[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$f4UKa6_FhEJRqfQYfkY6946Tu-JUocIcxpbjeHZzxOBg":8,"$fHS-Yz7gP9fa-4d3BZcUZLHI94MPTQaQMoPX0Zg6ZFSU":60,"$fuE6UNL4hWMywCdnMUYsxnZmjeDyWUj7M1tbb-iLhUg4":61,"$fP7IOnOp9p4RQGaeQuohkJCWcWwaUr89wjXcC5tCC-LI":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":22,"videoTotal":23,"isConcern":7,"title":24,"coverVertical":25,"coverAcross":26,"directionMarker":27,"description":28,"vid":29,"time":30,"mediaType":27,"views":31,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":32,"seoTitle":33,"seoKeywords":34,"seoDescription":35,"shelvesTime":36,"menus":37,"menuId":39,"type":56,"quality":57,"commentCount":17,"isComment":27,"deviceType":22,"url":58},10507,863104,[],"https://ystcdn.venuertc.com/learnMaterial/ystApp//rKmQ1AiTsaEdX7xe39NNVHOgiaBpgEAm.png","乔敏捷",0,"急诊危急重症诊治","上海交通大学医学院附属仁济医院","急诊科","住院医师",4,12,"变异性鼻炎介绍","","https://cdn.yishi-tong.com/console/3/mBL6zCUDY11sN74g9TSX0Nwvv9_7oSca.png",1,"WEBVTT\n\n00:05.770 --> 00:06.344\n今天呢，\n\n00:06.344 --> 00:10.869\n跟大家一起来分享一个变异性鼻炎的一个介绍。\n\n00:12.527 --> 00:16.277\n我们将从以下五个方面来跟大家一起来介绍一下。\n\n00:17.159 --> 00:17.610\n第一个呢，\n\n00:17.610 --> 00:20.459\n就是变异性鼻炎的定义。\n\n00:22.187 --> 00:24.787\n第二个就是变应性鼻炎的症状。\n\n00:25.606 --> 00:28.106\n第三个是变异性鼻炎的治疗方法。\n\n00:29.451 --> 00:32.076\n后面就是变异性必要的一些药物治疗。\n\n00:32.860 --> 00:33.560\n最后一个呢，\n\n00:33.810 --> 00:36.659\n就是变异性鼻炎的一个其他治疗。\n\n00:46.250 --> 00:48.851\n鼻粘膜一型的变态反应啊，\n\n00:49.201 --> 00:52.050\n变异性鼻炎是一个变态反应，\n\n00:52.050 --> 00:52.651\n它首先呢，\n\n00:52.651 --> 00:54.800\n是要有一个过敏原的接触。\n\n00:55.803 --> 00:58.952\n那变异性鼻炎接触特定的过敏源后，\n\n00:59.402 --> 01:01.978\n鼻粘膜就发生一型的变态反应，\n\n01:01.978 --> 01:05.902\n导致鼻塞、鼻塞流涕的症状。\n\n01:07.521 --> 01:10.170\n然后就是在一型变态反应当中呢，\n\n01:10.221 --> 01:12.920\n肥大细胞释放组胺等物质，\n\n01:13.070 --> 01:17.570\n它会引起鼻粘膜血管扩张和腺体分泌增加。\n\n01:18.896 --> 01:20.996\n进一步加重那个鼻塞的症状。\n\n01:25.833 --> 01:26.282\n第三个呢，\n\n01:26.282 --> 01:29.032\n就是免疫球蛋白IGE的一个作用。\n\n01:29.182 --> 01:30.833\n变异性鼻炎患者呢，\n\n01:30.983 --> 01:35.508\n体内会产生产前列产生的免疫球蛋白E啊，\n\n01:35.508 --> 01:36.883\n和过敏原结合，\n\n01:37.133 --> 01:40.333\n那也是触发了异型的一个变态反应，\n\n01:40.333 --> 01:41.583\n引发鼻炎症状。