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--> 00:06.673\n应该怎么称呼？\n\n00:06.673 --> 00:07.399\n各位老师好，\n\n00:07.798 --> 00:08.149\n嗯，\n\n00:08.149 --> 00:11.399\n给大家讲一下这个慢性扁桃体炎的科普。\n\n00:11.748 --> 00:14.599\n那么我们就分大概分五个方面来讲。\n\n00:14.599 --> 00:18.599\n第一个方面就是慢性扁桃体炎的总体概述，\n\n00:18.599 --> 00:20.999\n第二方面是慢性扁桃体炎的临床表现。\n\n00:21.608 --> 00:24.759\n第三个是慢性扁桃体炎的检查方法，\n\n00:24.759 --> 00:27.108\n第四个是慢性扁桃体炎的治疗方法，\n\n00:27.358 --> 00:30.509\n第五个就是一些慢性扁桃体炎的预防和护理。\n\n00:32.576 --> 00:36.301\n那么我们第一个方面慢性扁桃体炎的概述，\n\n00:36.301 --> 00:37.852\n那么面慢性扁桃体炎呢，\n\n00:37.852 --> 00:42.527\n在医学上它一般是指扁桃体长期的反发炎。\n\n00:43.176 --> 00:44.152\n文字定义呢，\n\n00:44.152 --> 00:46.076\n就是反复发作超过3个月以上，\n\n00:46.227 --> 00:46.977\n通常呢，\n\n00:46.977 --> 00:50.777\n是伴有咽痛和吞咽困难这些症状。\n\n00:51.576 --> 00:51.926\n嗯，\n\n00:51.926 --> 00:55.926\n慢性扁桃体炎的临床表现可能就是包括一些反复的发热，\n\n00:56.126 --> 00:57.126\n咽部的不适，\n\n00:57.477 --> 01:02.676\n咽痛、扁桃体肿大以及肿大引起来的一些继发性的症状。\n\n01:03.558 --> 01:04.134\n查体呢，\n\n01:04.134 --> 01:06.058\n一般是扁桃体上有一些脓点，\n\n01:06.058 --> 01:09.958\n有时会伴有口臭或者迁延放射到耳部疼痛。\n\n01:11.226 --> 01:11.376\n那么，\n\n01:11.376 --> 01:12.277\n它的发病原因呢，\n\n01:12.277 --> 01:13.077\n大概有三点，\n\n01:13.077 --> 01:14.626\n一种是反复感染，\n\n01:14.677 --> 01:19.802\n慢性扁桃体炎常一般是由反复的上呼吸道感染引起来的，\n\n01:19.802 --> 01:21.827\n细菌和病毒感染都可以导致。\n\n01:22.226 --> 01:22.952\n第二个呢，\n\n01:22.952 --> 01:24.327\n就是免疫系统异常，\n\n01:24.476 --> 01:29.327\n免疫系统功能失调可能使扁桃体长期处于炎症的状态啊，\n\n01:29.327 --> 01:31.177\n因为它没长期的严重状态，\n\n01:31.277 --> 01:31.601\n嗯，\n\n01:31.601 --> 01:33.702\n无法有效清除病原体以后呢，\n\n01:33.702 --> 01:36.827\n会导致一个扁桃体的失常。\n\n01:37.685 --> 01:38.986\n有感染，\n\n01:38.986 --> 01:41.085\n第三个就是局部解剖的因素，\n\n01:41.136 --> 01:42.536\n一些扁桃体隐窝，\n\n01:42.536 --> 01:43.585\n尤其是上隐窝，\n\n01:43.585 --> 01:44.286\n这个比较深，\n\n01:44.286 --> 01:45.935\n它这个解剖结构呢，\n\n01:45.935 --> 01:47.886\n可能导致食物残渣和细菌储留，\n\n01:48.236 --> 01:51.036\n增加了慢性扁桃体炎的发发病风险。\n\n01:51.335 --> 01:52.810\n一旦这个免疫力下降，\n\n01:52.810 --> 01:54.335\n就是熬夜或者。\n\n01:54.917 --> 01:56.318\n及着凉以后，\n\n01:56.318 --> 01:59.968\n致病细菌的致病能力强于体机体的免疫力，\n\n02:00.017 --> 02:01.267\n就会产生一个感染。