[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$f1XuKGkKH0k4IRmRhv5TnsJqI097PAAoOEhBujUsXl-M":8,"$fTx-aJJ-f4T-GTDR1ACMdBKtUTp1Zm3IspHNN3QqB0YY":60,"$fh7vDr68Wij96LOG7LCvsEBui1XW6r8sgbs_sJXmLSCY":61,"$fvjClP1WGQnJZMlxN5sMYSOyZ3s4GKdLlNYHNYSvNni8":65},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":59},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"roleType":17,"adept":18,"hospital":19,"department":20,"postsTitle":21,"materialTotal":17,"videoTotal":22,"isConcern":7,"title":23,"coverVertical":24,"coverAcross":25,"directionMarker":26,"description":27,"vid":28,"time":29,"mediaType":26,"views":30,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":31,"seoTitle":32,"seoKeywords":33,"seoDescription":34,"shelvesTime":35,"menus":36,"menuId":38,"type":55,"quality":56,"commentCount":17,"isComment":26,"deviceType":57,"url":58},10178,864269,[],"https://ystcdn.venuertc.com/medical/ystApp/hUcQZHKh9RZyhanBICEj8VQzYxJHCb0O.png","王琳",0,"老年常见病  多发病，慢性疾病管理、皮肤病和过敏反应、消化系统疾病、急性疾病和急救处理等,","上海市徐汇区长桥街道社区卫生服务中心","全科医疗","副主任医师",5,"呼吸性细支气管炎伴间质性肺疾病","","https://cdn.yishi-tong.com/console/3/ijYrwdfoHUj0tKXdSNxLjt7XGObKMSoA.png",1,"WEBVTT\n\n00:00.633 --> 00:02.108\n那我们今天就聊一聊，\n\n00:02.108 --> 00:07.132\n就是呼吸性细支气管炎伴间质性肺疾病。\n\n00:07.132 --> 00:09.258\n我们从以下五个方面开始聊，\n\n00:09.258 --> 00:11.682\n第一个方面先说一下背景介绍。\n\n00:15.241 --> 00:18.691\n那个什么是那个呼吸性细支气管炎呢？\n\n00:18.691 --> 00:20.341\n伴肺间质性。\n\n00:21.739 --> 00:22.489\n肺疾病呢，\n\n00:22.839 --> 00:24.239\n它的定义与特征，\n\n00:24.589 --> 00:26.464\n第一个就是它的特征，\n\n00:26.464 --> 00:33.289\n就是是细支气管炎症和肺肺间的肺间质的纤维化。\n\n00:33.839 --> 00:37.688\n临床表现包括咳嗽和呼吸困难。\n\n00:38.966 --> 00:42.317\n影像学检查可以提示肺部的毛玻璃样病变。\n\n00:45.133 --> 00:48.583\n呼吸性细支气管炎伴间质性肺病，\n\n00:48.784 --> 00:52.359\n又外文简写叫RBILD，\n\n00:52.359 --> 00:53.833\n是一种肺部疾病，\n\n00:54.133 --> 00:55.984\n它通常影响年轻人。\n\n00:56.773 --> 00:57.773\n和吸烟者。\n\n00:59.148 --> 00:59.874\n而且是吸烟，\n\n00:59.874 --> 01:03.398\n是已知的重要的风险因素。\n\n01:05.624 --> 01:09.799\n它具有细支气管炎和肺间质的病变特征，\n\n01:09.799 --> 01:11.223\n具有两个病变的特征，\n\n01:11.424 --> 01:14.524\n然后病理特征主要是为细支气管。\n\n01:15.781 --> 01:17.281\n细支气管壁的增厚，\n\n01:17.781 --> 01:21.931\n炎症细胞的浸润和和间质的纤维化，\n\n01:22.632 --> 01:27.181\n确诊是需要结合临床表现、影像学还有病理学的检查。