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--> 00:01.304\n大家好，\n\n00:01.505 --> 00:07.880\n今天我们一起来分享一下儿童慢性扁桃体炎的一些相关知识，\n\n00:07.880 --> 00:09.354\n我是曾妮医生。\n\n00:13.373 --> 00:16.624\n这篇课课课题呢，\n\n00:16.624 --> 00:19.948\n我们来从五个方面进行一个探讨，\n\n00:20.349 --> 00:22.149\n一、症状表现，\n\n00:22.548 --> 00:24.349\n二、全身症状，\n\n00:24.349 --> 00:26.099\n三、治疗方法，\n\n00:26.249 --> 00:27.874\n四、辅助治疗，\n\n00:27.874 --> 00:29.499\n五、预防措施。\n\n00:30.712 --> 00:35.562\n那么我们先从第一个症状表现来探讨一下这个疾病。\n\n00:36.361 --> 00:37.960\n症状表现有哪几点呢？\n\n00:38.311 --> 00:41.261\n首先是咽干咽痛，\n\n00:41.460 --> 00:45.311\n这个是最常见的持续性的咽痛。\n\n00:45.910 --> 00:50.660\n儿童慢性扁桃体炎患者常有持续性的咽痛，\n\n00:51.011 --> 00:54.361\n尤其是在吞咽的时候疼痛加剧，\n\n00:54.611 --> 00:56.261\n影响正常饮食。\n\n00:57.181 --> 00:59.032\n二、咽部干燥感，\n\n00:59.332 --> 01:01.282\n由于咽炎症的刺激，\n\n01:01.381 --> 01:04.931\n患者经常会感到咽部的异常干燥，\n\n01:05.332 --> 01:08.832\n有时伴有口臭和吞咽困难。\n\n01:11.277 --> 01:14.027\n那我们讲到吞咽困难啊，\n\n01:14.226 --> 01:18.126\n就是我们有的儿童感觉到疼痛不适，\n\n01:18.527 --> 01:19.827\n频繁的咳嗽，\n\n01:20.126 --> 01:22.177\n还有食物的卡喉感。\n\n01:22.527 --> 01:23.001\n那么，\n\n01:23.001 --> 01:27.577\n我们来具体看一看这些不适的症状具体有哪些表现啊，\n\n01:27.876 --> 01:29.777\n那就是疼痛和不适。\n\n01:30.226 --> 01:35.726\n儿童在吞咽时可能会感到明显的疼痛和不适，\n\n01:36.177 --> 01:40.527\n这通常是由于扁桃体发炎引起的。\n\n01:41.014 --> 01:44.014\n还有频繁的咳嗽又是怎么出现的呢？\n\n01:44.315 --> 01:48.464\n慢性扁桃体炎可能导致喉咙刺激，\n\n01:48.665 --> 01:53.065\n引起儿童在吞咽时出现频繁的咳嗽反应。\n\n01:53.815 --> 01:56.089\n食物卡喉感啊。\n\n01:56.089 --> 01:57.915\n由于扁桃体肿大，\n\n01:57.915 --> 02:02.464\n儿童在进食时可能会有食物卡在咽喉的感觉，\n\n02:02.764 --> 02:04.364\n导致吞咽困难。\n\n02:05.315 --> 02:05.815\n那么，\n\n02:05.815 --> 02:08.914\n我们这个儿童的扁桃体肿大呀，\n\n02:09.014 --> 02:11.264\n会导致儿童的吞。\n\n02:11.376 --> 02:12.126\n吞咽困难，\n\n02:12.376 --> 02:13.725\n反复发热，\n\n02:13.776 --> 02:15.100\n还有呼吸不畅，\n\n02:15.100 --> 02:19.626\n这样子的一个局部或者是全身的症状。\n\n02:20.576 --> 02:23.026\n儿童患有慢性扁桃体炎时，\n\n02:23.225 --> 02:26.826\n肿大的扁桃体炎会导致咽部不适，\n\n02:27.175 --> 02:28.675\n出现吞咽困难。\n\n02:29.576 --> 02:32.076\n那反复发热又是怎么引起的呢？\n\n02:32.475 --> 02:35.326\n扁桃体肿大会伴有感染，\n\n02:35.526 --> 02:39.475\n可能会导致儿童出现发热的症状，\n\n02:39.776 --> 02:41.276\n需要引起家长。