[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fLUV7tDSPK9_anjGCCBVpTAVcryzpnXLziUXlP9c925U":8,"$fWWdEYbqTWK93Uia_f3kUnl0zFUDTg_DDcPvTCWRSIDc":60,"$fYDCYRCVyDrrQ2RKcvAYzjOAzwzLvQetV5AFhTyMRTcI":61,"$fSByO2YMdjdIDyqjHxU8viepJK-IV-MOfaXsR1RBv_Z8":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":17,"videoTotal":22,"isConcern":7,"title":23,"coverVertical":24,"coverAcross":25,"directionMarker":26,"description":27,"vid":28,"time":29,"mediaType":26,"views":30,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":31,"seoTitle":32,"seoKeywords":33,"seoDescription":34,"shelvesTime":35,"menus":36,"menuId":38,"type":55,"quality":56,"commentCount":17,"isComment":26,"deviceType":57,"url":58},10997,871751,[],"https://ystcdn.venuertc.com/venue/app/34075/2026-06-23/b6e47173-dfd2-46ad-a111-167ba110f8d0.png","洪骏",0,"各类疾病治疗","上海市徐汇区长桥街道社区卫生服务中心","全科医疗","副主任医师",6,"慢性咳嗽的科普","","https://cdn.yishi-tong.com/console/3/knVld-B-ZhwowBxzcM3ehsMnjwMvFyr5.png",1,"WEBVTT\n\n00:02.494 --> 00:03.819\n各位老师、各位同仁，\n\n00:03.819 --> 00:04.744\n大家中午好。\n\n00:06.211 --> 00:09.562\n今天我给大家讲的科普是关于一个慢性咳嗽。\n\n00:10.604 --> 00:10.904\n嗯。\n\n00:15.097 --> 00:15.972\n慢性咳嗽呢，\n\n00:15.972 --> 00:17.797\n我们有一个医学的界定啊。\n\n00:18.784 --> 00:20.358\n什么叫什么说一个时间，\n\n00:20.358 --> 00:21.884\n这个时间上的界定标准。\n\n00:23.090 --> 00:24.365\n我们在医学上规定呢，\n\n00:24.365 --> 00:27.590\n咳嗽症状持续时间超过8周。\n\n00:28.475 --> 00:30.576\n都可被认定为是一个慢性梗死。\n\n00:31.614 --> 00:32.063\n比方说呢，\n\n00:32.063 --> 00:32.738\n一个患者呢，\n\n00:32.738 --> 00:33.914\n他的咳嗽症状呢，\n\n00:33.914 --> 00:36.113\n从去年的11月开始。\n\n00:37.118 --> 00:38.769\n一直持续到今年1月。\n\n00:39.791 --> 00:41.242\n远远超过了八周时间。\n\n00:42.340 --> 00:42.916\n这种情况呢，\n\n00:42.916 --> 00:44.666\n它就符合一个慢性咳嗽呢，\n\n00:44.666 --> 00:46.241\n在时间上的界定标准。\n\n00:48.426 --> 00:49.126\n那么同时呢，\n\n00:49.126 --> 00:51.876\n我们说还要排除一个其他疾病和一个诊断。\n\n00:53.487 --> 00:54.937\n在诊断慢性咳嗽时候呢，\n\n00:54.937 --> 00:59.388\n我们需要排除有其他明确病因所导致的一个咳嗽。