\n\n01:44.550 --> 01:46.974\n它是有一个变异性鼻炎呢，\n\n01:46.974 --> 01:51.875\n它是有一个遗传性和家族家族聚集性的一个特点，\n\n01:52.025 --> 01:53.525\n它变异性鼻炎呢，\n\n01:53.525 --> 01:55.675\n它具有一定的一个遗传倾向。\n\n01:56.391 --> 01:57.592\n家族中有过。\n\n01:58.658 --> 02:01.808\n有过敏史的个体患病风险会更高。\n\n02:03.535 --> 02:07.184\n那家庭成员当中若有多人患有变异性鼻炎，\n\n02:07.385 --> 02:10.434\n其他成员患病的可能性也会增加。\n\n02:15.802 --> 02:16.927\n那发病因素的话，\n\n02:16.927 --> 02:18.152\n它就前面说了，\n\n02:18.152 --> 02:20.152\n就是有一个遗传倾向。\n\n02:21.710 --> 02:24.811\n还有就是环境的过敏源，\n\n02:25.061 --> 02:28.485\n比方说对花粉或者是尘螨过敏的话，\n\n02:28.485 --> 02:33.511\n长期暴露于这些花粉和尘螨的过敏源环境中啊。\n\n02:34.207 --> 02:37.557\n它就会增加变应性鼻炎的一个发病风险。\n\n02:39.406 --> 02:42.731\n那免疫系统对某些无害物质的过度反应，\n\n02:42.731 --> 02:47.207\n那也会导致一个鼻粘膜炎症，\n\n02:47.457 --> 02:50.356\n是变异性鼻炎的一个发病机制之一。\n\n02:54.203 --> 02:55.802\n接下来我们来说一下它的症状。\n\n02:56.925 --> 02:58.076\n症状的话就是。\n\n03:03.701 --> 03:06.602\n我们就是比较典型的running nose的鼻塞，\n\n03:06.602 --> 03:07.052\n很rush，\n\n03:07.602 --> 03:08.852\n很sore throat，\n\n03:09.001 --> 03:09.727\nfoot pain,\n\n03:09.727 --> 03:10.451\n这样子。\n\n03:11.212 --> 03:11.813\n还有就是。\n\n03:13.386 --> 03:13.811\n首先，\n\n03:13.811 --> 03:16.485\n它是典型的鼻部的典型症状呢，\n\n03:16.485 --> 03:18.660\n就是持续性的打喷嚏。\n\n03:19.410 --> 03:22.210\n就是在接触了一些过敏源后啊，\n\n03:22.210 --> 03:23.311\n比如说花粉，\n\n03:23.311 --> 03:24.860\n还有尘螨，\n\n03:24.860 --> 03:26.860\n甚至有的就是动物的毛发。\n\n03:27.985 --> 03:31.335\n他就会患者就会出现一个持续性的喷嚏。\n\n03:32.514 --> 03:34.490\n接接下来就会打喷嚏，\n\n03:34.490 --> 03:39.214\n过后接下来出现就会鼻塞流涕啊。\n\n03:40.063 --> 03:41.289\n然后流清水鼻涕，\n\n03:41.289 --> 03:44.113\n或者是粘液一样的鼻涕，\n\n03:44.363 --> 03:46.264\n从而影响呼吸和嗅觉。\n\n03:47.136 --> 03:49.686\n然后就是鼻腔和眼部啊，\n\n03:49.686 --> 03:50.686\n会有瘙痒感。\n\n03:50.736 --> 03:53.787\n患者可能会不自觉的抽落鼻子和眼睛。\n\n03:58.287 --> 04:00.061\n眼部的伴随症状啊，\n\n04:00.061 --> 04:00.912\n眼睛发痒，\n\n04:00.912 --> 04:03.236\n变异性鼻炎常伴有眼部发痒，\n\n04:03.386 --> 04:05.886\n感觉有异物在眼睛里难以忍受。