[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fRyclbk13Na28bQdeWc7gYMFmYz6APCwsdSLBK0qSbSk":8,"$fyeUIyD6UMXfsNNIFLyEKBoIMDusy6rQb1OC9ZIploU0":59,"$fg6xrfzNp1KZEbXin9PntxAdvgG3aGdezmyXZoOToH28":60,"$fRFauIcHUmi_foDNSmlPkXyV3rgjUWxxujQJgduEiJdQ":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":6,"postsTitle":20,"materialTotal":21,"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},10702,865168,[],"https://ystcdn.venuertc.com/medical/ystApp/ZSexEjlsKiZBNehkhwZdZv2iW5jkA77I.png","高海河",0,"耳鼻喉科各种常见病的诊治","复旦大学附属华山医院","主治医师",5,1,"儿童非应变性鼻炎","","https://cdn.yishi-tong.com/console/3/p-_tUBz15kjr-XwhxRj05HjClhlwV2-s.png","WEBVTT\n\n00:03.943 --> 00:05.192\n你好，\n\n00:05.192 --> 00:07.243\n今天给大家汇报一个小的题目，\n\n00:07.393 --> 00:10.593\n就是讲儿童非变异性鼻炎。\n\n00:11.539 --> 00:12.064\n这里边呢，\n\n00:12.064 --> 00:17.165\n我们分三个方面进行那个讲述啊。\n\n00:17.165 --> 00:18.614\n第一个就是症状表现，\n\n00:18.864 --> 00:20.415\n第二个是治疗方式，\n\n00:20.665 --> 00:22.565\n第三个是预防措施。\n\n00:23.315 --> 00:24.389\n然后呢，\n\n00:24.389 --> 00:27.315\n首先我们讲第一方面就是症状表现。\n\n00:27.715 --> 00:29.215\n那过敏性鼻炎呢，\n\n00:29.215 --> 00:30.915\n或者是鼻炎呢，\n\n00:30.915 --> 00:34.715\n是非常常见的一个临床疾病，\n\n00:34.715 --> 00:36.965\n在门诊也非常常见。\n\n00:37.564 --> 00:38.564\n这里边的话呢，\n\n00:38.564 --> 00:41.665\n就是鼻炎的分类也分为根据。\n\n00:41.722 --> 00:43.073\n不同的方式分为好多种，\n\n00:43.573 --> 00:48.923\n那么常见的话就是过敏性鼻炎或非非过敏性鼻炎啊。\n\n00:48.923 --> 00:51.423\n今天我们讲的是儿童的非过敏性鼻炎，\n\n00:51.472 --> 00:52.423\n那么这里边呢，\n\n00:52.423 --> 00:53.647\n它的症状表现呢，\n\n00:53.647 --> 00:54.823\n包括几个方面。\n\n00:55.173 --> 00:56.673\n第一个就是鼻塞。\n\n00:57.123 --> 00:58.123\n那这鼻塞呢，\n\n00:58.123 --> 00:58.948\n分分为几种，\n\n00:58.948 --> 01:01.423\n一种的话就是持续性的鼻塞。\n\n01:01.772 --> 01:05.623\n儿童的非变异性鼻炎患者常常表现为持续性的鼻塞，\n\n01:05.722 --> 01:06.822\n影响正气，\n\n01:06.822 --> 01:07.972\n正常的呼吸，\n\n01:08.172 --> 01:08.922\n睡眠，\n\n01:09.123 --> 01:09.523\n嗯，\n\n01:09.523 --> 01:11.672\n和那个睡眠的质量。\n\n01:12.402 --> 01:12.802\n这个呢，\n\n01:12.802 --> 01:15.527\n对小朋友的休息也影响很大，\n\n01:15.626 --> 01:16.976\n尤其是持续性的鼻塞。\n\n01:16.976 --> 01:17.226\n那么，\n\n01:17.226 --> 01:17.851\n下面一个呢，\n\n01:17.851 --> 01:18.351\n症状呢，\n\n01:18.351 --> 01:18.976\n鼻塞呢，\n\n01:19.077 --> 01:20.851\n就鼻塞的那个分类呢，\n\n01:20.851 --> 01:22.126\n叫交交替性的鼻塞。\n\n01:22.327 --> 01:23.427\n就是鼻塞呢，\n\n01:23.427 --> 01:25.077\n可以在两个鼻孔之间呢，\n\n01:25.077 --> 01:27.827\n交替出现早晨和晚上的症状呢，\n\n01:27.827 --> 01:28.777\n可能更为明显，\n\n01:28.976 --> 01:30.501\n就是它一会儿这个鼻子鼻塞，\n\n01:30.501 --> 01:32.626\n一会儿另外一个鼻子鼻塞啊，\n\n01:32.626 --> 01:33.052\n这个呢，\n\n01:33.052 --> 01:39.427\n是我们鼻炎的鼻塞表现是比比较常见的一种类型啊，\n\n01:39.427 --> 01:41.677\n再一个就鼻跟鼻塞相关的症状。