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--> 00:01.510\n嗯，\n\n00:01.809 --> 00:02.535\n今天呢，\n\n00:02.535 --> 00:04.409\n和大家一起学习一下，\n\n00:04.760 --> 00:05.159\n嗯。\n\n00:06.763 --> 00:08.713\n呼吸系统的常见疾病。\n\n00:09.496 --> 00:11.196\n就是一个上呼吸道的感染，\n\n00:11.446 --> 00:11.845\n嗯，\n\n00:12.045 --> 00:14.545\n也就俗称的伤风和感冒，\n\n00:14.696 --> 00:17.645\n关于这个疾病的，\n\n00:17.645 --> 00:20.621\n我们的怎么个区分，\n\n00:20.621 --> 00:26.496\n普通感冒和流行性感冒和怎么的正确用药和日常如何？\n\n00:27.273 --> 00:29.173\n得了感冒如何来管理？\n\n00:35.280 --> 00:35.355\n嗯，\n\n00:35.355 --> 00:36.280\n普通感冒，\n\n00:36.530 --> 00:36.855\n嗯，\n\n00:36.855 --> 00:37.831\n俗称伤风，\n\n00:37.980 --> 00:39.780\n又称急性鼻炎，\n\n00:39.881 --> 00:41.780\n或者上呼吸道咔他。\n\n00:42.907 --> 00:47.106\n以鼻部、鼻咽部卡他症状为主要表现，\n\n00:47.356 --> 00:50.457\n是一种急性的上呼吸道病毒感染。\n\n00:51.980 --> 00:58.131\n上呼吸道卡他症状包括咳嗽、流涕、打喷嚏、鼻塞等。\n\n00:58.867 --> 01:01.117\n这是临床上常见的症状，\n\n01:01.516 --> 01:06.342\n引起发热伴上上呼吸道卡他症状的疾病。\n\n01:06.342 --> 01:09.467\n常见有普通感冒、流行性感冒。\n\n01:10.405 --> 01:11.005\n鼻白喉。\n\n01:12.515 --> 01:13.566\n咽结膜热。\n\n01:14.566 --> 01:18.115\n麻疹前驱期和百日咳卡他期等。\n\n01:27.823 --> 01:30.674\n引起感冒的病原体最常见的。\n\n01:32.411 --> 01:35.661\n是病毒占有70%.80%，\n\n01:35.661 --> 01:40.060\n而细菌占20%到三三十。\n\n01:40.511 --> 01:40.911\n嗯，\n\n01:41.261 --> 01:43.960\n普通感冒的常见病毒有鼻病毒。\n\n01:44.865 --> 01:48.615\n它每年感染的比例是30%.50%，\n\n01:49.115 --> 01:51.416\n还有一个病毒是冠状病毒。\n\n01:52.275 --> 01:52.474\n嗯，\n\n01:52.474 --> 01:55.775\n占百百分之十到15%。\n\n01:57.139 --> 01:58.440\n我们新冠就是。\n\n01:59.461 --> 02:00.787\n冠状病毒啊，\n\n02:00.787 --> 02:03.586\n如果病人抵抗力低下啊，\n\n02:03.586 --> 02:05.361\n随着疾病的进展期，\n\n02:05.611 --> 02:10.061\n病毒会有上呼吸道蔓延至下呼吸道乃至全身，\n\n02:10.462 --> 02:13.861\n同时发生诸如鼻窦炎、中耳炎。\n\n02:14.567 --> 02:18.817\n气管支气管炎、慢性阻塞性肺病等局部并发症，\n\n02:19.667 --> 02:24.518\n以及更严重的包括心肌炎、肌炎、脑炎。\n\n02:26.393 --> 02:28.292\n在内的全身性的并发症。\n\n02:32.582 --> 02:32.682\n嗯，\n\n02:32.682 --> 02:36.432\n感我们来看一下感冒感染的阶段。\n\n02:36.483 --> 02:44.608\n第一就是鼻病毒侵入鼻咽部的黏膜上皮细胞病毒大量复制8.10小时，\n\n02:44.608 --> 02:46.832\n产生大量的子代病毒。\n\n02:47.667 --> 02:49.367\n48小时达到高峰，\n\n02:49.768 --> 02:52.867\n子带病毒感染临近的上皮细胞，\n\n02:53.018 --> 02:56.667\n然后是10.12小时产生临床症状，\n\n02:57.167 --> 02:59.367\n感冒病毒进入人体以后呢。\n\n03:00.727 --> 03:02.227\n会与气道上皮。