\n\n01:00.299 --> 01:01.950\n比方说是一个肺部肿瘤啊，\n\n01:02.400 --> 01:03.799\n有肺结核等等。\n\n01:04.988 --> 01:06.838\n只有再经过一个全面的检查。\n\n01:07.821 --> 01:11.071\n排除一些可能引发咳嗽的严重疾病后呢，\n\n01:11.421 --> 01:13.071\n才能诊断为慢性咳嗽。\n\n01:14.634 --> 01:15.158\n比方说呢，\n\n01:15.158 --> 01:17.833\n患者经过一个肺肺部CT。\n\n01:18.745 --> 01:22.269\nIA检查等一些影像学及实验学检查呢，\n\n01:22.419 --> 01:24.069\n均没有发现肺部肿瘤，\n\n01:24.069 --> 01:25.220\n结核等病变。\n\n01:26.068 --> 01:26.343\n但是呢，\n\n01:26.343 --> 01:27.492\n他的咳嗽症状呢，\n\n01:27.492 --> 01:29.367\n又是一个持续不缓解的状态，\n\n01:29.818 --> 01:30.667\n这时候呢，\n\n01:30.667 --> 01:31.968\n慢性咳嗽的诊断呢，\n\n01:31.968 --> 01:33.767\n才具有可靠性。\n\n01:36.210 --> 01:38.111\n慢性咳嗽有一些哪些症状表现呢？\n\n01:38.111 --> 01:40.460\n第一个我说这个是一个持续性的咳嗽。\n\n01:41.877 --> 01:42.777\n慢性咳嗽患者呢，\n\n01:42.777 --> 01:45.877\n往往会出现一个长时间的不间断的咳嗽。\n\n01:46.913 --> 01:48.163\n每天咳嗽次数较多。\n\n01:49.202 --> 01:50.202\n你的患者一天中呢，\n\n01:50.202 --> 01:52.251\n可能有超过半数时间都在咳嗽。\n\n01:53.316 --> 01:55.365\n严重影响日常生活和工作。\n\n01:56.223 --> 01:57.323\n像一位办公室职员，\n\n01:57.374 --> 01:59.674\n如果因为一个持续性的咳嗽，\n\n02:00.073 --> 02:02.823\n在工作时频繁的咳嗽被打断，\n\n02:02.973 --> 02:06.223\n那么他就没有办法集中精力来处理相关的文件。\n\n02:08.242 --> 02:08.792\n另外一个表现呢，\n\n02:08.792 --> 02:11.593\n就是说干咳或者是伴有少量的痰音。\n\n02:13.417 --> 02:14.716\n部分慢性咳嗽患者呢，\n\n02:14.716 --> 02:15.867\n他以干咳为主。\n\n02:16.604 --> 02:17.503\n没有痰液咳出。\n\n02:18.684 --> 02:19.335\n而有的患者呢，\n\n02:19.335 --> 02:20.684\n会伴有少量的痰液，\n\n02:21.085 --> 02:22.134\n而痰液质地呢，\n\n02:22.134 --> 02:23.835\n可能较为稀薄或粘稠。\n\n02:25.076 --> 02:26.826\n比方说一位老师在讲课的时候，\n\n02:26.826 --> 02:27.776\n他经常干咳，\n\n02:27.826 --> 02:28.776\n没有痰液。\n\n02:29.923 --> 02:30.322\n或者说，\n\n02:30.423 --> 02:31.973\n而另一位老人在咳嗽时上，\n\n02:31.973 --> 02:34.173\n他偶尔能咳出少量的白色粘液、痰液。\n\n02:36.695 --> 02:36.945\n那么，\n\n02:36.945 --> 02:39.546\n慢性咳嗽还有哪些常见的症状及表现呢？\n\n02:41.026 --> 02:41.401\n一个呢，\n\n02:41.401 --> 02:44.626\n就是说他在夜间或者清晨加重。