\n\n02:02.141 --> 02:04.766\n病理机制病理机制大概也分三个方面。\n\n02:05.692 --> 02:05.791\n嗯，\n\n02:05.791 --> 02:08.242\n第一个方面就是免疫反应的异常啊，\n\n02:08.242 --> 02:12.667\n慢性扁桃体炎可能是由于免疫系统对细菌或者病毒的异常，\n\n02:12.667 --> 02:15.542\n这个反应导致扁桃体持续发炎。\n\n02:15.891 --> 02:16.516\n第二个呢，\n\n02:16.516 --> 02:17.992\n就是局部感染的反复，\n\n02:18.141 --> 02:28.891\n就像刚才说的一些藏在眼窝里的细菌反复的上呼吸道感染感冒、鼻窦炎、咽喉炎都可以引起来扁桃体炎的这个慢性炎症急性发作。\n\n02:29.341 --> 02:31.591\n第三个是扁桃体结构的异常啊，\n\n02:31.591 --> 02:33.391\n扁桃体表面的隐窝结构异常。\n\n02:34.033 --> 02:36.783\n容易积聚食物残渣和细菌，\n\n02:36.884 --> 02:38.884\n导致反复的慢性感染。\n\n02:40.983 --> 02:41.333\n那么，\n\n02:41.333 --> 02:42.059\n第二个呢，\n\n02:42.059 --> 02:48.033\n就是慢性扁桃体炎临床表现大概分局部症状和全身症状。\n\n02:48.333 --> 02:49.259\n局部症状呢，\n\n02:49.259 --> 02:50.833\n主要集中在咽部啊，\n\n02:51.033 --> 02:53.384\n包括持续性的咽痛。\n\n02:53.384 --> 02:54.083\n扁桃体炎。\n\n02:54.083 --> 02:57.934\n慢性扁桃体炎的患者常有咽部不适或者疼痛症状呢，\n\n02:57.934 --> 02:58.908\n是反复发作的，\n\n02:58.908 --> 03:00.059\n甚至影响生活，\n\n03:00.059 --> 03:01.533\n影响吞咽吃东西。\n\n03:02.083 --> 03:02.809\n第二个呢，\n\n03:02.809 --> 03:03.833\n就是吞咽困难，\n\n03:03.934 --> 03:05.958\n由于一些扁桃体发炎以后啊，\n\n03:05.958 --> 03:08.009\n粘膜肿胀会导致扁桃体肥大，\n\n03:08.009 --> 03:11.083\n肿大那么可能会感觉到吞咽。\n\n03:11.136 --> 03:14.511\n时有异物感或者轻微的疼痛啊，\n\n03:14.511 --> 03:16.787\n第三个就是咽部异物感，\n\n03:16.787 --> 03:18.436\n患者通常咽部有痰，\n\n03:18.686 --> 03:20.386\n有有渗出，\n\n03:20.736 --> 03:22.462\n有脓性渗出啊，\n\n03:22.462 --> 03:23.712\n咳出又咳咳不出来，\n\n03:23.712 --> 03:25.236\n那这种在讲话的时候呢，\n\n03:25.236 --> 03:26.337\n或者进食的时候是。\n\n03:26.957 --> 03:27.858\n更明显一点的。\n\n03:28.884 --> 03:29.134\n嗯，\n\n03:29.333 --> 03:31.083\n然后就是造成的扁桃体肥大。\n\n03:31.283 --> 03:33.733\n扁桃体肥大一些会有一些继发性的症状，\n\n03:33.783 --> 03:37.059\n比如说咽痛和吞咽困难啊。\n\n03:37.059 --> 03:38.809\n扁桃慢性扁桃体炎患者呢，\n\n03:38.809 --> 03:40.958\n通常会有咽痛感，\n\n03:40.958 --> 03:41.908\n吞咽的时候呢，\n\n03:41.908 --> 03:43.009\n这样疼痛会加剧，\n\n03:43.009 --> 03:44.934\n有时甚至会出现吞咽困难。\n\n03:45.233 --> 03:45.934\n第三个呢，\n\n03:45.934 --> 03:46.833\n就是反复发热，\n\n03:47.134 --> 03:48.533\n扁桃体肿大呢，\n\n03:48.533 --> 03:50.384\n可能会引起反复发热，\n\n03:50.384 --> 03:52.733\n这个免疫系统会有一个反应，\n\n03:52.983 --> 03:54.134\n那么最开始呢，\n\n03:54.134 --> 03:55.384\n患者体温会有波动，\n\n03:55.434 --> 03:57.608\n常常伴有乏力或者全身不适，\n\n03:57.608 --> 03:58.309\n肌肉酸痛。