\n\n03:03.479 --> 03:09.979\n细胞特异性结合并在呼吸道的上皮细胞及局部淋巴结组织中复制，\n\n03:10.128 --> 03:13.429\n引起细胞病变及炎症反应。\n\n03:13.628 --> 03:20.128\n病毒感染后释放的炎症炎性介质导致血管头痛性增加，\n\n03:20.479 --> 03:23.179\n使血浆渗入鼻粘膜，\n\n03:23.429 --> 03:25.429\n鼻腔腺体分泌增加，\n\n03:25.529 --> 03:29.529\n出现流清涕及鼻塞等呼吸道症状，\n\n03:29.779 --> 03:33.529\n并产生发热、全身疼痛等全。\n\n03:33.740 --> 03:34.339\n产生症状，\n\n03:34.490 --> 03:39.440\n症状往往在病毒感染期感染机体后12小时内出现，\n\n03:39.539 --> 03:42.789\n并在24.48小时达到高峰，\n\n03:43.089 --> 03:46.789\n在2.3天内达到病毒排出高峰。\n\n03:48.828 --> 03:51.703\n这个大家应该都有有得过感冒，\n\n03:51.703 --> 03:53.979\n也对他的症状也不陌生，\n\n03:54.229 --> 03:55.878\n所以他是前驱，\n\n03:56.378 --> 04:01.753\n前驱症状到24.48小时达到高峰，\n\n04:01.753 --> 04:02.828\n然后呢，\n\n04:02.828 --> 04:03.679\n2.3天内呢。\n\n04:05.054 --> 04:06.554\n会有病毒的排出高峰，\n\n04:06.554 --> 04:06.979\n这样呢，\n\n04:06.979 --> 04:07.630\n很特别，\n\n04:07.630 --> 04:08.904\n容易传染给别人。\n\n04:09.955 --> 04:10.055\n嗯，\n\n04:10.055 --> 04:12.505\n那哪类人群容易发生感冒？\n\n04:12.955 --> 04:13.305\n嗯，\n\n04:13.305 --> 04:14.731\n一个是工作压力大，\n\n04:14.731 --> 04:16.605\n作息和饮食不规律，\n\n04:16.805 --> 04:17.906\n情绪紧张，\n\n04:18.006 --> 04:19.105\n消极悲观，\n\n04:19.555 --> 04:21.455\n还有就是饮食不平衡，\n\n04:21.605 --> 04:23.006\n吸烟酗酒，\n\n04:23.006 --> 04:24.105\n缺乏运动。\n\n04:24.967 --> 04:25.143\n嗯，\n\n04:25.143 --> 04:28.842\n老年人和婴幼儿因为呼吸道的抵抗力下降，\n\n04:28.842 --> 04:30.268\n所以它更容易。\n\n04:31.708 --> 04:32.257\n得感冒，\n\n04:32.907 --> 04:35.833\n艾滋病患者还是因为免疫缺陷，\n\n04:35.833 --> 04:37.657\n所以也容易得感冒。\n\n04:38.407 --> 04:38.757\n嗯，\n\n04:38.757 --> 04:39.808\n患有慢性病，\n\n04:39.808 --> 04:43.907\n如慢性阻塞性肺疾病、糖尿病、肝炎、肾炎的人群，\n\n04:44.007 --> 04:46.208\n服用免疫抑制剂药物的人群。\n\n04:47.709 --> 04:49.209\n也容易发生感冒。\n\n04:49.359 --> 04:49.908\n此外，\n\n04:49.908 --> 04:51.959\n感冒还有一些诱发因素，\n\n04:52.259 --> 04:54.109\n一个就是气温骤降，\n\n04:54.658 --> 04:59.058\n冷空气削弱了鼻粘膜对病原菌的抵抗能力。\n\n05:00.069 --> 05:01.519\n第二个是空气污染，\n\n05:01.569 --> 05:05.169\n污染的空气不但会直接破坏气道黏膜，\n\n05:05.169 --> 05:06.718\n损伤上呼吸道，\n\n05:06.868 --> 05:07.868\n还会导致。\n\n05:09.523 --> 05:10.973\n地表紫外线减弱。\n\n05:11.752 --> 05:13.953\n使空气中的病菌活性增强。\n\n05:15.639 --> 05:16.264\n另外一个呢，\n\n05:16.264 --> 05:18.838\n就是在拥挤和密闭的环境中，\n\n05:18.889 --> 05:20.389\n空气流通较差，\n\n05:20.688 --> 05:22.039\n容易滋生病菌，\n\n05:22.188 --> 05:24.789\n人体吸入后就会引起感冒。\n\n05:30.601 --> 05:32.601\n就是我们常说的春捂秋冻。