\n\n02:46.417 --> 02:47.817\n许多慢性咳嗽患者呢，\n\n02:47.817 --> 02:48.742\n在夜间呢，\n\n02:48.742 --> 02:49.867\n或者清晨的时候呢？\n\n02:50.516 --> 02:52.266\n咳嗽症状会明显加重，\n\n02:53.266 --> 02:56.916\n比方说一些他有一些咳嗽变性哮喘的病人。\n\n02:57.873 --> 02:59.673\n经常在凌晨三四点钟呢，\n\n02:59.673 --> 03:00.673\n咳嗽会加剧。\n\n03:01.832 --> 03:03.132\n影响他的睡眠质量。\n\n03:04.218 --> 03:06.169\n从而导致第二天的精神状态不佳。\n\n03:08.830 --> 03:09.229\n同时呢，\n\n03:09.229 --> 03:12.580\n我们可以看发现一些慢性咳嗽与急性咳嗽的区别。\n\n03:15.063 --> 03:15.388\n一个呢，\n\n03:15.388 --> 03:19.063\n它是在于一个发病时间的区别。\n\n03:20.652 --> 03:21.902\n我们说急性咳嗽呢，\n\n03:21.902 --> 03:23.503\n心常起病比较快。\n\n03:24.970 --> 03:25.395\n通常呢，\n\n03:25.395 --> 03:27.320\n在短时间内突然出现。\n\n03:28.552 --> 03:29.852\n好一般性合同呢，\n\n03:29.852 --> 03:30.777\n它发出时间呢，\n\n03:30.777 --> 03:31.953\n一般在3周以内。\n\n03:33.526 --> 03:34.425\n我们举个例子啊。\n\n03:35.354 --> 03:36.404\n感冒引起急性喉咳，\n\n03:36.404 --> 03:36.929\n咳嗽呢，\n\n03:36.929 --> 03:39.828\n往往在感冒症状出现后的一到两天呢，\n\n03:39.828 --> 03:40.554\n就开始咳嗽。\n\n03:42.009 --> 03:43.009\n随着感冒的治愈，\n\n03:43.410 --> 03:44.509\n他的咳嗽症状呢，\n\n03:44.509 --> 03:46.460\n也会在一到两周内逐渐缓解。\n\n03:48.514 --> 03:49.764\n而慢性咳嗽的发病呢，\n\n03:49.764 --> 03:50.664\n它较为隐秘。\n\n03:51.755 --> 03:53.518\n咳嗽的症状持时间比较长，\n\n03:53.518 --> 03:55.005\n平常要超过8周。\n\n03:56.384 --> 03:56.660\n嗯，\n\n03:56.660 --> 03:59.160\n我们再看一下急性咳嗽和慢性咳嗽，\n\n03:59.160 --> 04:00.335\n它的病因不同啊。\n\n04:01.322 --> 04:02.447\n那么急性咳嗽呢，\n\n04:02.447 --> 04:05.473\n大多是由一个病毒或细菌感染引起的。\n\n04:06.511 --> 04:08.561\n比如说常见上呼吸道的感染。\n\n04:09.850 --> 04:10.276\n如果说呢，\n\n04:10.276 --> 04:11.701\n流感病毒感染后呢，\n\n04:11.701 --> 04:14.151\n患者就会很快出现一个咳嗽症状。\n\n04:15.686 --> 04:16.911\n慢性咳嗽的病因呢，\n\n04:16.911 --> 04:18.686\n就比较比较复杂啊。\n\n04:19.416 --> 04:21.617\n而是多种因素共同作用的结果。\n\n04:22.635 --> 04:23.885\n比方说呼吸道疾病啊，\n\n04:24.485 --> 04:25.161\n艾滋病，\n\n04:25.161 --> 04:26.061\n包括一些咳嗽，\n\n04:26.061 --> 04:26.936\n变异性的哮喘。\n\n04:27.908 --> 04:29.959\n鼻后滴流综合症等等。\n\n04:30.701 --> 04:31.951\n还有一些环境因素。