrokerehabilitationObjectivesToknow:

Thetreatmentofcommoncomplicationsandcomplicationsinpatientswithstroke.

new

progressintherehabilitationofstroke.Toacquaint:

functionalevaluationofstrokeandclinicalmanifestationofdysfunctionTograsp:

thesignificance,objectivesandprinciplesofstrokerehabilitation,pointsofrehabilitationtreatmentfordifferentstagesofcerebralapoplexyCurricularHour:2Contents:Manifestationofpoststrokedysfunctionandfunctionalassessment;strokerehabilitationtreatment,comprehensiverehabilitationtreatmentandmeasuresduringacuteperiodandrecoveryperiodofstroke;therehabilitationofstrokecomplicationsandcomplications;treatmentoftheshoulderpain,shoulderhandsyndrome,musclespasmanddysphagia.（二）颅脑外伤康复目的要求了解：颅脑外伤及手术后的觉醒程度及功能预后的判断；重症脑外伤及植物状态的处理。熟悉：颅脑外伤及手术后的早期康复措施、认知障碍康复的主要评定和治疗方法。掌握：颅脑外伤康复的概念和原则。教学时数

2学时。教学内容:1．颅脑外伤及手术后觉醒状态的观测和预后。

2．急性期及早期康复治疗措施。3．认知障碍的功能评定和康复治疗方法。4．预后与预防。RehabilitationofbraininjuryObjectivesToknow:

JudgmentofthedegreeofawakeningandfunctionalprognosisaftertraumaticbraininjuryandsurgeryandthetreatmentofseveretraumaticbraininjuryandplantstatusToacquaint:

Earlyrehabilitationmeasuresaftertraumaticbraininjuryandsurgery；

primaryevaluationandtreatmentofcognitiveimpairmentTograsp:

ConceptandprinciplesofrehabilitationoftraumaticbraininjuryCurricularHour:2Contentsobservationandprognosisoftraumaticbraininjuryandpostoperativewakingstate;rehabilitationmeasuresinacutestageandearlypatientsfunctionalevaluationandrehabilitationtherapy;prognosisandpreventionofcognitiveimpairment（三）脊髓损伤康复目的要求了解：脊髓损伤预后的评价及临床处理措施。熟悉：脊髓损伤的常用评定方法及功能障碍特点；掌握：脊髓损伤的康复意义、常用评定方法及常用康复治疗方法，临床常见并发症的处理；教学时数

2学时教学内容1．脊髓损伤的功能评定

损伤水平和程度的评定。2．脊髓损伤的康复医疗

不同节段截瘫、神经源性膀胱和肠道、压疮等常见并发症和合并症的康复处理。3．脊髓损伤的预后。RehabilitationofspinalcordinjuryObjectivesToknow:

EvaluationofprognosisandclinicaltreatmentofspinalcordinjuryToacquaint:

CommonevaluationmethodsandfunctionalimpairmentofspinalcordinjuryTograsp:

Rehabilitationsignificanceofspinalcordinjury,commonlyusedassessmentmethodsandcommonlyusedrehabilitationtherapy,treatmentofcommonclinicalcomplicationsCurricularHour:2Contents:functionalevaluationofspinalcordinjury,theevaluationofthelevelanddegreeofinjury;rehabilitationofspinalcordinjury,Rehabilitationtreatmentofcommoncomplicationsandcomplicationsfor

differentsegmentsofparaplegiasuchasneurogenicbladder,intestinaltract,pressureulcer,etc.;prognosisofspinalcordinjury（四）小儿脑性瘫痪康复:目的要求了解：小儿脑瘫损伤的病因、病理生理、综合康复治疗技术和临床应用。熟悉：小儿脑瘫的功能评定、运动发育过程。掌握：小儿脑瘫的定义、康复目的、常用康复治疗内容。教学时数

2学时教学内容

1．小儿脑瘫的脑损伤病因、病理生理。2．小儿脑瘫的定义和分型。3．小儿脑瘫的功能评定。4．小儿脑瘫康复目的和主要方法。RehabilitationofchildrenwithcerebralpalsyObjectivesToknow:Etiology,pathophysiology,comprehensiverehabilitationtherapyandclinicalapplicationofcerebralpalsyinchildrenToacquaint:

FunctionalevaluationandmotordevelopmentofchildrenwithcerebralpalsyTograsp:Definitionofchildrenwithcerebralpalsy,rehabilitationpurposes,commonlyusedrehabilitationtherapyCurricularHour:2Contents:theetiologyandpathophysiologyofcerebralinjuryinchildrenwithcerebralpalsy;thedefinitionandclassificationofcerebralpalsy;functionalevaluationofchildrenwithcerebralpalsy;thepurposeandmainmethodsofrehabilitationforchildrenwithcerebralpalsy（五）