\n\n05:34.062 --> 05:35.463\n是还是有一点道理的，\n\n05:35.463 --> 05:36.888\n因为季节的变化，\n\n05:36.888 --> 05:39.812\n气温的变化会导致人的抵抗力的下降，\n\n05:39.963 --> 05:41.662\n所以适当的捂一下。\n\n05:43.033 --> 05:45.183\n这样能够预防感冒的发生，\n\n05:45.183 --> 05:47.908\n还有就是适当的冬天秋冬季的时候，\n\n05:47.908 --> 05:48.834\n适当的，\n\n05:48.884 --> 05:50.683\n就是不要穿的太暖，\n\n05:50.683 --> 05:55.734\n冻春捂秋冻也是一个提高免疫力的一个一个方法。\n\n05:57.346 --> 05:59.821\n不同季节感冒的发病率是不同的，\n\n05:59.821 --> 06:01.520\n看一下我们啊，\n\n06:01.520 --> 06:04.971\n第一季度1.3月份是发病率最高的。\n\n06:05.932 --> 06:10.731\n然后是达到了33.19%第二季度是最低的，\n\n06:10.731 --> 06:12.032\n也就4到六月份，\n\n06:12.032 --> 06:15.532\n因为这边空气温度比较比较适宜。\n\n06:17.759 --> 06:20.558\n达到了15.81%啊，\n\n06:20.558 --> 06:25.959\n然后夏季是占了17.633%，\n\n06:25.959 --> 06:28.209\n冬季20.38%。\n\n06:30.872 --> 06:36.822\n还有一个就是儿童、成年人和老年人的发病率也是不一样的。\n\n06:38.638 --> 06:39.062\n儿童。\n\n06:41.386 --> 06:45.636\n和老年人患感冒的几率要比成年人要高很多。\n\n06:47.703 --> 06:50.678\n一个是30%，\n\n06:50.678 --> 06:52.002\n27%和13%。\n\n06:55.341 --> 06:55.415\n嗯，\n\n06:55.415 --> 06:57.740\n我们看看流行性感冒。\n\n06:59.010 --> 07:01.260\n流行性感冒和普通感冒是不一样的，\n\n07:01.460 --> 07:04.960\n它是由流感病毒引起的急性呼吸道传染病，\n\n07:05.260 --> 07:06.210\n发病率高。\n\n07:07.471 --> 07:08.571\n四季均可发病，\n\n07:08.571 --> 07:10.247\n以冬、春季为多，\n\n07:10.247 --> 07:12.772\n主要经空气飞沫传播。\n\n07:15.484 --> 07:20.683\n流行性感冒经呼吸道吸入后侵犯纤毛柱状上皮细胞，\n\n07:20.683 --> 07:22.533\n并在此复制延伸，\n\n07:22.734 --> 07:24.433\n引起上呼吸道症状，\n\n07:24.533 --> 07:29.334\n并在上皮细胞变性坏死后排出较多量的病毒。\n\n07:30.153 --> 07:33.104\n随呼吸道分泌物排出引起传播流行，\n\n07:33.354 --> 07:36.579\n同时亦可向下侵犯气管、支气管，\n\n07:36.579 --> 07:37.553\n直至肺泡。\n\n07:39.582 --> 07:42.231\n其实流行性感冒是一个古老的，\n\n07:42.332 --> 07:49.582\n第一个全实行全球性监测的病毒性急急性呼吸道传染病。\n\n07:50.032 --> 07:50.432\n嗯，\n\n07:50.481 --> 07:54.131\n20世纪初的时候有一次大流行啊，\n\n07:54.231 --> 07:56.082\n好像是一九一一年吧，\n\n07:56.332 --> 07:58.782\n那时候在欧洲流行的时候，\n\n07:58.782 --> 08:01.282\n大死亡人数是非常高的。\n\n08:02.446 --> 08:02.571\n嗯，\n\n08:02.571 --> 08:04.546\n所以说这个是一个。\n\n08:05.528 --> 08:08.178\n全球性监测的一个疾病，\n\n08:08.378 --> 08:09.053\n今后呢，\n\n08:09.053 --> 08:11.053\n相当长一段时长时间呢，\n\n08:11.053 --> 08:14.229\n仍然无法完全控制它的传播和流行，\n\n08:14.229 --> 08:15.878\n因为病毒它会变异，\n\n08:16.178 --> 08:18.028\n它只要抗原有个。\n\n08:18.851 --> 08:19.401\n变异以后，\n\n08:19.401 --> 08:21.950\n它就人类对它的敏感性就。