\n\n04:33.230 --> 04:35.730\n比方说这个患者长期接触过敏源啊。\n\n04:36.678 --> 04:37.778\n星期天的。\n\n04:40.006 --> 04:40.080\n好，\n\n04:40.080 --> 04:41.855\n那我们下面看一下那个。\n\n04:42.917 --> 04:45.768\n慢性咳嗽与急性咳嗽些的区别呢。\n\n04:47.546 --> 04:50.196\n我现在有一个它治疗方式及预后方式。\n\n04:51.803 --> 04:52.778\n心合同的一般性，\n\n04:52.778 --> 04:55.002\n通过针对病因的治疗。\n\n04:55.756 --> 04:57.281\n比方说使用一些抗病毒啊，\n\n04:57.281 --> 04:58.605\n或者抗菌的药物啊。\n\n04:59.325 --> 05:00.774\n配合止咳的药物。\n\n05:01.830 --> 05:05.031\n多数患者能够在较短时间里面痊愈，\n\n05:05.430 --> 05:06.430\n愈后较好。\n\n05:07.613 --> 05:10.412\n比方说普通感冒引起的急性咳嗽。\n\n05:11.520 --> 05:13.071\n那么通过一周左右的治疗。\n\n05:14.098 --> 05:14.848\n咳嗽症状呢，\n\n05:14.848 --> 05:15.949\n基本上能够消失。\n\n05:17.920 --> 05:20.369\n而慢性咳嗽的治疗则相对比较复杂。\n\n05:21.451 --> 05:23.951\n我们说需要一个综合考虑多种因素。\n\n05:24.925 --> 05:25.251\n同时，\n\n05:25.251 --> 05:27.526\n我们需要制定一个个性化的治疗方案。\n\n05:28.385 --> 05:30.085\n那治疗周期还比较长。\n\n05:31.858 --> 05:32.433\n部分患者呢，\n\n05:32.433 --> 05:34.708\n可能会出现病情反复的情况。\n\n05:38.250 --> 05:39.200\n慢性咳嗽呢，\n\n05:39.200 --> 05:41.149\n我们下面讲一下慢性咳嗽病因啊。\n\n05:42.739 --> 05:44.188\n它的病因有很多种。\n\n05:45.697 --> 05:46.423\n饥饿呢，\n\n05:46.423 --> 05:50.048\n长期是一个主要是呼吸道疾病引发的一个慢性咳嗽。\n\n05:51.716 --> 05:53.665\n它里面也可以分为以下几点啊。\n\n05:54.622 --> 05:55.372\n你说第一个呢？\n\n05:55.372 --> 05:57.071\n他说一个是一个咳嗽，\n\n05:57.071 --> 05:58.122\n变异性的哮喘。\n\n06:00.028 --> 06:01.528\n咳嗽变异性哮喘呢，\n\n06:01.579 --> 06:03.579\n是引发慢性咳嗽，\n\n06:03.579 --> 06:05.428\n一个常见的呼吸道疾病。\n\n06:07.158 --> 06:10.158\n大概有30%.40%慢性咳嗽啊，\n\n06:10.158 --> 06:12.609\n是我这个咳嗽变异哮喘引起的。\n\n06:14.740 --> 06:15.390\n这类患者呢，\n\n06:15.390 --> 06:17.691\n通常在接触过敏源，\n\n06:18.191 --> 06:19.316\n冷空气啊，\n\n06:19.316 --> 06:20.591\n就是刺激以后啊。\n\n06:21.140 --> 06:22.440\n咳嗽症状会比较加重。\n\n06:24.441 --> 06:25.165\n比方说啊，\n\n06:25.165 --> 06:29.441\n一位患者在春季花粉较多时候，\n\n06:29.441 --> 06:30.040\n他出门。\n\n06:31.179 --> 06:31.454\n然后呢，\n\n06:31.454 --> 06:32.154\n出门以后呢，\n\n06:32.154 --> 06:33.779\n就会出现一个频繁的咳嗽。