颈椎病康复目的要求了解：颈椎病的病因、发病机制和预防。熟悉：颈椎病的康复意义和综合的评定方法。掌握：颈椎病临床诊断、临床表现、分类、常用康复治疗方法。教学时数

2学时。教学内容颈椎病康复。RehabilitationofcervicalspondylosisObjectivesToknow：Etiology,pathogenesisandpreventionofcervicalspondylosisToacquaint:

TherehabilitationsignificanceandcomprehensiveevaluationmethodofcervicalspondylosisTograsp:

Clinicaldiagnosis,clinicalmanifestation,classificationandrehabilitationtreatmentofcervicalspondylosisCurricularHour:2Contents:Rehabilitationofcervicalspondylosis:rehabilitationmethodsanddevelopmentofcervicalspondylosis（六）腰腿痛康复目的要求：了解：腰腿痛的病因、发病机制和预防。熟悉：腰腿痛的康复意义和综合的评定方法。掌握：腰腿痛临床诊断、临床表现、分类、常用康复治疗方法。教学时数

1学时。教学内容腰椎间盘突出症康复。RehabilitationoflowbackpainObjectivesToknow：Etiology,pathogenesisandpreventionoflowbackpainToacquaint:

TherehabilitationsignificanceandcomprehensiveevaluationmethodoflowbackpainTograsp:Theclinicaldiagnosis,clinicalmanifestation,classification,commonrehabilitationtreatmentofpatientswithlowbackpainCurricularHour:1ContentsRehabilitationoflowbackpain:Rehabilitationmethodsanddevelopmentoflumbardischerniationandlumbarspinalstenosis.（七）肩周围炎康复目的要求了解：肩周围炎的病因、发病机制和预防。熟悉：肩周围炎的康复意义和综合的评定方法。掌握：肩周围炎临床诊断、临床表现、分类、常用康复治疗方法。教学时数

1学时。教学内容

肩周围炎康复。TherehabilitationofperiarthritisofshoulderObjectivesToknow：Etiology,pathogenesisandpreventionofperiarthritisofshoulderToacquaint:

TherehabilitationsignificanceandcomprehensiveevaluationofperiarthritisofshoulderTograsp:

Theclinicaldiagnosis,clinicalmanifestation,classificationandcommonrehabilitationtreatmentofpatientswithperiarthritisofshoulderCurricularHour:1Contents:Therehabilitationofperiarthritisofshoulder:rehabilitationmethodsandprogressof

therehabilitationofperiarthritisofshoulder.（八）关节炎康复目的要求了解：骨关节炎的临床处理。熟悉：骨关节炎的临床表现及评定。掌握：骨关节炎的康复治疗原则及常用的康复治疗方法，掌握日常生活中保护关节的方法。教学时数

1学时教学内容骨关节炎的临床表现、检查及评定；以及骨关节炎的临床处理和康复治疗方法，日常生活中保护关节的措施。ArthritisrehabilitationObjectivesToknow：

ClinicaltreatmentofarthritisToacquaint:

Classfication,clinicalmanifestationsandevaluationofarthritisTograsp:Theprincipleofrehabilitationtreatmentandcommonlyusedrehabilitationtherapyofarthritis,

themethodsofjointprotectionindailylife.CurricularHour:1Contents:Arthritisrehabilitation:clinicalmanifestation,examinationandevaluationofosteoarthritis;clinicaltreatmentandrehabilitationtreatmentofosteoarthritis;measuresforprotectingjointindailylife.（九）骨折后康复目的要求了解：骨折的临床处理。熟悉：骨折后的临床表现、检查与评定。掌握：骨折后康复的意义、治疗原则及常用治疗方法。教学时数

1学时教学内容骨折的临床类型、表现及功能状态、检查及功能评定，以及不同阶段的康复治疗要点。RehabilitationoffractureObjectivesToknow:

ClinicaltreatmentoffractureToacquaint:

Clinicalmanifestation,examinationandevaluationoffractureTograsp:Significance,treatmentprinciplesandcommontreatmentmethodsofrehabilitationafterfractureCurricularHour:1Contents:Rehabilitationoffracture:clinicaltypes,performanceandfunctionalstatus,examinationandevaluationofthefracture,aswellasthemainpointsofrehabilitationtreatmentatdifferentstages（十）关节置换康复目的要求了解：关节置换术的临床处理。熟悉：关节置换术后的检查和评定。掌握：关节置换术后康复的意义、治疗原则及常用治疗方法，掌握关节置换术后注意事项及日常生活中保护关节的方法。教学时数

1学时教学内容关节置换术后临床常见并发症、主要障碍、检查及评定方法及日常注意事项。ObjectivesToknow：

ClinicaltreatmentofjointreplacementToacquaint:

