[{"data":1,"prerenderedAt":2055},["ShallowReactive",2],{"\u002Fblog\u002FPPS":3,"post-count":680,"series-global-data":681,"authors-all":846,"series-sidebar-神經物治剩餘章節":1041,"sidebar-authors":1954},{"id":4,"title":5,"author":6,"body":7,"date":666,"description":667,"draft":668,"edited_at":669,"extension":670,"featured_image":671,"meta":672,"navigation":673,"path":674,"pinned":668,"seo":675,"sitemap":676,"stem":677,"tags":678,"__hash__":679},"blog\u002Fblog\u002FPPS.md","PPS","hibiki12141132",{"type":8,"value":9,"toc":661},"minimark",[10,14,38,41,44,54,57,60,76,79,83,86,99,318,321,340,342,345,359,362,385,388],[11,12,13],"p",{},"先繼續讀這些好了，要拖更TBI了（沒想到還是用李老師的PPT上課）",[11,15,16,17,20,21,28,29,31,32,34,35,37],{},"這個病是由腸病毒導致的",[18,19],"br",{},"\n它會選擇性的攻擊腦內和脊髓裡的",[22,23,27],"span",{"className":24},[25,26],"underline","red-3","上運動神經元","，導致輕癱或癱瘓",[18,30],{},"\n主要靠人際接觸和攝入病毒",[18,33],{},"\n主要靠打疫苗預防",[18,36],{},"\n而最大宗的問題是小兒麻痺後症候群PPS",[11,39,40],{},"在台灣1982年全國大爆發，在1984年得到控制，並且在2000年被WHO宣佈台灣已無小兒麻痺",[11,42,43],{},"而小兒麻痺也分成了癱瘓型（病毒已穿過血腦屏瘴）和非癱瘓型（99.7%~99.9%）",[45,46,47,51],"ul",{},[48,49,50],"li",{},"發燒（約持續兩周）的特徵有：頭痛，喉嚨痛，體溫上升，嚴重的假性腦膜炎，觸碰或伸展時引發劇烈肌肉疼痛，弛緩性輕癱或癱瘓",[48,52,53],{},"發燒後兩周，運動神經元可能會呈現結果：未受影響，已恢復，已破壞（在EMG上表現為顫動）",[11,55,56],{},"康復進程：兩年內可回到最大值；三個月可恢復50%；六個月可恢復75%",[11,58,59],{},"功能性代償包括",[45,61,62,65,68],{},[48,63,64],{},"在超負荷狀況下使用肌肉（受影響的）",[48,66,67],{},"利用較強壯的肌肉代替受影響肌肉（會增加能量消耗）",[48,69,70,71],{},"利用韌帶高強度運作維持穩定（但以後會導致高活動度）",[45,72,73],{},[48,74,75],{},"這些問題未來會演變成小兒麻痺後症候群 PPS",[77,78],"hr",{},[80,81,5],"h2",{"id":82},"pps",[11,84,85],{},"PPS大概在小兒麻痺症急性期的35年後發生（延遲性的）",[11,87,88,89,91,92,96,98],{},"主要問題為ROM過大，肌肉輕癱和癱瘓",[18,90],{},"\n次要問題為疲勞，深層的肌肉疼痛，",[22,93,95],{"className":94},[25,26],"原本無事的肌肉也會無力",[18,97],{},"\n其他的問題包括肌肉痙攣，肌束顫動，怕冷，吞嚥困難，通氣不足，睡眠障礙",[100,101,102,126],"table",{},[103,104,105],"thead",{},[106,107,108,116,121],"tr",{},[109,110,112],"th",{"align":111},"left",[113,114,115],"strong",{},"健康與生活問題 (Health problems \u002F ADL problems)",[109,117,118],{"align":111},[113,119,120],{},"人數 (No.)",[109,122,123],{"align":111},[113,124,125],{},"百分比 (%)",[127,128,129,145,158,171,182,198,211,224,237,250,264,279,292,305],"tbody",{},[106,130,131,137,141],{},[132,133,134],"td",{"align":111},[113,135,136],{},"健康問題 (Health problems)",[132,138,139],{"align":111},[18,140],{},[132,142,143],{"align":111},[18,144],{},[106,146,147,150,153],{},[132,148,149],{"align":111},"* 疲勞 (Fatigue)",[132,151,152],{"align":111},"117",[132,154,155],{"align":111},[113,156,157],{},"89%",[106,159,160,163,166],{},[132,161,162],{"align":111},"* 肌肉疼痛 (Muscle