\n\n08:22.838 --> 08:24.888\n就降低抵抗力就降低，\n\n08:24.888 --> 08:27.088\n然后就会引起一个流行。\n\n08:30.132 --> 08:34.833\n所以随着近年来流行性感冒疫情的爆发和蔓延呢，\n\n08:34.833 --> 08:38.882\n流行已经越来越成为人们关注的焦点。\n\n08:43.755 --> 08:43.955\n嗯，\n\n08:43.955 --> 08:48.080\n流感的类型有一个是流感病毒呢，\n\n08:48.080 --> 08:49.705\n它属于粘液病毒，\n\n08:49.705 --> 08:51.255\n含单股RNA。\n\n08:51.455 --> 08:53.030\n根据抗原结构不同，\n\n08:53.030 --> 08:54.755\n分为甲乙丙三型。\n\n08:55.838 --> 08:57.239\n甲型流行性感冒。\n\n08:58.218 --> 08:58.869\n发生变异，\n\n08:58.869 --> 08:59.768\n传染性大。\n\n08:59.768 --> 09:01.318\n容易发生变异，\n\n09:01.369 --> 09:02.318\n传染性大，\n\n09:02.318 --> 09:03.268\n传播迅速，\n\n09:03.268 --> 09:05.119\n已发生大范围的流行。\n\n09:06.010 --> 09:07.184\n流感病毒不耐热，\n\n09:07.184 --> 09:12.359\n热酸和乙醚对甲醛、乙醛与紫外线等均敏感，\n\n09:12.559 --> 09:15.909\n但对于干燥和寒冷有相当的耐受力。\n\n09:16.010 --> 09:18.260\n能在真空干燥环境中。\n\n09:19.124 --> 09:22.073\n或者0下20°以下长期保存。\n\n09:22.854 --> 09:23.054\n嗯，\n\n09:23.405 --> 09:24.255\n传染源。\n\n09:25.109 --> 09:27.210\n主要是患者和隐性感染者，\n\n09:27.359 --> 09:29.760\n至潜伏期末即可传染。\n\n09:31.677 --> 09:32.776\n病初2.3日，\n\n09:32.776 --> 09:34.502\n传染性最强，\n\n09:34.502 --> 09:35.827\n也就是刚才说的，\n\n09:35.927 --> 09:38.502\n在病毒排出期的峰值，\n\n09:38.502 --> 09:40.127\n就是在。\n\n09:41.565 --> 09:41.690\n嗯，\n\n09:41.690 --> 09:43.265\n感染以后生，\n\n09:43.265 --> 09:43.616\n嗯，\n\n09:43.616 --> 09:45.265\n出现症状以后两到三。\n\n09:46.599 --> 09:50.200\n而且它的排毒时间可以长达到病后7天，\n\n09:50.450 --> 09:52.950\n体温正常后很少带病毒。\n\n09:58.210 --> 09:58.911\n临床症状，\n\n09:58.911 --> 10:00.885\n它潜伏期最长会四天，\n\n10:00.986 --> 10:02.236\n最短几个小时，\n\n10:02.585 --> 10:04.786\n所以很多就接触的感冒病毒，\n\n10:04.786 --> 10:05.560\n上午接触他，\n\n10:05.560 --> 10:06.911\n下午就会出现症状，\n\n10:06.911 --> 10:07.486\n那就是。\n\n10:08.796 --> 10:10.497\n它的潜伏期可以长可以短，\n\n10:10.497 --> 10:12.171\n最短的就是几个小时，\n\n10:12.171 --> 10:14.497\n临床上可有几？\n\n10:15.390 --> 10:15.864\n起病急，\n\n10:15.864 --> 10:16.414\n高热，\n\n10:16.414 --> 10:17.390\n全身症状。\n\n10:18.343 --> 10:18.619\n较重，\n\n10:18.619 --> 10:20.419\n呼吸道症状并不严重，\n\n10:20.419 --> 10:23.468\n这种体温可以达到39°.40°，\n\n10:23.468 --> 10:25.693\n畏寒、头痛、全身酸痛等，\n\n10:25.794 --> 10:29.794\n可有鼻塞、咳嗽、流涕、咽痛等。\n\n10:32.117 --> 10:32.242\n嗯，\n\n10:32.242 --> 10:34.367\n一般但是大部分人症状呢，\n\n10:34.367 --> 10:36.668\n就是一个像一个普通感冒的症状，\n\n10:36.867 --> 10:39.567\n不是所有人都会这样出现高热。