ExaminationandevaluationafterjointreplacementTograsp:Thesignificanceofrehabilitation,treatmentprinciplesandcommontreatmentmethodsafterjointreplacement,tograsptheattentionofjointreplacementandthewaytoprotectthejointsindailylifeCurricularHour:1Contents:RehabilitationafterartificialjointreplacementRehabilitationafterjointreplacement:commonclinicalcomplications,mainobstacles,examinationandevaluationmethodsanddailycare（十一）截肢康复目的要求了解：截肢的临床处理和残端要求。熟悉：截肢后残端的临床表现和障碍、检查及功能评定。掌握：截肢后康复的意义、治疗原则、残端早期处理及常用假肢装配和训练方法。教学时数

1学时教学内容截肢后早期残端处理和假肢装配及康复训练方法。AmputationrehabilitationObjectivesToknow：TheclinicalmanagementofamputationandthestumprequirementToacquaint:

Clinicalmanifestationandobstacle,examinationandfunctionevaluationofstumpafteramputationTograsp:

Significance,treatmentprinciplesofrehabilitationafteramputationandearlytreatmentofresidualendofamputationandcommonartificiallimbfittingandtrainingmethodCurricularHour:1Contents:Amputationrehabilitation:earlystumptreatmentandprostheticfittingandrehabilitationtrainingmethodsafteramputation（十二）手外伤康复目的要求了解：手外伤的临床处理。熟悉：手外伤术后的临床表现和障碍、检查与手功能评定方法。掌握：手外伤后康复的意义、治疗原则及常用治疗方法。教学时数

1学时教学内容:手外伤术后康复过程的主要临床表现和障碍、处理措施、检查和手功能评估、以及康复治疗方法。RehabilitationofhandinjuryObjectivesToknow：

ClinicaltreatmentofhandtraumaToacquaint:

Clinicalmanifestationsanddisorders,examinationandevaluationofhandfunctioninpatientswithhandinjuryTograsp:

Thesignificance,treatmentprinciplesandtreatmentof

rehabilitationafterhandinjuryCurricularHour:1ContentsRehabilitationofhandinjury:Mainclinicalmanifestationsandobstacles,treatmentmeasures,examinationandhandfunctionevaluation,andrehabilitationtreatmentofhandtrauma（十三）周围神经损伤康复目的要求了解：周围神经损伤的病因。熟悉：周围神经损伤的神经电生理检测和功能评定特点。掌握：周围神经损伤的分类、表现及康复治疗原则。教学时数

1学时教学内容

1．周围神经损伤的病因。2．周围神经损伤的分类、临床表现和功能障碍特点。3．周围神经损伤的检查和功能评定、以及主要康复治疗措施。RehabilitationofperipheralnerveinjuryObjectivesToknow:

ThecauseofperipheralnerveinjuryToacquaint:

CharacteristicsofnerveelectrophysiologydetectionandfunctionevaluationofperipheralnerveinjuryTograsp:

Classification,manifestationandrehabilitationtreatmentofperipheralnerveinjuryCurricularHour:1Contents:thecausesofperipheralnerveinjury;classification,clinicalmanifestationsandfeaturesofdysfunctionofperipheralnerveinjury;Examinationandevaluationofperipheralnerveandrehabilitationmeasures（十四）冠心病康复目的要求了解：冠心病的临床基础、预后和预防措施。熟悉：心血管的功能评定和运动处方；掌握：冠心病的临床诊断和康复治疗原则。教学时数

1学时教学内容1．冠心病的功能评定，含心功能分级、运动心电图测定。2．心肌梗死的康复程序和出院标准。CardiacrehabilitationObjectivesToknow：Theclinicalfoundation,prognosisandpreventionofcoronaryheartdiseaseToacquaint:

CardiovascularfunctionevaluationandexerciseprescriptionTograsp:

ClinicaldiagnosisandtheprincipleofrehabilitationtreatmentforcoronaryheartdiseaseCurricularHour:1Contents:functionalevaluationofcoronaryheartdisease,includescardiacfunctionclassification,exerciseECGmeasurement;Rehabilitationproceduresanddischargecriteriaformyocardialinfarction（十五）慢性阻塞性肺疾病康复目的要求了解：慢阻肺的临床基础、预后和预防措施。熟悉：肺功能评定和肺部康复方案；掌握：慢性阻塞性肺疾病的临床诊断和康复治疗原则。教学时数

1学时教学内容1．呼吸功能评定和COPD的损伤分级。2．COPD的物理治疗和气道分泌物廓清技术。RehabilitationofchronicobstructivepulmonarydiseaseObjectivesToknow：

Clinicalbasis,prognosisandpreventionofchronicobstructivepulmonarydiseaseToacquaint:

PulmonaryfunctionevaluationandpulmonaryrehabilitationprogramTograsp:

