[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$f385ch5j7qg2EKhL5Kc40WRKUZYQOBJsglsn_ozYVRSA":8,"$fEb1bI0yD-NNZO2Vf9VeZaMOEgUwhEAHEnSqDJb1mHy4":59,"$f2XmESQAGVcMscKhAFzL1x1k8i4ORVEo-88qHzZi-5-Q":60,"$fzBbEn8jsS5Be_JXfDaj4biLUEbAA_VqHlBfSqlhfhPI":64},{"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":58},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":22,"description":26,"vid":27,"time":28,"mediaType":22,"views":29,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":30,"seoTitle":31,"seoKeywords":32,"seoDescription":33,"shelvesTime":34,"menus":35,"menuId":37,"type":54,"quality":55,"commentCount":17,"isComment":22,"deviceType":56,"url":57},10233,871866,[],"https://yst.tos-cn-shanghai.volces.com/venue%2Fundefined%2F2025-12-16-16%3A11%3A04%2F76060049-1dff-40f7-88f3-c646c1d87a63.png","徐翠翠",0,"呼吸内科常见疾病治疗","上海市奉贤区中心医院","呼吸内科","主治医师",1,"慢阻肺的常见症状","","https://cdn.yishi-tong.com/console/3/exCzNdgUuImukM59PQZF2dvF1N2tre25.png","WEBVTT\n\n00:03.497 --> 00:04.348\n各位同道，\n\n00:04.348 --> 00:06.047\n大家晚上好，\n\n00:06.147 --> 00:10.048\n今天我们一起学习慢阻肺的常见症状。\n\n00:12.831 --> 00:17.031\n慢阻肺的常见症状我们分为以下五个。\n\n00:17.922 --> 00:18.322\n方面，\n\n00:18.521 --> 00:21.722\n第一部分是慢阻肺的慢性咳嗽，\n\n00:21.922 --> 00:24.121\n第二部分是慢阻肺的。\n\n00:25.063 --> 00:26.114\n咳痰症状，\n\n00:26.263 --> 00:29.964\n第三个症状是气短或呼吸困难，\n\n00:30.413 --> 00:34.063\n第四个症状是喘息或胸闷，\n\n00:34.863 --> 00:37.388\n第5个症状有其他症状，\n\n00:37.388 --> 00:39.363\n包括体重下降。\n\n00:41.449 --> 00:42.398\n和睡眠的。\n\n00:43.592 --> 00:43.993\n睡眠。\n\n00:45.488 --> 00:45.839\n障碍。\n\n00:48.655 --> 00:50.905\n我们从第一个症状开始学习，\n\n00:51.605 --> 00:53.456\n就是慢性咳嗽。\n\n00:56.111 --> 01:04.111\n我们知道诊断慢性阻塞、慢性支气管炎的标准是慢性咳嗽、咳痰时间。\n\n01:05.777 --> 01:06.177\n超过。\n\n01:07.685 --> 01:10.736\n每年超过3个月以上连续。\n\n01:11.938 --> 01:14.987\n两年以上就是慢性支气管炎。\n\n01:18.288 --> 01:21.587\n这里的慢性咳嗽是超过三个月以上的，\n\n01:22.337 --> 01:25.438\n然后它是一个长期反复的咳嗽，\n\n01:26.288 --> 01:28.987\n咳嗽它是一个持续性的。\n\n01:29.844 --> 01:33.293\n慢阻肺患者长期的咳嗽通常持续。\n\n01:34.722 --> 01:36.672\n数周甚至数月。\n\n01:37.906 --> 01:39.156\n不易自行缓解。\n\n01:41.861 --> 01:43.561\n咳嗽与活动的关系，\n\n01:43.762 --> 01:46.211\n咳嗽在活动后加剧。\n\n01:47.106 --> 01:49.805\n如爬楼梯或快走时，\n\n01:50.106 --> 01:53.706\n患者会感到明显的呼吸困难。\n\n01:56.499 --> 02:00.399\n因为活动后一个气道的一个高反应增加，\n\n02:01.049 --> 02:02.649\n它这个气道会。