\n\n01:27.832 --> 01:28.232\n嗯，\n\n01:28.482 --> 01:31.732\n下面说一下流行病学的那个分布，\n\n01:31.832 --> 01:37.031\n它的发病率和分布在全球范围内发病率比较低，\n\n01:37.382 --> 01:40.582\n大概为每10万人中一到两例。\n\n01:40.882 --> 01:45.632\n这个是根据那个世界卫生组织的数据。\n\n01:46.184 --> 01:51.809\nRBILD在普通人群中那个较为罕见，\n\n01:52.209 --> 01:55.434\n那个吸烟者发病率偏高一点，\n\n01:55.434 --> 01:57.459\n是非吸烟者的3.5倍，\n\n01:57.809 --> 02:02.059\n这也是根据流行性病学的研究显示的吸烟。\n\n02:03.223 --> 02:06.174\n显著增加患病的风险。\n\n02:07.276 --> 02:07.475\n而且，\n\n02:07.475 --> 02:09.225\n男性多于女性，\n\n02:09.225 --> 02:11.276\n比例大概为2:1。\n\n02:11.526 --> 02:11.925\n嗯，\n\n02:11.925 --> 02:14.475\n这可能考虑就是男性吸烟者比较多吧。\n\n02:14.725 --> 02:15.100\n嗯，\n\n02:15.100 --> 02:17.925\n与性别的差异也有一定的关系。\n\n02:18.225 --> 02:18.751\n然后，\n\n02:18.751 --> 02:22.126\n通常发病是在30岁到50岁之间发病，\n\n02:22.475 --> 02:22.876\n嗯，\n\n02:23.376 --> 02:26.326\n但是可以影响到任何的年龄段，\n\n02:26.876 --> 02:28.475\n就发病年龄比较广泛。\n\n02:29.850 --> 02:30.100\n嗯，\n\n02:31.050 --> 02:32.500\n所以要需要提高警惕，\n\n02:32.500 --> 02:34.149\n而且某些特殊的职业，\n\n02:34.350 --> 02:35.899\n就职业暴露比较多的，\n\n02:35.899 --> 02:37.000\n比如矿工啊，\n\n02:37.350 --> 02:38.375\n可能增加风险，\n\n02:38.375 --> 02:40.399\n像以前最早以前的矽肺的毛病，\n\n02:40.399 --> 02:41.000\n矽肺病。\n\n02:42.149 --> 02:43.949\n可能这种患者也会比例会高一点，\n\n02:43.949 --> 02:45.100\n长期吸入粉尘。\n\n02:46.527 --> 02:48.227\n可以导致疾病的发生和发展。\n\n02:49.705 --> 02:51.805\n还有一个就是地域差异比较明显，\n\n02:52.305 --> 02:54.606\n就是发达国家的发病率比较高。\n\n02:55.981 --> 02:58.880\n这可能与环境的污染还有生活方式有关。\n\n02:59.380 --> 03:02.630\n近年来随着诊断技术的进步啊，\n\n03:03.481 --> 03:04.380\n检出率。\n\n03:05.753 --> 03:06.402\n有所提升。\n\n03:06.552 --> 03:08.703\n先进的影像学检查和。\n\n03:10.414 --> 03:13.115\n可以帮帮助早期发现病例。\n\n03:17.302 --> 03:20.477\n当前研究的热点就是世界医学界的，\n\n03:20.477 --> 03:24.753\n关注的焦点就是发病机制的研究，\n\n03:25.152 --> 03:29.902\n通过基因环境因素在疾病发生中的作用。\n\n03:31.210 --> 03:33.610\n然后还有新型诊断方法的开发，\n\n03:33.761 --> 03:37.710\n就寻找就更精准而且无创的手段。\n\n03:37.710 --> 03:40.535\n检测手段就是无创的检测手段，\n\n03:40.535 --> 03:43.061\n患者便于就是容易接受一点。\n\n03:43.261 --> 03:46.261\n还有治疗策略的创新探讨，\n\n03:46.261 --> 03:48.261\n针对炎症和纤维化的新疗法。\n\n03:48.410 --> 03:53.160\n因为既往我们对肺纤维化就没有太好的就是治疗方法，\n\n03:53.960 --> 04:01.160\n而且疾病模型的建立就通过动物模型模拟疾病发展和。\n\n04:01.451 --> 04:02.501\n干预的效果。\n\n04:04.970 --> 04:07.669\n然后生物标志物的识别。\n\n04:08.936 --> 04:14.787\n可以用于发现早期诊断和预后的评估的生物标志物。