\n\n10:39.617 --> 10:40.018\n嗯，\n\n10:40.317 --> 10:42.843\n症状很严重的体检呢，\n\n10:42.843 --> 10:46.242\n可以发现病人呈呈急性病容，\n\n10:46.242 --> 10:47.317\n面颊潮红，\n\n10:47.418 --> 10:49.268\n眼结膜轻度充血。\n\n10:49.875 --> 10:50.674\n咽部充血，\n\n10:50.674 --> 10:53.325\n口腔黏膜可有溃疡症，\n\n10:53.724 --> 10:56.924\n肺部听诊仅有粗糙的呼吸音。\n\n10:58.369 --> 11:02.343\n我们看一下普通感冒和流感的不同点啊，\n\n11:02.494 --> 11:04.544\n一个是临床的表现，\n\n11:04.943 --> 11:05.343\n嗯，\n\n11:05.744 --> 11:07.169\n从临床表现来看，\n\n11:07.169 --> 11:09.794\n一个有普通感冒，\n\n11:09.994 --> 11:10.393\n嗯，\n\n11:10.643 --> 11:12.018\n发热比较少见，\n\n11:12.018 --> 11:14.268\n而流感可以39°40°，\n\n11:14.268 --> 11:16.294\n而且可以持续3.4天。\n\n11:16.693 --> 11:17.093\n嗯，\n\n11:17.093 --> 11:19.318\n头痛普通感冒也少见，\n\n11:19.318 --> 11:21.193\n但是流感一般伴有。\n\n11:21.875 --> 11:22.275\n头痛，\n\n11:22.575 --> 11:23.674\n全身症状，\n\n11:23.724 --> 11:25.125\n全身的疼痛啊，\n\n11:25.375 --> 11:26.275\n乏力啊。\n\n11:27.450 --> 11:28.901\n普通感冒也会有，\n\n11:28.901 --> 11:30.301\n但是症状比较轻，\n\n11:30.601 --> 11:34.750\n而流感的全身症状就比较严重，\n\n11:35.351 --> 11:38.351\n严重者可以持续2.3周。\n\n11:41.172 --> 11:42.672\n还有就是一个鼻塞，\n\n11:42.723 --> 11:44.473\n喷嚏、咽痛，\n\n11:44.572 --> 11:46.523\n普通感冒比较常见，\n\n11:46.622 --> 11:47.572\n而流感呢。\n\n11:48.448 --> 11:48.624\n嗯，\n\n11:48.624 --> 11:50.698\n比较少见啊。\n\n11:51.760 --> 11:53.909\n胸部不适包括就是。\n\n11:54.765 --> 11:55.239\n咳嗽啊，\n\n11:55.239 --> 11:55.914\n胸痛啊，\n\n11:55.914 --> 11:56.739\n这种啊，\n\n11:56.739 --> 11:57.914\n普通感冒会。\n\n11:58.937 --> 12:01.288\n症状比较轻或者到中度，\n\n12:01.538 --> 12:04.138\n而流感就比较严重。\n\n12:05.465 --> 12:06.715\n还有一个是并发症，\n\n12:06.965 --> 12:09.715\n普通感冒一般很少出现并发症，\n\n12:10.364 --> 12:12.965\n如果是一个免疫力低下，\n\n12:13.065 --> 12:14.789\n用免免疫抑制剂的人，\n\n12:14.789 --> 12:16.614\n那可能会出现并发症，\n\n12:16.614 --> 12:18.815\n还有老年人体质比较弱的，\n\n12:18.815 --> 12:21.364\n可以出现并发病毒性肺炎等。\n\n12:21.414 --> 12:23.664\n而一般普通感冒。\n\n12:24.396 --> 12:25.947\n比较少见并发症，\n\n12:25.947 --> 12:28.971\n而流感就比较多见，\n\n12:28.971 --> 12:34.947\n它可以并发气管炎、肺炎、心肌炎甚至脑炎，\n\n12:34.947 --> 12:36.947\n可以危及威胁生命。\n\n12:38.276 --> 12:38.351\n嗯，\n\n12:38.351 --> 12:40.075\n下面说一下治疗的要点。\n\n12:43.560 --> 12:44.286\n一般治疗，\n\n12:44.335 --> 12:46.611\n急性期要卧床休息，\n\n12:46.611 --> 12:48.435\n恢复期可适当运动。\n\n12:51.315 --> 12:51.789\n饮食呢，\n\n12:51.789 --> 12:55.065\n以清淡易消化、富有营养的食物为宜，\n\n12:56.015 --> 12:57.914\n保证病人的液体供应，\n\n12:57.965 --> 12:59.364\n鼓励病人多喝水。