\n\n04:06.690 --> 04:07.141\n还有就是，\n\n04:07.141 --> 04:08.541\n流泪或者眼红，\n\n04:08.990 --> 04:09.391\n嗯，\n\n04:09.440 --> 04:11.990\n由于鼻炎引发的过敏反应啊，\n\n04:11.990 --> 04:16.691\n患者可能会出现频繁的流泪或者是眼睛红肿的现象。\n\n04:19.526 --> 04:21.425\n还有眼睑的一个肿胀，\n\n04:21.925 --> 04:26.726\n部分患者他眼睑因为过敏反应会出现明显的肿胀，\n\n04:26.726 --> 04:28.425\n影响外观和视力。\n\n04:34.174 --> 04:35.375\n还有一些其他的临床表现，\n\n04:35.375 --> 04:38.125\n比方说就是前面几部的眼睛痒和流泪，\n\n04:38.225 --> 04:40.500\n变异性鼻炎会伴有眼部的症状，\n\n04:40.500 --> 04:42.350\n比如眼睛发痒、流泪，\n\n04:42.350 --> 04:45.524\n这是由这也是由于过敏引起的结膜炎。\n\n04:46.391 --> 04:50.342\n还有一些病情出现就是持续性性的咳嗽，\n\n04:50.541 --> 04:52.742\n尤其是在夜间或者是早晨，\n\n04:52.742 --> 04:55.691\n这是由于鼻涕倒流至喉咙所致的。\n\n04:57.183 --> 04:57.858\n还有就是，\n\n04:57.858 --> 04:59.733\n耳闷感或者听力下降，\n\n05:00.032 --> 05:00.757\n鼻炎啊，\n\n05:00.757 --> 05:02.358\n会引起鼻塞，\n\n05:02.358 --> 05:04.083\n导致耳部不适。\n\n05:04.083 --> 05:07.683\n患者可能会感到耳子、耳朵耳朵堵塞，\n\n05:07.882 --> 05:10.132\n或者是暂时性的听力下降。\n\n05:17.368 --> 05:19.667\n第三个我们来讲一下它的那个。\n\n05:20.802 --> 05:21.402\n治疗方法。\n\n05:23.256 --> 05:23.531\n嗯，\n\n05:23.531 --> 05:24.131\n首先呢，\n\n05:24.131 --> 05:29.006\n就是在明确了是对某些过敏源的一个过敏的话，\n\n05:29.006 --> 05:32.656\n我们就要避免就是接触过敏源。\n\n05:32.906 --> 05:34.080\n就是比方说，\n\n05:34.080 --> 05:42.156\n我们可以使空气净化器使用空气净化器和定期清洁地板窗帘，\n\n05:42.305 --> 05:46.406\n来减少室内尘螨和宠物皮屑等过敏源。\n\n05:49.244 --> 05:50.945\n还有一个就是外出。\n\n05:54.615 --> 05:56.566\n外出的防护措施呢，\n\n05:56.566 --> 06:00.966\n就是在花粉季节要佩戴口口罩和眼镜啊，\n\n06:00.966 --> 06:03.941\n尽量避免在高花粉浓度的时间段呢。\n\n06:03.941 --> 06:06.740\n外出减少花粉的一个吸入。\n\n06:08.273 --> 06:10.273\n第三个就是饮食调整啊，\n\n06:10.273 --> 06:15.348\n避免食用可能引起的过敏源的过敏源的食物，\n\n06:15.348 --> 06:16.648\n比方说海鲜啊，\n\n06:16.648 --> 06:17.623\n牛奶等啊，\n\n06:17.773 --> 06:20.023\n减少食物过敏源的摄入。\n\n06:23.811 --> 06:26.260\n接下来讲一下就是药物治疗的方法，\n\n06:26.260 --> 06:29.311\n我们可以使用一些抗组胺类药物，\n\n06:29.311 --> 06:36.110\n西替利嗪、洛拉他汀来缓解鼻炎引起的打喷嚏和流鼻涕的症状。\n\n06:37.022 --> 06:42.796\n局部使用一些就是皮质醇药物呢，\n\n06:42.796 --> 06:48.372\n就比如说是氟替卡松布地奈德这些药物呢，\n\n06:48.372 --> 06:52.321\n就可以有效的减轻鼻粘膜的炎症和肿胀。\n\n06:54.532 --> 06:56.757\n还有一个就是脱敏治疗啊，\n\n06:56.757 --> 07:00.558\n通过逐渐增加过敏原的剂量啊，\n\n07:00.558 --> 07:03.882\n使患者对特定过敏原产生耐受啊，\n\n07:03.882 --> 07:07.132\n减少过敏原的过敏的一个反应。