\n\n02:41.380 --> 02:42.031\n的注意，\n\n02:42.531 --> 02:44.281\n还有一个是呼吸不畅，\n\n02:44.680 --> 02:49.731\n我们要关注到肿大的扁桃体可能阻塞呼吸道，\n\n02:49.930 --> 02:52.130\n引起睡眠时打鼾，\n\n02:52.330 --> 02:53.981\n或者是呼吸不畅，\n\n02:54.380 --> 02:56.680\n影响儿童的睡眠质量。\n\n02:59.574 --> 03:00.774\n刚才我们说到了，\n\n03:00.975 --> 03:03.725\n就是慢性的扁桃体炎的患者，\n\n03:03.725 --> 03:06.024\n他不仅仅是有局部的症状，\n\n03:06.074 --> 03:07.725\n还有全身的症状。\n\n03:08.024 --> 03:08.425\n那么，\n\n03:08.425 --> 03:10.975\n我们具体来看一下全身的症状有哪些？\n\n03:11.524 --> 03:11.850\n嗯，\n\n03:11.850 --> 03:13.675\n包括反复的发热，\n\n03:14.074 --> 03:17.925\n发热与感染的周期是怎么样子的呢？\n\n03:18.074 --> 03:22.725\n儿童慢性扁桃体炎常导致反复的发热，\n\n03:22.925 --> 03:25.675\n通常与感染周期是相关的。\n\n03:25.925 --> 03:27.824\n感染时体温升高，\n\n03:28.024 --> 03:29.925\n间歇期体温正常。\n\n03:30.539 --> 03:33.339\n发热对日常生活有哪些影响呢？\n\n03:33.639 --> 03:38.188\n反复发热会影响儿童的日常活动和学习，\n\n03:38.488 --> 03:41.988\n导致疲劳、食欲减退等症状。\n\n03:42.238 --> 03:44.938\n那需要我们家长特别的引起关注。\n\n03:46.940 --> 03:47.889\n人一发热，\n\n03:47.940 --> 03:49.539\n患儿一发热的话，\n\n03:49.589 --> 03:52.539\n它会影响整体的一个生活质量。\n\n03:53.539 --> 03:55.240\n那还有一个是口臭，\n\n03:55.589 --> 03:57.389\n口臭的原因有哪些？\n\n03:57.940 --> 03:59.589\n一个是细菌滋生，\n\n03:59.940 --> 04:04.690\n慢性扁桃体炎导致的细菌堆积可以产生异味，\n\n04:04.990 --> 04:06.440\n引起口臭问题。\n\n04:06.940 --> 04:10.440\n第二个原因是食物残渣的滞留，\n\n04:11.139 --> 04:17.239\n扁桃体隐窝中食物残渣滞留发酵后会产生不良气味。\n\n04:17.441 --> 04:20.490\n导致口臭还有一个是免疫反应，\n\n04:20.691 --> 04:24.790\n身体对慢性炎症的免疫反应可能产生异味，\n\n04:25.091 --> 04:28.290\n通过呼吸时散发出来，\n\n04:28.441 --> 04:30.841\n这就是口臭的三个原因。\n\n04:31.591 --> 04:32.040\n那么，\n\n04:32.040 --> 04:33.466\n全身不适的症状，\n\n04:33.466 --> 04:36.341\n我们儿童会产生几种可能性，\n\n04:36.640 --> 04:38.941\n一个是持续的低烧，\n\n04:39.390 --> 04:41.941\n第二个是乏力和嗜睡。\n\n04:42.649 --> 04:44.500\n第三个是食欲不振，\n\n04:45.299 --> 04:49.299\n持续的低烧是儿童慢性扁桃体炎啊，\n\n04:49.299 --> 04:52.500\n可能导致儿童发生持续的低烧。\n\n04:52.649 --> 04:55.000\n那么我们对低烧的定义是什么呢？\n\n04:55.149 --> 04:59.899\n体温通常在37°5.38°C之间。\n\n05:00.450 --> 05:02.450\n第二个是乏力和嗜睡。\n\n05:02.700 --> 05:04.450\n由于炎症反应，\n\n05:04.450 --> 05:06.799\n孩子可能会感到全身乏力，\n\n05:07.049 --> 05:10.100\n表现出比平时更多的睡眠需求。