\n\n01:41.750 --> 01:45.050\n就是鼻塞伴随着打鼾啊，\n\n01:45.050 --> 01:46.375\n因为鼻塞严重的时候，\n\n01:46.375 --> 01:49.949\n儿童在夜间睡眠时可能出现呼吸不畅，\n\n01:50.099 --> 01:52.650\n然后出现打鼾的现象，\n\n01:52.849 --> 01:55.500\n影响睡眠的深度和质量。\n\n01:55.750 --> 01:57.150\n那这个打鼾的话呢，\n\n01:57.150 --> 01:58.800\n可能不光是影响这些，\n\n01:58.800 --> 01:59.550\n有的时候呢，\n\n01:59.599 --> 02:01.650\n长时间的出现这种打鼾的症状，\n\n02:01.650 --> 02:04.199\n尤其是张开嘴巴呼吸的这种情况啊，\n\n02:04.199 --> 02:06.175\n也会出现那种就是啊，\n\n02:06.175 --> 02:07.800\n牙齿的发育啊，\n\n02:07.800 --> 02:09.324\n硬腭的发育啊，\n\n02:09.324 --> 02:10.250\n包括啊，\n\n02:10.250 --> 02:11.699\n其他面容的改变呢。\n\n02:11.781 --> 02:13.031\n都有可能会出现的，\n\n02:13.130 --> 02:14.830\n就出现变化啊，\n\n02:14.830 --> 02:15.830\n这个呢，\n\n02:15.830 --> 02:16.981\n在儿童这块呢，\n\n02:16.981 --> 02:18.330\n还是要引起关注的。\n\n02:18.981 --> 02:19.930\n第二个症状呢，\n\n02:19.930 --> 02:21.231\n就是鼻涕倒流。\n\n02:22.748 --> 02:23.522\n鼻窦倒流呢，\n\n02:23.522 --> 02:25.548\n我们又叫那个鼻后滴漏啊，\n\n02:25.548 --> 02:26.973\n就是鼻涕往后边流，\n\n02:27.123 --> 02:28.673\n然后从嘴巴里边吐出，\n\n02:28.723 --> 02:30.322\n或者是感觉到鼻涕呢，\n\n02:30.322 --> 02:33.572\n总是从鼻腔后边流到嘴巴里边去，\n\n02:33.623 --> 02:35.673\n引起咽喉部的明显的不适。\n\n02:36.373 --> 02:38.498\n那鼻涕向后流的话呢，\n\n02:38.498 --> 02:43.522\n就是就是会引起咽喉部的不适呢，\n\n02:43.572 --> 02:45.598\n主要表现为一个咳嗽啊，\n\n02:45.598 --> 02:46.173\n还有呢，\n\n02:46.173 --> 02:47.072\n就是异物感。\n\n02:47.072 --> 02:47.923\n有的时候，\n\n02:48.423 --> 02:49.348\n那有的时候呢，\n\n02:49.348 --> 02:50.348\n是夜间加剧，\n\n02:50.348 --> 02:51.947\n夜间症状加剧，\n\n02:51.947 --> 02:52.423\n夜间。\n\n02:52.494 --> 02:53.194\n睡眠的时候呢，\n\n02:53.194 --> 02:54.843\n鼻涕倒流可能加剧，\n\n02:54.994 --> 02:58.544\n导致儿童出现频繁的咳嗽和睡眠不安。\n\n03:00.240 --> 03:02.266\n从查体的角度来说呢，\n\n03:02.266 --> 03:04.740\n那有鼻粘膜的颜色变化。\n\n03:04.740 --> 03:05.490\n那第一个呢，\n\n03:05.490 --> 03:07.516\n就是粘膜苍白。\n\n03:07.766 --> 03:10.490\n鼻粘膜苍白儿童鼻炎发作的时候呢，\n\n03:10.490 --> 03:15.341\n就是鼻粘膜可能是因为血管收缩而显得苍白啊，\n\n03:15.341 --> 03:16.016\n这是呢，\n\n03:16.016 --> 03:18.815\n就是鼻腔内血流减少的表现。\n\n03:18.815 --> 03:19.966\n还有一种表现的话呢，\n\n03:19.966 --> 03:21.266\n就是鼻腔粘膜充血。\n\n03:21.315 --> 03:23.666\n鼻腔粘膜导致充啊，\n\n03:23.666 --> 03:26.716\n鼻腔鼻炎导致的鼻腔粘膜充血呢，\n\n03:26.716 --> 03:29.815\n会使鼻腔粘膜呈现鲜红色啊。\n\n03:29.815 --> 03:30.166\n长。\n\n03:30.363 --> 03:33.039\n常见于鼻塞和流涕的时候啊，\n\n03:33.039 --> 03:33.438\n这个呢，\n\n03:33.438 --> 03:36.438\n大多数情况出现那种急性鼻炎的时候呢，\n\n03:36.438 --> 03:38.714\n才会出现啊，\n\n03:38.714 --> 03:39.863\n这是第一方面，\n\n03:39.863 --> 03:42.063\n那下面我们说一下第二个方面，\n\n03:42.164 --> 03:43.214\n就治疗方式。\n\n03:44.880 --> 03:46.305\n关于它的治疗方式呢，\n\n03:46.305 --> 03:47.580\n分为几种。