\n\n06:34.886 --> 06:36.337\n他现在咳嗽比较剧烈。\n\n06:37.458 --> 06:37.958\n而这个呢，\n\n06:37.958 --> 06:41.858\n就很有可能是一个咳嗽变异性哮喘引起的。\n\n06:44.656 --> 06:48.256\n另外另外一个怎么说叫一个鼻后滴流综合症。\n\n06:50.855 --> 06:52.279\n鼻后滴流综合症呢，\n\n06:52.279 --> 06:54.204\n也容易引起慢性咳嗽。\n\n06:56.183 --> 06:56.584\n比如说，\n\n06:56.683 --> 06:58.484\n当一个患者的鼻腔。\n\n06:59.660 --> 07:03.209\n鼻窦的分泌物倒流至咽喉部位，\n\n07:03.309 --> 07:05.809\n刺激咽咽喉的那个黏膜啊，\n\n07:05.809 --> 07:06.910\n就会引发咳嗽。\n\n07:08.740 --> 07:09.890\n一些统计来说呢，\n\n07:09.890 --> 07:13.691\n我们说20%.30%的慢性咳嗽啊，\n\n07:13.941 --> 07:14.890\n与之相关。\n\n07:16.825 --> 07:18.524\n比方说一个鼻窦炎的患者。\n\n07:19.908 --> 07:23.808\n它经常会有一个比较多的鼻腔里面的分泌物。\n\n07:24.851 --> 07:25.876\n那这些分泌物呢？\n\n07:25.876 --> 07:26.501\n向后啊，\n\n07:26.501 --> 07:27.450\n流到咽喉。\n\n07:28.536 --> 07:30.735\n会导致和患者的长期咳嗽。\n\n07:32.177 --> 07:32.576\n尤其呢，\n\n07:32.576 --> 07:33.576\n在早上起来的时候，\n\n07:33.576 --> 07:35.076\n这个咳嗽会更为明显。\n\n07:37.902 --> 07:38.752\n我再说一下，\n\n07:38.752 --> 07:39.302\n一个啊，\n\n07:39.302 --> 07:40.101\n由呼吸，\n\n07:40.252 --> 07:43.101\n由消化道疾病引发的一个慢性咳嗽。\n\n07:44.566 --> 07:46.166\n我们说胃食管反流病。\n\n07:47.940 --> 07:49.589\n那么胃食管反流病呢，\n\n07:49.739 --> 07:52.364\n它引发慢性梗，\n\n07:52.364 --> 07:54.190\n我们说有时候也比较常见。\n\n07:56.088 --> 08:00.188\n当胃酸和胃内容液反流到食管，\n\n08:00.289 --> 08:01.838\n甚至反流到咽喉处，\n\n08:02.389 --> 08:04.088\n会刺激呼吸道。\n\n08:05.154 --> 08:06.654\n通话就会引起咳嗽。\n\n08:08.455 --> 08:09.430\n而临床上呢，\n\n08:09.430 --> 08:12.855\n大概有10%.20%的一个慢性咳嗽呢，\n\n08:13.156 --> 08:15.055\n是由胃食管反流引起的。\n\n08:16.394 --> 08:18.894\n我说我小姨经常在饭后出现咳嗽。\n\n08:19.859 --> 08:20.809\n病常同时呢，\n\n08:20.809 --> 08:23.910\n我们说有一个烧心反酸的患者。\n\n08:24.941 --> 08:27.140\n很有可能就是这种胃食管反流啊，\n\n08:27.140 --> 08:28.841\n引起的一个慢性咳嗽。\n\n08:31.540 --> 08:31.890\n怎么说呢，\n\n08:31.890 --> 08:32.414\n还有一些呢，\n\n08:32.414 --> 08:34.789\n是一个环境因素所导致的慢性咳嗽。\n\n08:36.129 --> 08:37.278\n抗原素包括多种，\n\n08:37.679 --> 08:38.979\n遇到空气污染，\n\n08:38.979 --> 08:40.828\n也有过敏原刺激等等。