\n\n04:15.087 --> 04:17.744\n患者生活质量要改善患者的生活质量，\n\n04:17.744 --> 04:22.036\n关于治疗对患者日常功能和心理状态的影响，\n\n04:22.437 --> 04:25.486\n有需要多学科合作研究，\n\n04:25.687 --> 04:29.736\n加强医学生物学、工程学等多领域的合作。\n\n04:30.236 --> 04:35.911\n个性化医疗方案的制定就根据患者的具体情况，\n\n04:35.911 --> 04:39.136\n量身那个定制治疗计划不是。\n\n04:39.180 --> 04:39.930\n一概而论的。\n\n04:46.313 --> 04:46.713\n他那个。\n\n04:47.812 --> 04:49.513\n病因和发病机理。\n\n04:50.661 --> 04:51.335\n病因分析，\n\n04:51.335 --> 04:53.411\n导致那个疾病的主要因素，\n\n04:53.811 --> 04:56.760\n吸烟是主要的风险因素。\n\n04:58.562 --> 05:03.562\n超过90%的这个这种患者都有吸烟史，\n\n05:03.861 --> 05:06.661\n而且吸烟量和那个。\n\n05:08.053 --> 05:10.354\n病变的严重程度相关，\n\n05:10.553 --> 05:12.354\n第二个就是大气的污染。\n\n05:14.986 --> 05:17.437\n长期暴露于空气的颗粒物，\n\n05:17.636 --> 05:19.886\n还有二氧化硫等污染物，\n\n05:20.187 --> 05:22.587\n可能会加剧肺部的炎症。\n\n05:25.778 --> 05:26.528\n然后职业暴露。\n\n05:26.528 --> 05:29.829\n如果矿工、化学工作者长期的。\n\n05:31.342 --> 05:33.243\n接触粉尘和化学物质，\n\n05:33.342 --> 05:36.442\n可以增加那个患病的风险。\n\n05:38.102 --> 05:41.002\n特别是就长期接触什么吸尘啊，\n\n05:41.002 --> 05:43.002\n石棉柴油烟雾等。\n\n05:44.545 --> 05:45.395\n还有遗传因素。\n\n05:45.596 --> 05:50.346\n某些基因变异可能使个体对肺。\n\n05:51.419 --> 05:51.819\n不损伤，\n\n05:51.819 --> 05:52.769\n就是更为敏感，\n\n05:53.569 --> 05:56.218\n容易患RBILD。\n\n05:57.287 --> 05:58.037\n病毒感染，\n\n05:58.037 --> 05:59.088\n如流感啊，\n\n05:59.138 --> 06:04.388\n腺病毒等感染可能引发或者加重肺部炎症反应。\n\n06:06.226 --> 06:08.526\n还有一个个人的那个免疫系统异常，\n\n06:08.526 --> 06:10.526\n就是一个基因易感易感性，\n\n06:10.526 --> 06:13.526\n就个体对烟雾刺激的反应差异，\n\n06:13.626 --> 06:15.325\n也可能影响疾病的进展。\n\n06:15.526 --> 06:17.126\n自身免疫反应异常，\n\n06:17.675 --> 06:21.175\n可能导致肺部组织损伤和纤维化。\n\n06:22.308 --> 06:22.558\n嗯。\n\n06:24.414 --> 06:25.614\n药物的那个副作用，\n\n06:25.713 --> 06:34.114\n某些药物和化疗药物可能引起肺部炎炎症和纤维化。\n\n06:36.679 --> 06:37.929\n然后发病机制。\n\n06:40.721 --> 06:42.272\n疾病发展的生物学过程，\n\n06:42.372 --> 06:44.971\n它包括免免疫反应的异常。\n\n06:45.471 --> 06:45.872\n嗯，\n\n06:46.471 --> 06:49.372\n自身免疫反应可以导致组织损伤，\n\n06:49.571 --> 06:52.721\n然后炎症反应就是免疫细胞释放炎症介质，\n\n06:52.921 --> 06:54.272\n然后损伤肺组织。\n\n06:54.971 --> 06:56.421\n基因调控失常，\n\n06:56.471 --> 06:59.971\n就特定基因表达异常影响疾病的进展。\n\n07:00.221 --> 07:01.622\n还有纤维化的过程，\n\n07:02.171 --> 07:06.372\n细胞外基质过度沉积导致肺结构的改变，\n\n07:06.971 --> 07:08.772\n细胞信号传递异常，\n\n07:08.971 --> 07:10.622\n就是信号传。