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--> 00:01.965\n好，\n\n00:01.965 --> 00:05.265\n今天跟大家分享的一个内容是急性上呼吸道感染，\n\n00:05.265 --> 00:07.190\n上呼吸道感染的治疗方案。\n\n00:14.135 --> 00:14.685\n那么，\n\n00:14.685 --> 00:17.586\n他就是先讲一下一般的治疗措施。\n\n00:17.986 --> 00:19.236\n一般治疗措施呢，\n\n00:19.236 --> 00:20.385\n首先就是休息。\n\n00:20.586 --> 00:21.211\n因为呢，\n\n00:21.211 --> 00:22.035\n患病以后呢，\n\n00:22.035 --> 00:23.635\n身体是比较虚弱的，\n\n00:23.686 --> 00:24.811\n充分休息呢，\n\n00:24.811 --> 00:27.035\n至少是很重要的。\n\n00:27.086 --> 00:27.486\n那么，\n\n00:27.486 --> 00:28.686\n建议患者每天呢，\n\n00:28.686 --> 00:32.085\n最少最少有八到10小时的睡眠时间，\n\n00:32.335 --> 00:34.335\n避免熬夜及过度劳累，\n\n00:34.436 --> 00:36.910\n让身体有足够的时间恢复体力，\n\n00:36.910 --> 00:37.986\n增强免疫力，\n\n00:37.986 --> 00:38.835\n以对呢，\n\n00:38.835 --> 00:43.136\n这个抗抗病原体以对抗病原体，\n\n00:43.335 --> 00:44.236\n那么比如说。\n\n00:44.300 --> 00:45.226\n上班的患者呢，\n\n00:45.226 --> 00:47.776\n就是他患病以后呢，\n\n00:47.776 --> 00:49.451\n应该请假在家休息。\n\n00:49.550 --> 00:50.300\n学生呢，\n\n00:50.300 --> 00:52.050\n应该减少学习的时间，\n\n00:52.151 --> 00:52.875\n同时呢，\n\n00:52.875 --> 00:54.000\n避免剧烈运动。\n\n00:54.151 --> 00:56.050\n那么同时还需要多饮水，\n\n00:56.451 --> 00:57.675\n多喝温开水，\n\n00:57.675 --> 01:02.951\n是有助于这个补充身体因发热或者呼吸道丢失的水分，\n\n01:03.300 --> 01:04.676\n还能稀释痰液，\n\n01:04.676 --> 01:06.000\n促进痰液咳出，\n\n01:06.350 --> 01:06.725\n嗯，\n\n01:06.725 --> 01:08.450\n缓解咽喉的不适。\n\n01:08.651 --> 01:09.176\n那么，\n\n01:09.176 --> 01:12.801\n一般建议每天饮用一百一千五到2000ml的水，\n\n01:13.000 --> 01:14.250\n可以分次饮用。\n\n01:14.301 --> 01:16.200\n不要一次性大量的饮用，\n\n01:16.250 --> 01:20.301\n比如每隔一到两个小时喝一杯两百到300ml的水。\n\n01:20.600 --> 01:22.075\n那么同下面呢，\n\n01:22.075 --> 01:24.051\n还有一些一般的治疗措施，\n\n01:24.051 --> 01:25.450\n包括调整饮食啊，\n\n01:25.450 --> 01:26.200\n也就是说，\n\n01:26.450 --> 01:28.901\n饮食我们建议清淡的易消化，\n\n01:28.901 --> 01:31.901\n多喝摄入含有维生素C啊，\n\n01:31.901 --> 01:34.801\n维生素C和多蛋白质的食物，\n\n01:34.950 --> 01:38.100\n比如说新鲜的蔬菜水果、苹果啊，\n\n01:38.100 --> 01:38.700\n橙子啊，\n\n01:38.700 --> 01:40.901\n菠菜牛奶鸡蛋都可以。\n\n01:41.000 --> 01:44.051\n那么同时它有助于增强身体的。