\n\n03:47.580 --> 03:50.205\n第一种的话就是药物治疗。\n\n03:50.205 --> 03:50.755\n药物呢，\n\n03:50.755 --> 03:53.180\n又包含了几种。\n\n03:53.180 --> 03:53.606\n首先，\n\n03:53.606 --> 03:55.430\n我们说一下抗组织胺药啊，\n\n03:55.430 --> 03:56.430\n抗组胺药物，\n\n03:56.630 --> 03:58.205\n那使用抗组胺药物，\n\n03:58.205 --> 03:59.531\n如果西如那个呢，\n\n03:59.531 --> 04:00.930\n西替利嗪钠氯雷他定，\n\n04:01.080 --> 04:01.880\n其实呢，\n\n04:01.930 --> 04:03.455\n可以缓解儿童鼻炎，\n\n04:03.455 --> 04:05.380\n它引起的打喷嚏啊，\n\n04:05.380 --> 04:06.380\n流鼻涕的症状。\n\n04:08.035 --> 04:09.035\n这个呢？\n\n04:10.902 --> 04:12.503\n也是以口服为主的，\n\n04:12.852 --> 04:15.953\n那第二类的就是鼻用的糖皮质激素喷剂。\n\n04:16.773 --> 04:17.648\n这个呢，\n\n04:17.648 --> 04:18.648\n比如说啊，\n\n04:18.648 --> 04:20.273\n氟替卡松啊，\n\n04:20.273 --> 04:22.199\n或者糠酸莫米松啊，\n\n04:22.199 --> 04:22.773\n还有呢，\n\n04:22.773 --> 04:25.848\n布丁奈德对于6岁以上的小朋友也都是可以用的。\n\n04:26.098 --> 04:29.449\n就是能够有效的减轻鼻腔粘膜的炎症和肿胀，\n\n04:29.498 --> 04:31.699\n从而改善鼻塞的情况，\n\n04:31.848 --> 04:33.498\n从而改善呼吸啊，\n\n04:33.498 --> 04:34.549\n甚至呢，\n\n04:34.549 --> 04:35.799\n在这种基础上呢，\n\n04:35.799 --> 04:41.148\n可以改善患者的患儿的那种就是休息的那种状态。\n\n04:42.859 --> 04:44.033\n那第三个啊，\n\n04:44.033 --> 04:46.058\n这个是脱敏的药物治疗啊，\n\n04:46.058 --> 04:48.683\n就是那脱敏药物治疗的一般的话，\n\n04:48.683 --> 04:52.709\n我们要知道他对哪种类型的过敏原过敏啊，\n\n04:52.709 --> 04:54.609\n尤其是对尘螨过敏的人的话呢，\n\n04:54.908 --> 05:00.683\n那是可以有比较好的针对性的脱敏治疗的那个制制剂啊。\n\n05:00.683 --> 05:03.058\n通过逐渐增加过敏原剂量，\n\n05:03.058 --> 05:06.209\n那使儿童对特定的过敏原产生耐受，\n\n05:06.408 --> 05:09.058\n从而有效的减少过敏反应。\n\n05:09.058 --> 05:10.158\n那这种方法呢，\n\n05:10.158 --> 05:11.134\n从理论上讲呢，\n\n05:11.134 --> 05:12.609\n是可以根治鼻炎的。\n\n05:13.468 --> 05:13.944\n但是呢，\n\n05:13.944 --> 05:15.444\n就是时间要求的比较长。\n\n05:15.444 --> 05:15.993\n现在呢，\n\n05:15.993 --> 05:19.194\n这种我们采用的这种就是脱敏疗法，\n\n05:19.194 --> 05:21.519\n都是舌下滴剂啊，\n\n05:21.519 --> 05:22.169\n一般的话呢，\n\n05:22.169 --> 05:23.093\n要每天一次，\n\n05:23.093 --> 05:24.819\n要持续至少3年以上。\n\n05:25.069 --> 05:26.019\n那有的人呢，\n\n05:26.019 --> 05:27.118\n还是坚持不下来的，\n\n05:27.118 --> 05:27.694\n有的人呢，\n\n05:27.694 --> 05:28.569\n能坚持下来。\n\n05:28.718 --> 05:29.843\n那么理论上呢，\n\n05:29.843 --> 05:31.669\n如果坚持下来的话呢，\n\n05:31.669 --> 05:34.493\n就是就是是可以得到啊，\n\n05:34.493 --> 05:35.468\n明显的，\n\n05:35.718 --> 05:36.169\n那个，\n\n05:36.169 --> 05:39.968\n那个过敏原的那个治疗的那个结果的比较好的。\n\n05:39.968 --> 05:40.544\n有的人呢，\n\n05:40.544 --> 05:42.669\n都很长时间不再复发了。\n\n05:43.220 --> 05:44.019\n但有的人呢，\n\n05:44.019 --> 05:45.269\n就是坚持不下去啊，\n\n05:45.269 --> 05:47.394\n那就是可能到到一段时间了，\n\n05:47.394 --> 05:48.369\n实在坚持不下去了，\n\n05:48.369 --> 05:49.119\n就放弃了。