\n\n07:11.002 --> 07:13.351\n传导通络失调，\n\n07:13.351 --> 07:14.951\n影响细胞功能，\n\n07:15.552 --> 07:16.601\n氧化应急。\n\n07:18.898 --> 07:20.424\n就是氧化应激，\n\n07:20.424 --> 07:22.398\n就是由就自由基生成过多，\n\n07:22.598 --> 07:24.348\n可以加剧细胞的损伤，\n\n07:24.748 --> 07:27.148\n还有环境因素交互作用，\n\n07:27.148 --> 07:29.098\n环境与基因共同影响，\n\n07:29.549 --> 07:32.299\n导致那个疾病的发生和发展。\n\n07:33.894 --> 07:34.493\n病理特征。\n\n07:35.864 --> 07:43.313\n疾病在组织层面的表现就是炎症细胞浸润导致细支气管炎，\n\n07:43.563 --> 07:46.914\n细支气管壁增厚影响气体交换，\n\n07:47.313 --> 07:48.914\n然后细支气管壁增厚，\n\n07:49.313 --> 07:51.463\n然后逐步发展成肺纤维化。\n\n07:52.634 --> 07:57.933\n纤维组织在肺间质的过度沉积导致那个肺弹性的下降，\n\n07:58.283 --> 08:01.384\n炎症和纤维化导致肺泡壁破坏，\n\n08:01.533 --> 08:03.933\n影响影响呼吸效率，\n\n08:03.933 --> 08:04.933\n就影响换气。\n\n08:05.384 --> 08:07.984\n肺泡壁破坏然后炎症细胞浸润，\n\n08:08.384 --> 08:12.408\n就是大量的就在组织疾病在组织层面的表现，\n\n08:12.408 --> 08:16.834\n就是大量的炎症细胞进入肺组织加剧。\n\n08:17.903 --> 08:19.102\n局部炎症反应。\n\n08:20.377 --> 08:20.826\n还有，\n\n08:20.826 --> 08:22.326\n肺部血管结构改变，\n\n08:22.527 --> 08:25.826\n影响氧气运输和血流动力学。\n\n08:26.826 --> 08:27.851\n血管重塑，\n\n08:27.851 --> 08:29.527\n然后细胞外基质重塑，\n\n08:29.826 --> 08:31.826\n细胞外基质成分的改变，\n\n08:32.077 --> 08:32.476\n嗯，\n\n08:32.577 --> 08:33.177\n影响。\n\n08:34.109 --> 08:36.210\n肺组织的正常功能。\n\n08:37.937 --> 08:38.937\n最后一个就是。\n\n08:40.104 --> 08:43.604\n免疫细胞在肺组在肺组织中过度活化，\n\n08:44.054 --> 08:46.905\n嗯引发异常的免疫反应。\n\n08:47.804 --> 08:50.030\n在导致那个细胞凋零，\n\n08:50.030 --> 08:51.479\n增加炎症和纤维化，\n\n08:51.479 --> 08:54.604\n导致细胞肺细胞的大量凋亡。\n\n08:56.403 --> 08:57.103\n组织损伤。\n\n08:58.043 --> 08:58.393\n家具。\n\n09:02.081 --> 09:02.331\n然后，\n\n09:02.331 --> 09:04.882\n我们下面看一下他的临床表现和诊断。\n\n09:04.981 --> 09:06.706\n临床表现，\n\n09:06.706 --> 09:09.581\n患者经常感到呼吸急促，\n\n09:09.981 --> 09:14.081\n尤其在活动后加加剧就表现为一个呼吸困难，\n\n09:14.182 --> 09:15.331\n还有个慢性咳嗽。\n\n09:15.382 --> 09:16.281\n这种咳嗽呢，\n\n09:16.281 --> 09:17.331\n多为干咳，\n\n09:17.632 --> 09:18.969\n持续时间比较长，\n\n09:18.969 --> 09:20.831\n影响日常生活。\n\n09:23.159 --> 09:23.510\n那个。\n\n09:25.111 --> 09:26.861\n还有一个乏力与体重的减轻，\n\n09:27.111 --> 09:28.460\n疾病消耗能量，\n\n09:28.560 --> 09:31.161\n导致患者感到疲惫和体重下降。\n\n09:32.810 --> 09:33.286\n然后，\n\n09:33.286 --> 09:36.510\n长期的疾病困扰可以导致心理负担的增加，\n\n09:36.510 --> 09:38.361\n使患者产生焦虑和抑郁。