\n\n12:59.414 --> 13:03.140\n一般我们有碰到感冒的都会医生也会这样说，\n\n13:03.140 --> 13:03.390\n哎，\n\n13:03.390 --> 13:04.539\n你多喝一点水啊，\n\n13:04.539 --> 13:06.215\n这其实是有好处的，\n\n13:06.465 --> 13:10.465\n一个是能够加快那个病毒的排出。\n\n13:11.211 --> 13:12.411\n一个是保证体液，\n\n13:12.411 --> 13:14.512\n因为发烧以后会有体液的流失。\n\n13:14.661 --> 13:15.411\n所以你。\n\n13:16.177 --> 13:20.328\n进多饮水是对机体的恢复治疗是有帮助的，\n\n13:20.578 --> 13:22.278\n还有一个就是对症的治疗，\n\n13:22.278 --> 13:24.177\n高热者以物理降温。\n\n13:25.044 --> 13:25.969\n比如用酒精，\n\n13:25.969 --> 13:28.044\n酒精擦浴或者退热药，\n\n13:28.494 --> 13:28.820\n嗯，\n\n13:28.820 --> 13:29.744\n最好体温呢，\n\n13:29.744 --> 13:31.844\n维持在38°C左右。\n\n13:32.741 --> 13:36.265\n全身疼痛者可以解热镇止痛药啊，\n\n13:36.265 --> 13:37.991\n我们常见的有布洛芬啊，\n\n13:38.440 --> 13:39.765\n有那个泰诺啊，\n\n13:39.765 --> 13:42.140\n这个都属于解热镇痛药。\n\n13:42.341 --> 13:44.890\n然后咳嗽者可以镇咳祛痰药。\n\n13:46.528 --> 13:47.854\n抗病毒的治疗，\n\n13:47.854 --> 13:49.129\n现在药物呢，\n\n13:49.129 --> 13:51.129\n在发病初期是有一定疗效，\n\n13:51.129 --> 13:51.679\n一般呢，\n\n13:51.679 --> 13:55.203\n在因为它的复制在48小时会达到高峰，\n\n13:55.203 --> 13:57.903\n所以我们要抑制它的病毒的复制，\n\n13:57.903 --> 14:06.028\n复制所以我们最好是在发病的四十八小时内用抗病毒的治疗，\n\n14:06.028 --> 14:07.328\n一般超过3天。\n\n14:08.791 --> 14:11.716\n运用抗病抑制病毒的药物呢，\n\n14:11.716 --> 14:13.942\n就意义就不是很大，\n\n14:14.291 --> 14:16.192\n因为它已经复制完成了，\n\n14:16.192 --> 14:18.416\n病毒已经复制完成啊，\n\n14:18.416 --> 14:19.742\n然后下面呢，\n\n14:19.742 --> 14:21.091\n就是说说那个。\n\n14:21.791 --> 14:22.966\n治疗，\n\n14:23.166 --> 14:27.017\n其实我们有没有有效，\n\n14:27.017 --> 14:32.841\n目前没有有效的抗针对病毒药物治疗感冒就抗病毒的药物，\n\n14:32.841 --> 14:34.591\n但是有一个广广谱的，\n\n14:34.591 --> 14:39.692\n我们现在用的奥司他韦马巴这都是广谱的一个抗病毒的药物，\n\n14:39.692 --> 14:41.966\n对对病毒性的感冒呢，\n\n14:41.966 --> 14:43.267\n特别是甲流啊。\n\n14:43.929 --> 14:44.354\n乙流啊，\n\n14:44.354 --> 14:45.630\n会有一点的帮助。\n\n14:49.421 --> 14:50.671\n普通感冒治疗呢，\n\n14:50.671 --> 14:52.146\n以对症治疗为主，\n\n14:52.146 --> 14:52.671\n一般呢，\n\n14:52.671 --> 14:54.596\n不不不必使用抗菌素。\n\n14:54.596 --> 14:55.771\n其实大家也知道，\n\n14:55.971 --> 14:58.372\n普通感冒其实它有个过程，\n\n14:58.721 --> 14:59.072\n嗯，\n\n14:59.072 --> 15:00.122\n也可以治愈，\n\n15:00.322 --> 15:02.046\n就是人会有点不舒服，\n\n15:02.046 --> 15:04.521\n所以还是建议用一点对症治疗的，\n\n15:04.521 --> 15:07.122\n如果他他有鼻涕流鼻涕呀，\n\n15:07.521 --> 15:07.846\n嗯，\n\n15:07.846 --> 15:08.721\n有点。