\n\n05:49.992 --> 05:50.941\n那除了药物治疗呢，\n\n05:50.941 --> 05:51.967\n它的治疗方式呢，\n\n05:51.967 --> 05:53.492\n也包括生活方式的调整。\n\n05:55.423 --> 05:56.822\n第一个改善啊，\n\n05:56.822 --> 06:00.222\n室内环境就是保证室内空气流通，\n\n06:00.273 --> 06:01.372\n定期的清洁，\n\n06:01.423 --> 06:04.523\n减少尘螨宠物皮屑等过敏源，\n\n06:04.523 --> 06:07.173\n有助于缓解儿童鼻炎症状。\n\n06:07.572 --> 06:08.423\n第二个呢，\n\n06:08.472 --> 06:10.722\n就是调节饮食习惯，\n\n06:10.722 --> 06:13.447\n就是避免辛辣冷饮等刺激性食物，\n\n06:13.447 --> 06:15.673\n增加富含维生素C的水果摄入，\n\n06:15.722 --> 06:18.872\n有助于增强儿童的免疫系统。\n\n06:19.222 --> 06:21.472\n还有一个就是规律的作息时间，\n\n06:21.872 --> 06:22.173\n嗯，\n\n06:22.173 --> 06:22.597\n保住，\n\n06:22.597 --> 06:24.773\n保持充足的睡眠和适度的体。\n\n06:24.845 --> 06:27.644\n体育活动有助于提高儿童的身体素质，\n\n06:27.845 --> 06:30.144\n减少鼻炎发作的机会。\n\n06:30.894 --> 06:31.244\n嗯，\n\n06:31.244 --> 06:32.695\n还有就是中医治疗啊。\n\n06:32.695 --> 06:33.445\n中医治疗呢，\n\n06:33.445 --> 06:33.744\n嗯，\n\n06:33.744 --> 06:35.619\n像我们涉及到的可能比较少，\n\n06:35.619 --> 06:37.170\n但是在中医医院里边呢，\n\n06:37.170 --> 06:38.320\n对中医的治疗的话呢，\n\n06:38.320 --> 06:40.119\n是不不可或缺的。\n\n06:40.119 --> 06:41.695\n这里边我简单说一下呢，\n\n06:41.744 --> 06:42.644\n是第一个呢，\n\n06:42.644 --> 06:45.595\n就是针灸治疗，\n\n06:45.644 --> 06:49.519\n就通过针刺特定的穴位调节气血，\n\n06:49.519 --> 06:51.320\n缓解儿童鼻炎的症状，\n\n06:51.320 --> 06:51.920\n如鼻塞，\n\n06:51.920 --> 06:52.545\n流鼻涕等，\n\n06:52.744 --> 06:53.369\n还有一个呢，\n\n06:53.369 --> 06:54.320\n中药内服啊，\n\n06:54.320 --> 06:54.795\n采用。\n\n06:54.848 --> 06:58.398\n具有清热解毒宣肺通窍的中药方剂，\n\n06:58.398 --> 07:01.248\n帮助改善儿童鼻炎的症状。\n\n07:01.848 --> 07:02.498\n再一个呢，\n\n07:02.498 --> 07:03.049\n就是推拿，\n\n07:03.049 --> 07:04.348\n就是通过特定的手法，\n\n07:04.348 --> 07:06.373\n按照按压啊，\n\n07:06.373 --> 07:07.574\n就是儿童的穴位，\n\n07:07.574 --> 07:08.973\n如迎香印堂，\n\n07:08.973 --> 07:10.549\n以缓解鼻炎的症状。\n\n07:11.748 --> 07:12.473\n第三个呢，\n\n07:12.473 --> 07:14.049\n就是第三个大方面呢，\n\n07:14.049 --> 07:15.049\n就是预防措施啊，\n\n07:15.049 --> 07:17.924\n这也是符合国家啊，\n\n07:17.924 --> 07:21.348\n就是对于鼻炎治疗的那个，\n\n07:21.549 --> 07:23.574\n这就是总的宗旨。\n\n07:23.574 --> 07:24.799\n第一个预防呢。\n\n07:24.872 --> 07:26.971\n还是很关键的那这里边呢，\n\n07:26.971 --> 07:27.696\n包含几个，\n\n07:27.696 --> 07:28.772\n一个是饱含，\n\n07:28.772 --> 07:31.022\n那就保持卫生习惯，\n\n07:31.372 --> 07:32.772\n比如说勤洗手，\n\n07:33.071 --> 07:33.997\n那儿童呢，\n\n07:33.997 --> 07:36.397\n应该养成勤洗手的好习惯，\n\n07:36.397 --> 07:37.872\n尤其是在饭前便后，\n\n07:37.921 --> 07:40.671\n以减少病毒和细菌的传播。\n\n07:40.721 --> 07:41.346\n第二个呢，\n\n07:41.346 --> 07:42.696\n就是定期清理啊，\n\n07:42.696 --> 07:44.221\n经常玩的玩具啊，\n\n07:44.221 --> 07:48.171\n定期用温和的那种清洁剂清洗儿童玩具，\n\n07:48.171 --> 07:50.471\n避免尘螨和细菌的积聚，\n\n07:50.471 --> 07:52.321\n减少过敏原的暴露啊。