\n\n02:04.646 --> 02:04.996\n痉挛，\n\n02:05.146 --> 02:08.345\n然后患者会感到明显的一个呼吸困难。\n\n02:10.552 --> 02:11.052\n同时呢，\n\n02:11.052 --> 02:13.151\n咳嗽对生活质量的影响，\n\n02:13.501 --> 02:18.052\n长期咳嗽影响睡眠和日常活动。\n\n02:19.076 --> 02:22.826\n导致了睡眠质量和生活质量的下降。\n\n02:26.839 --> 02:30.839\n慢阻肺患者的早晨咳咳嗽明显。\n\n02:33.360 --> 02:35.160\n夜间积痰导致。\n\n02:36.332 --> 02:37.283\n早晨咳嗽。\n\n02:38.992 --> 02:40.841\n由于夜间平躺，\n\n02:40.891 --> 02:43.492\n痰液在气道中积聚，\n\n02:43.891 --> 02:48.242\n早晨起床时咳嗽以清除咳，\n\n02:48.292 --> 02:49.841\n以清除积痰。\n\n02:52.177 --> 02:52.378\n第二，\n\n02:52.378 --> 02:55.878\n是因为早上气道的一个反应性增加，\n\n02:56.027 --> 03:00.227\n早上的温度普遍是一天中比较低的，\n\n03:00.927 --> 03:01.727\n所以呢，\n\n03:01.828 --> 03:04.578\n慢阻肺患者的气道反应性。\n\n03:05.619 --> 03:06.069\n比较高，\n\n03:06.419 --> 03:08.518\n容易引起咳嗽反射。\n\n03:10.160 --> 03:11.710\n然后来排出痰液。\n\n03:13.188 --> 03:13.438\n还有，\n\n03:13.438 --> 03:15.837\n早上活动量是增加的，\n\n03:15.988 --> 03:17.587\n它也会刺激咳嗽。\n\n03:18.337 --> 03:18.912\n然后，\n\n03:18.912 --> 03:20.488\n早上起床后，\n\n03:20.638 --> 03:22.138\n患者开始活动，\n\n03:22.388 --> 03:22.738\n哎，\n\n03:22.738 --> 03:26.337\n比如洗脸、刷牙、吃饭。\n\n03:26.837 --> 03:27.238\n嗯，\n\n03:27.287 --> 03:30.438\n患者的呼吸频率和深度增加。\n\n03:31.481 --> 03:32.680\n也会刺激气道，\n\n03:32.680 --> 03:34.330\n引起咳嗽。\n\n03:38.921 --> 03:40.720\n第二个是咳痰症状。\n\n03:42.285 --> 03:44.134\n慢阻肺患者的咳痰，\n\n03:44.434 --> 03:47.134\n痰液有白色粘液痰。\n\n03:49.477 --> 03:54.276\n慢阻肺患者咳出的白色粘液痰通常较为粘稠，\n\n03:54.276 --> 03:55.376\n不易咳出。\n\n03:57.087 --> 03:59.337\n痰液与呼吸困难。\n\n04:01.574 --> 04:04.673\n痰液阻塞气道可加剧呼吸困难，\n\n04:04.723 --> 04:08.373\n影响患者日常生活和活动能力。\n\n04:11.391 --> 04:13.391\n痰液颜色与病情。\n\n04:15.087 --> 04:18.838\n痰液的颜色也可以提示病情的严重程度。\n\n04:19.959 --> 04:21.809\n如果是白色粘液痰，\n\n04:21.809 --> 04:25.209\n可能表明病情相对稳定，\n\n04:25.609 --> 04:28.309\n但痰量增多或颜色变化，\n\n04:28.459 --> 04:30.559\n需警惕病情加重。\n\n04:34.260 --> 04:36.610\n如果患者出现痰量的增多。\n\n04:37.759 --> 04:41.759\n或者是痰痰液变成黄色或绿色。\n\n04:42.259 --> 04:43.558\n我们可以。\n\n04:44.531 --> 04:46.080\n口服一些化痰药，\n\n04:46.230 --> 04:49.430\n或者是要进行一些抗感染的一个治疗，\n\n04:49.830 --> 04:51.730\n来减少痰液量，\n\n04:52.430 --> 04:53.930\n促进痰液的排出，\n\n04:54.131 --> 04:57.230\n从而改善患者的呼吸困难。\n\n04:59.700 --> 05:02.450\n若慢阻肺患者痰液量增多。