\n\n03:58.309 --> 03:58.733\n这种。\n\n03:59.210 --> 03:59.985\n第三个呢，\n\n03:59.985 --> 04:00.860\n就是呼吸不畅，\n\n04:01.360 --> 04:05.210\n过大的扁桃体会影响这个口咽部的通气道的。\n\n04:05.990 --> 04:06.740\n异常障碍，\n\n04:07.039 --> 04:11.190\n那么导致患者出现打鼾或者睡眠时呼吸暂停的情况。\n\n04:11.539 --> 04:12.815\n那呼吸暂停以后呢，\n\n04:12.815 --> 04:13.639\n还会有缺氧。\n\n04:13.789 --> 04:14.740\n缺氧以后呢，\n\n04:14.740 --> 04:17.940\n这个会有心梗、脑梗等一系列的症状，\n\n04:18.540 --> 04:20.040\n还有全身症状。\n\n04:20.846 --> 04:23.821\n扁桃体慢性扁桃体炎的临床表现呢，\n\n04:23.821 --> 04:27.895\n全身症状表现在发热、乏力和淋巴结肿大。\n\n04:27.895 --> 04:28.721\n具体来讲呢，\n\n04:28.721 --> 04:32.895\n发热这些患者可能会出现间歇性或者持续性的低热，\n\n04:33.145 --> 04:36.045\n体温通常在37点5.38.5之间。\n\n04:36.295 --> 04:37.895\n如果一些人免疫力比较差，\n\n04:38.045 --> 04:40.170\n细菌的致病能力比较强啊，\n\n04:40.170 --> 04:41.545\n发热可能还会更高。\n\n04:41.545 --> 04:43.346\n持续性发热啊。\n\n04:43.346 --> 04:44.446\n第二个就是乏力，\n\n04:44.645 --> 04:46.371\n由于长期的炎症反应啊，\n\n04:46.371 --> 04:49.346\n机体这个免疫力会会做出一个反馈，\n\n04:49.545 --> 04:50.846\n那么患者通常会。\n\n04:50.963 --> 04:52.013\n感到全身乏力，\n\n04:52.013 --> 04:54.363\n活动后症状会加重。\n\n04:55.608 --> 04:57.208\n第三个就是淋巴结肿大。\n\n04:57.507 --> 04:58.808\n慢性扁桃体炎呢，\n\n04:58.808 --> 05:00.757\n可以引起颈部的淋巴结肿大，\n\n05:00.808 --> 05:03.157\n导致淋巴淋巴回流不畅。\n\n05:03.157 --> 05:05.157\n双侧的颈部淋巴结会有肿大，\n\n05:05.507 --> 05:06.233\n局部呢，\n\n05:06.233 --> 05:08.808\n就是以双侧下颌部的淋巴结肿大为主。\n\n05:09.257 --> 05:09.933\n表现呢，\n\n05:09.933 --> 05:12.808\n就是颈部可以触及到明显的肿块，\n\n05:12.858 --> 05:14.683\n但这种肿块淋巴结的肿块呢，\n\n05:14.683 --> 05:17.007\n一般是可以活动度还比较好，\n\n05:17.157 --> 05:18.257\n但有压痛的。\n\n05:20.346 --> 05:20.895\n第三个呢，\n\n05:20.895 --> 05:22.846\n就是慢性扁桃体炎的检查方法。\n\n05:23.789 --> 05:24.364\n一般来讲呢，\n\n05:24.364 --> 05:25.338\n就是局部检查，\n\n05:25.688 --> 05:26.088\n嗯，\n\n05:26.239 --> 05:27.539\n扁桃体的外观检查，\n\n05:27.639 --> 05:29.664\n通过张嘴啊，\n\n05:29.664 --> 05:32.313\n医生会观察扁桃体的大小啊，\n\n05:32.313 --> 05:36.188\n颜色还有表面上是否会有异常的分泌物或脓点。