\n\n01:44.400 --> 01:45.250\n抵抗力，\n\n01:45.449 --> 01:47.474\n避免食用这个辛辣，\n\n01:47.474 --> 01:49.474\n油腻和刺激性食物。\n\n01:49.474 --> 01:50.375\n这些食物呢，\n\n01:50.375 --> 01:53.250\n可能会增加重咽喉部的疼痛症状。\n\n01:53.650 --> 01:54.300\n例如，\n\n01:54.650 --> 01:58.199\n患者应避免食用辣椒和油炸食品。\n\n02:00.372 --> 02:02.147\n那么治疗措施还有呢，\n\n02:02.147 --> 02:04.921\n包括这个保持室内的空气流通，\n\n02:05.122 --> 02:06.571\n经常开窗通风。\n\n02:07.022 --> 02:07.421\n嗯，\n\n02:07.722 --> 02:09.572\n保持室内空气新鲜，\n\n02:09.921 --> 02:13.322\n降低了室内的病原体的浓度，\n\n02:13.472 --> 02:15.171\n减少再次感染的机会。\n\n02:15.322 --> 02:17.597\n每天至少开窗通风两到三次，\n\n02:17.597 --> 02:19.472\n每次通风半个小时左右。\n\n02:19.572 --> 02:20.496\n在冬季呢，\n\n02:20.496 --> 02:24.421\n可以选择在中午气温较高的时候开窗通风。\n\n02:25.723 --> 02:25.998\n那么，\n\n02:25.998 --> 02:26.848\n药物治疗呢，\n\n02:26.848 --> 02:29.272\n包括对症治疗患者呢，\n\n02:29.272 --> 02:31.723\n就是出现不同的症状，\n\n02:31.923 --> 02:33.473\n选择相对的药物，\n\n02:33.473 --> 02:37.098\n以及针对他的这个这个发热头痛啊，\n\n02:37.098 --> 02:37.998\n肌肉酸痛呢，\n\n02:37.998 --> 02:39.623\n可以使用解热镇痛药。\n\n02:39.772 --> 02:40.748\n对于咳嗽呢，\n\n02:40.748 --> 02:41.473\n可以选择。\n\n02:42.492 --> 02:44.391\n选择使用止咳药物，\n\n02:44.641 --> 02:47.067\n如果说患者体温超过38°5，\n\n02:47.067 --> 02:49.542\n伴有头痛、肌肉酸痛的可以服用。\n\n02:50.296 --> 02:53.197\n布洛芬等解毒镇痛药物来缓解症状，\n\n02:53.296 --> 02:54.222\n那么同时呢，\n\n02:54.222 --> 02:55.697\n避免滥用抗生素。\n\n02:55.847 --> 02:56.179\n那么，\n\n02:56.179 --> 03:01.022\n大部分的急性上呼吸道感染是病毒感染引起引起的抗生素呢，\n\n03:01.022 --> 03:02.322\n对病毒是无效的。\n\n03:02.322 --> 03:07.572\n只有在明确的有细菌感染或者是高度怀疑细菌感染的同时，\n\n03:07.572 --> 03:08.897\n才能使用抗生素。\n\n03:08.897 --> 03:09.296\n那么，\n\n03:09.296 --> 03:13.847\n通过血常规的检查发现血细胞激素升高，\n\n03:14.147 --> 03:15.447\n那么中性细胞。\n\n03:16.263 --> 03:20.613\n体例升高且有扁桃体化脓等细菌感染表现时，\n\n03:20.613 --> 03:23.763\n可以在医生指导下使用。\n\n03:24.313 --> 03:27.513\n那么药物治疗原则包括个性化用药，\n\n03:27.712 --> 03:32.113\n考虑患者的年龄、基础药物、基础疾病以及药物。\n\n03:32.912 --> 03:35.712\n这个过敏什因素选择合适的药物，\n\n03:35.962 --> 03:38.111\n比如说老年人以及儿童，\n\n03:38.361 --> 03:41.712\n那么儿童应该选要就是谨慎，\n\n03:41.761 --> 03:44.162\n根据年龄和体重调整剂量。