\n\n07:07.977 --> 07:10.002\n这是一个根治的一个疗法，\n\n07:10.002 --> 07:13.828\n但是目前上效果也不是特别好。\n\n07:18.548 --> 07:18.747\n嗯。\n\n07:24.571 --> 07:28.871\n同时我们还可以使用就是鼻腔盐水冲洗辅助。\n\n07:29.954 --> 07:35.304\n盐水冲洗的原理就是通过生理盐水清洁鼻腔，\n\n07:35.304 --> 07:40.204\n可以去除过敏原和粘液来减轻鼻炎的症状。\n\n07:41.151 --> 07:42.751\n那使用步骤和方法呢，\n\n07:42.751 --> 07:46.550\n就是将配好的盐水通过鼻腔冲洗器啊，\n\n07:46.550 --> 07:48.300\n缓慢注入鼻腔，\n\n07:48.300 --> 07:50.601\n然后让其流出。\n\n07:50.651 --> 07:52.276\n这样重复几次呢，\n\n07:52.276 --> 07:54.200\n就可以达到清洁的效果。\n\n07:55.808 --> 07:57.333\n适用人群和注意事项，\n\n07:57.333 --> 08:02.507\n鼻腔鼻腔盐水冲洗适用于多数的变异性鼻炎患者。\n\n08:02.507 --> 08:04.007\n但需要注意的是啊，\n\n08:04.007 --> 08:06.108\n盐水浓度和冲洗频率，\n\n08:06.208 --> 08:09.007\n那避免过度冲洗导致鼻腔干燥。\n\n08:24.704 --> 08:24.803\n好，\n\n08:24.803 --> 08:26.479\n接下来就着重讲一下，\n\n08:26.479 --> 08:29.753\n就是变异性鼻炎的一个药物治疗。\n\n08:33.273 --> 08:34.874\n抗组胺药物的应用啊，\n\n08:34.874 --> 08:37.999\n我们现在已经出现了好几代了，\n\n08:37.999 --> 08:39.874\n这第一代抗组胺药物呢，\n\n08:39.874 --> 08:43.049\n就是比如说就是苯海拉明，\n\n08:43.049 --> 08:44.223\n它能迅速的。\n\n08:46.299 --> 08:47.750\n他能够迅迅速。\n\n08:51.830 --> 08:54.479\n缓解就是鼻鼻炎的症状，\n\n08:54.679 --> 08:57.205\n但可能会导致嗜睡的副作用，\n\n08:57.205 --> 09:00.205\n所以我们现在临床上已经是不太使用了，\n\n09:00.205 --> 09:01.080\n尤其是一些。\n\n09:02.836 --> 09:04.086\n就是高危职业的。\n\n09:05.864 --> 09:06.489\n的人群啊，\n\n09:06.489 --> 09:08.065\n他们使用了以后出现嗜睡，\n\n09:08.065 --> 09:09.265\n其实是很危险的。\n\n09:11.992 --> 09:13.692\n第二代抗组胺药物呢，\n\n09:13.692 --> 09:16.367\n就是洛拉他汀，\n\n09:16.367 --> 09:19.142\n具有更好的中枢神经系统的安全性。\n\n09:19.142 --> 09:19.541\n它呢，\n\n09:19.541 --> 09:20.591\n不易引起嗜睡。\n\n09:21.460 --> 09:25.034\n还有就是局部应用一些抗组胺药物，\n\n09:25.034 --> 09:29.835\n局部鼻喷剂如阿斯阿阿扎斯汀啊，\n\n09:29.835 --> 09:33.010\n直接用作用于就是鼻腔啊，\n\n09:33.010 --> 09:35.059\n来减少全身的一个副作用。\n\n09:35.159 --> 09:38.710\n它能够快速缓解鼻塞流涕等症状。\n\n09:49.523 --> 09:51.924\n还有就是糖皮质激素的应用，\n\n09:51.924 --> 09:54.174\n变变应性鼻炎患者呢，\n\n09:54.174 --> 09:59.273\n比常用就是氟替卡松等局部的喷雾剂啊，\n\n09:59.273 --> 10:02.523\n它可以减轻鼻塞、流涕等症状。\n\n10:03.372 --> 10:05.671\n在病病症状严重时呢，\n\n10:05.671 --> 10:09.247\n医生可能会开具口服的糖皮质激素，\n\n10:09.247 --> 10:10.296\n比如泼尼松。