\n\n09:40.851 --> 09:42.450\n部分患者可能因胸部不适，\n\n09:42.601 --> 09:45.750\n或者感到那个轻微的有胸痛胸痛的表现，\n\n09:46.151 --> 09:47.200\n还有患者呢，\n\n09:47.301 --> 09:50.101\n能感到心跳加快或者不规律。\n\n09:51.348 --> 09:53.249\n然后又产生心悸的感觉，\n\n09:54.299 --> 09:56.598\n也有可能会出现低热，\n\n09:56.749 --> 09:59.898\n当然同时一般低热还会伴随一些其他的症状。\n\n10:02.453 --> 10:04.353\n然后呼吸时候还可以出现喘息。\n\n10:05.786 --> 10:08.585\n尤其是就是活动后就是明显增加。\n\n10:10.304 --> 10:12.854\n他的症状起初是比较隐匿的，\n\n10:13.104 --> 10:15.554\n常见是常见是干咳，\n\n10:15.554 --> 10:16.505\n活动或气促，\n\n10:16.955 --> 10:17.554\n很少，\n\n10:17.804 --> 10:20.054\n少量会出现低氧血症或者咯血。\n\n10:24.135 --> 10:24.784\n诊断方法，\n\n10:24.934 --> 10:29.234\n诊断方法就是确诊疾病的步骤与工具。\n\n10:29.784 --> 10:31.784\n第一个就是影像学检查，\n\n10:32.234 --> 10:35.434\n这个主要这里主要指的这个CT扫描，\n\n10:35.585 --> 10:39.085\n它可以显示肺部毛玻璃样的改变和纤维化。\n\n10:39.284 --> 10:40.434\n肺功能测试，\n\n10:40.534 --> 10:44.135\n肺功能测试主要确定那个肺活量和气体的交换能力，\n\n10:44.234 --> 10:45.934\n评估呼吸功能。\n\n10:47.767 --> 10:49.017\n还有一个病理学的检查。\n\n10:50.206 --> 10:53.057\n病理学的检查主要是通过肺组织活检，\n\n10:53.557 --> 10:57.007\n可以获取组织样本去进行病理分析，\n\n10:57.007 --> 10:58.507\n这个是有创的检查，\n\n10:58.706 --> 10:59.606\n还有血液检查，\n\n10:59.606 --> 11:03.356\n就检测炎性标志物和自身的抗体水平，\n\n11:03.557 --> 11:05.206\n可以辅助诊断。\n\n11:05.820 --> 11:06.495\n支气管镜，\n\n11:06.495 --> 11:10.370\n支气管镜检查是也是个有创检查，\n\n11:10.370 --> 11:12.520\n可以直接观察支气管的情况，\n\n11:12.971 --> 11:14.421\n获取痰液的样本。\n\n11:15.773 --> 11:15.898\n还有，\n\n11:15.898 --> 11:19.973\n放射性核素扫描可以评估肺部血流和通气情况，\n\n11:20.223 --> 11:21.223\n帮助诊断。\n\n11:21.573 --> 11:26.073\n心电图和超声心动路图可以排除心肺相关疾病。\n\n11:26.273 --> 11:26.674\n嗯，\n\n11:27.023 --> 11:28.098\n可以辅助诊断，\n\n11:28.098 --> 11:35.473\n就是可以排除一些就是和这个症状类似的心肺的方面的其他的疾病。\n\n11:37.859 --> 11:39.210\n然后鉴别诊断。\n\n11:41.385 --> 11:41.984\n鉴别诊断。\n\n11:42.945 --> 11:44.395\n主要是与其他肺部疾病。\n\n11:45.380 --> 11:45.729\n鉴别。\n\n11:47.830 --> 11:48.156\n第一个呢，\n\n11:48.156 --> 11:50.981\n主要是与特发性的肺纤维化区别，\n\n11:51.880 --> 11:53.630\n它两个病理特征不同。\n\n11:53.931 --> 11:55.281\n嗯，\n\n11:55.281 --> 11:58.431\nRBILD表现为细支气管炎和轻度纤维化，\n\n11:58.981 --> 12:03.330\n而那个特发性肺纤维化主要是大量的以纤维化为主，\n\n12:03.731 --> 12:06.330\n还有与慢阻肺的区别，\n\n12:06.330 --> 12:11.431\n就c o p d c o pd主要是是吸烟引起，\n\n12:11.580 --> 12:14.031\n表现为气流受阻和肺气肿，\n\n12:14.281 --> 12:18.031\n而RBILD以细支气管炎症为主。\n\n12:18.700 --> 12:20.625\n与过敏性肺炎区别，\n\n12:20.625 --> 12:24.500\n过敏性肺炎常由环境过度敏感引发。