\n\n05:03.729 --> 05:05.528\n提示了病情的变化，\n\n05:06.079 --> 05:09.979\n我们从第一部分是痰液颜色的变化。\n\n05:11.930 --> 05:17.480\n慢阻肺患者痰液颜色可能由白色变为黄色或绿色，\n\n05:17.781 --> 05:20.531\n提示感染风险增加。\n\n05:20.531 --> 05:21.281\n一般。\n\n05:22.196 --> 05:24.795\n表示患者可能感染了细菌感染，\n\n05:25.446 --> 05:25.846\n嗯，\n\n05:26.145 --> 05:28.895\n患呼吸道的一个细菌性的感染。\n\n05:29.897 --> 05:30.846\n然后，\n\n05:30.846 --> 05:32.497\n产生了一个，\n\n05:33.147 --> 05:35.196\n支气管炎或者是肺炎，\n\n05:35.296 --> 05:37.796\n从而导致了一个病情的加重。\n\n05:40.480 --> 05:42.579\n二是痰液粘稠度增加。\n\n05:43.790 --> 05:44.290\n比如，\n\n05:44.490 --> 05:47.390\n患者感染了细菌的一个感染，\n\n05:47.890 --> 05:49.441\n或者是病毒的一个感染，\n\n05:49.540 --> 05:51.140\n痰液变得浓稠，\n\n05:51.390 --> 05:52.441\n难以咳出。\n\n05:53.341 --> 05:54.191\n这时候呢，\n\n05:54.191 --> 05:56.040\n需要辅助排痰措施，\n\n05:56.191 --> 05:57.640\n比如拍背。\n\n05:58.519 --> 05:59.920\n背部的一个叩背，\n\n05:59.970 --> 06:01.220\n叩背的一个治疗，\n\n06:01.369 --> 06:04.019\n还有一些口服的一个化痰药，\n\n06:04.420 --> 06:07.720\n还有我们当然还有一些抗生素的一个治疗。\n\n06:09.415 --> 06:10.964\n还有一些抗病毒的一个治疗，\n\n06:11.265 --> 06:13.614\n比如像如果是新冠的话，\n\n06:13.714 --> 06:16.315\n那么可以进行抗新冠病毒一个治疗，\n\n06:16.415 --> 06:18.890\n如果是甲流或者是乙流的，\n\n06:18.890 --> 06:20.440\n治乙流病毒的感染，\n\n06:20.440 --> 06:22.515\n可以进行抗病毒的治疗。\n\n06:24.389 --> 06:26.989\n如果是细菌性的一个感染，\n\n06:27.088 --> 06:31.438\n慢阻肺的患者的细菌感染一般是格兰氏阴性菌，\n\n06:31.539 --> 06:36.438\n我们可能需要要选择头孢三代或者是喹喹诺酮的一个药物，\n\n06:36.438 --> 06:38.639\n进行一个抗感染的治疗。\n\n06:40.054 --> 06:42.654\n从而来减少痰液的量，\n\n06:42.755 --> 06:44.105\n促进痰液的排出，\n\n06:44.204 --> 06:45.704\n控制肺部感染。\n\n06:47.476 --> 06:47.825\n第三，\n\n06:48.175 --> 06:49.526\n呼吸困难加剧，\n\n06:49.925 --> 06:53.376\n那痰量增多一般是刚才说了，\n\n06:53.376 --> 06:57.075\n比如细菌或病毒感染就会引起痰液量增多，\n\n06:57.075 --> 06:58.675\n导致气道阻塞，\n\n06:59.126 --> 07:01.276\n呼吸困难症状可能会加重，\n\n07:01.575 --> 07:03.925\n它就会出现一个气喘，\n\n07:04.126 --> 07:06.026\n比平时的要加重，\n\n07:06.575 --> 07:09.376\n它会影响日常的一般活动，\n\n07:09.626 --> 07:10.276\n比如。\n\n07:11.346 --> 07:13.346\n简单的一个吃饭穿衣，\n\n07:13.746 --> 07:16.295\n对患者来说就是很难完成的。\n\n07:18.854 --> 07:19.503\n第四。\n\n07:21.270 --> 07:22.295\n就是讲呢，\n\n07:22.295 --> 07:23.920\n就是感染风险的上升，\n\n07:24.571 --> 07:25.821\n痰液量增多。\n\n07:26.020 --> 07:26.670\n一般呢，\n\n07:26.670 --> 07:28.971\n会伴随着细菌或者是病毒的感染。\n\n07:29.321 --> 07:31.721\n我们病毒细菌感染呢，\n\n07:31.721 --> 07:33.770\n会引起一个病情的加重。