\n\n05:10.739 --> 05:12.489\n第三个是食欲不振，\n\n05:12.838 --> 05:17.688\n慢性扁桃体炎引起的不适可能同时影响到孩子的食欲，\n\n05:17.889 --> 05:19.739\n导致进食量减少，\n\n05:20.088 --> 05:22.688\n影响儿童的生长发育。\n\n05:23.289 --> 05:27.088\n那么慢性扁桃体炎会产生局部的症状，\n\n05:27.088 --> 05:28.289\n全身的症状，\n\n05:28.438 --> 05:30.889\n影响到孩子的身体健康。\n\n05:31.239 --> 05:32.588\n那么这个疾病呢，\n\n05:32.588 --> 05:37.139\n是有它相关的一些产生的不良影响。\n\n05:37.139 --> 05:40.789\n我们怎么去治疗这样子的疾病呢？\n\n05:41.118 --> 05:41.343\n首先，\n\n05:41.343 --> 05:43.618\n大家就想到慢性扁桃体炎嘛，\n\n05:43.669 --> 05:44.569\n有炎症。\n\n05:44.569 --> 05:47.368\n我们首先就想到抗生素的治疗。\n\n05:47.819 --> 05:48.269\n那么，\n\n05:48.269 --> 05:51.069\n抗生素治疗针对患儿来说呢，\n\n05:51.118 --> 05:54.218\n首先就要选择合适的抗生素。\n\n05:54.618 --> 05:59.218\n根据儿童的年龄、体重和病情的严重程度，\n\n05:59.368 --> 06:03.218\n医生会选择合适的抗生素进行治疗。\n\n06:03.569 --> 06:03.968\n那么，\n\n06:03.968 --> 06:06.419\n这里要提醒各位家长注意，\n\n06:06.519 --> 06:11.019\n不应该就是根据自己的经验或者是既往医生。\n\n06:11.101 --> 06:14.201\n开的药来给自己家的孩子啊，\n\n06:14.201 --> 06:18.302\n让滥用抗生素或者家长自己去选择抗生素，\n\n06:18.502 --> 06:20.752\n这样其实是有风险的啊。\n\n06:20.752 --> 06:24.402\n患儿的抗生素的使用是有严格的要求的，\n\n06:24.451 --> 06:27.302\n根据他的具体的情况，\n\n06:27.502 --> 06:29.226\n年龄、体重啊，\n\n06:29.226 --> 06:31.302\n还有他的病情啊，\n\n06:31.302 --> 06:33.552\n对于抗生素的剂量啊，\n\n06:33.552 --> 06:35.802\n种类的选择以及啊，\n\n06:35.802 --> 06:39.951\n这个它相关的一些考量啊，\n\n06:39.951 --> 06:41.052\n医生都会去考量。\n\n06:41.162 --> 06:44.263\n需要专业人士来进行处理啊，\n\n06:44.263 --> 06:47.263\n家长不要根据经验来给孩子用药。\n\n06:47.513 --> 06:48.287\n第二个呢，\n\n06:48.287 --> 06:50.363\n是抗生素的使用时长。\n\n06:51.330 --> 06:52.480\n通常情况下，\n\n06:52.730 --> 06:56.230\n抗生素需要连续使用10天左右。\n\n06:56.430 --> 06:56.830\n以。\n\n06:57.990 --> 07:00.415\n保证彻底的消灭啊，\n\n07:00.415 --> 07:02.040\n细菌的感染啊，\n\n07:02.040 --> 07:02.941\n有的家长呢，\n\n07:02.941 --> 07:05.390\n他使用了抗生素以后又觉得啊，\n\n07:05.390 --> 07:07.191\n抗生素危害性很大，\n\n07:07.191 --> 07:08.140\n副作用很大。\n\n07:08.390 --> 07:10.740\n那么用过三天以后，\n\n07:10.790 --> 07:11.066\n哎，\n\n07:11.066 --> 07:12.540\n发现孩子的症状好了，\n\n07:12.540 --> 07:13.890\n然后就停用了啊。\n\n07:13.890 --> 07:16.265\n过一段时间就会发现，\n\n07:16.265 --> 07:19.140\n这个孩子不舒服的症状又出现了。