\n\n10:11.622 --> 10:14.322\n它能够就是有效的控制炎症，\n\n10:14.771 --> 10:19.921\n但是需要避免长期的一个使用糖皮质激素，\n\n10:19.921 --> 10:22.921\n因为糖皮质长期使用会导致诸多的一些。\n\n10:24.450 --> 10:25.049\n不良反应。\n\n10:26.629 --> 10:28.328\n长期使用糖皮激素呢，\n\n10:28.328 --> 10:30.129\n可以导致的副作用很多，\n\n10:30.479 --> 10:33.528\n而且是比较比较麻烦的一些，\n\n10:33.629 --> 10:35.929\n比如说就是免疫抑制啊，\n\n10:36.429 --> 10:37.203\n使用了以后，\n\n10:37.203 --> 10:39.778\n患者的意志力会比较差，\n\n10:39.778 --> 10:40.828\n抵抗力会比较差，\n\n10:40.828 --> 10:42.729\n它会比较容易的感染，\n\n10:42.879 --> 10:45.078\n甚至会有一些就是。\n\n10:46.648 --> 10:47.822\n少见病菌的感染，\n\n10:47.822 --> 10:51.348\n比如说真菌或者是肺孢子虫，\n\n10:51.348 --> 10:55.822\n这些的就是定制菌的一些感染都是比较麻烦的，\n\n10:55.822 --> 10:58.098\n它会导致一个骨质疏松。\n\n10:58.447 --> 10:58.773\n嗯，\n\n10:58.773 --> 11:00.622\n有的人也会如果糖尿病的话，\n\n11:00.622 --> 11:01.648\n他血糖也会。\n\n11:03.192 --> 11:04.492\n波动的比较大，\n\n11:04.742 --> 11:08.442\n还会影响一些水电解质的一个平衡啊。\n\n11:08.492 --> 11:09.567\n女性患者呢，\n\n11:09.567 --> 11:11.593\n也会相貌也会改变，\n\n11:11.593 --> 11:13.117\n变成满月脸啊。\n\n11:13.117 --> 11:16.293\n这种吹牛背都是不太好的。\n\n11:17.486 --> 11:18.187\n一个样。\n\n11:19.768 --> 11:19.935\n所以，\n\n11:19.935 --> 11:23.169\n我们要就使用口服的、全身性的、长效的，\n\n11:23.169 --> 11:26.419\n就是全身性的这种糖皮质激素的话，\n\n11:26.419 --> 11:28.169\n就是要慎重，\n\n11:28.218 --> 11:29.768\n尽量也是短疗程。\n\n11:30.653 --> 11:33.854\n也有病情控制了以后就尽量尽早减掉。\n\n11:35.442 --> 11:37.992\n还有就是白三七受体拮抗剂。\n\n11:38.966 --> 11:39.866\n它的作用机制呢，\n\n11:39.866 --> 11:45.065\n就是通过阻断白三烯与受体结合来减少炎症反应，\n\n11:45.315 --> 11:48.265\n缓解变应性鼻炎的一个症状。\n\n11:51.271 --> 11:52.096\n常见的药物呢，\n\n11:52.096 --> 11:57.771\n有孟鲁斯特、孟特鲁卡斯和。\n\n11:59.125 --> 11:59.676\n大鲁斯特。\n\n12:02.098 --> 12:02.947\n那是副作用呢，\n\n12:02.947 --> 12:06.497\n就是可能会引起头痛、消化不良等副作用。\n\n12:07.309 --> 12:07.508\n嗯，\n\n12:07.609 --> 12:08.408\n一般呢，\n\n12:08.408 --> 12:10.658\n就是要在医生的指导下使用，\n\n12:10.658 --> 12:14.408\n根据严重程度和个体反应来调节。\n\n12:15.823 --> 12:16.823\n药物的剂量。\n\n12:21.271 --> 12:23.546\n变异性鼻炎的其他治疗呢，\n\n12:23.546 --> 12:26.846\n主要还是一个其他就是免疫治疗的方式，\n\n12:26.846 --> 12:28.447\n就是过敏性，\n\n12:28.447 --> 12:30.221\n过敏原的特异性。