\n\n07:33.920 --> 07:36.770\n所以要及时的就医，\n\n07:37.721 --> 07:40.121\n特别是慢阻肺患者的痰液量。\n\n07:41.128 --> 07:43.229\n增多或者是颜色的改变，\n\n07:43.428 --> 07:47.128\n变成由平时的白色变成黄色或绿色，\n\n07:47.528 --> 07:51.378\n就提示了这个患者的病情的加重。\n\n07:52.300 --> 07:52.401\n嗯，\n\n07:52.401 --> 07:55.001\n还有一些病人可能出现气喘的加重，\n\n07:55.251 --> 07:57.200\n就应该及时就医。\n\n07:58.286 --> 07:58.885\n第三，\n\n07:59.036 --> 08:01.286\n气短或呼吸困难。\n\n08:03.066 --> 08:03.316\n嗯。\n\n08:04.817 --> 08:06.467\n日常活动气短。\n\n08:06.667 --> 08:09.118\n慢阻肺患者的气短表现在。\n\n08:10.571 --> 08:13.621\n病理机制里边有一个是小气道功能障碍，\n\n08:13.621 --> 08:16.971\n或者是肺气肿和肺气肿的一些表现。\n\n08:19.020 --> 08:21.121\n活动时呼吸急促。\n\n08:21.471 --> 08:24.821\n慢阻肺患者在进行轻微活动，\n\n08:24.871 --> 08:26.020\n如散步时，\n\n08:26.020 --> 08:27.770\n会感到呼吸急促，\n\n08:27.871 --> 08:30.020\n需频繁停下来休息。\n\n08:33.411 --> 08:36.161\n第二部分是爬楼梯时气短加剧。\n\n08:37.559 --> 08:40.960\n第二部分是爬楼梯时气短加剧。\n\n08:41.309 --> 08:44.659\n患者在爬楼梯或上坡时，\n\n08:44.659 --> 08:47.609\n气短症状会明显加剧，\n\n08:47.809 --> 08:52.309\n可能需要借助扶手或休息多次才能完成。\n\n08:56.190 --> 08:59.090\n第三个是家务劳动时的呼吸困难。\n\n08:59.489 --> 09:03.989\n进行家务劳动如扫地、擦窗、慢阻肺，\n\n09:03.989 --> 09:07.039\n患者会感到呼吸困难或者胸闷，\n\n09:07.140 --> 09:09.840\n无法持续进行体力活动。\n\n09:13.010 --> 09:18.059\n病情加重有以下三个方面，\n\n09:18.809 --> 09:21.159\n活动受限加剧，\n\n09:21.559 --> 09:22.960\n随病情加重，\n\n09:23.059 --> 09:28.809\n患者在轻微活动如穿衣、洗漱时也会感到气短，\n\n09:28.960 --> 09:30.909\n活动能力显著下降。\n\n09:33.120 --> 09:34.671\n夜间呼吸困难。\n\n09:35.932 --> 09:38.231\n慢阻肺患者病情加重时，\n\n09:38.481 --> 09:41.156\n夜间可能频繁醒来，\n\n09:41.156 --> 09:42.682\n感到呼吸困难，\n\n09:42.731 --> 09:44.581\n影响睡眠质量。\n\n09:45.585 --> 09:53.135\n急性加重频发病情恶化导致慢阻肺急性加重事件增多，\n\n09:53.635 --> 09:57.434\n患者可能需要频繁就医或住院治疗。\n\n09:57.784 --> 10:02.835\n急性加重的次数大于等于两次，\n\n10:03.135 --> 10:05.835\n或者是有一次住院，\n\n10:06.184 --> 10:07.835\n这个就提示这个病情。\n\n10:08.835 --> 10:10.736\n这个死亡的风险就比较高。\n\n10:12.635 --> 10:13.335\n第四，\n\n10:14.085 --> 10:16.236\n喘息和胸闷。\n\n10:17.979 --> 10:20.629\n呼吸时有哮鸣音。\n\n10:22.228 --> 10:23.978\n哮鸣音的产生机制，\n\n10:24.177 --> 10:27.927\n慢阻肺患者存在小气道功能障碍，\n\n10:28.528 --> 10:33.502\n呼气时空气通过狭窄部位产生震动，\n\n10:33.502 --> 10:36.228\n形成特有的哮鸣音。