\n\n05:36.989 --> 05:37.639\n第二个呢，\n\n05:37.639 --> 05:38.739\n就是咽喉部的触诊，\n\n05:38.838 --> 05:42.338\n通过触诊咽喉部和双侧的下颌部啊，\n\n05:42.338 --> 05:45.938\n医生可以检查扁桃体周围组织是否有肿胀有压痛，\n\n05:46.338 --> 05:51.713\n可以去触诊双侧的颈部淋巴结是否有肿大啊，\n\n05:51.713 --> 05:52.338\n第三个呢，\n\n05:52.338 --> 05:53.389\n就是咽拭子的培养。\n\n05:53.389 --> 05:53.938\n对于。\n\n05:54.059 --> 05:56.809\n急性感染期的这个慢性扁桃体炎的患者，\n\n05:57.059 --> 05:59.959\n它的脓性分泌物培养是很有价值的，\n\n06:00.109 --> 06:02.709\n取一些咽喉部的分泌物进行细菌培养，\n\n06:02.959 --> 06:04.660\n既可以确定是什么细菌，\n\n06:04.809 --> 06:09.459\n又可以判断是否有具那个药敏实验去。\n\n06:10.282 --> 06:10.507\n嗯，\n\n06:10.507 --> 06:14.507\n去尝试药敏实验的这个鉴鉴定，\n\n06:14.507 --> 06:17.782\n会更加有针对性的使用抗生素来治疗这个扁桃体炎。\n\n06:20.209 --> 06:20.709\n还有呢，\n\n06:20.709 --> 06:22.533\n就是除了查体，\n\n06:22.734 --> 06:23.834\n还有实验室检查。\n\n06:24.033 --> 06:24.484\n那么，\n\n06:24.484 --> 06:28.783\n通过验血血液检查可以评估患者的白细胞计数，\n\n06:28.984 --> 06:34.484\n判断是否存在感染或者CRP等一些炎症反应。\n\n06:34.484 --> 06:35.134\n第二个呢，\n\n06:35.134 --> 06:36.884\n就是刚才说过的咽拭子培养，\n\n06:36.933 --> 06:42.734\n取患者咽喉部分分泌物的培养来确定是否存在特定的细菌或者病毒，\n\n06:42.734 --> 06:44.183\n指导一些抗生素的使用。\n\n06:45.549 --> 06:46.148\n第三个呢，\n\n06:46.148 --> 06:47.973\n就是一些抗原检测啊，\n\n06:47.973 --> 06:52.248\n可以根据一些特异性的这个抗原抗体复合物的这个试剂盒，\n\n06:52.449 --> 06:54.449\n检测特定的病原体的抗原，\n\n06:54.699 --> 06:56.398\n比如说链球菌的抗原，\n\n06:56.648 --> 07:01.598\n可以有效的快速的诊断感染的类型啊。\n\n07:01.598 --> 07:04.449\n诊断依据一般分为三个方面就是。\n\n07:05.128 --> 07:06.428\n第一个方面就是病史采集，\n\n07:06.829 --> 07:09.604\n那么通过患者过往病史啊，\n\n07:09.604 --> 07:11.079\n询问患者过往病史，\n\n07:11.229 --> 07:14.229\n包括扁桃体发炎的次数啊，\n\n07:14.229 --> 07:17.178\n症状持续时间以及各种伴随症状。\n\n07:17.178 --> 07:21.079\n症状为提为诊断提供更有效的线索。\n\n07:21.479 --> 07:23.079\n第二个就是体格检查，\n\n07:23.479 --> 07:29.428\n通过口咽部的检查观察扁桃体大小、颜色表面是否有分泌物或者脓点，\n\n07:29.628 --> 07:31.628\n那么这些分泌物和脓点的特点，\n\n07:31.878 --> 07:35.278\n以及是否有双侧颈部淋巴结肿大可以进行。\n\n07:35.380 --> 07:36.880\n一个诊断，\n\n07:37.230 --> 07:38.929\n还可以进行一些鉴别诊断。\n\n07:40.548 --> 07:41.947\n第三个就是血液检查。\n\n07:42.148 --> 07:45.423\n血液检查进行血常规还有一些有炎症因子，\n\n07:45.423 --> 07:47.773\n比如说CRPPCT啊，\n\n07:47.773 --> 07:50.572\n可以观察白细胞的计数和分类判断，\n\n07:50.572 --> 07:53.648\n用来判断是否存在感染和感染的程度，\n\n07:53.898 --> 07:55.247\n这个是比较关键的。