\n\n03:44.261 --> 03:45.087\n老年人呢，\n\n03:45.087 --> 03:47.261\n可以存在可能存在多种的疾病，\n\n03:47.261 --> 03:48.037\n基础疾病，\n\n03:48.037 --> 03:51.111\n重要的是避免这种药物的相互作用。\n\n03:51.311 --> 03:53.337\n对于某些药物过敏的患者，\n\n03:53.337 --> 03:54.111\n避免使用，\n\n03:54.111 --> 03:57.561\n比如说青霉素患者不能使用青霉素药物。\n\n03:58.065 --> 03:59.065\n那么常用药物呢？\n\n03:59.065 --> 04:00.416\n包括解热镇痛药。\n\n04:01.225 --> 04:01.425\n嗯，\n\n04:01.425 --> 04:03.626\n比如对乙酰氨基酚布洛芬，\n\n04:03.876 --> 04:07.651\n它能够促抑制体内的前列腺素的合成，\n\n04:07.651 --> 04:09.376\n达到几为镇痛的作用。\n\n04:10.570 --> 04:12.421\n肌肉酸痛就是说。\n\n04:15.289 --> 04:16.813\n对这个对乙酰氨基酚，\n\n04:16.813 --> 04:20.088\n一般那个每4到六六小时重复使用一次，\n\n04:20.088 --> 04:22.438\n24小时超过4次。\n\n04:22.688 --> 04:23.514\n布洛芬呢，\n\n04:23.514 --> 04:24.938\n建议4.6小时，\n\n04:25.289 --> 04:26.313\n24小时呢，\n\n04:26.313 --> 04:28.438\n建议不超过1200mg。\n\n04:29.165 --> 04:33.915\n那么同时建议用这个减轻鼻粘膜的出血。\n\n04:33.915 --> 04:36.466\n药物伪麻黄碱能够收缩。\n\n04:37.433 --> 04:37.933\n鼻粘膜。\n\n04:38.960 --> 04:42.460\n血管能够减轻那种鼻粘膜充血肿胀，\n\n04:42.561 --> 04:45.561\n从而缓缓解这个鼻塞症状。\n\n04:45.561 --> 04:47.010\n使用时需要注意。\n\n04:48.058 --> 04:50.984\n按照说明书或者医医嘱服用，\n\n04:50.984 --> 04:54.259\n比如说高血压和心脏病的患者应慎服，\n\n04:54.408 --> 04:58.058\n因为伪麻黄碱可以引起这个血压升高，\n\n04:58.058 --> 04:59.158\n心跳加快的，\n\n05:00.359 --> 05:02.009\n那么常用的药物包括。\n\n05:03.513 --> 05:05.213\n止咳祛痰类的药物。\n\n05:06.463 --> 05:06.614\n嗯，\n\n05:06.614 --> 05:09.514\n干咳无痰的可以选择右美沙芬。\n\n05:09.514 --> 05:11.614\n干咳伴较多痰的话，\n\n05:11.864 --> 05:17.014\n可以使用溴己新和氨溴索促进痰液的排出。\n\n05:17.414 --> 05:19.463\n优美沙芬有不同的剂型部，\n\n05:19.463 --> 05:21.463\n包括糖浆片剂等。\n\n05:22.002 --> 05:26.653\n具体应该根据患者的这个剂型和年龄而定。\n\n05:26.852 --> 05:28.502\n氨溴索一般是成人，\n\n05:28.502 --> 05:30.053\n剂量为一日三次，\n\n05:30.053 --> 05:32.453\n一次一次30mg。\n\n05:33.832 --> 05:35.869\n那么另外有抗组胺药，\n\n05:35.869 --> 05:36.807\n包括这个，\n\n05:36.807 --> 05:42.231\n它能够缓解打喷嚏、流流涕这种就是卡他症状。\n\n05:43.204 --> 05:44.854\n还有这种氯苯纳敏啊，\n\n05:44.854 --> 05:46.003\n苯海拉敏等，\n\n05:46.454 --> 05:50.178\n它能够竞竞争性的阻断HA受体，\n\n05:50.178 --> 05:52.153\n减轻鼻黏膜过敏反应。