\n\n12:25.588 --> 12:27.538\n过敏原引发症状类似，\n\n12:27.937 --> 12:30.388\n但病理特征不不同，\n\n12:30.737 --> 12:31.937\n需要仔细鉴别。\n\n12:32.038 --> 12:33.437\n还有与肺结节。\n\n12:34.791 --> 12:35.591\n病的区别。\n\n12:35.791 --> 12:37.241\n肺结节病表现为。\n\n12:38.401 --> 12:40.301\n非干酪性的肉芽肿。\n\n12:41.494 --> 12:42.443\n咳嗽。\n\n12:44.297 --> 12:45.747\n可以累积多个器官，\n\n12:46.398 --> 12:49.247\n与RBILD的病理机制不同，\n\n12:49.398 --> 12:50.697\n还有肺癌的区别，\n\n12:50.697 --> 12:53.648\n这通过影像学和病理学的检查就可以帮助区分。\n\n12:54.765 --> 12:57.315\n肺癌通常有肿块啊，\n\n12:57.315 --> 13:00.614\n还有那个病理可以看到恶性细胞。\n\n13:03.442 --> 13:04.692\n然后治疗策略。\n\n13:05.979 --> 13:06.254\n嗯，\n\n13:06.254 --> 13:07.229\n治疗策略。\n\n13:08.692 --> 13:09.142\n核心，\n\n13:09.142 --> 13:11.992\n核心的原则就是以戒烟为主，\n\n13:12.192 --> 13:13.192\n药物为辅，\n\n13:13.541 --> 13:15.942\n支持治疗可以改善症状。\n\n13:17.267 --> 13:17.817\n药物治疗。\n\n13:17.817 --> 13:18.267\n这里。\n\n13:19.963 --> 13:21.263\n那具体的措施嘛，\n\n13:21.263 --> 13:21.713\n就是。\n\n13:22.815 --> 13:23.916\n第一个肯定要戒烟。\n\n13:24.864 --> 13:26.338\n戒烟以后，\n\n13:26.338 --> 13:29.713\n60%.70%的患者症状和肺功能可以改善，\n\n13:29.963 --> 13:32.013\n部分还有少数部分可以治愈。\n\n13:33.653 --> 13:34.028\n然后，\n\n13:34.028 --> 13:36.002\n药物治疗包括糖皮质激素，\n\n13:36.252 --> 13:37.802\n主要是抑制炎症反应，\n\n13:38.552 --> 13:39.953\n减缓疾病的进展。\n\n13:40.502 --> 13:41.978\n第二个是免疫抑制剂，\n\n13:41.978 --> 13:43.302\n可以调节免疫系统，\n\n13:43.653 --> 13:45.203\n减少组织的损伤。\n\n13:45.752 --> 13:46.828\n支气管扩张剂，\n\n13:46.828 --> 13:49.002\n支气可以改善那个呼吸功能。\n\n13:49.002 --> 13:51.002\n抗生素就是控制，\n\n13:51.453 --> 13:52.903\n主要是针对继发感染，\n\n13:52.903 --> 13:54.203\n控制细菌感染的。\n\n13:54.453 --> 13:57.353\n还有抗病毒药物，\n\n13:57.453 --> 14:00.002\n主要用于病毒感染引起的炎症控制，\n\n14:00.103 --> 14:02.153\n抗氧化剂就减少。\n\n14:02.991 --> 14:03.791\n氧化应激，\n\n14:04.241 --> 14:06.291\n保护肺细胞。\n\n14:08.369 --> 14:09.943\n然后抗纤维化的药物，\n\n14:09.943 --> 14:11.169\n抗纤维化的药物，\n\n14:11.268 --> 14:13.619\n抑制纤维化的过程。\n\n14:15.224 --> 14:16.150\n改善肺的结构，\n\n14:16.150 --> 14:18.625\n免疫调节剂就是调节免疫，\n\n14:18.625 --> 14:19.825\n减少炎症损伤。\n\n14:22.018 --> 14:23.318\n非药物治疗呢，\n\n14:23.518 --> 14:26.369\n就是有辅助手段，\n\n14:26.369 --> 14:28.518\n就是第一个可以做氧疗，\n\n14:28.669 --> 14:30.768\n就是提供额外的氧气支持。\n\n14:33.885 --> 14:34.236\n改善。\n\n14:35.310 --> 14:37.361\n改善患者的呼吸困难症状，\n\n14:37.611 --> 14:41.760\n第二个呼吸康复就通过物理治疗和呼吸的训练，\n\n14:42.010 --> 14:44.411\n提高患者的肺功能和生活质量。