\n\n07:57.101 --> 07:57.927\n第四大类呢，\n\n07:57.927 --> 08:00.076\n就是慢性扁桃体炎的治疗方法。\n\n08:00.863 --> 08:02.338\n慢性扁桃体炎一般。\n\n08:04.953 --> 08:06.102\n急性发作期治疗，\n\n08:06.303 --> 08:10.153\n那么它的急性发作期一般最主要的就是抗生素治疗。\n\n08:10.703 --> 08:12.877\n那么针对一些药敏实验啊，\n\n08:12.877 --> 08:18.852\n或者一些这个病原学的培养和药敏相应的药敏实验，\n\n08:19.002 --> 08:20.553\n可以有效的找到它的。\n\n08:21.302 --> 08:24.451\n抗生素针对的抗生素进行治疗，\n\n08:24.902 --> 08:29.052\n针对这些细菌感染引起的急这个急性发作的扁桃体炎，\n\n08:29.052 --> 08:31.127\n医生一般是会开抗生素。\n\n08:31.127 --> 08:35.401\n根据根据验血的这个白细胞的计数和分类啊。\n\n08:36.421 --> 08:42.770\n不同程度的扁桃体炎可以口服或者静脉滴注都可以进行治疗啊。\n\n08:42.770 --> 08:43.820\n比如说用药呢，\n\n08:43.820 --> 08:47.120\n大概就是包括一些青霉素类的或者头孢类的用药。\n\n08:48.445 --> 08:49.419\n如果有严重的呢，\n\n08:49.419 --> 08:51.669\n还可以用一些这个碳氢霉烯类的药物，\n\n08:51.669 --> 08:52.794\n也是可以应用的。\n\n08:52.945 --> 08:55.094\n还有喹氟喹诺酮类的。\n\n08:56.252 --> 08:56.452\n嗯，\n\n08:56.452 --> 08:58.151\n第二个就是对症支持治疗。\n\n08:58.401 --> 09:00.802\n如果伴有发热的病人超过38°，\n\n09:00.802 --> 09:02.252\n可以用一些退烧药，\n\n09:02.401 --> 09:05.101\n比如说布洛芬这一类的啊。\n\n09:05.101 --> 09:06.677\n如果止痛药啊，\n\n09:06.677 --> 09:09.077\n如果咽痛剧痛啊，\n\n09:09.077 --> 09:11.327\n无法缓解引起吞咽困难啊，\n\n09:11.327 --> 09:12.802\n这种可以用一些止痛药。\n\n09:13.978 --> 09:15.153\n第二要第二个呢，\n\n09:15.153 --> 09:18.052\n就是要保持充足的休息和水分的摄入，\n\n09:18.052 --> 09:19.252\n还有一些电解质。\n\n09:19.403 --> 09:23.328\n对于长期因为咽痛吞咽困难吃不下东西的患者呢，\n\n09:23.328 --> 09:26.252\n可以用一些补充一些电解质水，\n\n09:26.252 --> 09:30.252\n来补充一些机体内所需要的微量元素和营养。\n\n09:30.653 --> 09:31.853\n那么吃饭呢，\n\n09:32.002 --> 09:32.653\n饮食呢，\n\n09:32.653 --> 09:38.453\n就是要以高蛋白为主要产生足量的抗体去对抗这个发炎感染的。\n\n09:39.091 --> 09:39.541\n扁桃体，\n\n09:39.791 --> 09:43.041\n那么这些都有助于减轻不适。\n\n09:43.041 --> 09:43.742\n还有呢，\n\n09:43.742 --> 09:47.317\n就是要局部的要喷雾或者含漱。\n\n09:47.317 --> 09:49.892\n有一些雾化可以减轻黏膜的水肿。\n\n09:50.142 --> 09:53.591\n含有些消炎成分的这个漱口水呢，\n\n09:53.591 --> 09:58.192\n饭后还有早上起床这个含漱可以减轻咽喉的头痛。\n\n09:58.192 --> 10:02.091\n还有扁桃体隐窝里面一些病原体隐藏的病原体。\n\n10:03.242 --> 10:03.492\n嗯。\n\n10:04.448 --> 10:05.098\n雾化呢，\n\n10:05.098 --> 10:06.624\n也可以减轻扁桃体的肿胀。