\n\n07:19.191 --> 07:20.216\n那么有可能呢，\n\n07:20.216 --> 07:22.890\n就是抗生素的使用时长是不够的，\n\n07:23.040 --> 07:27.990\n所以还是要遵医嘱去将这个抗生素的疗程做到位。\n\n07:28.494 --> 07:29.595\n第三个呢，\n\n07:29.595 --> 07:31.920\n是要监测药物的副作用。\n\n07:31.920 --> 07:33.445\n我们刚才说到了啊，\n\n07:33.445 --> 07:34.420\n就是抗生素啊，\n\n07:34.420 --> 07:36.894\n这些药物都有它一定的副作用的。\n\n07:37.445 --> 07:39.345\n那么在治疗过程中，\n\n07:39.494 --> 07:44.695\n医生会监测儿童是否有抗生素相关的副作用。\n\n07:44.945 --> 07:45.345\n那么，\n\n07:45.345 --> 07:45.920\n副作用呢，\n\n07:45.920 --> 07:47.320\n有哪些呢？\n\n07:47.320 --> 07:51.320\n我们最需要关注的应该就是一个过敏反应啊，\n\n07:51.320 --> 07:53.720\n有的抗生素是需要做皮试的，\n\n07:53.720 --> 07:56.144\n有的抗生素是不需要做皮试的，\n\n07:56.244 --> 07:56.670\n那么，\n\n07:56.670 --> 07:58.394\n不管是哪一类需要。\n\n07:58.447 --> 08:00.048\n还是不需要做皮试的，\n\n08:00.048 --> 08:06.697\n抗生素都需要严密的观察孩子服用过抗生素以后一些相关的变化。\n\n08:06.898 --> 08:08.247\n过敏的反应呢，\n\n08:08.247 --> 08:10.347\n包括皮疹，\n\n08:10.347 --> 08:13.648\n皮疹可以有散发的皮疹也有全身的皮疹，\n\n08:13.947 --> 08:16.847\n包括咽喉部的水肿，\n\n08:16.997 --> 08:18.298\n包括呼吸困难，\n\n08:18.298 --> 08:20.097\n更严重的过敏反应呢，\n\n08:20.097 --> 08:23.673\n甚至是有休克和窒息的可能性的啊。\n\n08:23.673 --> 08:28.347\n所以大家一定要在医生的这个监测下去观。\n\n08:28.471 --> 08:31.471\n观察儿童服用抗生素以后是否有反应，\n\n08:31.721 --> 08:37.796\n那么即便是有迟发性的过敏反应也应该及时的向医生进行汇报啊。\n\n08:37.796 --> 08:38.421\n或者呢，\n\n08:38.421 --> 08:40.596\n就是在使用抗生素了以后，\n\n08:40.596 --> 08:45.271\n我们孩子会出现一个肠道菌群失调的这样子的一个情况。\n\n08:45.471 --> 08:47.296\n那么肠道菌群失调呢，\n\n08:47.296 --> 08:50.072\n会表现为孩子的大便不规律，\n\n08:50.372 --> 08:54.072\n有的会产生一个排气啊，\n\n08:54.521 --> 08:58.046\n就是我们说孩子换放屁比较多啊，\n\n08:58.046 --> 08:58.421\n或者。\n\n08:58.494 --> 08:58.895\n是说呢，\n\n08:58.895 --> 09:00.857\n他的大便不成形，\n\n09:00.857 --> 09:02.445\n变成烂稀糊样的，\n\n09:02.445 --> 09:04.895\n还有每天的大便次数增多，\n\n09:05.094 --> 09:07.895\n这些都有可能是使用过抗生素以后，\n\n09:07.895 --> 09:12.869\n我们患儿肠道内的肠道菌群失调了啊，\n\n09:12.869 --> 09:14.594\n导致这样子的一个情况。\n\n09:15.145 --> 09:15.544\n那么，\n\n09:15.544 --> 09:16.945\n除了抗生素以外，\n\n09:16.945 --> 09:21.619\n我们还有哪些可以使用的武器呢？\n\n09:21.619 --> 09:23.294\n有一个是免疫调节剂，\n\n09:23.494 --> 09:26.094\n这个我们大家可能认识到的比较少啊，\n\n09:26.294 --> 09:28.395\n就是除了抗生素。