\n\n07:52.321 --> 07:52.872\n第三个呢，\n\n07:52.872 --> 07:54.321\n就保持室内通风啊，\n\n07:54.321 --> 07:54.821\n这个呢。\n\n07:55.062 --> 07:58.238\n可以有效的降低室内的过敏原的浓度，\n\n07:58.238 --> 08:01.613\n预防鼻炎发作。\n\n08:02.263 --> 08:02.912\n再一个呢，\n\n08:02.912 --> 08:04.912\n就是避免接触过敏源。\n\n08:06.361 --> 08:07.486\n这个呢，\n\n08:07.937 --> 08:09.261\n它包含几个方面，\n\n08:09.261 --> 08:11.636\n就是定期清理家居环境。\n\n08:12.036 --> 08:13.812\n那使用空气绿化器啊，\n\n08:13.812 --> 08:16.562\n或者是定期更换空调滤网，\n\n08:16.562 --> 08:20.536\n以减少室内的灰尘和花粉等过敏原的积累。\n\n08:20.536 --> 08:22.986\n选择适当的床上用品啊，\n\n08:22.986 --> 08:25.937\n使用防尘螨的床垫枕套，\n\n08:26.087 --> 08:29.337\n定期用热水清洗床上用品，\n\n08:29.337 --> 08:33.187\n降低螨虫滋生的机会。\n\n08:33.586 --> 08:34.236\n第三个呢，\n\n08:34.236 --> 08:35.986\n就是避免宠物的毛发。\n\n08:36.354 --> 08:37.453\n尽量减少啊，\n\n08:37.453 --> 08:39.304\n宠物进入卧室，\n\n08:39.504 --> 08:42.578\n定期给宠物清洗或梳理毛发，\n\n08:42.578 --> 08:46.804\n减少宠物毛发及皮屑等过敏源，\n\n08:47.054 --> 08:50.078\n控制室内的湿度。\n\n08:50.078 --> 08:50.604\n这个呢，\n\n08:50.604 --> 08:53.554\n也可以避免霉菌和尘螨的生长，\n\n08:53.554 --> 08:54.453\n减少过敏源。\n\n08:55.203 --> 08:55.778\n还有呢，\n\n08:55.778 --> 08:58.203\n就是要增强免疫力啊，\n\n08:58.203 --> 08:59.604\n与饮食健康。\n\n09:00.453 --> 09:02.004\n这里面包含几个方面，\n\n09:02.004 --> 09:02.629\n第一个呢，\n\n09:02.629 --> 09:05.004\n就是均衡摄入。\n\n09:06.158 --> 09:06.557\n营养素。\n\n09:07.823 --> 09:13.999\n儿童应多摄入富含维生素C和维生素E的食物，\n\n09:13.999 --> 09:15.549\n如新鲜的水果蔬菜，\n\n09:15.549 --> 09:16.648\n以增强免疫力。\n\n09:17.198 --> 09:17.823\n第二个呢，\n\n09:17.823 --> 09:19.174\n就是限制过敏原的食物，\n\n09:19.174 --> 09:24.198\n就是避免儿童食入食用可能引起过敏的食物，\n\n09:24.198 --> 09:26.398\n比如说牛奶、鸡蛋、海鲜，\n\n09:26.549 --> 09:28.549\n减少鼻炎发作的风险啊，\n\n09:28.549 --> 09:29.323\n但这里边呢，\n\n09:29.323 --> 09:33.249\n它不一定说必须限制这些这类的药物，\n\n09:33.249 --> 09:35.473\n因为不这类的食物，\n\n09:35.473 --> 09:36.499\n因为这类的食物呢，\n\n09:36.499 --> 09:37.898\n对小孩子的生长发育呢？\n\n09:37.921 --> 09:39.221\n还是蛮有好处的啊，\n\n09:39.221 --> 09:42.921\n这个只是针对那种对它有过敏反应，\n\n09:43.072 --> 09:44.971\n或者对这个过程呢，\n\n09:44.971 --> 09:46.171\n那么才能减少。\n\n09:46.901 --> 09:47.151\n嗯。\n\n09:48.302 --> 09:50.702\n第三个就保持充足的水分，\n\n09:50.952 --> 09:54.101\n就是确保儿童每天摄入足够的水分，\n\n09:54.302 --> 09:58.026\n有助于保持呼吸道湿润，\n\n09:58.026 --> 10:00.151\n预防鼻炎的症状。\n\n10:04.395 --> 10:04.645\n嗯，\n\n10:04.846 --> 10:05.945\n你好，\n\n10:05.945 --> 10:06.895\n这个孩子呢，\n\n10:06.895 --> 10:08.620\n刚才讲了一下呢，\n\n10:08.620 --> 10:15.120\n就是儿童的非过敏性鼻炎的那些诊断治疗的一些策略啊。\n\n10:15.120 --> 10:15.820\n那其实呢，\n\n10:15.820 --> 10:16.971\n在临床当中的话呢，\n\n10:16.971 --> 10:18.395\n就非过敏性鼻炎呢，\n\n10:18.596 --> 10:20.995\n嗯占比并不是那么高，\n\n10:21.145 --> 10:22.796\n反倒是过敏性鼻炎呢，\n\n10:22.995 --> 10:24.195\n占比呢比较高。