WEBVTT00:00:01.280 --> 00:00:03.500嗯咽炎需要治疗吗00:00:06.280 --> 00:00:08.060今天分享这个话题00:00:09.080 --> 00:00:10.840分为咽炎的基础知识00:00:10.840 --> 00:00:13.580激光治疗咽炎的原理和优势00:00:14.080 --> 00:00:16.480激光治疗在咽炎中的应用范围00:00:16.480 --> 00:00:19.700和激光治疗前后的注意事项00:00:20.000 --> 00:00:21.840和激光治疗的效果00:00:21.840 --> 00:00:26.380评价咽炎患者日常管理的建议00:00:28.400 --> 00:00:30.540第一个咽炎的基础知识00:00:31.240 --> 00:00:32.900咽炎的定义和分类00:00:34.160 --> 00:00:36.980咽炎就是指咽部黏膜00:00:37.520 --> 00:00:41.340或黏膜下的淋巴组织发生的炎症00:00:42.240 --> 00:00:42.880咽炎的分类00:00:42.880 --> 00:00:45.800一般分为急性咽炎和慢性炎00:00:45.800 --> 00:00:47.600根据病因00:00:47.600 --> 00:00:51.060可分为细菌性咽炎和病毒性咽炎等00:00:53.040 --> 00:00:57.080他发病的原因有咽炎一般是由细菌00:00:57.080 --> 00:00:58.240病毒感染引起00:00:58.240 --> 00:01:01.780也可由物理化学因素刺激导致00:01:02.160 --> 00:01:06.140他的危险因素一般包括抽烟饮酒00:01:06.840 --> 00:01:08.720吸食辛辣的食品00:01:08.720 --> 00:01:12.100环境的污染就空气中的颗粒和粉尘00:01:12.720 --> 00:01:13.920胃食管反流00:01:13.920 --> 00:01:16.980都会增加咽炎的发病风险00:01:18.120 --> 00:01:19.780它的临床表现00:01:21.800 --> 00:01:23.760以及诊断的依据00:01:23.760 --> 00:01:25.560临床表现就是00:01:25.560 --> 00:01:28.160咽炎患者常出现咽痛00:01:28.160 --> 00:01:29.000就咽喉疼00:01:29.000 --> 00:01:32.100咽干呃咽痒00:01:33.080 --> 00:01:35.660咽喉这里像一个棉花团一样的咳嗽00:01:36.520 --> 00:01:39.000或吞咽困难等症状00:01:39.000 --> 00:01:41.360严重时可能急性发热00:01:41.360 --> 00:01:44.980可能有发热头痛等全身的症状00:01:47.240 --> 00:01:48.120诊断的依据00:01:48.120 --> 00:01:50.120就根据患者的病史描述00:01:50.120 --> 00:01:52.140和临床的症状表现00:01:52.280 --> 00:01:54.680以及结合咽部的检查00:01:54.680 --> 00:01:56.380可做出咽炎的诊断00:01:57.040 --> 00:02:01.540咽部检查可见咽部的黏膜充血00:02:02.680 --> 00:02:04.800嗯肿胀00:02:04.800 --> 00:02:09.460咽后壁淋巴细胞淋巴滤泡增生等00:02:11.520 --> 00:02:16.860常用的治疗方法一般包括口腔清洁00:02:18.360 --> 00:02:20.520多饮水避免刺激性食物00:02:20.520 --> 00:02:23.260有助于减轻咽部不适00:02:24.600 --> 00:02:26.760药物治疗根据病原体00:02:26.760 --> 00:02:30.240选择适当的抗生素或抗病毒的药物00:02:30.240 --> 00:02:32.120同时具局部用药00:02:32.120 --> 00:02:35.700如各种含片各种咽炎的漱口液00:02:36.480 --> 00:02:38.700激光治疗咽炎主要是通过00:02:38.720 --> 00:02:42.700光化学作用使咽部病变组织凝固00:02:43.080 --> 00:02:44.780气化碳化00:02:46.000 --> 