pain)",[132,164,165],{"align":111},"93",[132,167,168],{"align":111},[113,169,170],{},"71%",[106,172,173,176,178],{},[132,174,175],{"align":111},"* 關節疼痛 (Joint pain)",[132,177,165],{"align":111},[132,179,180],{"align":111},[113,181,170],{},[106,183,184,190,194],{},[132,185,186,187],{"align":111},"* ",[113,188,189],{},"無力 (Weakness)",[132,191,192],{"align":111},[18,193],{},[132,195,196],{"align":111},[18,197],{},[106,199,200,203,206],{},[132,201,202],{"align":111},"     - 先前已受影響的肌肉 (Previously affected muscles)",[132,204,205],{"align":111},"91",[132,207,208],{"align":111},[113,209,210],{},"69%",[106,212,213,216,219],{},[132,214,215],{"align":111},"     - 先前未受影響的肌肉 (Previously unaffected muscles)",[132,217,218],{"align":111},"66",[132,220,221],{"align":111},[113,222,223],{},"50%",[106,225,226,229,232],{},[132,227,228],{"align":111},"* 耐寒性差 \u002F 怕冷 (Cold intolerance)",[132,230,231],{"align":111},"38",[132,233,234],{"align":111},[113,235,236],{},"29%",[106,238,239,242,245],{},[132,240,241],{"align":111},"* 肌肉萎縮 (Atrophy)",[132,243,244],{"align":111},"37",[132,246,247],{"align":111},[113,248,249],{},"28%",[106,251,252,256,260],{},[132,253,254],{"align":111},[18,255],{},[132,257,258],{"align":111},[18,259],{},[132,261,262],{"align":111},[18,263],{},[106,265,266,271,275],{},[132,267,268],{"align":111},[113,269,270],{},"日常生活活動問題 (ADL problems)",[132,272,273],{"align":111},[18,274],{},[132,276,277],{"align":111},[18,278],{},[106,280,281,284,287],{},[132,282,283],{"align":111},"* 走路 (Walking)",[132,285,286],{"align":111},"84",[132,288,289],{"align":111},[113,290,291],{},"64%",[106,293,294,297,300],{},[132,295,296],{"align":111},"* 爬樓梯 (Climbing stairs)",[132,298,299],{"align":111},"80",[132,301,302],{"align":111},[113,303,304],{},"61%",[106,306,307,310,313],{},[132,308,309],{"align":111},"* 穿衣服 (Dressing)",[132,311,312],{"align":111},"23",[132,314,315],{"align":111},[113,316,317],{},"17%",[11,319,320],{},"原因未明，但目前推論下來可能的機制有",[45,322,323,326,337],{},[48,324,325],{},"老化伴隨神經元流失（60歲）：那些病毒原本就有侵害過神經元，所以出現早衰現象",[48,327,328,329],{},"巨大運動單元的代謝要求增加，並伴隨軸突發芽的修剪",[45,330,331,334],{},[48,332,333],{},"Pruning（修剪）＞sprouting cause（發芽）：繼而導致肌無力和疲勞？",[48,335,336],{},"這些修剪太快的神經所支配的肌纖維出現去神經現象",[48,338,339],{},"巨大運動單元在神經節點處的神經衝動傳導不穩定或衰竭（已在EMG證實）",[77,341],{},[11,343,344],{},"PPS的診斷",[45,346,347,350,353,356],{},[48,348,349],{},"有小兒麻痺症病史",[48,351,352],{},"肌力和功能達到部份或完全恢復",[48,354,355],{},"有過一段穩定期",[48,357,358],{},"期間沒有其他疾病可以造成這些問題",[11,360,361],{},"檢查跟評估",[45,363,364,367,370,373,376,379,382],{},[48,365,366],{},"病史：包含手術史",[48,368,369],{},"MMT",[48,371,372],{},"ROM：看是否有活動度過大，過小，或是攣縮",[48,374,375],{},"分析身體活動能力：根據活動強度，