\n\n10:24.346 --> 10:26.945\n那我现在的简单的向大家汇报一下呢，\n\n10:26.945 --> 10:29.145\n就是过敏性鼻炎啊，\n\n10:29.145 --> 10:34.596\n它的一些就是治疗的一些策略就是过敏。\n\n10:34.692 --> 10:35.166\n思隐的话，\n\n10:35.166 --> 10:36.216\n就过敏性鼻炎的话呢，\n\n10:36.216 --> 10:38.216\n肯定是就是鼻腔啊，\n\n10:38.216 --> 10:44.367\n对鼻对周围环境当中的某些物质或者某一个物质产生过敏反应啊。\n\n10:44.367 --> 10:44.692\n那么，\n\n10:44.692 --> 10:46.067\n它常见的表现呢，\n\n10:46.067 --> 10:49.492\n就是也和非过敏性鼻炎的表现有点相似之处，\n\n10:49.492 --> 10:51.992\n但是又加了一些比如说啊，\n\n10:51.992 --> 10:54.216\n就是鼻塞啊，\n\n10:54.216 --> 10:55.117\n流鼻涕呀，\n\n10:55.117 --> 10:56.466\n打喷嚏呀，\n\n10:56.466 --> 10:57.216\n鼻子痒啊，\n\n10:57.216 --> 10:58.142\n甚至呢，\n\n10:58.142 --> 10:59.267\n有的时候还伴有呢，\n\n10:59.267 --> 11:01.067\n眼睛痒耳朵痒啊，\n\n11:01.067 --> 11:03.341\n就硬腭痒这种症状，\n\n11:03.492 --> 11:04.642\n那么它的治疗呢？\n\n11:04.695 --> 11:05.270\n话呢，\n\n11:05.270 --> 11:09.495\n根据我们最近的就是中国的变异性鼻炎的诊断和治疗指南讲呢，\n\n11:09.546 --> 11:12.520\n它是讲的是就是防卫结合啊，\n\n11:12.520 --> 11:13.695\n就是四位一体。\n\n11:13.796 --> 11:15.145\n这个防卫结合呢，\n\n11:15.346 --> 11:16.645\n四位一体指的是什么呢？\n\n11:16.645 --> 11:19.721\n具体就是包括环境控制啊，\n\n11:19.721 --> 11:20.671\n药物治疗啊，\n\n11:20.671 --> 11:22.546\n叫还有一个就是免疫治疗，\n\n11:22.596 --> 11:23.245\n再一个呢，\n\n11:23.245 --> 11:25.120\n就是健康教育。\n\n11:25.120 --> 11:25.995\n这里边呢，\n\n11:26.096 --> 11:27.620\n环境控制呢，\n\n11:27.620 --> 11:34.645\n主要是指就是避免或减少接触各种过敏源或各种刺激物。\n\n11:35.193 --> 11:35.619\n这个呢，\n\n11:35.619 --> 11:40.568\n是过敏性鼻炎防治策略当中一个重要的指组成部分。\n\n11:40.869 --> 11:41.244\n嗯，\n\n11:41.244 --> 11:41.893\n包括呢，\n\n11:41.893 --> 11:42.919\n非过敏性鼻炎呢，\n\n11:42.919 --> 11:43.593\n有的时候呢，\n\n11:43.593 --> 11:46.994\n也这个这个环境控制也很关键。\n\n11:46.994 --> 11:47.619\n刚才呢，\n\n11:47.619 --> 11:49.268\n几个PPT上都有啊，\n\n11:49.268 --> 11:54.218\n几个那个那个PPT页面上都已经提示过啊，\n\n11:54.218 --> 11:55.943\n这个是至关重要的。\n\n11:55.943 --> 11:57.419\n如果能从这一点上，\n\n11:57.568 --> 11:59.744\n比如说就是环境控制，\n\n11:59.744 --> 12:01.218\n比如说我对一个东西过敏，\n\n12:01.568 --> 12:03.169\n那么环境当中呢，\n\n12:03.169 --> 12:04.294\n原本有这个东西，\n\n12:04.294 --> 12:04.669\n那么。\n\n12:04.739 --> 12:05.914\n我现在把这东西清理掉了，\n\n12:05.914 --> 12:06.940\n比如说对尘螨过敏，\n\n12:06.940 --> 12:09.090\n我把家里边收拾的干干净净啊，\n\n12:09.090 --> 12:11.539\n就是尘螨已经没有了。\n\n12:11.539 --> 12:12.039\n当然了，\n\n12:12.039 --> 12:13.489\n这尘螨没有的话呢，\n\n12:13.489 --> 12:15.989\n可能是稍微完全没有，\n\n12:15.989 --> 12:16.614\n稍微难了一点。\n\n12:16.614 --> 12:16.890\n当然，\n\n12:16.890 --> 12:17.840\n举另外一个例子啊，\n\n12:17.840 --> 12:20.090\n比如说对宠物的皮屑过敏，\n\n12:20.390 --> 12:21.289\n那么这个呢，\n\n12:21.289 --> 12:24.489\n通过处理就是把宠物送给别人，\n\n12:24.539 --> 12:26.840\n然后清扫家里边的那种环境啊。