\n\n05:52.553 --> 05:54.003\n但此类药物呢，\n\n05:54.003 --> 05:56.312\n肯定引起嗜睡口干的不适。\n\n05:56.312 --> 06:01.153\n用药以后可以避免驾驶高空作业等需要高度。\n\n06:02.684 --> 06:04.184\n集中注意力的活动。\n\n06:05.351 --> 06:07.802\n比如说服用氯苯那敏以后，\n\n06:07.802 --> 06:09.826\n可能会出现困倦、嗜水，\n\n06:09.826 --> 06:11.201\n所需要注意休息。\n\n06:11.652 --> 06:15.076\n那么对于明确由病毒感染引起的上呼吸道感染，\n\n06:15.076 --> 06:16.302\n尤其是流感病毒，\n\n06:16.302 --> 06:19.101\n可以在发病48小时内使用。\n\n06:20.020 --> 06:20.996\n这个流感药物，\n\n06:20.996 --> 06:23.221\n比如说这个奥司他韦。\n\n06:24.171 --> 06:24.372\n嗯，\n\n06:25.221 --> 06:26.147\n奥司他韦呢，\n\n06:26.147 --> 06:28.272\n它能够抑制流感病毒的复制。\n\n06:29.516 --> 06:32.117\n抑制它流感病毒的神经氨酸酶的活性，\n\n06:32.166 --> 06:36.316\n阻止病毒从被感染的细胞中释放，\n\n06:36.316 --> 06:38.117\n从而减少病毒的释放。\n\n06:39.222 --> 06:40.773\n减少病毒的传播。\n\n06:41.871 --> 06:42.071\n嗯，\n\n06:43.121 --> 06:46.971\n成人一般用量是75mg，\n\n06:47.520 --> 06:50.121\n一日是两次。\n\n06:52.203 --> 06:52.903\n疗程5天。\n\n06:54.156 --> 06:55.355\n常用药物种类。\n\n06:57.705 --> 07:01.781\n那么确确诊这个细菌感染的时候呢，\n\n07:01.781 --> 07:05.455\n常用的药物包括这种青霉素阿莫西林啊，\n\n07:05.455 --> 07:08.355\n头孢菌素阿莫西林一般使用为。\n\n07:09.789 --> 07:11.164\n0.56.8小时一次，\n\n07:11.164 --> 07:15.938\n头孢呋辛成人民用次0.251日两次。\n\n07:16.338 --> 07:18.588\n使用抗生素前应询问。\n\n07:20.084 --> 07:20.285\n患者，\n\n07:20.285 --> 07:21.234\n有没有过敏史？\n\n07:21.635 --> 07:24.885\n用药过程中需要密切观察有无不良反应？\n\n07:27.980 --> 07:29.631\n那么对于特殊的患者，\n\n07:29.631 --> 07:30.756\n包括儿童患者，\n\n07:30.756 --> 07:34.631\n那么他因为这个尚未发育发育成熟的，\n\n07:34.631 --> 07:36.580\n所以在选择药物的时候呢，\n\n07:36.980 --> 07:40.656\n需要严格使按照儿童的这个专用剂型，\n\n07:40.656 --> 07:44.480\n根据他的同时按照儿童的体重计算药物的剂量。\n\n07:45.234 --> 07:45.410\n嗯，\n\n07:45.410 --> 07:46.809\n儿童上呼吸道感染，\n\n07:46.809 --> 07:48.410\n容易出现高热惊厥。\n\n07:48.410 --> 07:50.084\n体温超过38°时，\n\n07:50.084 --> 07:52.709\n需要用这种降温措施，\n\n07:52.709 --> 07:57.135\n包括温水擦头额啊、腋窝啊、腹股沟等部位。\n\n07:57.888 --> 07:58.138\n嗯，\n\n07:58.287 --> 07:59.638\n必要时及时就医。\n\n07:59.638 --> 07:59.937\n那么，\n\n07:59.937 --> 08:02.437\n老年人患者都伴有这种慢性疾病，\n\n08:02.437 --> 08:04.388\n比如高血压、糖尿病、心脏病。