時長，類型分析；以及進行ADL測試",[48,377,378],{},"觀察其習慣：睡姿，坐姿，站姿，步行姿勢",[48,380,381],{},"根據其問題，進行調整後的脊椎及上下肢篩檢評估",[48,383,384],{},"評估是否需要輔具介入",[11,386,387],{},"介入",[45,389,390,401,404],{},[48,391,392,393],{},"長期目標",[45,394,395,398],{},[48,396,397],{},"提供患者自我管理的原則跟方法",[48,399,400],{},"改變生活方式，減少肌肉過度的代謝負荷",[48,402,403],{},"衛教患者與家屬",[48,405,406,407],{},"針對以下問題處置",[45,408,409,471,493,524,540,551,567],{},[48,410,411,412],{},"疼痛",[45,413,414,428,468],{},[48,415,416,417],{},"肌肉痛：會同時出現在正常或無力的肌肉，且藥物或物理因子治療對緩解無效",[45,418,419,422,425],{},[48,420,421],{},"活動會增劇，休息會減輕",[48,423,424],{},"建議的方法有：做不會累的功能性活動；教導節能技巧；改變生活方弌",[48,426,427],{},"會需要數月才會恢復",[48,429,430,431],{},"關節痛：",[45,432,433,444,452,460],{},[48,434,435,436],{},"並非PPS直接導致的問題",[45,437,438,441],{},[48,439,440],{},"可能包括OA，薦髂關節炎，大轉子滑囊炎，膝關節與踝關節的韌帶鬆弛，髕股關節軌跡問題，肩膀夾擠，外上髁炎，腕隧道症候群",[48,442,443],{},"異常步態和姿勢異常",[48,445,446,447],{},"治療方法為",[45,448,449],{},[48,450,451],{},"休息，機械性矯正，冰敷（1天6~10次），NSAID，輔具，ROM，McConnell taping technique（可緩解髕股疼痛）",[48,453,454,455],{},"居家計劃",[45,456,457],{},[48,458,459],{},"抑制痙攣，伸展肌肉和筋膜，減少水腫，增加關節結構的營養",[48,461,462,463],{},"放鬆方法",[45,464,465],{},[48,466,467],{},"冥想，改良的太極，水中運動，身體覺查技術（Feldenkrais method）",[48,469,470],{},"其他類型的疼痛：來自軀幹手術的疼痛，減敏運動，TENS",[48,472,473,474],{},"異常疲勞",[45,475,476,479],{},[48,477,478],{},"程度嚴重，且與活動類型無關，基本每天固定在中午會發生，導致他們減少活動，使得社交圈變小",[48,480,481,482],{},"治療方法：",[45,483,484,487,490],{},[48,485,486],{},"教導不易引起疲勞的活動，和節能技巧",[48,488,489],{},"將活動分段拆開，安排密集的休息時間",[48,491,492],{},"如有必要，請病假4~6周或辦理退休",[48,494,495,496],{},"新肌肉無力：基本顯現在重複性與維持穩定的肌肉，而非單次最大收縮的肌肉",[45,497,498,501,518,521],{},[48,499,500],{},"不易使用MMT檢測",[48,502,503,504],{},"徵象",[45,505,506,509,512,515],{},[48,507,508],{},"使用EMG可測出肌束顫動",[48,510,511],{},"肌肉痙攣",[48,513,514],{},"肌肉萎縮",[48,516,517],{},"血液中的CK值上升",[48,519,520],{},"可能原因是overuse",[48,522,523],{},"治療方式與疲勞相似",[48,525,526,527],{},"怕冷",[45,528,529,532],{},[48,530,531],{},"因為交感神經被侵害，使動靜脈收縮能力下降，導致熱量散失",[48,533,534,535],{},"患者會抗拒在受傷部位冰敷",[45,536,537],{},[48,538,539],{},"需衛教",[48,541,542,543],{},"睡眠障礙",[45,544,545,548],{},[48,546,547],{},"原因可能為：疼痛，壓力，換氣不足，阻塞性睡眠中止症",[48,549,550],{},"PT可以緩解疼痛，且可利用氣墊床，護頸枕等進行睡眠姿勢調整",[48,552,553,554],{},"危及生命情況",[45,555,556,559],{},[48,557,558],{},"通氣不足，吞嚥困難，心肺功能不全，當年的小兒麻痺導致的延髓病變並伴有嚴重駝背或側彎",[48,560,561,562],{},"PT能做的",[45,563,564],{},[48,565,566],{},"調整活動，導致舌咽呼吸法GPB，徒手協助排痰，支氣管引流",[48,568,569,570],{},"減輕肌肉的負荷",[45,571,572,592,595,609,637,645],{},[48,573,574,575],{},"節能技巧",[45,576,577,580,583,586,589],{},[48,578,579],{},"同一趟做多件事",[48,581,582],{},"用不費力的技巧做",[48,584,585],{},"利用科技",[48,587,588],{},"一件事拆開做，分段休息",[48,590,591],{},"可請人代勞",[48,593,594],{},"減重",