\n\n09:28.518 --> 09:35.419\n我们还可以使用皮质类固醇还有免疫球蛋白治疗使用抗生素呢，\n\n09:35.419 --> 09:38.919\n反复强调需要在医生的指导下使用，\n\n09:39.018 --> 09:45.968\n避免滥用抗生素比如说阿莫西林可以减少扁桃体炎的急性发作。\n\n09:46.419 --> 09:47.093\n第二个呢，\n\n09:47.093 --> 09:49.119\n是我们的皮质类固醇治疗，\n\n09:49.518 --> 09:53.018\n短期的短暂的使用皮质类固醇，\n\n09:53.018 --> 09:57.218\n也就是我们所说的激素可以减轻扁桃体炎症，\n\n09:57.619 --> 09:58.468\n但是呢。\n\n09:58.541 --> 10:00.992\n长期的使用是有副作用在的啊，\n\n10:01.341 --> 10:04.642\n第三个是免疫球蛋白治疗。\n\n10:04.942 --> 10:08.791\n免疫球蛋白可增强儿童的免疫系统，\n\n10:08.942 --> 10:12.142\n减少慢性扁桃体炎的发作频率。\n\n10:13.642 --> 10:16.966\n还有一个是讲到除了药物治疗，\n\n10:16.966 --> 10:19.492\n免疫免疫免疫制剂的治疗，\n\n10:19.492 --> 10:20.841\n那我们还有什么武器呢？\n\n10:20.841 --> 10:23.442\n就是扁桃体的切除术。\n\n10:24.192 --> 10:24.892\n首先呢，\n\n10:24.892 --> 10:26.192\n运用到手术啊，\n\n10:26.192 --> 10:28.492\n我们就要严格掌握手术的。\n\n10:28.541 --> 10:29.242\n的适应症，\n\n10:29.942 --> 10:35.892\n扁桃体切除术适用于反复发作的慢性扁桃体炎，\n\n10:36.341 --> 10:40.742\n尤其是影响儿童正常生活和发育的情况。\n\n10:41.492 --> 10:41.966\n那么，\n\n10:41.966 --> 10:43.841\n在手术的过程中呢，\n\n10:43.892 --> 10:47.192\n是需要在全麻的状态下进行的。\n\n10:47.442 --> 10:49.192\n通过切除扁桃体，\n\n10:49.192 --> 10:50.642\n可以减轻症状，\n\n10:50.892 --> 10:52.742\n恢复儿童的健康。\n\n10:52.942 --> 10:53.617\n所以呢，\n\n10:53.617 --> 10:58.492\n往往需要就是住院进行一个手术切除的治疗。\n\n10:58.565 --> 10:58.765\n好，\n\n10:59.065 --> 11:01.565\n那么我们家长肯定也会很关注，\n\n11:01.565 --> 11:03.366\n就是术后恢复的情况。\n\n11:03.916 --> 11:08.616\n术后的患儿需要适当的休息和饮食调整，\n\n11:08.815 --> 11:10.515\n以促进伤口愈合，\n\n11:10.815 --> 11:12.966\n避免并发症的产生。\n\n11:13.866 --> 11:15.291\n那除了手术治疗，\n\n11:15.291 --> 11:17.216\n我们还有哪些方法呢？\n\n11:17.216 --> 11:19.315\n我们中医也是博大精深的啊。\n\n11:19.565 --> 11:22.315\n在中医方面的这个辅助治疗呢，\n\n11:22.315 --> 11:28.515\n我们有中药的外敷以及穴位的针灸这样子两大类的方法中。\n\n11:28.588 --> 11:29.189\n中药外敷，\n\n11:29.888 --> 11:32.189\n中药的贴敷，\n\n11:32.189 --> 11:33.489\n贴敷疗法，\n\n11:33.689 --> 11:39.289\n使用具有清热解毒、消肿止痛作用的中药制成药膏，\n\n11:39.489 --> 11:40.789\n贴敷于颈部，\n\n11:41.138 --> 11:43.939\n辅助治疗儿童慢性扁桃体炎。