\n\n08:04.638 --> 08:05.638\n用药的时候呢，\n\n08:05.638 --> 08:08.162\n充分考虑药物之间的相互作用，\n\n08:08.162 --> 08:08.662\n比如说，\n\n08:08.662 --> 08:10.838\n使用使用这个解热镇痛药。\n\n08:11.963 --> 08:15.187\n要注意其对血压、血糖的影响。\n\n08:15.187 --> 08:15.613\n同时，\n\n08:15.613 --> 08:18.312\n老年人身体机能下降。\n\n08:19.240 --> 08:20.115\n患病后呢，\n\n08:20.115 --> 08:20.691\n这个。\n\n08:22.303 --> 08:22.903\n恢复较慢，\n\n08:22.903 --> 08:26.428\n治疗过程中要注意这个病情变化，\n\n08:26.428 --> 08:30.403\n如有不适反应的需要及及时调理治疗方案。\n\n08:31.368 --> 08:33.268\n这种特需特殊治疗的。\n\n08:34.809 --> 08:36.510\n特殊情况的治疗包括孕妇，\n\n08:36.559 --> 08:37.710\n孕妇用药呢，\n\n08:37.710 --> 08:40.159\n需要权通到这个对胎儿的影响。\n\n08:40.460 --> 08:41.434\n在早期呢，\n\n08:41.434 --> 08:46.260\n应该避尽量避免使用可能对胎儿的不良反应药物。\n\n08:46.409 --> 08:48.684\n对于一些症状较轻的孕妇，\n\n08:48.684 --> 08:51.760\n可能先采用一些症状缓解症状，\n\n08:51.760 --> 08:52.234\n比如，\n\n08:52.234 --> 08:54.309\n但如果必须要用药，\n\n08:54.309 --> 08:58.159\n应在医医生的指导下选择对胎儿相对安全的药物，\n\n08:58.260 --> 08:59.960\n比如说青霉素什么。\n\n09:02.299 --> 09:03.799\n那么特殊情况的治疗，\n\n09:03.799 --> 09:04.625\n包括这种，\n\n09:04.625 --> 09:06.500\n还有一个就是艾滋病的患者。\n\n09:07.236 --> 09:10.536\n对于这个免疫免疫恶性肿瘤，\n\n09:10.536 --> 09:16.086\n或者正在接受化疗使用免疫制剂的这种免疫力低下的患者，\n\n09:16.236 --> 09:18.461\n他们急性上呼吸道感染的时候呢，\n\n09:18.461 --> 09:19.562\n可能病情会加重，\n\n09:19.562 --> 09:21.036\n且容易出现并发症。\n\n09:21.036 --> 09:21.887\n这个患者呢，\n\n09:21.887 --> 09:22.786\n除了针对。\n\n09:23.924 --> 09:25.325\n症状进行治疗外呢，\n\n09:25.325 --> 09:31.500\n还可以使用一些症状增强免疫力的药物，\n\n09:31.500 --> 09:32.974\n同时要加强护理，\n\n09:32.974 --> 09:35.025\n预防感染进一步加重。\n\n09:37.111 --> 09:40.211\n信息是急性上呼吸道的感染预防与护理，\n\n09:40.361 --> 09:45.111\n那么它包括增强人群的免疫力。\n\n09:45.411 --> 09:45.786\n嗯，\n\n09:45.786 --> 09:47.012\n通过加强。\n\n09:48.177 --> 09:49.677\n这个锻炼合理膳食，\n\n09:49.677 --> 09:51.252\n充分充足的睡眠，\n\n09:51.252 --> 09:52.776\n提高人体的免疫力。\n\n09:53.429 --> 09:56.130\n那么同时控制传染源，\n\n09:56.130 --> 09:58.255\n对于这种急性上呼吸道感染，\n\n09:58.255 --> 09:59.979\n应该做到早发现、早走，\n\n10:00.080 --> 10:01.679\n早隔离、早治疗。