\n\n10:07.455 --> 10:10.054\n那么当疾病稳定以后呢，\n\n10:10.255 --> 10:12.479\n持续迁延成慢慢性扁桃体炎，\n\n10:12.479 --> 10:13.505\n那稳定期治疗呢，\n\n10:13.505 --> 10:16.155\n就是要第一个是通过药物治疗，\n\n10:16.205 --> 10:17.104\n药物治疗呢，\n\n10:17.104 --> 10:18.955\n一般在扁慢性扁桃体炎，\n\n10:18.955 --> 10:20.155\n嗯没有发作的时候，\n\n10:20.155 --> 10:21.905\n就叫稳定期的时候啊，\n\n10:21.905 --> 10:24.005\n医生可以开具一些抗生素或者。\n\n10:24.570 --> 10:26.971\n抗炎的药物以及咽喉炎的中成药，\n\n10:27.070 --> 10:29.770\n减轻症状或者也预防复发。\n\n10:30.221 --> 10:31.870\n第二个就是饮食调整，\n\n10:31.971 --> 10:34.195\n患者应该避免吃辛辣，\n\n10:34.195 --> 10:37.346\n尽量避免吃辛辣或者油腻的食物啊，\n\n10:37.346 --> 10:38.070\n多喝水，\n\n10:38.070 --> 10:40.570\n多吃含维生素C的水果，\n\n10:40.721 --> 10:42.820\n帮助扁桃体恢复啊，\n\n10:42.820 --> 10:44.370\n减少刺激扁桃体。\n\n10:44.921 --> 10:45.596\n还有呢，\n\n10:45.596 --> 10:46.870\n就是定期随访，\n\n10:47.370 --> 10:48.846\n慢性扁桃体炎的患者呢，\n\n10:48.846 --> 10:50.620\n需要定期到医院进行随访检查，\n\n10:50.870 --> 10:52.221\n监测扁桃体状况。\n\n10:52.914 --> 10:54.689\n及时调整治疗方案啊，\n\n10:54.689 --> 10:55.838\n避免着凉感冒，\n\n10:55.888 --> 10:57.289\n避免劳累熬夜。\n\n10:57.289 --> 10:59.789\n这这一系列的诱因啊，\n\n10:59.789 --> 11:02.189\n如果慢性扁桃体炎呢，\n\n11:02.189 --> 11:03.289\n反复发作，\n\n11:03.689 --> 11:06.064\n大概1年超过3次以上，\n\n11:06.064 --> 11:07.789\n或者两年两次以上，\n\n11:08.039 --> 11:12.039\n那么就建议通过手术去切除发炎的扁桃体。\n\n11:12.189 --> 11:14.638\n因为这个时候扁桃体已经是一个病灶，\n\n11:14.689 --> 11:15.289\n并不。\n\n11:16.038 --> 11:17.687\n并没有它存在的价值了，\n\n11:17.937 --> 11:20.013\n那么手术切除发炎的扁桃体呢，\n\n11:20.013 --> 11:22.588\n也是治疗慢性扁桃体炎的一个常见方法，\n\n11:22.788 --> 11:25.388\n可以减少扁桃体的发作。\n\n11:27.192 --> 11:28.843\n减少感染和疼痛的次数。\n\n11:29.723 --> 11:30.797\n那扁桃体切除呢，\n\n11:30.797 --> 11:31.797\n一般分为两种，\n\n11:31.797 --> 11:33.072\n一般是冷兵器切。\n\n11:33.322 --> 11:33.973\n现在呢，\n\n11:33.973 --> 11:38.422\n一般常见的是用等离子去进行一个扁桃体的消融术啊。\n\n11:39.122 --> 11:40.773\n使用等离子技术呢，\n\n11:40.773 --> 11:41.672\n进行扁桃体消融，\n\n11:41.672 --> 11:43.122\n现在是一种微创手术，\n\n11:43.122 --> 11:43.822\n出血少，\n\n11:43.822 --> 11:44.422\n疼痛。\n\n11:45.302 --> 11:46.728\n疼痛比较轻，\n\n11:46.728 --> 11:49.103\n而且还有助于减少术后恢复的时间，\n\n11:49.252 --> 11:52.478\n出血的概率也会比较低啊。