[48,596,597,598],{},"移動方式",[45,599,600,603,606],{},[48,601,602],{},"疼痛，疲勞，無力的原因為能因長年柱拐杖或手推輪椅",[48,604,605],{},"手腕和手部有較高機率患OA",[48,607,608],{},"可改用電動輪椅",[48,610,611,612],{},"姿勢矯正",[45,613,614,631,634],{},[48,615,616,617],{},"可能因為軀幹肌肉輕瘓，骨盤基底不對策，腰椎與頸椎生理曲線喪失",[45,618,619,622,625,628],{},[48,620,621],{},"在坐姿下，利用機械性方式重建腰椎生理曲線",[48,623,624],{},"針對腹肌癱瘓，可使用馬甲（corsets）",[48,626,627],{},"頸部無力，可使用頸圈",[48,629,630],{},"嚴重的軀幹肌肉癱瘓或側彎，可使用馬甲，背架，或貼身塑型裝具(Molded body jackets)",[48,632,633],{},"拉伸（需評估是否必要）",[48,635,636],{},"溫和的肌筋膜放鬆，可減少疼痛與痙攣，增加被拉伸區域的營養供給，延長肌肉",[48,638,639,640],{},"矯具：PPS患者對於矯具的印象是負面的",[45,641,642],{},[48,643,644],{},"可穿戴HKAFO",[48,646,647,648],{},"運動：需非常保守，因為PPS病人又無力又會疼痛還會累",[45,649,650,658],{},[48,651,652,653],{},"強度是最大的一半，次數減半，休息加倍",[45,654,655],{},[48,656,657],{},"假如這個標準下疲勞不超高30分鐘，兩天內消失，不會疼，就用這個標準繼續",[48,659,660],{},"要知道是過勞問題還是廢用",{"title":662,"searchDepth":663,"depth":663,"links":664},"",2,[665],{"id":82,"depth":663,"text":5},"2026-06-02","小兒麻痺後症候群",false,"2026-06-19","md","\u002Fimages\u002Fuploads\u002F1781850952157-146057302-991362560592f4752f3b0dc4f831919a_p0_master1200.webp",{},true,"\u002Fblog\u002FPPS",{"title":5,"description":667},{"loc":674},"blog\u002FPPS",null,"E74r6tCUoUIpSgLGEq2kfIygfKNEPo6D8NWB-KblAbg",153,{"id":682,"extension":683,"meta":684,"series":685,"stem":844,"__hash__":845},"series\u002Fseries.json","json",{},{"微積分教學":686,"生活紀錄":689,"Motor Control":691,"生活隨筆":705,"Motor 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palsy（小費手），或肱骨骨折引起的橈神經損傷",[48,1558,1559],{},"撕裂型損傷：如切傷",[48,1561,1562,1563],{},"壓迫性損傷：缺血，或機械性壓迫",[45,1564,1565],{},[48,1566,1567],{},"例如給別人枕著自己的手睡覺",[11,1569,1570],{},"以神經損傷類型，從輕到重分別為",[45,1572,1573,1587,1601],{},[48,1574,1575,1576],{},"神經失用症（一級損傷）",[45,1577,1578,1581,1584],{},[48,1579,1580],{},"會出現暫時性傳導阻斷，並伴有脫髓鞘",[48,1582,1583],{},"對叩擊測試無反應",[48,1585,1586],{},"若讓區域髓鞘再生，可完全恢復，時間若需12周",[48,1588,1589,1590],{},"軸突退化（二級損傷）",[45,1591,1592,1595,1598],{},[48,1593,1594],{},"受傷的神經遠端會出現瓦勒氏退化，且會往近端漫延至少一個郎氏結（node of Ranvier）",[48,1596,1597],{},"有去神經化病變",[48,1599,1600],{},"軸突再生會按照每月1 inch\u002F每天1 mm的速度再生（當神經重新支配後可完全恢復）",[48,1602,1603,1604],{},"神經斷傷（三，四，五級損傷）",[45,1605,1606,1622,1639],{},[48,1607,1608,1609],{},"三級：與二級類似，但較嚴重（傷及內膜）",[45,1610,1611],{},[48,1612,1613,1614],{},"內膜並非完好無缺，有可能導致軸突長回原本支配的地方",[45,1615,1616,1619],{},[48,1617,1618],{},"會有神經誤接問題",[48,1620,1621],{},"去神經過久，且距離受傷部位過遠，可能導致再支配不完全",[48,1623,1624,1625],{},"四級：傷及束膜（亂長）",[45,1626,1627,1630,1633,1636],{},[48,1628,1629],{},"受傷部位會出現大量疤痕組織，並阻礙軸突向受傷部重再生",[48,1631,1632],{},"有去神經病變",[48,1634,1635],{},"受傷的level可用叩擊測試觀察到，但不會超高受傷level",[48,1637,1638],{},"只能做手術接回去