\n\n11:44.388 --> 11:45.164\n第二个呢，\n\n11:45.164 --> 11:51.888\n我们也可以用中药的漱口液配置具有抗菌消炎作用的中药漱口液，\n\n11:51.989 --> 11:54.588\n让儿童每日多次的漱口，\n\n11:54.689 --> 11:57.939\n以减轻扁桃体炎症和不适。\n\n11:58.612 --> 12:02.812\n这个中药的外敷和漱口的方法其实非常的好，\n\n12:02.913 --> 12:03.538\n因为呢，\n\n12:03.538 --> 12:05.213\n它有一个明确的疗效。\n\n12:05.263 --> 12:06.088\n同时呢，\n\n12:06.088 --> 12:10.638\n它基本上副作用是比内服的一些抗生素啊，\n\n12:10.638 --> 12:15.763\n或者是免疫制剂或者类固醇来说会相对轻的很多啊，\n\n12:16.763 --> 12:19.663\n是一个很好的一个选择治疗的方式。\n\n12:20.163 --> 12:20.638\n那么，\n\n12:20.638 --> 12:24.487\n对于有一些大的患儿可以配合的患儿呢，\n\n12:24.487 --> 12:27.812\n我们还有穴位针灸的这样子一个治疗方法。\n\n12:28.635 --> 12:30.635\n选择特定的穴位啊，\n\n12:30.635 --> 12:38.435\n我们通常会选取合谷天突等穴位以缓解咽喉痛的不适的症状，\n\n12:38.435 --> 12:40.935\n还有扁桃体炎引起的一些情况。\n\n12:41.236 --> 12:43.536\n那针灸在操作过程中呢，\n\n12:43.635 --> 12:51.835\n针灸师会根据患者的具体的情况进行消毒进针、行针和留针等操作，\n\n12:51.835 --> 12:53.486\n以达到治疗的效果。\n\n12:53.885 --> 12:57.335\n那么针灸也存潜存在潜在的风险啊，\n\n12:57.486 --> 12:58.486\n它虽然是。\n\n12:58.659 --> 13:00.010\n一个辅助的治疗手段，\n\n13:00.210 --> 13:00.859\n但是呢，\n\n13:00.859 --> 13:01.960\n操作不当呢，\n\n13:01.960 --> 13:06.609\n可以导致局部的疼痛、出血或者感染等风险，\n\n13:06.859 --> 13:09.510\n必须由专业人士来操作。\n\n13:10.359 --> 13:12.309\n那这样子的疾病的产生呢，\n\n13:12.309 --> 13:15.309\n其实不管是怎么治疗，\n\n13:15.309 --> 13:17.909\n其实对患儿已经造成了伤害了。\n\n13:18.059 --> 13:18.484\n那么，\n\n13:18.484 --> 13:21.510\n慢性扁桃体炎有没有相关的预防措施，\n\n13:21.609 --> 13:25.409\n让我们这个疾病发生的频率少一些呢？\n\n13:25.409 --> 13:26.510\n其实是有的啊。\n\n13:26.859 --> 13:28.609\n注意患者的患儿的。\n\n13:28.679 --> 13:29.479\n口腔卫生，\n\n13:29.830 --> 13:30.880\n定期刷牙，\n\n13:31.179 --> 13:33.130\n每天至少刷牙两次。\n\n13:33.330 --> 13:37.729\n使用含氟的牙膏可以有效的减少口腔内的细菌，\n\n13:38.030 --> 13:39.580\n预防扁桃体炎。\n\n13:39.979 --> 13:40.729\n第二个呢，\n\n13:40.729 --> 13:41.780\n是使用牙线，\n\n13:42.179 --> 13:46.979\n牙线可以帮助消除牙中的食物残渣和细菌，\n\n13:47.280 --> 13:49.380\n减少扁桃体炎的风险。\n\n13:49.880 --> 13:50.655\n第三呢，\n\n13:50.655 --> 13:52.280\n是避免张口呼吸，\n\n13:52.630 --> 13:54.929\n口呼吸会增加口腔干燥，\n\n13:55.280 --> 13:57.030\n降低局部免疫力，\n\n13:57.429 --> 13:58.630\n应尽力。