\n\n12:26.840 --> 12:27.864\n那这个时候呢，\n\n12:27.864 --> 12:29.390\n家里边没有宠物的鼻屑，\n\n12:29.390 --> 12:33.340\n那么您可能过敏可能就减少了这个呢，\n\n12:33.590 --> 12:34.690\n环境控制呢。\n\n12:34.742 --> 12:37.142\n块是至关重要的，\n\n12:37.142 --> 12:40.117\n而且是对某些过敏源呢，\n\n12:40.117 --> 12:41.916\n是非常有效的，\n\n12:41.916 --> 12:43.142\n就是过敏原过敏的人呢，\n\n12:43.142 --> 12:44.091\n是非常有效的。\n\n12:44.392 --> 12:46.216\n这是环境控制。\n\n12:46.216 --> 12:46.817\n第二个呢，\n\n12:46.817 --> 12:48.642\n就是指药物治疗。\n\n12:50.031 --> 12:51.005\n药物治疗的话呢，\n\n12:51.005 --> 12:52.681\n刚才也提到很多啊，\n\n12:52.681 --> 12:56.056\n我们经常分为几种啊，\n\n12:56.056 --> 12:56.731\n一种的话呢，\n\n12:56.731 --> 12:59.856\n就是糖皮鼻用的糖皮质激素，\n\n12:59.856 --> 13:01.080\n就是我们临床当中呢，\n\n13:01.080 --> 13:03.856\n常用的就是鼻用的糖皮质激素。\n\n13:04.455 --> 13:05.080\n再一个呢，\n\n13:05.080 --> 13:07.481\n就是糖组胺药，\n\n13:07.481 --> 13:09.005\n就是口服的抗组胺药。\n\n13:09.156 --> 13:10.556\n那其他几类的话呢，\n\n13:10.556 --> 13:12.580\n就相对来说比较少见啊，\n\n13:12.580 --> 13:15.580\n比如说就是白三体受体拮抗，\n\n13:15.580 --> 13:17.455\n白三白三烯受体拮抗剂啊，\n\n13:17.505 --> 13:19.255\n肥大细胞膜稳定剂呀。\n\n13:19.768 --> 13:24.018\n减重血剂液再加上抗阻抗胆碱能药物啊，\n\n13:24.018 --> 13:25.168\n抗胆碱能药物的话呢，\n\n13:25.168 --> 13:26.192\n主要是缓解鼻塞。\n\n13:26.293 --> 13:27.668\n像这些药物的话呢，\n\n13:27.668 --> 13:30.793\n我们缓解鼻塞或者流鼻涕，\n\n13:30.793 --> 13:33.192\n那么相对来说用的相对来说少一点。\n\n13:34.434 --> 13:35.083\n再一个呢，\n\n13:35.083 --> 13:37.908\n就是除了药物治疗的话呢，\n\n13:37.908 --> 13:38.833\n就是还有一个呢，\n\n13:38.833 --> 13:42.234\n就是我们刚才也提到过的啊，\n\n13:42.234 --> 13:44.109\n叫做免疫治疗啊。\n\n13:44.109 --> 13:45.359\n免疫治疗的话呢，\n\n13:45.359 --> 13:47.958\n俗称就是脱敏治疗啊，\n\n13:47.958 --> 13:50.883\n就是你知道对什么东西过敏啊。\n\n13:50.883 --> 13:51.583\n那然后呢，\n\n13:51.583 --> 13:56.083\n我们再知就是这个有相对应的试剂，\n\n13:56.083 --> 14:02.434\n那么通过持续的低剂量的低浓度的那过敏原刺激，\n\n14:02.533 --> 14:04.434\n那希望身体产生那种。\n\n14:04.504 --> 14:05.854\n哦就是抗体，\n\n14:06.054 --> 14:07.203\n那么以后呢，\n\n14:07.203 --> 14:10.028\n就对这种过敏原就免疫了啊，\n\n14:10.028 --> 14:11.604\n就是不再对它啊，\n\n14:11.604 --> 14:16.653\n就啊就不不再对它过敏了通过这种方法来治疗的话呢，\n\n14:16.653 --> 14:18.653\n就是说在一定程度上啊，\n\n14:18.653 --> 14:21.504\n或者在一定比例上是可以达到根治的目的的。\n\n14:21.703 --> 14:22.054\n嗯，\n\n14:22.054 --> 14:22.679\n当然了，\n\n14:22.679 --> 14:23.354\n这个呢。\n\n14:24.565 --> 14:26.890\n需要坚持的时间比较长啊，\n\n14:26.890 --> 14:32.414\n一般像我们经常用的就是舌下含服的这种尘螨滴剂。\n\n14:32.414 --> 14:33.515\n就是说一般呢，\n\n14:33.515 --> 14:35.715\n至少要用到每天一次，\n\n14:35.765 --> 14:38.815\n至少用到三年或者3年以上。\n\n14:39.567 --> 14:39.692\n嗯，\n\n14:39.692 --> 14:40.091\n这个呢，\n\n14:40.091 --> 14:41.466\n对于某些人来说呢，\n\n14:41.466 --> 14:43.067\n是比较难坚持的。\n\n14:43.317 --> 14:44.591\n有的很多人的话呢，\n\n14:44.591 --> 14:45.867\n中途就放弃了。