\n\n08:42.534 --> 08:43.184\n空气污染呢，\n\n08:43.184 --> 08:46.434\n它是一个导致慢性咳嗽的重要环境因素。\n\n08:48.070 --> 08:49.619\n我们说在雾霾天气中呢，\n\n08:49.770 --> 08:52.094\n空气中含有一个大量的颗粒物，\n\n08:52.094 --> 08:54.469\n粉尘、有害气体等污染物。\n\n08:55.953 --> 08:58.903\n而如果长期暴露在这样的环境当中呢，\n\n08:58.903 --> 09:00.354\n我们说呼吸道黏膜啊，\n\n09:00.354 --> 09:01.403\n会受到刺激。\n\n09:02.583 --> 09:03.932\n引发慢性咳嗽。\n\n09:05.762 --> 09:06.187\n比方说，\n\n09:06.187 --> 09:07.911\n在一些工业城市。\n\n09:08.872 --> 09:09.973\n在雾霾天气啊，\n\n09:10.422 --> 09:11.872\n发作时间比较多。\n\n09:12.880 --> 09:13.054\n所以说，\n\n09:13.054 --> 09:18.580\n当地居民一个慢性咳嗽发病率就明显高于那些空气质量较好的地区。\n\n09:21.002 --> 09:21.276\n同时呢，\n\n09:21.276 --> 09:22.276\n过敏原刺激呢，\n\n09:22.276 --> 09:23.952\n也容易诱发一个慢性咳嗽。\n\n09:25.455 --> 09:26.880\n我说常见的过敏呢，\n\n09:26.880 --> 09:28.405\n比方说有花粉啊，\n\n09:28.655 --> 09:29.604\n尘螨啊，\n\n09:30.155 --> 09:31.255\n毛发等等。\n\n09:32.656 --> 09:34.406\n我们说以夸父光明为。\n\n09:36.010 --> 09:37.661\n在花粉传播的季节。\n\n09:38.857 --> 09:39.557\n过敏体质的人，\n\n09:39.557 --> 09:41.007\n如果接触到花粉以后啊，\n\n09:41.007 --> 09:43.208\n他对呼吸道就会产生过敏反应。\n\n09:44.392 --> 09:46.492\n进而出现一个慢性咳嗽症状。\n\n09:48.372 --> 09:49.273\n有一些研究表明。\n\n09:50.247 --> 09:51.348\n在花粉季啊，\n\n09:51.547 --> 09:56.098\n我们用过敏和导致慢性咳嗽患者数量会明显增加。\n\n09:58.973 --> 09:59.773\n我们再讲一下啊，\n\n09:59.773 --> 10:01.624\n我们说环境因素导致慢性咳嗽，\n\n10:01.624 --> 10:03.124\n还有一个化学物质接触。\n\n10:05.788 --> 10:07.638\n长期接触化学物质呢，\n\n10:07.638 --> 10:09.638\n也可能会引发一个慢性咳嗽。\n\n10:11.039 --> 10:11.338\n比方说，\n\n10:11.338 --> 10:13.439\n从事化工行业的工人。\n\n10:14.187 --> 10:19.187\n他经常会接触到甲醛啊、苯等挥发性的化学物质。\n\n10:20.330 --> 10:20.804\n这些物质呢，\n\n10:20.804 --> 10:22.880\n会对化呼吸道产生一个刺激。\n\n10:23.987 --> 10:25.237\n损害呼吸道黏膜，\n\n10:25.487 --> 10:27.237\n从而引发一个慢性梗死。\n\n10:28.872 --> 10:29.671\n有些调查中啊，\n\n10:29.671 --> 10:33.971\n表明化工行业从业者这个慢性梗的患病率啊。\n\n10:34.601 --> 10:37.502\n比普通人群要高出15%.20%。\n\n10:40.403 --> 10:40.604\n然后呢，\n\n10:40.604 --> 10:41.554\n我们再讲讲啊。