00:02:47.600从而达到治疗目的00:02:47.600 --> 00:02:50.160激光治疗具有创伤创伤小00:02:50.160 --> 00:02:51.500恢复快的优点00:02:51.720 --> 00:02:55.940但需要在专业的医生指导下进行00:02:58.440 --> 00:03:01.800下面说一下激光治疗咽炎的原理00:03:01.800 --> 00:03:04.980优势激光治疗的原理简介00:03:05.520 --> 00:03:09.180激光产生高的能量00:03:09.400 --> 00:03:10.600激光治疗仪器00:03:10.600 --> 00:03:13.080通过将高能量激光束00:03:13.080 --> 00:03:14.780照射到咽部病灶00:03:14.960 --> 00:03:16.340达到治疗目的00:03:16.560 --> 00:03:18.140激光的精确性00:03:18.520 --> 00:03:19.160激光束00:03:19.160 --> 00:03:22.780可以精确控制其照射的范围和深度00:03:23.200 --> 00:03:26.620从而减少对周围正常组织的损伤00:03:26.840 --> 00:03:28.180就是直达病灶00:03:29.280 --> 00:03:31.740激光的生物学效应00:03:31.880 --> 00:03:34.860激光照射能够改变生物组织的结构00:03:35.000 --> 00:03:37.020促进细胞再生和修复00:03:37.200 --> 00:03:39.260从而缓解填补症状00:03:42.800 --> 00:03:45.140激光的咽炎病灶作用极低00:03:46.080 --> 00:03:49.100第一个激励是破破坏病灶组织00:03:49.480 --> 00:03:50.440激光的高能量00:03:50.440 --> 00:03:53.660可以瞬间破坏咽炎病灶组织00:03:53.840 --> 00:03:57.020消除炎症肿胀疼痛等症状00:03:57.440 --> 00:03:59.580这样是促进局部血液循环00:03:59.640 --> 00:04:03.440激光照射能够刺激咽部血液循环00:04:03.440 --> 00:04:04.980加速新陈代谢00:04:05.200 --> 00:04:07.780促进炎柱的消散和修复00:04:10.000 --> 00:04:11.540增强免疫力00:04:12.400 --> 00:04:13.360这激光照射00:04:13.360 --> 00:04:16.120可以提高咽部局部免疫力00:04:16.120 --> 00:04:18.620增强机体对病原体的抵抗力00:04:18.840 --> 00:04:21.620减少咽炎的反复的发作00:04:22.800 --> 00:04:24.640激光治疗的优势第一00:04:24.640 --> 00:04:27.620它有明确显著的效果00:04:28.000 --> 00:04:30.400激光治疗咽炎效果显著00:04:30.400 --> 00:04:34.820可迅速缓解咽痛咳嗽等症状00:04:35.240 --> 00:04:37.660从而提高患者的生活质量00:04:37.760 --> 00:04:40.780安全性高因为激光治疗咽炎00:04:41.040 --> 00:04:43.600安全性是对周围的组织损伤小00:04:43.600 --> 00:04:44.940因为它直达病灶00:04:45.600 --> 00:04:47.400激光照射术后恢复快00:04:47.400 --> 00:04:50.300不影响正常的工作和生活00:04:52.120 --> 00:04:53.200这个激光治疗液00:04:53.200 --> 00:04:55.880属于无创或者微创的治疗00:04:55.880 --> 00:04:58.620患者痛苦小易接受00:05:01.520 --> 00:05:04.020注意事项禁忌症00:05:04.560 --> 00:05:07.040注意事项就是激光治疗前00:05:07.040 --> 00:05:08.880后去保持咽部清洁00:05:08.880 --> 00:05:09.760避免感染00:05:09.760 --> 00:05:11.940治疗时去配合医生的操作00:05:12.480 --> 00:05:14.980避免照射到眼睛等敏感部位00:05:15.000 --> 