\n\n13:58.958 --> 14:00.982\n尽量的用鼻子呼吸，\n\n14:00.982 --> 14:02.682\n保持口腔的湿润，\n\n14:03.132 --> 14:06.432\n那么增强全体的免疫力，\n\n14:06.682 --> 14:09.033\n比如说确保摄入啊，\n\n14:09.033 --> 14:10.408\n足够的维生素啊，\n\n14:10.408 --> 14:11.382\n矿物质啊，\n\n14:11.482 --> 14:14.307\n比如富含维生素C的水果，\n\n14:14.307 --> 14:15.732\n有助于提高免疫力。\n\n14:16.333 --> 14:17.533\n均衡饮食，\n\n14:18.132 --> 14:19.583\n均衡饮食以后呢，\n\n14:19.583 --> 14:21.583\n我们同时要规律运动，\n\n14:21.583 --> 14:24.283\n还有充足的睡眠规律运动，\n\n14:24.283 --> 14:28.632\n要鼓励儿童多多的参与户外活动和适度的运动。\n\n14:28.706 --> 14:29.807\n增强体质，\n\n14:29.956 --> 14:31.606\n提高免疫系统的功能，\n\n14:31.956 --> 14:33.606\n充足的睡眠保障，\n\n14:33.606 --> 14:35.507\n儿童有充足的睡眠时间，\n\n14:35.706 --> 14:38.257\n有助于免疫系统恢复和增强，\n\n14:38.507 --> 14:40.606\n减少扁桃体炎的发生。\n\n14:41.007 --> 14:41.706\n当然了，\n\n14:41.706 --> 14:42.456\n很重要一点，\n\n14:42.456 --> 14:44.557\n我们要避免刺激性的食物，\n\n14:44.807 --> 14:46.906\n限制辛辣食物的摄入。\n\n14:47.257 --> 14:53.257\n辛辣食物如辣椒、胡椒可可能会刺激到扁桃体炎，\n\n14:53.257 --> 14:54.706\n增加炎症的风险，\n\n14:54.706 --> 14:56.906\n应该尽量的减少食用。\n\n14:57.307 --> 14:58.656\n那特别要减少。\n\n14:58.979 --> 15:01.130\n高糖食品的摄入，\n\n15:01.429 --> 15:05.580\n高糖食品有可能导致免疫系统功能下降。\n\n15:05.880 --> 15:08.979\n儿童应该限制糖果啊，\n\n15:08.979 --> 15:10.405\n甜甜的饮料，\n\n15:10.405 --> 15:21.429\n这些摄入咙引发和加重扁桃体炎，\n\n15:21.580 --> 15:23.179\n应避免食用。\n\n15:23.630 --> 15:24.030\n那么，\n\n15:24.030 --> 15:24.780\n以上呢，\n\n15:24.830 --> 15:28.679\n就是我们关于儿童慢性扁桃。\n\n15:28.754 --> 15:29.504\n扁桃体炎啊，\n\n15:29.504 --> 15:31.504\n相关的一些知识点，\n\n15:32.653 --> 15:34.754\n那么我们再进行一个总结。\n\n15:35.054 --> 15:36.953\n儿童慢性扁桃体炎呢，\n\n15:37.054 --> 15:39.479\n它有局部不适的症状，\n\n15:39.479 --> 15:41.653\n还有全身不适的症状，\n\n15:42.054 --> 15:48.004\n那么会给患儿导致身体上的一些不舒服的情况。\n\n15:48.104 --> 15:52.604\n炎症的持续存在会影响儿童的生活质量。\n\n15:52.604 --> 15:55.379\n那么治疗方法有口服有外敷，\n\n15:55.379 --> 15:58.504\n辅助治疗我们也要加强啊。\n\n15:58.778 --> 16:00.177\n做好预防措施，\n\n16:00.177 --> 16:03.028\n减少慢性扁桃体炎的发作。\n\n16:03.127 --> 16:05.228\n以上就是这节课的内容。\n\n","v0d47cg10004d61bf1qljhtcqbn0vj0g",966,816,"2026-01-24 23:49:04","儿童慢性扁桃体炎的症状、治疗与预防指南  ","儿童慢性扁桃体炎,扁桃体炎症状,小儿扁桃体发炎,扁桃体炎治疗,儿童咽喉疾病预防  ","了解儿童慢性扁桃体炎的常见症状、有效治疗方法及科学预防措施。专业解答小儿反复扁桃体发炎的原因、手术指征和家庭护理建议，帮助家长守护孩子呼吸道健康。","2026-04-07 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