，軸突才會繼續再生並再支配",[48,1640,1641,1642],{},"五級：完全斷裂",[45,1643,1644],{},[48,1645,1646],{},"需做手術接回去才能恢復",[77,1648],{},[11,1650,1651],{},"診斷可利用",[45,1653,1654,1665],{},[48,1655,1656,1657],{},"EMG",[45,1658,1659,1662],{},[48,1660,1661],{},"可在神經損傷發生4周後測試",[48,1663,1664],{},"若為顫動電位，代表去神經化；若有運動單位電位，代表再支配",[48,1666,1667,1668],{},"神經傳導檢查",[45,1669,1670],{},[48,1671,1672],{},"可確認病變部位及程度",[11,1674,1675],{},"PNI的症狀包括",[45,1677,1678,1681,1684],{},[48,1679,1680],{},"運動症狀：肌肉麻痺，動作模式改變（代償），攣縮",[48,1682,1683],{},"感覺症狀：感覺喪失，疼痛",[48,1685,1686,1687],{},"交感神經症狀：",[45,1688,1689,1692,1695,1698,1701],{},[48,1690,1691],{},"皮膚乾燥，變薄，失去彈性",[48,1693,1694],{},"指甲出現修紋，變脆",[48,1696,1697],{},"毛髮變長，變濃密，顏色變深",[48,1699,1700],{},"血流量減少，顏色變深",[48,1702,1703],{},"皮下組織萎縮",[11,1705,1706,1707,1709],{},"PNI的初期治療，首先保護關節，包括周圍韌帶和肌腱，以免進一步受壓",[18,1708],{},"\n可利用副木（橈神經損傷），懸吊帶（BPI），或兩者兼用",[11,1711,1712],{},"早期階段，在受影響關節進行PROM，對未受影響的關節進行AROM\u002FARROM",[11,1714,1715,1716,1718,1719,1721],{},"以電刺激可來預防肌肉退化（臨床上會用，雖研究上沒有實證）",[18,1717],{},"\n若為去神經肌肉，用直流電；若為再支配肌肉，用交流電",[18,1720],{},"\n亦可利用運動與生物回饋增加再支配肌肉的肌力",[11,1723,1724],{},"以下為手術的適應症",[45,1726,1727,1730,1733],{},[48,1728,1729],{},"閉合性損傷：在受傷後三個月，用EMG或電學檢查，沒有恢復的跡象",[48,1731,1732],{},"開放性損傷：凡是感覺喪失或運動無力的個案，應手術處置",[48,1734,1735],{},"擠壓傷：若在三個月後，經檢查無恢復跡象，應手術處置",[11,1737,1738],{},"手術的處置分別為神經修復，神經移植，神經轉移",[11,1740,1741],{},"術前評估包括感覺評估（兩點辦識覺和輕觸覺）和運動評估（握力和MMT）",[11,1743,1744,1745,1747,1748,1750],{},"在術後，需先用厚敷料固定好，神經修復需固定3周；神經移植需固定10~14天",[18,1746],{},"\n可對固定區域附近的近遠端關節做ROM",[18,1749],{},"\n配戴好副木固定，隨後進行運動",[45,1752,1753,1756],{},[48,1754,1755],{},"維持未受影響運動的肌力",[48,1757,1758],{},"可進行感覺與運動再教育，將治療最大化",[11,1760,1761],{},"那軸突也有三種生理機制",[45,1763,1764,1767,1770],{},[48,1765,1766],{},"一種是快軸突運輸，用來運送離子通道跟神經傳導物質（100~400mm\u002Fday）",[48,1768,1769],{},"一種是慢軸突運輸，用來維持神經細胞健康（6mm\u002Fday）",[48,1771,1772],{},"一種是逆軸突運輸，用來影響細胞核活動（200mm\u002Fday）",[77,1774],{},[11,1776,1777],{},"PNI類型分別有",[45,1779,1780,1791,1811],{},[48,1781,1782,1783],{},"創傷",[45,1784,1785,1788],{},[48,1786,1787],{},"開放性損傷：刀割，骨折，槍傷，燒傷等",[48,1789,1790],{},"閉合性損傷：腔室症候群，骨折\u002F脫位，電燒傷，輻射，注射",[48,1792,1793,1794],{},"壓迫",[45,1795,1796,1799,1802,1805,1808],{},[48,1797,1798],{},"橈神經",[48,1800,1801],{},"尺神經",[48,1803,1804],{},"正中神經",[48,1806,1807],{},"坐骨神經",[48,1809,1810],{},"總腓神經",[48,1812,1813,1814],{},"病變",[45,1815,1816,1819,1822,1825,1828,1831],{},[48,1817,1818],{},"遺傳",[48,1820,1821],{},"原發性",[48,1823,1824],{},"疾病",[48,1826,1827],{},"內分泌",[48,1829,1830],{},"環境毒物",[48,1832,1833],{},"營養不良",[11,1835,1836],{},"BPI（嗯對又是BPI）",[45,1838,1839,1842],{},[48,1840,1841],{},"Erb-Duchenne paralysis：是C5~C6受損，呈現下垂姿勢，在肩內收，肩內旋，前臂旋前，手指屈曲的姿勢；（5%機率伴有呼吸困難）",[48,1843,1844],{},"Klumpke