\n\n15:09.744 --> 15:10.344\n头痛啊，\n\n15:10.395 --> 15:11.869\n就可以用点那个，\n\n15:11.869 --> 15:12.195\n嗯。\n\n15:13.174 --> 15:13.948\n解热镇痛药，\n\n15:13.948 --> 15:17.473\n这样的话会帮助他的症状的那个缓解。\n\n15:18.768 --> 15:19.992\n但是也要注意，\n\n15:19.992 --> 15:22.418\n就是感冒是最常见的疾病之一，\n\n15:22.418 --> 15:24.418\n所以很多患者会自我诊断，\n\n15:24.418 --> 15:25.317\n自行买药。\n\n15:25.468 --> 15:26.543\n而这其中呢，\n\n15:26.543 --> 15:28.668\n会产生很多不合理的用药情况，\n\n15:28.668 --> 15:30.018\n特别是重复用药。\n\n15:32.200 --> 15:32.801\n调查显示，\n\n15:32.801 --> 15:36.200\n有一半左右的患者感冒会同时使用两种药品。\n\n15:36.200 --> 15:36.901\n这就是。\n\n15:37.812 --> 15:38.062\n嗯。\n\n15:39.179 --> 15:39.505\n其实，\n\n15:39.505 --> 15:42.380\n有多用药也是药三分毒嘛，\n\n15:42.380 --> 15:43.580\n也不合理的用药，\n\n15:43.580 --> 15:50.429\n其实有时候对病人的其他的肝脏肾脏的血管会影会有影响。\n\n15:50.729 --> 15:51.255\n所以，\n\n15:51.255 --> 15:54.054\n联合OTC感冒用药的缺点呢，\n\n15:54.054 --> 15:57.630\n在一个治疗费用增加，\n\n15:57.729 --> 16:01.429\n导致药物药物间的相互作用还有不良反应增加，\n\n16:01.780 --> 16:02.104\n嗯，\n\n16:02.104 --> 16:03.380\n重复用药危险。\n\n16:04.921 --> 16:08.197\n剂量选择上的限制和给予不不必要的药物治疗，\n\n16:08.197 --> 16:11.122\n所以我们应注意避免重复用药。\n\n16:12.945 --> 16:18.344\n面对品种繁多的感冒药物应该如何选择适合自己的呢？\n\n16:18.344 --> 16:20.119\n要掌握以下三点原则，\n\n16:20.119 --> 16:29.895\n感冒用药主要是针对感冒引起的头痛、发热、咳嗽流涕、嗯咽喉充血、全身酸痛乏力等症状，\n\n16:29.895 --> 16:31.119\n以减轻痛苦，\n\n16:31.369 --> 16:33.869\n缩短病程并预防并发症。\n\n16:34.119 --> 16:37.419\n如果选用的是含有多种成分的复方药物，\n\n16:37.669 --> 16:39.520\n那么就只选一种，\n\n16:39.520 --> 16:42.919\n以防止重复用药而引起不良反应。\n\n16:44.468 --> 16:49.768\n特别是有肝肾功能不全的患者更要注意一点啊。\n\n16:51.468 --> 16:55.067\n那我们最后要说一说感冒的日常管理。\n\n16:55.268 --> 16:55.668\n嗯，\n\n16:55.768 --> 16:57.093\n在日常生活中呢，\n\n16:57.093 --> 16:59.192\n可以采取以下措施来缓解症状，\n\n16:59.192 --> 17:00.668\n第一就是充分休息，\n\n17:01.018 --> 17:01.418\n嗯。\n\n17:02.896 --> 17:04.021\n对于老年患者来说，\n\n17:04.021 --> 17:05.246\n尽量卧床休息，\n\n17:05.347 --> 17:06.521\n还有是多饮水，\n\n17:06.521 --> 17:07.521\n刚才已经说了，\n\n17:07.521 --> 17:08.646\n为什么要多饮水，\n\n17:08.847 --> 17:09.197\n嗯，\n\n17:09.197 --> 17:12.246\n它可以补充发烧使人体流失的水分，\n\n17:12.246 --> 17:14.597\n还可以缓解咽部的症状，\n\n17:14.847 --> 17:15.996\n还要补充营养，\n\n17:16.197 --> 17:17.447\n饮食要清淡，\n\n17:17.447 --> 17:18.597\n营养要丰富，\n\n17:18.597 --> 17:21.546\n这有助于提高患者的免疫力，\n\n17:21.546 --> 17:22.896\n加快感冒恢复。