\n\n10:02.130 --> 10:03.479\n如果在流行季节，\n\n10:03.479 --> 10:08.330\n在学校和幼儿园一旦发现有发热、咳嗽的患者，\n\n10:08.429 --> 10:11.630\n应当及时通知家长进行隔离，\n\n10:11.979 --> 10:14.679\n避免过敏原传播给更多。\n\n10:15.633 --> 10:19.333\n那么疾病的预防包括切断传播途径。\n\n10:20.383 --> 10:20.583\n嗯。\n\n10:22.320 --> 10:25.070\n了解这个病原体的传播，\n\n10:25.070 --> 10:29.020\n由于急性上呼吸道感染都通过飞沫传播和接触传播，\n\n10:29.171 --> 10:31.096\n在所以在公共场所呢，\n\n10:31.096 --> 10:32.445\n建议是戴口罩，\n\n10:32.445 --> 10:33.270\n勤洗手，\n\n10:33.421 --> 10:35.221\n保持有效的社交距离。\n\n10:37.724 --> 10:38.924\n那么生活中的预防呢，\n\n10:38.924 --> 10:41.549\n包括养好养好良好的，\n\n10:41.549 --> 10:45.625\n这个卫生习惯合理安排生活作息，\n\n10:45.625 --> 10:46.900\n包括勤洗手啊，\n\n10:46.900 --> 10:48.174\n什么使用肥皂，\n\n10:48.174 --> 10:49.525\n还有七步洗手法。\n\n10:49.775 --> 10:51.250\n那么合理的作息呢，\n\n10:51.250 --> 10:54.924\n就包括每天保证充足睡眠4.8小时，\n\n10:55.174 --> 10:56.125\n避免熬夜。\n\n10:58.559 --> 10:58.859\n那么，\n\n10:58.859 --> 11:01.934\n生活中有效的预防措施包括，\n\n11:01.934 --> 11:03.508\n注意饮食均衡。\n\n11:03.809 --> 11:04.208\n嗯，\n\n11:04.458 --> 11:05.958\n日常饮食呢，\n\n11:05.958 --> 11:06.908\n需要注意。\n\n11:08.182 --> 11:08.281\n嗯，\n\n11:08.281 --> 11:08.831\n这个。\n\n11:11.622 --> 11:13.872\n需要注意这个营养，\n\n11:13.872 --> 11:15.822\n均衡摄入这个维生素。\n\n11:16.997 --> 11:18.348\n矿物质和蛋白质，\n\n11:18.547 --> 11:25.098\n每天保证这个充足的摄入新鲜的水果蔬菜和西兰花成果，\n\n11:25.247 --> 11:29.648\n同时注意摄入适当的肉类、鱼类啊，\n\n11:29.648 --> 11:32.547\n豆类就是富含蛋白质的食物。\n\n11:33.091 --> 11:33.291\n嗯，\n\n11:33.291 --> 11:35.690\n增强身体的抵抗力，\n\n11:35.890 --> 11:38.890\n同时避免前往这个人群密集场所。\n\n11:39.799 --> 11:41.650\n在疾病高发期间，\n\n11:41.650 --> 11:46.424\n尽量避免前往人群密集场所、空气不流通的场所。\n\n11:47.280 --> 11:48.530\n如商场啊，\n\n11:48.530 --> 11:49.429\n影院等。\n\n11:50.448 --> 11:51.573\n如果必须要前往，\n\n11:51.573 --> 11:53.098\n建议你这个佩戴口罩。\n\n11:53.898 --> 11:57.547\n避免在流行季节减少不必要的聚会，\n\n11:57.648 --> 12:01.047\n聚会活动降低这种感染的风险。\n\n12:01.348 --> 12:05.247\n那么护理的要点就包括这种疾病的观察。\n\n12:06.317 --> 12:06.492\n嗯，\n\n12:06.492 --> 12:07.517\n包括这种。\n\n12:08.817 --> 12:12.966\n密切关注患者的病情、症状、变化。