\n\n10:37.310 --> 10:38.560\n哮鸣音的特点，\n\n10:38.810 --> 10:42.010\n哮鸣音通常在呼气时更为明显，\n\n10:42.560 --> 10:45.260\n因为吸气是主动运动，\n\n10:45.361 --> 10:48.111\n吸气的时候吸气机会做功的，\n\n10:48.210 --> 10:51.611\n然后气体相对来说能够顺利的进入，\n\n10:51.810 --> 10:53.960\n而呼气是被动运动，\n\n10:55.161 --> 10:56.861\n这时候胸廓回弹，\n\n10:57.060 --> 10:57.460\n肺。\n\n10:59.044 --> 10:59.593\n回缩，\n\n11:00.544 --> 11:06.218\n因为慢阻肺患者的小气道存在一个慢性的一个炎症。\n\n11:06.218 --> 11:07.794\n这时候气道塌陷，\n\n11:09.143 --> 11:11.093\n小气道一个狭窄，\n\n11:11.193 --> 11:12.593\n那呼气时呢，\n\n11:12.744 --> 11:16.007\n就会出现一个比较明显的哮鸣音。\n\n11:16.007 --> 11:22.693\n声音可能如哨声或笛声随病情变化而变化。\n\n11:24.236 --> 11:26.286\n病情好转的时候，\n\n11:26.286 --> 11:27.435\n哮鸣音消失，\n\n11:27.435 --> 11:30.685\n病情加重的时候哮鸣音明显。\n\n11:32.573 --> 11:32.773\n嗯。\n\n11:35.267 --> 11:37.517\n还有一个胸部的压迫感。\n\n11:39.075 --> 11:40.676\n胸闷的定义与表现，\n\n11:41.125 --> 11:45.226\n胸闷是慢阻肺患者常见的症状，\n\n11:45.476 --> 11:49.476\n表现为胸部有压迫感或紧缩感，\n\n11:49.526 --> 11:51.575\n常在活动后加剧。\n\n11:55.099 --> 11:57.099\n胸闷与活动的关系，\n\n11:57.349 --> 12:00.700\n慢阻肺患者在进行体力活动时，\n\n12:00.950 --> 12:03.000\n比如爬楼梯或快走，\n\n12:03.150 --> 12:06.349\n做家务活动时可能会感到胸闷，\n\n12:06.599 --> 12:09.849\n这是由于肺功能受限导致的。\n\n12:10.599 --> 12:12.950\n他这个气道存在一个阻塞，\n\n12:13.299 --> 12:15.900\n还有一个肺弹力的一个降低，\n\n12:16.099 --> 12:17.700\n肺顺应性的一个下降。\n\n12:19.466 --> 12:20.091\n气呢，\n\n12:20.091 --> 12:22.916\n不能进行一个有效的进入和呼出。\n\n12:23.517 --> 12:25.367\n胸闷的心理影响，\n\n12:25.867 --> 12:32.416\n长期的胸闷症状可能导致患者产生焦虑和抑郁情绪，\n\n12:32.666 --> 12:36.067\n影响其心理健康和生活质量。\n\n12:38.265 --> 12:39.914\n胸部压迫感。\n\n12:42.187 --> 12:43.088\n怎么检查呢？\n\n12:43.138 --> 12:45.388\n有以下几个方面，\n\n12:45.788 --> 12:48.138\n比如医生可以通过听诊，\n\n12:48.888 --> 12:49.937\n听的时候呢，\n\n12:49.937 --> 12:54.187\n患者可能会有一些干罗音或者是哮鸣音，\n\n12:55.437 --> 12:55.838\n嗯。\n\n12:57.606 --> 12:58.382\n可以听到，\n\n12:58.382 --> 13:02.606\n用听诊器在肺部还有可以进行一个肺功能检测。\n\n13:03.007 --> 13:07.507\n肺功能检测如果发现患者的气道存在一个阻塞，\n\n13:07.956 --> 13:12.106\n那么也可以提示患者可能存在胸闷。\n\n13:12.456 --> 13:14.257\n还有X光检查，\n\n13:14.656 --> 13:18.156\nX我们一般现在用CT进行来检查，\n\n13:18.456 --> 13:18.856\n嗯，\n\n13:19.057 --> 13:24.656\n比如慢一个患者出现一个慢性的一个咳嗽咳痰气喘超过3个月以上，\n\n13:24.706 --> 13:26.206\n持续两年以上，\n\n13:26.507 --> 13:27.807\n还有长期大量的。\n\n13:27.846 --> 13:28.745\n抽烟的病史。\n\n13:30.080 --> 13:33.880\n我们可能会做一个CT来发现它的一个。\n\n13:34.848 --> 13:37.049\n病变比如像，\n\n13:37.049 --> 13:38.448\n肺纹理的一个增多，\n\n13:38.549 --> 13:40.549\n还有肺气肿的一些表现，\n\n13:41.348 --> 13:43.799\n来诊断慢阻肺患者的。