\n\n12:31.773 --> 12:32.622\n免疫治疗啊，\n\n12:32.622 --> 12:34.422\n通过增加就是过敏原剂量，\n\n12:34.422 --> 12:37.372\n使患者对特定的过敏产生耐受。\n\n12:38.393 --> 12:40.817\n还有就是皮下注射免疫治疗啊，\n\n12:40.817 --> 12:43.442\n通过给患者治疗免疫提取物啊，\n\n12:43.442 --> 12:46.843\n以增加免疫系统对过敏原的一个耐受性。\n\n12:46.843 --> 12:47.942\n还有就是舌下。\n\n12:48.807 --> 12:53.458\n滴剂免疫治疗每日是舌下一过敏原提取提取物，\n\n12:53.458 --> 12:56.857\n以减少对特定过敏原的一个敏感性。\n\n12:58.028 --> 12:59.927\n还有就是手术治疗，\n\n13:00.578 --> 13:03.653\n像比方说鼻中隔矫正术啊，\n\n13:03.653 --> 13:09.078\n是通过调整偏曲的鼻中隔来改善鼻腔的通气，\n\n13:09.427 --> 13:13.228\n适用于鼻中隔偏曲引起的一个鼻炎症状。\n\n13:13.427 --> 13:15.927\n然后鼻甲鼻甲切除术啊。\n\n13:18.598 --> 13:26.297\n鼻鼻甲切除术是通过切除部分肥大的下鼻甲来减少鼻腔阻塞，\n\n13:26.297 --> 13:28.547\n适用于药物治疗无效的。\n\n13:30.731 --> 13:31.205\n的患者，\n\n13:31.205 --> 13:32.406\n还有鼻窦开放术，\n\n13:32.406 --> 13:34.630\n还有就是鼻息肉切除术。\n\n13:35.031 --> 13:41.306\n那鼻息肉切除术有助于移除鼻腔内的一个息肉组织，\n\n13:41.306 --> 13:44.431\n以减轻鼻腔和嗅觉的一个阻碍，\n\n13:44.681 --> 13:47.031\n适用于鼻息肉引起的鼻炎症状。\n\n13:49.034 --> 13:49.234\n嗯，\n\n13:49.234 --> 13:52.059\n还有就是提高免疫的方法啊，\n\n13:52.059 --> 13:54.835\n主要是一个均衡饮食，\n\n13:55.284 --> 13:58.784\n要摄入丰富的维生素和矿物质啊。\n\n13:59.257 --> 13:59.632\n还有就是，\n\n13:59.632 --> 14:00.481\n规律的运动，\n\n14:00.481 --> 14:02.182\n定期进行适度运动，\n\n14:02.182 --> 14:04.432\n快走、游泳、瑜伽啊，\n\n14:04.432 --> 14:06.807\n它是可以提高身体的免疫力。\n\n14:07.572 --> 14:07.797\n当然，\n\n14:07.797 --> 14:10.723\n充足的休息也是非常的重要啊，\n\n14:10.723 --> 14:13.622\n每晚要保证7.9小时的高质量睡眠，\n\n14:13.872 --> 14:14.473\n这个呢，\n\n14:14.473 --> 14:17.773\n有助于免疫系统的一个恢复和强化。\n\n14:19.198 --> 14:20.499\n还有就是要。\n\n14:21.958 --> 14:22.958\n减压放松，\n\n14:23.158 --> 14:29.359\n通过冥想和深呼吸或者是听音乐等方式来减轻压力。\n\n14:29.559 --> 14:30.158\n这个呢，\n\n14:30.158 --> 14:34.059\n有助于维持免疫系统的一个正常的一个运作。\n\n14:36.817 --> 14:38.017\n变异性鼻炎呢，\n\n14:38.017 --> 14:41.567\n反正也是比较常见的一个疾病，\n\n14:41.966 --> 14:42.716\n通常呢，\n\n14:42.716 --> 14:47.067\n就是它会影响平时人的一个生活状态，\n\n14:47.267 --> 14:47.817\n比赛，\n\n14:47.817 --> 14:49.117\n尤其是在就是。\n\n14:50.252 --> 14:53.151\n春季就是万物复苏的时候，\n\n14:53.151 --> 14:53.827\n花粉啊，\n\n14:53.827 --> 14:54.601\n粉尘啊，\n\n14:54.952 --> 14:57.177\n尤其还有就是户外活动的一个增加，\n\n14:57.177 --> 15:00.526\n就会引起一些就是过敏人群呢，\n\n15:00.526 --> 15:03.351\n就会出现这上述的像上述的一些症状。