\n\n12:14.112 --> 12:14.312\n嗯，\n\n12:15.312 --> 12:16.263\n包括体温，\n\n12:16.513 --> 12:16.862\n嗯，\n\n12:16.862 --> 12:17.937\n这个呼吸啊，\n\n12:17.937 --> 12:18.612\n咳嗽啊，\n\n12:18.663 --> 12:21.913\n这种静音状态以及温度。\n\n12:21.963 --> 12:24.362\n如果出现温度持续升高，\n\n12:24.362 --> 12:26.437\n或者是呼吸急促，\n\n12:26.437 --> 12:27.987\n精神萎靡等情况，\n\n12:27.987 --> 12:29.487\n就要需要及时就医，\n\n12:29.487 --> 12:31.413\n需要每4小时监测体温。\n\n12:32.046 --> 12:34.646\n那么同时保持呼吸道的通畅。\n\n12:34.846 --> 12:35.796\n对于这种。\n\n12:37.711 --> 12:42.661\n咳嗽咳痰的患者需要鼓励他的这个多饮水，\n\n12:42.661 --> 12:43.586\n稀释痰液，\n\n12:43.586 --> 12:44.812\n促进痰液排出。\n\n12:45.111 --> 12:47.361\n可以协助这个患者翻身啊，\n\n12:47.361 --> 12:48.762\n拍背从下往上，\n\n12:48.762 --> 12:49.661\n从外向内，\n\n12:49.661 --> 12:51.062\n轻轻的拍打背，\n\n12:51.361 --> 12:52.911\n促进痰液的松动。\n\n12:53.664 --> 12:53.840\n嗯，\n\n12:53.840 --> 12:55.414\n以及处理痰烟烟，\n\n12:55.515 --> 12:56.715\n避免痰粘稠，\n\n12:56.715 --> 12:57.565\n不易口出。\n\n12:58.872 --> 13:00.273\n我是可以用雾化。\n\n13:01.471 --> 13:02.322\n雾化药物，\n\n13:02.372 --> 13:06.221\n那么对于就这个发热的患者怎么护理呢？\n\n13:06.221 --> 13:08.146\n发热患者发热时呢，\n\n13:08.146 --> 13:11.021\n就要需要就是及时的降温，\n\n13:11.171 --> 13:13.671\n使他的体温降到38°以下，\n\n13:14.021 --> 13:14.796\n同时呢，\n\n13:14.796 --> 13:16.546\n就用这种温水啊，\n\n13:16.546 --> 13:17.271\n或者是。\n\n13:18.083 --> 13:22.232\n就是擦干额头、腋窝这个腹股沟等部位，\n\n13:22.232 --> 13:23.632\n体温超过38°，\n\n13:23.682 --> 13:24.908\n可以用退烧药，\n\n13:24.908 --> 13:26.583\n同时需要补充水分。\n\n13:27.802 --> 13:30.552\n然后避免身体的水分过度流失。\n\n13:31.932 --> 13:33.081\n那么对于心理护理，\n\n13:33.081 --> 13:36.882\n就是说尤其病情如果比较重或者比较长的患者，\n\n13:37.331 --> 13:40.706\n需要对于你这个进行多沟通，\n\n13:40.706 --> 13:41.682\n给予这个。\n\n13:42.866 --> 13:44.515\n关心和安慰，\n\n13:44.765 --> 13:45.166\n嗯。\n\n13:46.856 --> 13:47.856\n帮助患者树立。\n\n13:48.848 --> 13:50.872\n战胜疾病的心理，\n\n13:50.872 --> 13:53.598\n比如耐心听患者的感受，\n\n13:53.947 --> 13:55.622\n解答这个患者的疑问，\n\n13:55.622 --> 13:57.697\n缓解其焦虑情绪。\n\n13:57.997 --> 13:58.422\n那么，\n\n13:58.422 --> 14:01.148\n康复期的注意事项就是逐步恢复的，\n\n14:01.348 --> 14:02.672\n逐步恢复活动。