00:05:17.340治疗后需要定期的复查00:05:17.800 --> 00:05:20.740观察治疗效果和恢复的情况00:05:22.440 --> 00:05:24.760禁忌症就是咽炎00:05:24.760 --> 00:05:25.520激光治疗店00:05:25.520 --> 00:05:28.540并非适合所有的咽炎患者00:05:28.760 --> 00:05:30.960如孕妇哺乳期的妇女00:05:30.960 --> 00:05:34.520免疫免疫系统疾病的患者等00:05:34.520 --> 00:05:35.980需谨慎使用00:05:36.400 --> 00:05:38.780对于咽部有局部有溃疡00:05:38.920 --> 00:05:40.500坏死病灶的患者00:05:40.840 --> 00:05:43.960以及对激光过敏者等00:05:43.960 --> 00:05:45.740不能使用激光治疗00:05:48.880 --> 00:05:50.480第三个部分00:05:50.480 --> 00:05:53.220激光治疗在咽炎中的应用范围00:05:55.360 --> 00:05:57.940急性咽炎激光治疗策略00:05:58.880 --> 00:06:00.860激光照射咽部00:06:01.720 --> 00:06:03.160激光照射咽部00:06:03.160 --> 00:06:05.180对咽部黏膜进行照射00:06:05.560 --> 00:06:07.780从而达到改变00:06:09.560 --> 00:06:12.160改善咽部血液循环00:06:12.160 --> 00:06:13.900缓解症状的目的00:06:14.320 --> 00:06:16.640激光烧灼淋巴滤泡00:06:16.640 --> 00:06:19.840对淋巴滤泡增生明显的患者00:06:19.840 --> 00:06:22.000可采用激光烧灼滤泡00:06:22.000 --> 00:06:24.540减少它的炎性分泌物00:06:25.680 --> 00:06:27.320激光治疗同时配合药物00:06:27.320 --> 00:06:31.860激光治疗同时可以适当配合抗生素00:06:32.280 --> 00:06:34.400就是头孢之类的抗病毒的药物00:06:34.400 --> 00:06:36.520就中医清热解毒了00:06:36.520 --> 00:06:38.500提高效果00:06:42.080 --> 00:06:44.780慢性咽炎激光治疗的技巧00:06:50.080 --> 00:06:52.380通过激光照射咽部00:06:52.440 --> 00:06:56.300促进黏咽部的黏膜修复和再生00:06:56.400 --> 00:06:58.620从而减轻咽部的异物感00:07:02.800 --> 00:07:03.000接耳00:07:03.000 --> 00:07:06.080激光切割肥厚组织对咽部肥厚的00:07:06.080 --> 00:07:07.580患明显的患者00:07:07.600 --> 00:07:10.160可采用激光切割部分肥厚组织00:07:10.160 --> 00:07:12.860改善通气和吞咽功能00:07:13.320 --> 00:07:17.040激光治疗结合微波射频的物理治疗00:07:17.040 --> 00:07:18.780提高治疗的效果00:07:21.480 --> 00:07:25.060单纯性咽炎与肥厚咽炎的治疗差异00:07:25.120 --> 00:07:28.180单性咽炎的治疗以激光照射为主00:07:28.560 --> 00:07:32.240促进咽部黏膜的修复和再生00:07:32.240 --> 00:07:34.680缓解症状00:07:34.680 --> 00:07:36.560肥厚性咽炎的激光治疗00:07:36.560 --> 00:07:39.820治疗在激光照射的基础上00:07:39.920 --> 00:07:43.360需要结合激光切割的方法去除00:07:43.360 --> 00:07:45.200掉肥厚的咽部组织00:07:45.200 --> 00:07:49.420改善咽部的通气以及吞咽功能00:07:50.680 --> 00:07:52.060治疗方案的差异00:07:52.200 --> 00:07:53.840因为单纯咽炎治疗00:07:53.840 --> 00:07:55.620激光的次数比较少00:07:55.920 --> 