\n\n14:45.156 --> 14:45.757\n主要就是。\n\n14:47.379 --> 14:47.629\n嗯。\n\n14:49.473 --> 14:50.424\n帮助患者戒烟，\n\n14:50.823 --> 14:53.223\n营养支持主要是改善患者，\n\n14:53.223 --> 14:57.723\n可以改善患者的免疫力和让患者的身体恢复。\n\n14:58.573 --> 15:03.598\n家庭护理就指导指导家庭人员进行护理，\n\n15:03.598 --> 15:05.823\n为患者提供良好的生活环境，\n\n15:06.323 --> 15:07.148\n定期监测，\n\n15:07.148 --> 15:09.874\n这里主要是监测病情的变化，\n\n15:10.124 --> 15:12.374\n及时调整治疗方案，\n\n15:12.374 --> 15:14.424\n以保持病情的稳定。\n\n15:14.523 --> 15:15.448\n还有心理辅导，\n\n15:15.448 --> 15:19.674\n就对长期患病的患者心理方面的焦虑什么的可以。\n\n15:19.723 --> 15:22.773\n可以交家压力，\n\n15:22.773 --> 15:25.422\n可以予以那个心理辅导。\n\n15:36.974 --> 15:38.875\n我们现在讲一下那个未来的展望，\n\n15:39.125 --> 15:41.625\n那个通那个希望，\n\n15:41.625 --> 15:47.075\n那个发病机制的深入研究可以进一步揭示疾病发生发展的机理。\n\n15:47.575 --> 15:47.974\n嗯，\n\n15:47.974 --> 15:50.650\n可以更有效的找到合适的药物，\n\n15:50.650 --> 15:51.775\n更有效的治疗。\n\n15:51.875 --> 15:53.450\n新型的诊断技术的开发，\n\n15:53.450 --> 15:56.325\n可以开发更精准便捷的诊断手段，\n\n15:56.325 --> 15:57.674\n提高早期的诊断率。\n\n15:58.943 --> 15:59.244\n然后，\n\n15:59.494 --> 16:01.294\n个体化治疗方案的优化，\n\n16:01.393 --> 16:03.443\n可以根据遗传和环境特征，\n\n16:04.143 --> 16:04.518\n嗯，\n\n16:04.518 --> 16:06.294\n制定个性化的治疗策略，\n\n16:06.393 --> 16:08.593\n多学科合作研究。\n\n16:08.593 --> 16:09.393\n因为它。\n\n16:10.591 --> 16:13.642\n包括它可以涉及多个学科患者的教育支持，\n\n16:13.742 --> 16:16.442\n还有远程的医疗技术和应用，\n\n16:16.892 --> 16:18.742\n然后谢谢谢大家。\n\n","v0347cg10004d6oi652ljht9komo2lkg",980,735,"2026-01-24 23:27:34"," 呼吸性细支气管炎伴间质性肺疾病 - 症状、诊断与治疗指南  "," 呼吸性细支气管炎, 间质性肺疾病, 肺病症状, 肺纤维化, 呼吸系统疾病, 肺部炎症治疗  "," 了解呼吸性细支气管炎伴间质性肺疾病的症状、病因及最新治疗方法。本文提供专业医学知识，帮助患者和家属掌握疾病管理的关键信息。","2026-04-05 14:30:00",[37],{"menuId":38,"menuName":39,"parentId":17,"orderNum":40,"path":41,"component":42,"isFrame":43,"isCache":44,"menuType":45,"visible":26,"status":17,"createDept":6,"remark":24,"createTime":46,"children":47,"columnImage":48,"columnLogo":49,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":50,"seoKeywords":51,"seoDescription":52,"contentNum":6,"promotionalPoster":53,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":54,"routerPath":41,"componentInfo":42},"1986622624134549505","科普视频",3,"video","/video.html","1","0","T","2025-11-07 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