\n\n15:04.129 --> 15:04.653\n确实。\n\n15:06.526 --> 15:07.500\n确实这个疾病呢，\n\n15:07.500 --> 15:10.200\n给不少人带来了一些困扰，\n\n15:10.200 --> 15:13.500\n那我们通过这个介绍呢，\n\n15:13.500 --> 15:14.325\n让一些。\n\n15:15.383 --> 15:15.708\n病人呢，\n\n15:15.708 --> 15:18.208\n就是能够更好的一个了解这个疾病啊，\n\n15:18.208 --> 15:20.833\n从当中学习到一些知识，\n\n15:20.833 --> 15:25.258\n可以避免平时的一些烦恼啊。\n\n15:25.258 --> 15:27.033\n谢谢大家今天就讲到这里。\n\n","v0d47cg10004d61hlu2ljhtcdbhuqos0",931,987,"2026-01-25 02:22:04"," 变异性鼻炎介绍 - 症状、原因及治疗方法全解析  "," 变异性鼻炎,鼻炎症状,过敏性鼻炎,鼻炎原因,鼻炎治疗,鼻塞流涕,打喷嚏  "," 本文详细介绍变异性鼻炎的症状表现、常见病因及有效治疗方法，帮助患者了解如何缓解鼻塞、流涕和打喷嚏等不适，提供科学应对建议。","2026-04-07 22:00:00",[38],{"menuId":39,"menuName":40,"parentId":17,"orderNum":41,"path":42,"component":43,"isFrame":44,"isCache":45,"menuType":46,"visible":27,"status":17,"createDept":6,"remark":25,"createTime":47,"children":48,"columnImage":49,"columnLogo":50,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":51,"seoKeywords":52,"seoDescription":53,"contentNum":6,"promotionalPoster":54,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":55,"routerPath":42,"componentInfo":43},"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,"过敏性疾病","https://vod.haohuanjiao.com/huanjiao/specialistVideo/863104/b3d17405-35a1-4072-ae16-11db88865881.tmp?a=0&auth_key=1789033477-9f0460a935544745b96205e9b6e4c3b1-0-77a39da098144737e4cdc4255bcb9179&br=754&bt=754&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=&eid=v0d47cg10004d61hlu2ljhtcdbhuqos0&er=0&l=202608110729032DA1230604BA4457F550&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=M3J4ZWZrb3hrOTczNGY3M0ApdnRrZ3dtNW80ZzMzajpneWdwbmVhcWcvaS5hLS1kNGFzcy1scl9gZWlyZTMxLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":58,"message":6,"data":6,"success":59},{"code":9,"msg":10,"message":6,"data":62,"success":59},{"pageNo":27,"pageSize":63,"result":64,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":66,"success":59},{"authors":67,"appraiseDimensionScoresVos":68},[],[]]