\n\n17:23.593 --> 17:25.668\n有吸烟者呢。\n\n17:26.525 --> 17:26.625\n嗯，\n\n17:26.625 --> 17:27.425\n应该避免，\n\n17:27.625 --> 17:28.675\n嗯，\n\n17:29.175 --> 17:31.224\n就是应该劝其戒烟，\n\n17:31.224 --> 17:34.574\n因为吸烟会损害呼吸道的黏膜，\n\n17:35.125 --> 17:37.025\n也要避免吸入二手烟。\n\n17:40.796 --> 17:40.921\n嗯，\n\n17:40.921 --> 17:44.746\n如果有条件可以用使用空气净化器，\n\n17:44.746 --> 17:47.171\n这有助于过滤空气中的污染物，\n\n17:47.171 --> 17:48.597\n减轻呼吸道症状。\n\n17:48.947 --> 17:53.396\n还有就是一个在干燥的环境当中可以打开加湿器，\n\n17:53.496 --> 17:53.996\n这样呢，\n\n17:53.996 --> 17:56.097\n也可以保护呼吸道的黏膜。\n\n17:57.822 --> 18:00.347\n还有一些措施可以有助于预防感冒，\n\n18:00.347 --> 18:02.296\n第一个就是勤洗手，\n\n18:02.296 --> 18:05.521\n第二避免脏手与口鼻眼接触。\n\n18:05.572 --> 18:06.146\n第三，\n\n18:06.146 --> 18:08.921\n冬春宵交替季节是感冒高发季，\n\n18:08.921 --> 18:10.222\n要注意个人防护，\n\n18:10.322 --> 18:12.572\n戴口罩是一个很好的办法啊。\n\n18:13.222 --> 18:14.271\n第三啊，\n\n18:14.271 --> 18:17.822\n第四避免和减少与感冒患者密切接触。\n\n18:18.671 --> 18:18.921\n第五，\n\n18:18.921 --> 18:20.921\n保持充分的营养和休息，\n\n18:20.970 --> 18:22.046\n加强锻炼，\n\n18:22.046 --> 18:24.270\n这样有助于提高身体免疫力。\n\n18:25.038 --> 18:25.313\n第六，\n\n18:25.313 --> 18:26.014\n不要吸烟，\n\n18:26.014 --> 18:28.088\n也尽量避免吸入二手烟。\n\n18:29.750 --> 18:29.951\n然后，\n\n18:29.951 --> 18:31.926\n我们看看七步洗手法，\n\n18:31.926 --> 18:36.000\n应该是在我们经过疫情的人应该都知道怎么个洗手。\n\n18:36.301 --> 18:37.526\n如果有兴趣的话，\n\n18:37.526 --> 18:38.350\n可以在。\n\n18:39.880 --> 18:40.980\n试试一下，\n\n18:40.980 --> 18:44.331\n练习一下怎么个洗手流动水是。\n\n18:45.498 --> 18:48.797\n和流动水和皂液洗手永远是无法替代的，\n\n18:48.797 --> 18:53.647\n也是最好的去除手上沾染的病原微生物的方式。\n\n18:54.869 --> 18:58.343\n所以光用水冲也有起到效用效果，\n\n18:58.343 --> 19:02.343\n但是最好是用洗皂液一起洗手，\n\n19:02.343 --> 19:03.468\n这是会更好的。\n\n19:04.374 --> 19:04.624\n好，\n\n19:04.723 --> 19:05.774\n来小结一下，\n\n19:06.024 --> 19:06.348\n嗯，\n\n19:06.348 --> 19:08.923\n感冒是最常见的急性呼吸道疾病。\n\n19:09.843 --> 19:10.076\n第一，\n\n19:10.076 --> 19:10.743\n大家要知道，\n\n19:10.743 --> 19:13.142\n不用得了感冒也不用很担心。\n\n19:13.542 --> 19:13.942\n嗯，\n\n19:14.042 --> 19:14.642\n第二，\n\n19:14.692 --> 19:17.243\n感冒治疗中应合理联合用药，\n\n19:17.243 --> 19:19.843\n避免重复用药和滥用抗菌素。\n\n19:21.389 --> 19:21.688\n第三，\n\n19:21.688 --> 19:22.288\n日常。\n\n19:23.467 --> 19:26.116\n一定要注重日常的卫生和防护，\n\n19:26.416 --> 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