paralysis：是C8~T1受損，三頭肌，前臂旋前肌，腕曲肌，手部內在肌無力；有霍納氏症候群",[11,1846,1847],{},"Bell's 麻痺：15%的人長期患有顏面功能障礙，恢復期需2周~1年不等；治療包括電刺激，按摩，熱敷，視覺回饋",[77,1849],{},[11,1851,1852],{},"照護",[45,1854,1855,1878],{},[48,1856,1857,1858],{},"失用症與軸突損傷：",[45,1859,1860,1863,1866,1869,1872,1875],{},[48,1861,1862],{},"癒合期用最少程度的固定",[48,1864,1865],{},"減少水腫",[48,1867,1868],{},"衛教",[48,1870,1871],{},"AROM\u002FPROM",[48,1873,1874],{},"皮膚照護",[48,1876,1877],{},"手部的功能性使用",[48,1879,1880,1881],{},"神經斷裂",[45,1882,1883,1891,1902],{},[48,1884,1885,1886],{},"急性期",[45,1887,1888],{},[48,1889,1890],{},"固定，減少水腫，維持ROM，衛教，監測疼痛",[48,1892,1893,1894],{},"早期復健階段",[45,1895,1896,1899],{},[48,1897,1898],{},"四周後移除副木，減少水腫，改善ROM，衛教",[48,1900,1901],{},"禁忌症：抬高患肢，阻力運動，拉伸，用力抓握，提重物",[48,1903,1904,1905],{},"後期復健階段",[45,1906,1907,1910,1913],{},[48,1908,1909],{},"改善肌力、動作協調、功能性活動，預防攣縮",[48,1911,1912],{},"訓練項目：阻力運動，握力，提重物，ADL",[48,1914,1915],{},"皮膚照護，工作評估，副木配戴評估，後續追蹤",[11,1917,1918],{},"整體評估內容",[45,1920,1921,1924,1927,1929,1932,1935,1938,1941],{},[48,1922,1923],{},"損傷程度",[48,1925,1926],{},"水腫",[48,1928,411],{},[48,1930,1931],{},"ROM",[48,1933,1934],{},"皮膚狀況",[48,1936,1937],{},"感覺喪失，",[48,1939,1940],{},"肌肉癱瘓",[48,1942,1943],{},"畸型",{"title":662,"searchDepth":663,"depth":663,"links":1945},[],"周邊神經損傷","\u002Fimages\u002Fuploads\u002F1781874613115-146192617_p0_master1200.webp",{},"\u002Fblog\u002FPNI",{"title":843,"description":1946},{"loc":1949},"blog\u002FPNI","NmKnQnRtZ1WKktcxf-vqCAgLPlhxuTyV9JEoaGbkbpQ",[1955,1964,1973,1982,1991,2000,2009,2018,2027,2038],{"id":848,"title":849,"avatar":850,"banner":678,"bio":851,"body":1956,"description":662,"extension":670,"meta":1960,"name":849,"navigation":673,"path":857,"seo":1961,"sitemap":1962,"social":1963,"stem":864,"__hash__":865},{"type":8,"value":1957,"toc":1958},[],{"title":662,"searchDepth":663,"depth":663,"links":1959},[],{},{"description":662},{"loc":857},{"website":861,"twitter":862,"github":863},{"id":867,"title":868,"avatar":869,"banner":870,"bio":871,"body":1965,"description":662,"extension":670,"meta":1969,"name":877,"navigation":673,"path":878,"seo":1970,"sitemap":1971,"social":1972,"stem":884,"__hash__":885},{"type":8,"value":1966,"toc":1967},[],{"title":662,"searchDepth":663,"depth":663,"links":1968},[],{},{"description":662},{"loc":878},{"github":882,"twitter":662,"website":883},{"id":887,"title":888,"avatar":889,"banner":890,"bio":891,"body":1974,"description":662,"extension":670,"meta":1978,"name":897,"navigation":673,"path":898,"seo":1979,"sitemap":1980,"social":1981,"stem":903,"__hash__":904},{"type":8,"value":1975