\n\n13:45.432 --> 13:45.557\n嗯，\n\n13:45.557 --> 13:46.432\n胸闷症状。\n\n13:49.106 --> 13:51.057\n第二个是胸闷的治疗策略，\n\n13:51.456 --> 13:55.356\n治疗胸闷通常包括使用支气管扩张剂，\n\n13:55.656 --> 13:59.007\n还有要进行一些抗感染的一些治疗。\n\n13:59.992 --> 14:00.117\n嗯，\n\n14:00.117 --> 14:03.143\n以及进行呼吸康复训练等方法。\n\n14:05.135 --> 14:05.486\n嗯。\n\n14:06.455 --> 14:08.205\n慢阻肺的其他症状。\n\n14:11.786 --> 14:15.335\n因为慢阻肺患者由于呼吸困难、气喘，\n\n14:15.635 --> 14:17.786\n可能出现进食减少，\n\n14:17.835 --> 14:19.736\n导致营养摄入不足，\n\n14:19.885 --> 14:21.736\n进而引起体重下降。\n\n14:22.335 --> 14:23.835\n还有肌肉消耗，\n\n14:23.935 --> 14:30.335\n长期的呼吸困难和活动受限会导致肌肉量减少。\n\n14:32.367 --> 14:32.567\n嗯。\n\n14:35.190 --> 14:38.690\n进而引起体重下降和体力下降，\n\n14:39.291 --> 14:40.866\n因为运动减少以后，\n\n14:40.866 --> 14:44.591\n他这个肌肉就会变成一个适应性的一个萎缩，\n\n14:44.841 --> 14:46.241\n而且进食也少，\n\n14:46.440 --> 14:47.991\n进食的蛋白质减少，\n\n14:47.991 --> 14:49.565\n摄入量同样会减少。\n\n14:49.565 --> 14:52.640\n所以患者会出现一个体重的一个下降。\n\n14:52.991 --> 14:59.390\n同时他这个呼吸也会进行一个费力呈现一个恶性的一个循环。\n\n15:00.543 --> 15:03.793\n慢阻肺患者还可能影响患者的代谢率，\n\n15:03.992 --> 15:06.793\n导致能量的一个消耗增加，\n\n15:07.143 --> 15:09.742\n从而引起体重的一个减轻。\n\n15:10.393 --> 15:13.793\n因为慢阻肺遇到病毒或细菌感染时，\n\n15:14.242 --> 15:16.893\n他这个患者可能会出现发热。\n\n15:16.942 --> 15:18.043\n发热的时候呢，\n\n15:18.043 --> 15:20.843\n患者可能会出现能量的一个消耗增加，\n\n15:21.093 --> 15:22.043\n吃的又少，\n\n15:22.043 --> 15:23.093\n消耗的又多，\n\n15:23.192 --> 15:26.242\n患者就会出现体重减轻。\n\n15:28.161 --> 15:28.460\n嗯。\n\n15:29.927 --> 15:32.528\n慢阻肺与焦虑的关系，\n\n15:32.627 --> 15:36.377\n慢阻肺患者因长期呼吸困难，\n\n15:36.478 --> 15:38.677\n常伴有焦虑情绪，\n\n15:38.677 --> 15:40.278\n影响生活质量。\n\n15:41.427 --> 15:43.427\n因为他因为气喘，\n\n15:43.427 --> 15:44.377\n呼吸困难，\n\n15:44.728 --> 15:47.127\n然后限制了他的一个活动，\n\n15:47.228 --> 15:47.627\n哎，\n\n15:47.677 --> 15:48.778\n无法出门。\n\n15:49.228 --> 15:51.328\n慢阻肺与抑郁的关系。\n\n15:51.994 --> 16:00.395\n关系持续的疾病负担和活动受限可能导致抑郁症状长期的一个发作，\n\n16:00.645 --> 16:08.244\n可能一个是引起了一个需要别人照顾或者是和医疗费用的增加。\n\n16:08.344 --> 16:11.445\n患者的情绪是低落的和兴趣减退。\n\n16:12.494 --> 16:15.695\n所以慢阻肺的心理支持很重要，\n\n16:15.744 --> 16:18.994\n所以要提供一个心理辅导和情感支持，\n\n16:19.195 --> 16:21.945\n对改善慢阻肺患者的心理状态。\n\n16:22.265 --> 16:23.065\n至关重要，\n\n16:23.366 --> 16:27.966\n对家人的关心和照顾是非常重要的。