\n\n10:42.495 --> 10:44.745\n生活习惯与慢性咳嗽一定相关性。\n\n10:46.198 --> 10:47.174\n你说生活习惯呢？\n\n10:47.174 --> 10:48.698\n你喜欢抽烟啊？\n\n10:49.810 --> 10:54.260\n抽烟是导致导致慢性咳嗽一个不良生活习惯之一。\n\n10:55.315 --> 10:56.765\n说香烟中的尼古丁啊，\n\n10:56.765 --> 10:57.539\n焦油啊，\n\n10:57.539 --> 10:58.965\n它的这些有害物质啊。\n\n10:59.658 --> 11:01.458\n会对呼吸道黏膜造成损伤。\n\n11:03.059 --> 11:04.609\n在呼吸道的防御功能下降，\n\n11:04.908 --> 11:06.309\n引发慢性咳嗽。\n\n11:08.075 --> 11:09.325\n长期吸烟人群中啊，\n\n11:09.325 --> 11:10.325\n有40%啊，\n\n11:10.325 --> 11:11.275\n到50%啊，\n\n11:11.275 --> 11:12.924\n会出现一个慢性咳嗽的症状。\n\n11:14.206 --> 11:14.507\n比方说，\n\n11:14.507 --> 11:16.356\n一个20年恋人吸烟者，\n\n11:16.456 --> 11:18.507\n每天都会频繁发生。\n\n11:19.323 --> 11:20.874\n甚至于咳出一些黑色的。\n\n11:23.870 --> 11:24.596\n过度用嗓呢，\n\n11:24.596 --> 11:26.171\n也会与慢性习惯有关。\n\n11:26.421 --> 11:29.870\n我们说老师、歌手一些职业人权。\n\n11:30.869 --> 11:33.718\n他由于工作需要长时间讲话或唱歌。\n\n11:34.698 --> 11:37.049\n容易导致一个咽喉部的疲劳损伤，\n\n11:37.299 --> 11:38.549\n引发慢性梗塞。\n\n11:40.637 --> 11:44.187\n老师群体中慢性咳嗽发病率有30%.40%。\n\n11:45.672 --> 11:46.223\n因为老师啊，\n\n11:46.223 --> 11:47.648\n在连续授课几天后啊，\n\n11:47.648 --> 11:50.973\n就会出现一个声音嘶哑、咳嗽的症状。\n\n11:53.473 --> 11:53.773\n我说道，\n\n11:53.773 --> 11:56.072\n生活习惯与慢性咳嗽有一定相关系。\n\n11:57.531 --> 11:58.356\n缺乏运动呢，\n\n11:58.356 --> 12:00.531\n可能会增加慢性咳嗽的发生几率。\n\n12:01.833 --> 12:03.458\n长期缺乏运动啊，\n\n12:03.458 --> 12:05.232\n人体的身体免疫力就会下降。\n\n12:06.546 --> 12:09.247\n而呼吸道的那些抵御病菌能力会减弱。\n\n12:10.093 --> 12:11.843\n容易引发呼吸道的感染，\n\n12:12.242 --> 12:13.992\n进而导致慢性咳嗽。\n\n12:15.156 --> 12:18.356\n一些长期久坐办公室、很少运动的上班族，\n\n12:18.705 --> 12:20.556\n相对于那些经常运动的，\n\n12:20.556 --> 12:22.406\n患慢性病的风险更高。\n\n12:25.997 --> 12:27.747\n接下去我们讲一下慢性咳嗽的危害啊。\n\n12:28.497 --> 12:28.872\n第一呢，\n\n12:28.872 --> 12:30.546\n它是对身体健康的直接影响。\n\n12:31.653 --> 12:34.302\n辐射会引起一个呼吸功能功能受损。\n\n12:36.133 --> 12:38.734\n长期慢性咳嗽会使一个呼吸肌过度疲劳。\n\n12:39.552 --> 12:41.203\n影响正常的呼吸运动。\n\n12:43.036 --> 12:46.286\n些慢阻肺的疾病患者为长期的慢性咳嗽。