00:07:59.040肥厚性咽炎的治疗需要多次的治疗00:07:59.040 --> 00:08:00.500而且治疗过程中00:08:00.720 --> 00:08:04.700需要保护咽部正常的组织00:08:08.840 --> 00:08:11.100激光治疗前后的注意事项00:08:11.600 --> 00:08:15.620就是患者准备工作和以及心理准备00:08:16.000 --> 00:08:17.200第一患者需要了解00:08:17.200 --> 00:08:19.040激光治疗的基本的原理00:08:19.040 --> 00:08:20.500和治疗的效果00:08:21.600 --> 00:08:23.420以及治疗的过程00:08:24.160 --> 00:08:26.760以便要对治疗有正确的期望值00:08:26.760 --> 00:08:29.160和治疗的信心00:08:29.160 --> 00:08:31.680准备术前的检查00:08:31.680 --> 00:08:34.460患者需进行全面术前检查00:08:34.800 --> 00:08:37.580包括咽喉部检查00:08:38.279 --> 00:08:40.539血常规凝血功能等00:08:40.759 --> 00:08:45.700确保身体状况符合激光手术的要求00:08:45.920 --> 00:08:48.400心理准备激光治疗过程当中啊00:08:48.400 --> 00:08:50.980可能有一定的疼痛和不适00:08:51.280 --> 00:08:52.920需要患者做好心理准备00:08:52.920 --> 00:08:54.460保持放松00:08:56.280 --> 00:08:58.780松开紧张的情绪和状态00:09:00.600 --> 00:09:03.300手术前的评估和以方案设计00:09:03.560 --> 00:09:04.900病情评估呢00:09:05.720 --> 00:09:08.180医生需要对患者进行全面的评估00:09:08.640 --> 00:09:10.480确定激光治疗的适应症00:09:10.480 --> 00:09:11.980和他的禁忌症00:09:12.120 --> 00:09:13.380方案设计00:09:15.360 --> 00:09:18.000根据患者病情和激光设备的特点00:09:18.000 --> 00:09:18.900医生需00:09:20.360 --> 00:09:22.200制定个性化的治疗方案00:09:22.200 --> 00:09:25.420包括激光的波长功率00:09:25.440 --> 00:09:27.300照射时间等参数00:09:28.440 --> 00:09:30.120激光术前的准备00:09:30.120 --> 00:09:33.880术前需要进行喉部的麻醉00:09:33.880 --> 00:09:36.500并准备好器械和急救设备00:09:36.560 --> 00:09:39.580确保手术的顺利进行00:09:41.120 --> 00:09:44.100激光术后的护理和饮食的调整00:09:44.240 --> 00:09:46.980是疼痛第一条就是疼痛管理00:09:47.440 --> 00:09:48.940激光治疗后啊00:09:49.320 --> 00:09:52.180患者往往会感到咽喉疼痛00:09:52.520 --> 00:09:55.580需要采取适当的疼痛管理措施00:09:56.040 --> 00:09:57.800以及使用些止痛药00:09:57.800 --> 00:10:00.860和冰敷止痛的方法00:10:02.120 --> 00:10:03.940第二是饮食的调整00:10:04.600 --> 00:10:06.480患者需遵循医生的建议00:10:06.480 --> 00:10:08.920避免食用辛辣刺激性的食物00:10:08.920 --> 00:10:11.520以软食流食为00:10:11.520 --> 00:10:15.620主减少对咽部的刺激00:10:15.720 --> 00:10:19.420是食清淡的易消化的00:10:20.000 --> 00:10:22.960口腔卫生需要保持口腔卫生00:10:22.960 --> 00:10:24.300避免感染00:10:24.560 --> 00:10:26.700可使用淡盐水漱口00:10:30.800 --> 00:10:34.380复查时间安排以及重要性00:10:35.520 --> 