\n\n14:46.367 --> 14:46.767\n嗯，\n\n14:47.267 --> 14:47.892\n所以说呢，\n\n14:47.892 --> 14:51.966\n在向患者推荐这些这这个治疗方法之前呢，\n\n14:51.966 --> 14:54.067\n一定要给患者打好预防针。\n\n14:54.267 --> 14:55.067\n那就是说，\n\n14:55.067 --> 14:56.767\n你一定要知道啊，\n\n14:56.767 --> 14:58.117\n你现在需要这种治疗，\n\n14:58.216 --> 14:59.442\n然后呢，\n\n14:59.442 --> 15:00.767\n治疗的时间也比较长。\n\n15:00.767 --> 15:01.841\n当然了啊，\n\n15:01.841 --> 15:03.666\n后期的效果可能比较好。\n\n15:03.666 --> 15:05.817\n其实就是鼓励患者能坚持下去，\n\n15:05.817 --> 15:08.942\n然后打做就是坚持下去，\n\n15:08.942 --> 15:09.567\n然后呢。\n\n15:10.008 --> 15:11.508\n做好这种治疗啊，\n\n15:11.758 --> 15:12.708\n再有一个的话呢，\n\n15:12.708 --> 15:13.109\n就是。\n\n15:13.955 --> 15:15.556\n就是健康教育啊，\n\n15:15.556 --> 15:17.130\n对患者的健康教育的话呢，\n\n15:17.130 --> 15:20.755\n也是比比较比较关键的，\n\n15:20.755 --> 15:25.806\n就是说患者知道了这个疾病是大约什么道理啊，\n\n15:25.806 --> 15:27.130\n就是对他的治疗呢，\n\n15:27.130 --> 15:28.406\n也有各种方法呢，\n\n15:28.406 --> 15:29.306\n也有所了解，\n\n15:29.455 --> 15:36.481\n那么他也可能就在这个就是过程当中呢，\n\n15:36.481 --> 15:40.056\n就就是比较好的能坚持治疗。\n\n15:40.820 --> 15:42.094\n然后呢，\n\n15:42.094 --> 15:44.719\n再加上有一些治疗的，\n\n15:44.969 --> 15:46.270\n除了药物治疗之外呢，\n\n15:46.270 --> 15:47.719\n还有一些比如说护理啊，\n\n15:47.770 --> 15:49.619\n比如说鼻鼻洗鼻子啊，\n\n15:49.619 --> 15:52.020\n那么它可能比较好的坚持下去。\n\n15:52.369 --> 15:56.994\n那通过这种就是防治结合四位一体的方法啊，\n\n15:56.994 --> 15:58.594\n可以对过敏性鼻炎的话呢，\n\n15:58.594 --> 16:01.445\n进行比较好的治疗，\n\n16:01.445 --> 16:04.744\n也可以提高患者的那个生活质量啊，\n\n16:04.744 --> 16:07.119\n对生活学习休息啊，\n\n16:07.119 --> 16:08.820\n对都有非常大的好处。\n\n16:09.937 --> 16:10.236\n好的，\n\n16:10.336 --> 16:12.486\n那我今天就总结到这儿啊，\n\n16:12.786 --> 16:13.586\n谢谢大家。\n\n16:16.549 --> 16:16.749\n嗯。\n\n16:20.341 --> 16:20.541\n嗯。\n\n","v0347cg10004d620ov2ljht1l5pib9ng",983,866,"2026-01-25 04:05:04","儿童非应变性鼻炎 - 症状、原因与治疗方法 | 专业指南  ","儿童非应变性鼻炎, 鼻炎症状, 儿童鼻炎原因, 非过敏鼻炎治疗, 小儿鼻塞, 慢性鼻炎  ","了解儿童非应变性鼻炎的症状、常见原因及有效治疗方法。专业指南帮助家长区分过敏与非过敏鼻炎，并提供护理建议，缓解孩子鼻塞、流涕等不适。","2026-04-13 18:00:00",[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,"过敏性疾病,儿童疾病",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/865168/185da920-bf5b-485e-8825-cbc49c9b07b5.tmp?a=0&auth_key=1789027110-ccbe1c4b7f4740388759fc99ce16873e-0-940aee70be4229ec9d5020a1ec7eefa8&br=987&bt=987&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=&eid=v0347cg10004d620ov2ljht1l5pib9ng&er=0&l=20260811054204FBAF1221EDA1B0883113&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=ajxsODRrb3kzOTczNGY3M0ApcWVzb3dtNXI1ZzMzajo2eWdrX21pcWcvbC9hLS1kNDBzc2Q2ZjIuZWlzLTMxLS5gMS06Yw%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},[],[]]