,"toc":1976},[],{"title":662,"searchDepth":663,"depth":663,"links":1977},[],{},{"description":662},{"loc":898},{"github":902,"twitter":662},{"id":906,"title":907,"avatar":908,"banner":678,"bio":909,"body":1983,"description":662,"extension":670,"meta":1987,"name":907,"navigation":673,"path":915,"seo":1988,"sitemap":1989,"social":1990,"stem":920,"__hash__":921},{"type":8,"value":1984,"toc":1985},[],{"title":662,"searchDepth":663,"depth":663,"links":1986},[],{},{"description":662},{"loc":915},{"github":919},{"id":923,"title":924,"avatar":925,"banner":678,"bio":926,"body":1992,"description":662,"extension":670,"meta":1996,"name":924,"navigation":673,"path":932,"seo":1997,"sitemap":1998,"social":1999,"stem":937,"__hash__":938},{"type":8,"value":1993,"toc":1994},[],{"title":662,"searchDepth":663,"depth":663,"links":1995},[],{},{"description":662},{"loc":932},{"github":936},{"id":940,"title":941,"avatar":678,"banner":678,"bio":942,"body":2001,"description":662,"extension":670,"meta":2005,"name":941,"navigation":673,"path":948,"seo":2006,"sitemap":2007,"social":2008,"stem":952,"__hash__":953},{"type":8,"value":2002,"toc":2003},[],{"title":662,"searchDepth":663,"depth":663,"links":2004},[],{},{"description":662},{"loc":948},{"github":662},{"id":955,"title":956,"avatar":957,"banner":678,"bio":958,"body":2010,"description":662,"extension":670,"meta":2014,"name":956,"navigation":673,"path":964,"seo":2015,"sitemap":2016,"social":2017,"stem":969,"__hash__":970},{"type":8,"value":2011,"toc":2012},[],{"title":662,"searchDepth":663,"depth":663,"links":2013},[],{},{"description":662},{"loc":964},{"github":968},{"id":972,"title":973,"avatar":974,"banner":975,"bio":976,"body":2019,"description":662,"extension":670,"meta":2023,"name":973,"navigation":673,"path":982,"seo":2024,"sitemap":2025,"social":2026,"stem":987,"__hash__":988},{"type":8,"value":2020,"toc":2021},[],{"title":662,"searchDepth":663,"depth":663,"links":2022},[],{},{"description":662},{"loc":982},{"github":986,"twitter":662},{"id":990,"title":991,"avatar":992,"banner":993,"bio":994,"body":2028,"description":999,"extension":670,"meta":2034,"name":991,"navigation":673,"path":1003,"seo":2035,"sitemap":2036,"social":2037,"stem":1009,"__hash__":1010},{"type":8,"value":2029,"toc":2032},[2030],[11,2031,999],{},{"title":662,"searchDepth":663,"depth":663,"links":2033},[],{},{"description":999},{"loc":1003},{"twitter":1007,"github":1008},{"id":1012,"title":1013,"avatar":1014,"banner":678,"bio":1015,"body":2039,"description":1020,"extension":670,"meta":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