\n\n16:28.565 --> 16:30.315\n第四个是药物治疗，\n\n16:30.616 --> 16:34.166\n抗抑郁药物可帮助控制抑郁症状，\n\n16:34.315 --> 16:36.366\n但需在医生指导下使用，\n\n16:36.466 --> 16:38.916\n以避免药物相互作用。\n\n16:40.015 --> 16:40.416\n好，\n\n16:40.765 --> 16:42.666\n今天的分享就到这里，\n\n16:42.666 --> 16:43.565\n谢谢大家。\n\n","v0d47cg10004d61bl3iljht5lfean5p0",1005,553,"2026-01-24 23:56:34","慢阻肺的常见症状有哪些？了解这些关键信号早发现早治疗  ","慢阻肺症状,慢性阻塞性肺病表现,COPD早期症状,呼吸困难,慢性咳嗽,咳痰  ","慢阻肺（COPD）常见症状包括持续性咳嗽、咳痰、活动后呼吸困难等。本文详细解读慢阻肺的典型症状、发展阶段的症状变化及早期识别方法，帮助您及时就医干预。","2026-04-02 13:00:00",[36],{"menuId":37,"menuName":38,"parentId":17,"orderNum":39,"path":40,"component":41,"isFrame":42,"isCache":43,"menuType":44,"visible":22,"status":17,"createDept":6,"remark":24,"createTime":45,"children":46,"columnImage":47,"columnLogo":48,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":49,"seoKeywords":50,"seoDescription":51,"contentNum":6,"promotionalPoster":52,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":53,"routerPath":40,"componentInfo":41},"1986622624134549505","科普视频",3,"video","/video.html","1","0","T","2025-11-07 10:31:58",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:40/0d7fcb56-3dc4-4dcb-99ca-a5d5c438378e.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:43/958efac7-dd02-4681-b8fd-0dd84b1bbf42.png","健康科普视频大全,了解你的健康生活","健康科普视频, 戒烟视频, 饮食健康视频, 胸痛科普, 用药知识, 职业健康视频, 贫血科普, 眼健康视频","精选健康科普视频,涵盖戒烟、胸痛、饮食、用药与职业健康等多个主题,让你轻松获取科学健康知识,提升生活质量。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:45/fa8fe113-deaa-4454-8105-d629769963dd.png","Video",2,"慢性病",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/871866/4ff1712c-9ce2-49d0-9241-4a510c1e91ba.tmp?a=0&auth_key=1789013582-1bf51efd0742482e93ee9e3223c780cc-0-54d949307ab215885e5552a2367dc68b&br=289&bt=289&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0d47cg10004d61bl3iljht5lfean5p0&er=0&l=20260811015614644DC88DF052B9322BB4&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=MzhkaThrbzZlOTczNGY3M0Apc3Fob3dtbG80ZzMzajpneWdta2JpcWdmaS5hLS1kNGFzcy0yXmMyZWkwXzMxLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":57,"message":6,"data":6,"success":58},{"code":9,"msg":10,"message":6,"data":61,"success":58},{"pageNo":22,"pageSize":62,"result":63,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":65,"success":58},{"authors":66,"appraiseDimensionScoresVos":67},[],[]]