00:10:36.880根据不同的治疗方案00:10:36.880 --> 00:10:39.980和患者病情恢复的情况呢00:10:40.120 --> 00:10:42.120医生要制定复查时间00:10:42.120 --> 00:10:45.020一般为治疗后的第一周00:10:45.360 --> 00:10:47.120第一个月和第三个月等00:10:47.120 --> 00:10:49.980进行呃治疗的复查00:10:50.800 --> 00:10:54.040复查的内容复查时00:10:54.040 --> 00:10:56.540医生会检查患者的恢复情况00:10:56.640 --> 00:10:59.320包括喉部黏膜的修复情况00:10:59.320 --> 00:11:00.620是否有感染00:11:00.720 --> 00:11:01.360会00:11:01.360 --> 00:11:05.860并根据病人具体情况调整治疗方案00:11:08.600 --> 00:11:10.360重要性复查00:11:10.360 --> 00:11:12.120在确保治疗效果00:11:12.120 --> 00:11:14.360和及时发现00:11:14.360 --> 00:11:18.020并处理并发症的重要环节00:11:18.080 --> 00:11:19.360所以一定要关照00:11:19.360 --> 00:11:23.900叮嘱患者按时进行复查00:11:25.680 --> 00:11:27.940激光治疗咽炎的效果的评价00:11:28.520 --> 00:11:32.900治愈对咽炎治愈的标准与时间节点00:11:35.600 --> 00:11:36.940至于标准吗00:11:37.240 --> 00:11:39.460咽部症状的完全消失00:11:39.640 --> 00:11:41.260是没有任何不适的00:11:41.720 --> 00:11:45.040呃检查发现咽部黏膜恢复正常00:11:45.040 --> 00:11:47.900无充血无水肿等炎症表现00:11:48.120 --> 00:11:50.500且持续达到规定要求00:11:51.360 --> 00:11:52.460时间节点00:11:53.400 --> 00:11:54.560激光治疗咽炎的治愈00:11:54.560 --> 00:11:57.220是因患者病情严重程度00:11:57.360 --> 00:11:58.680和本身的身体状态00:11:58.680 --> 00:12:01.300和激光治疗的参数等而异00:12:01.440 --> 00:12:04.640一般可在数次激光治疗后00:12:04.640 --> 00:12:06.680达到治愈标准00:12:06.680 --> 00:12:07.240也就是说00:12:07.240 --> 00:12:09.600激光治疗是要有一定疗程的00:12:09.600 --> 00:12:12.460一般不会一次就能达到治愈的标准00:12:13.840 --> 00:12:17.700咽炎复发的原因分析和预防的措施00:12:18.200 --> 00:12:20.560复发的原因对咽炎的复发00:12:20.560 --> 00:12:22.940可能与病因未完全消除00:12:23.320 --> 00:12:26.980不良的生活习惯都熬夜食辛辣00:12:27.080 --> 00:12:28.520环境因素有关00:12:28.520 --> 00:12:31.800如抽烟喝酒和空气污染00:12:31.800 --> 00:12:35.340这空气当中粉尘以及空气干燥00:12:37.640 --> 00:12:40.920预防措施针对复发的原因00:12:40.920 --> 00:12:42.360制定科学的预防措施00:12:42.360 --> 00:12:44.300如戒烟戒酒00:12:44.680 --> 00:12:48.000改善生活环境使用新风系统00:12:48.000 --> 00:12:49.460或者使用加湿器00:12:49.960 --> 00:12:50.880呃锻炼身体00:12:50.880 --> 00:12:52.000提高免疫力00:12:52.000 --> 00:12:52.960治病求本00:12:52.960 --> 00:12:56.000同时定期进行咽部检查00:12:56.000 --> 00:12:59.980及时发现并处理潜在的呃咽部问题00:13:01.360 --> 00:13:03.060患者满意度调查00:13:04.920 --> 00:13:07.860结果患者满意度调查结果00:13:07.920 --> 00:13:09.420患者满意度调查00:13:09.520 --> 00:13:11.800针对激光治疗咽炎的患者00:13:11.800 --> 00:13:13.220进行满意度调查00:13:13.360 --> 00:13:16.360了解患者对治疗效果00:13:16.360 --> 00:13:18.620治疗过程副作用00:13:19.120 --> 00:13:21.160并发症等方面的评价00:13:21.160 --> 00:13:22.760和收集他们的意见00:13:22.760 --> 00:13:25.920结果分析根据调查结果00:13:25.920 --> 00:13:28.640分析患者对激光治疗验验的满意度00:13:28.640 --> 00:13:30.100及其影响因素00:13:30.200 --> 00:13:34.080为提高治疗效果和服务质量00:13:34.080 --> 00:13:35.080提供参考00:13:35.080 --> 00:13:37.240同时对不满意的患者00:13:37.240 --> 00:13:41.160应该进一步的了解及需求和意见00:13:41.160 --> 00:13:44.940积极改进和改善治疗方案和服务00:13:47.480 --> 00:13:48.120第六部分00:13:48.120 --> 00:13:52.160咽炎患者日常管理的建议第一00:13:52.160 --> 00:13:53.980生活习惯的改善00:13:54.760 --> 00:13:56.240第一戒烟限酒00:13:56.240 --> 00:13:57.440吸烟和过量饮酒00:13:57.440 --> 00:14:00.920都会对咽部组织粘膜的刺激00:14:00.920 --> 00:14:03.540加重咽咽炎症状00:14:03.560 --> 00:14:05.900应及早的戒除00:14:08.640 --> 00:14:11.120规律作息保证充足的睡眠00:14:11.120 --> 00:14:13.020避免熬夜00:14:14.640 --> 00:14:16.620增强身体的免疫力00:14:18.160 --> 00:14:21.080健康饮食多食用清淡易消化的食物00:14:21.080 --> 00:14:22.460避免刺激性00:14:22.560 --> 00:14:26.460辛辣油腻的食物以及过烫的食物00:14:27.480 --> 00:14:29.720适当的运动加强体育锻炼00:14:29.720 --> 00:14:31.120增强身体免疫力00:14:31.120 --> 00:14:33.960减少可减少烟瘾的发作00:14:33.960 --> 00:14:37.360环境因素控制方法保持空气湿润00:14:37.360 --> 00:14:40.820使用加湿器或者绿色植物等措施00:14:41.160 --> 00:14:43.560使室内保持空气湿润00:14:43.560 --> 00:14:45.220避免咽喉干燥00:14:46.040 --> 00:14:47.800净化空气定期开窗00:14:47.800 --> 00:14:50.040通剂减少室内空气污染00:14:50.040 --> 00:14:52.300如烟雾粉尘等00:14:52.680 --> 00:14:54.780空气中的固体投入00:14:55.480 --> 00:14:57.680避免过度使用嗓子00:14:57.680 --> 00:15:00.200减少长时间大声喊叫唱歌00:15:00.200 --> 00:15:01.780保护眼部的黏膜00:15:02.040 --> 00:15:04.760自我保护的意识提升的00:15:04.760 --> 00:15:08.240定期体检听到rv后专业机构经体检00:15:08.240 --> 00:15:09.940发现并及时处理00:15:10.080 --> 00:15:11.460按医嘱用药00:15:12.840 --> 00:15:14.280按医生指导生效00:15:14.280 --> 00:15:15.800避免滥用抗生素00:15:15.800 --> 00:15:19.200口腔卫生养成良好的漱口习惯00:15:19.200 --> 00:15:20.460保持口腔卫生00:15:20.480 --> 00:15:22.220防止细菌滋生00:15:23.160 --> 00:15:24.260好了结束