ClinicaldiagnosisandtheprincipleofrehabilitationtreatmentforchronicobstructivepulmonarydiseaseCurricularHour:1Contents:respiratoryfunctionassessmentanddamageclassificationofCOPD;physicaltherapyandairwaysecretionclearancetechniqueforCOPD.（十六）帕金森病康复目的要求了解：帕金森病的临床基础、预后和预防措施。熟悉：帕金森病的临床表现特点、检查和功能评定；基本康复治疗方案；掌握：帕金森病的临床诊断和康复治疗原则。教学时数

1学时教学内容1．帕金森病的临床表现、检查、诊断和评定。2．帕金森病的临床处理和康复治疗方案。RehabilitationofParkinson'sdiseaseObjectivesToknow：

Theclinicalfoundation,prognosisandpreventionofParkinson'sdiseaseToacquaint:

Clinicalfeatures,examinationandfunctionalevaluationofParkinson'sdisease;basicrehabilitationprogramTograsp:ClinicaldiagnosisandtheprincipleofrehabilitationtreatmentforParkinson'sdiseaseCurricularHour:1Contents:clinicalmanifestations,diagnosisandevaluationofParkinson'sdisease;clinicaltreatmentandrehabilitationprogramforParkinson'sdisease（十七）多发性硬化康复

目的要求了解：多发性硬化的临床基础、预后转归。熟悉：多发性硬化的临床表现特点、检查和功能评定；康复治疗方案；掌握：多发性硬化的临床诊断和康复治疗原则。教学时数

1学时教学内容1．多发性硬化的临床表现、检查、诊断和评定。2．多发性硬化的临床处理和康复治疗方案。RehabilitationofMultiplesclerosisObjectivesToknow：

theclinicalfoundationandtheprognosisofoutcomeformultiplesclerosisToacquaint:

Clinicalfeatures,examinationandfunctionalevaluationofmultiplesclerosis;basicrehabilitationprogramTograsp:ClinicaldiagnosisandtheprincipleofrehabilitationtreatmentformultiplesclerosisCurricularHour:1Contents:clinicalmanifestations,diagnosisandevaluationofmultiplesclerosis;clinicaltreatmentandrehabilitationprogramformultiplesclerosis（二）教学环节安排

（对各种教学环节的安排如：实验、实习、习题课、作业等以及本课程与其他相关课程的联系、分工等作必要说明）《康复医学》课程教学包括理论授课和临床见习两部分，教学总学时40学时，理论授课与临床见习之比为2：1；理论授课学时：22学时，见习时数：12学时，自学6学时。合格者获3学分。ii.TheOrganizationoftheCourse(Providenecessaryinformationontheorganizationofthecourse,includingtheexperiment,fieldtrip,in-classassignment,after-classassignment,andtherelationshipbetweenthiscourseandothercourses;)Rehabilitationmedicineteachingincludestwoparts:theoryteachingandclinicalprobation,thetotalteachinghoursis40hours,theratiooftheoryteachingandclinicalprobationis2:1;theoryteaching22hours:,clinicalobservation:12hours,self-study6hours.Eligible3credits.课程具体安排：（一）脑卒中康复

2

学时（二）颅脑外伤康复

2

学时（三）脊髓损伤康复

2

学时（四）小儿脑性瘫痪康复

2

学时（五）颈椎病康复

2

学时（六）腰腿痛（腰椎间盘突出症）康复

1

学时（七）肩关节周围炎康复

1

学时（八）骨关节炎康复

1

学时（九）骨折后康复

1

学时（十）关节置换术后康复

1

学时（十一）截肢后康复

1

学时（十二）手外伤术后康复

1

学时（十三）周围神经损伤康复

1

学时（十四）冠心病康复

1

学时（十五）慢阻肺康复

1

学时（十六）帕金森病康复

1

学时（十七）多发性硬化康复

1

学时Strokerehabilitation:

2hoursRehabilitationofbraininjury

2hoursRehabilitationofspinalcordinjury

2hoursRehabilitationofchildrenwithcerebralpalsy:

2hoursRehabilitationofcervicalspondylosis

2hoursRehabilitationoflowbackpain

1hourTherehabilitationofperiarthritisofshoulder

1hourArthritisrehabilitation

1hourRehabilitationoffracture

1hourRehabilitationafterartificialjointreplacement

1hourAmputationrehabilitation

1hourRehabilitationofhandinjury

1hourRehabilitationofperipheralnerveinjury

1hourCardiacrehabilitation

1hourRehabilitationofchronicobstructivepulmonarydisease

1hourRehabilitationofParkinson'sdisease

1hourRehabilitationofMultiplesclerosis

1hour（三）教学方法（包括课堂讲授、提问研讨，课后习题和答疑等情况）教学方式为临床小课与临床示教结合。1.应用多媒体教学软件大课讲授。2.临床见习。iii.TeachingMethodology(Specifythemetho