\n\n14:02.672 --> 14:04.047\n比如说，\n\n14:04.047 --> 14:06.447\n患者如果身体比较虚弱的话，\n\n14:06.547 --> 14:08.723\n是必需要避免剧烈运动的，\n\n14:08.723 --> 14:10.697\n那么可以轻度的活动开始。\n\n14:10.697 --> 14:12.098\n比如说散步啊，\n\n14:12.348 --> 14:13.797\n每天散步30分钟，\n\n14:13.797 --> 14:15.648\n随着身体逐步恢复。\n\n14:16.677 --> 14:19.252\n适当增加活动量和强度，\n\n14:19.252 --> 14:22.151\n避免过早进行高强度运动，\n\n14:22.151 --> 14:23.351\n跑步、打篮球，\n\n14:23.351 --> 14:25.452\n以免恢复身体的，\n\n14:25.702 --> 14:27.401\n以免影响身体的恢复。\n\n14:27.702 --> 14:29.502\n对于对于饮食健康，\n\n14:29.952 --> 14:30.976\n饮食健康呢，\n\n14:30.976 --> 14:38.026\n就是我们前面提到适当适当增加富含蛋白质的食物，\n\n14:38.026 --> 14:41.552\n比如说瘦肉、牛肉、牛奶、鸡蛋什么的。\n\n14:42.096 --> 14:42.296\n然后，\n\n14:42.296 --> 14:43.895\n帮助身体恢复抵抗力，\n\n14:43.895 --> 14:48.570\n同时避免食用辛辣油腻刺激的食物。\n\n14:48.570 --> 14:50.445\n然后避免这个，\n\n14:50.695 --> 14:53.096\n防止呼吸道产生刺激。\n\n14:54.171 --> 14:54.870\n影响康复，\n\n14:55.120 --> 14:58.221\n那么康复期注意事项就是预防二次感染。\n\n14:58.471 --> 14:59.520\n康复以后呢，\n\n14:59.520 --> 15:02.471\n就是容易身体免疫力过度，\n\n15:02.570 --> 15:04.671\n容易引起继发再感染。\n\n15:04.820 --> 15:06.796\n那么身体保持注意，\n\n15:06.796 --> 15:09.370\n保持身体的良就是良好习惯，\n\n15:09.671 --> 15:10.395\n勤洗手，\n\n15:10.395 --> 15:11.145\n戴口罩啊，\n\n15:11.145 --> 15:14.445\n就根据这个天气变化增减衣物啊，\n\n15:14.445 --> 15:15.320\n避免着凉。\n\n15:15.471 --> 15:16.495\n那么同时呢，\n\n15:16.495 --> 15:17.221\n定期复查，\n\n15:17.221 --> 15:18.445\n根据医生的建议，\n\n15:18.445 --> 15:19.096\n定期复查，\n\n15:19.096 --> 15:21.070\n了解身体的。\n\n15:22.414 --> 15:23.114\n基本状况，\n\n15:23.265 --> 15:23.965\n然后。\n\n15:26.528 --> 15:28.254\n然后就是医生呢，\n\n15:28.254 --> 15:30.328\n可以发现潜在的这个问题，\n\n15:30.328 --> 15:31.729\n给予相应的处理。\n\n15:34.473 --> 15:36.822\n给予这个康复和指导指导。\n\n15:38.508 --> 15:38.833\n好，\n\n15:38.833 --> 15:41.359\n谢谢大家今天的分享到此。\n\n","v0347cg10004d61vaa2ljhtamh352n30",945,853,"2026-01-25 03:14:33"," 急性上呼吸道感染治疗方案 - 症状、用药及护理指南  "," 上呼吸道感染治疗,感冒症状缓解,病毒性感冒用药,急性上感护理,抗病毒药物,退烧方法  "," 本文提供急性上呼吸道感染（病毒性感冒）的详细治疗方案，包括症状识别、常用药物（如解热镇痛药、抗病毒药）、家庭护理要点及预防措施，帮助患者科学应对上呼吸道感染。","2026-04-11 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