\n\n11:52.478 --> 11:53.052\n第五个呢，\n\n11:53.052 --> 11:55.252\n就是慢性扁桃体炎的预防与护理。\n\n11:55.552 --> 11:56.903\n那么常见的呢，\n\n11:56.903 --> 11:59.877\n第一部分就是口腔卫生维护啊，\n\n11:59.877 --> 12:00.802\n定期的刷牙，\n\n12:00.903 --> 12:03.453\n每天保证早晚两次，\n\n12:03.502 --> 12:05.052\n可以使用一些含氟牙膏，\n\n12:05.052 --> 12:06.653\n有效消除食物残渣，\n\n12:06.903 --> 12:08.453\n预防这个细菌的滋生。\n\n12:09.734 --> 12:10.085\n第二个呢，\n\n12:10.085 --> 12:10.984\n就是使用牙线。\n\n12:11.135 --> 12:14.034\n牙线能够清理牙缝中的食物残渣和牙菌斑，\n\n12:14.034 --> 12:15.784\n减少口腔细菌啊，\n\n12:15.784 --> 12:17.984\n预防扁桃体炎的发反复发作。\n\n12:19.010 --> 12:19.585\n第三个呢，\n\n12:19.585 --> 12:21.659\n就是避免刺激性的食物，\n\n12:21.960 --> 12:25.059\n减少一些辛辣油腻等刺激性的食物摄入，\n\n12:25.210 --> 12:26.859\n可以避免刺激扁桃体，\n\n12:26.859 --> 12:30.210\n降低慢性炎症反复那个反复发作的风险。\n\n12:30.510 --> 12:31.184\n第四个呢，\n\n12:31.184 --> 12:33.510\n就是要有充足的睡眠和休息啊，\n\n12:33.559 --> 12:38.585\n这个会导会保证免疫力的一个一个基础啊，\n\n12:38.585 --> 12:39.559\n不要着凉。\n\n12:42.572 --> 12:43.221\n还有呢，\n\n12:43.221 --> 12:46.322\n就是包包括体质增强的一些措施啊，\n\n12:46.322 --> 12:47.671\n比如说均衡饮食，\n\n12:47.872 --> 12:48.896\n合理的膳食，\n\n12:48.896 --> 12:50.572\n增加蔬菜水果的摄入，\n\n12:50.572 --> 12:52.322\n减少辛辣刺激的食物，\n\n12:52.421 --> 12:54.221\n有助于提高免疫力，\n\n12:54.322 --> 12:55.997\n预防扁桃体炎啊。\n\n12:55.997 --> 12:57.572\n适量的运动也可以，\n\n12:57.572 --> 13:00.921\n比如说散步或者游泳都可以增强体质，\n\n13:00.921 --> 13:02.271\n增强血液循环，\n\n13:02.471 --> 13:05.447\n有助于减少慢性扁桃体炎的发作啊。\n\n13:05.447 --> 13:07.021\n刚才说的就是充足的睡眠，\n\n13:07.122 --> 13:09.572\n每天保证7.8个小时的高质量睡眠，\n\n13:09.771 --> 13:11.271\n有助于增强免疫系统，\n\n13:11.271 --> 13:12.171\n身体恢复。\n\n13:13.054 --> 13:14.328\n第二个还有嘛，\n\n13:14.328 --> 13:15.653\n就是避免烟酒，\n\n13:15.754 --> 13:16.754\n戒烟限酒，\n\n13:16.903 --> 13:20.229\n避免烟草的刺激和酒精对喉咙的刺激。\n\n13:20.229 --> 13:21.004\n减是减，\n\n13:21.054 --> 13:24.703\n是一个减少扁桃体炎发作的一个很好的方式。\n\n13:26.650 --> 13:27.549\n然后还有呢，\n\n13:27.549 --> 13:28.474\n就是啊，\n\n13:28.474 --> 13:29.575\n一些减压放松，\n\n13:29.575 --> 13:31.275\n就是通过一些冥想啊，\n\n13:31.275 --> 13:33.200\n瑜伽等方式减轻自己的压力，\n\n13:33.349 --> 13:35.349\n也有助于提高身体的免疫力，\n\n13:35.750 --> 13:37.549\n预防慢性扁桃体炎发作。\n\n13:38.049 --> 13:39.525\n饮食与生活习惯呢，\n\n13:39.525 --> 13:41.075\n就是第一个呢，\n\n13:41.075 --> 13:43.875\n就是保持充分的水水分啊，\n\n13:43.875 --> 13:46.700\n多喝水可以帮助保持喉咙湿润，\n\n13:46.750 --> 13:48.549\n减少扁桃体发炎的机会。\n\n13:48.849 --> 13:49.474\n还有呢，\n\n13:49.474 --> 13:50.950\n就是避免刺激性的食物，\n\n13:51.000 --> 13:52.474\n刚才已经反复讲过了，\n\n13:52.474 --> 13:56.099\n这个辛辣油腻和过于冷热的食物都可以刺激扁桃体。\n\n13:56.200 --> 13:56.849\n应该尽。\n\n13:56.908 --> 13:57.408\n尽量避免。\n\n13:58.646 --> 14:00.046\n还有一个就是作息规律，\n\n14:00.046 --> 14:02.171\n保证充足的睡眠和适度的休息，\n\n14:02.271 --> 14:04.396\n有助于增强免疫系统啊，\n\n14:04.396 --> 14:05.122\n戒烟限酒，\n\n14:05.122 --> 14:08.322\n这个就不过过多赘述了。\n\n14:08.322 --> 14:09.872\n吸烟和过量饮酒呢，\n\n14:09.872 --> 14:13.171\n会削弱这个喉咙的防御能力啊，\n\n14:13.171 --> 14:19.521\n会减轻会增加这个有一些病毒和病细菌的这个免疫逃逸免疫逃逸机制。\n\n14:20.106 --> 14:23.156\n那么就会增加慢性扁桃体炎的风险啊，\n\n14:23.156 --> 14:24.031\n那么以上呢，\n\n14:24.031 --> 14:30.556\n大概就是对扁桃体炎做一个做一个大概的叙述，\n\n14:30.755 --> 14:32.080\n那么有一些扁桃体炎呢，\n\n14:32.080 --> 14:33.981\n还是尽量如果喉咙痛啊，\n\n14:33.981 --> 14:34.505\n反复发作，\n\n14:34.505 --> 14:37.356\n还是尽量要建议去找医生就诊。\n\n14:37.406 --> 14:39.580\n那么因为扁桃体它可慢，\n\n14:39.580 --> 14:41.056\n除了一些细菌感染，\n\n14:41.056 --> 14:41.856\n慢性细菌感染，\n\n14:41.856 --> 14:44.130\n还有一些特别的特殊的啊，\n\n14:44.130 --> 14:47.231\n比如说什么乳头状瘤啊，\n\n14:47.231 --> 14:50.306\n或者单核单核那个。\n\n14:50.668 --> 14:52.293\n传染性单核细胞增多症啊，\n\n14:52.293 --> 14:54.117\n这种还是需要医生去鉴别的，\n\n14:54.218 --> 14:55.918\n尽量不要拖啊。\n\n14:55.918 --> 14:56.692\n扁桃体炎呢，\n\n14:56.692 --> 14:59.242\n因为还会发生一个扁桃体周围炎。\n\n14:59.242 --> 15:05.242\n那么就是当这个炎症没有往扁桃体表面进行排脓的时候，\n\n15:05.242 --> 15:09.093\n那么这个会走到软这个地方啊，\n\n15:09.093 --> 15:11.043\n因为这个地方软组织会比较肿胀，\n\n15:11.043 --> 15:12.343\n会激发一个啊，\n\n15:12.343 --> 15:13.168\n表体周围炎，\n\n15:13.168 --> 15:14.442\n扁周脓肿啊，\n\n15:14.442 --> 15:17.617\n这个一定要去尽尽快找医生进行鉴别。\n\n","v0347cg10004d61aalqljht1rbn962ng",922,504,"2026-01-24 23:04:33"," 扁桃体炎科普：症状、治疗与预防全指南  "," 扁桃体炎, 扁桃体发炎症状, 急性扁桃体炎, 慢性扁桃体炎, 扁桃体炎治疗, 扁桃体炎预防  "," 本文全面科普扁桃体炎的症状、病因、治疗方法及预防措施，涵盖急慢性扁桃体炎区别、家庭护理建议和就医时机，帮助您科学应对扁桃体健康问题。","2026-03-31 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