\n\n12:47.171 --> 12:48.221\n呼吸力量减弱。\n\n12:49.158 --> 12:50.508\n导致肺活量下降。\n\n12:51.715 --> 12:53.114\n对交换功能受到影响，\n\n12:53.465 --> 12:56.065\n从而出现气短、呼吸困难等症状。\n\n12:57.119 --> 13:00.619\n严重时甚至需要依赖吸氧来维持正常的呼吸。\n\n13:02.432 --> 13:02.932\n第二个呢，\n\n13:02.932 --> 13:04.981\n一个是睡睡眠质量下降。\n\n13:06.418 --> 13:06.968\n慢性咳嗽呢，\n\n13:06.968 --> 13:08.218\n经常会在夜间加重。\n\n13:09.234 --> 13:10.385\n而频繁的咳嗽呢，\n\n13:10.385 --> 13:12.335\n会打断患者的一个睡眠进程。\n\n13:13.129 --> 13:15.429\n导致患者难以进入一个深度睡眠的状态。\n\n13:17.010 --> 13:20.111\n我们说70%的慢性咳嗽患者存在生命问题。\n\n13:21.364 --> 13:23.440\n如果说一位慢性咳嗽的患者，\n\n13:23.440 --> 13:27.215\n每天晚上都会用咳嗽咳群3到四次。\n\n13:28.456 --> 13:28.906\n第二天呢，\n\n13:28.906 --> 13:30.156\n就会导致精神萎靡。\n\n13:31.010 --> 13:31.385\n长期，\n\n13:31.385 --> 13:32.460\n长期以往下来，\n\n13:32.460 --> 13:34.609\n身体健身健康会受到一个影响。\n\n13:37.697 --> 13:38.122\n同时呢，\n\n13:38.122 --> 13:41.447\n会会影响一个患者的一个体力和营养流失，\n\n13:41.947 --> 13:43.497\n导致患者体力不支。\n\n13:44.526 --> 13:44.827\n同时呢，\n\n13:44.827 --> 13:46.177\n还会影响患者的食欲，\n\n13:46.526 --> 13:47.976\n造成营养摄入不足。\n\n13:49.463 --> 13:49.862\n比方说啊，\n\n13:49.862 --> 13:50.963\n一个慢性咳嗽患者，\n\n13:50.963 --> 13:52.413\n由于一个频繁的咳嗽，\n\n13:52.812 --> 13:54.513\n会导致这个食欲明显下降，\n\n13:54.513 --> 13:56.213\n体重一个月下降5kg。\n\n13:57.284 --> 13:57.760\n从而呢，\n\n13:57.760 --> 13:58.635\n身体变得虚弱，\n\n13:58.684 --> 14:00.034\n免疫力也随之下降。\n\n14:02.210 --> 14:04.460\n我希望他会对日常生活进行一些干扰。\n\n14:05.536 --> 14:07.036\n一个是工作效率降低。\n\n14:08.224 --> 14:09.674\n一个是社交活动受限。\n\n14:11.460 --> 14:12.010\n慢性咳嗽呢，\n\n14:12.010 --> 14:13.609\n会使患者在工作时分心。\n\n14:15.341 --> 14:16.942\n频繁咳嗽不仅影响自己注意力，\n\n14:16.942 --> 14:18.192\n还可能干扰同事。\n\n14:20.231 --> 14:21.356\n而同时呢，\n\n14:21.356 --> 14:24.682\n频繁咳嗽会让患患者在社交场合感到一个障碍，\n\n14:24.682 --> 14:25.182\n尴尬。\n\n14:26.210 --> 14:27.909\n从而他会减少社交活动。\n\n14:29.143 --> 14:31.693\n逐渐与朋友、家人的交流也变少，\n\n14:32.193 --> 14:33.494\n影响人际关系。\n\n14:35.713 --> 14:36.513\n同时呢，\n\n14:36.814 --> 14:37.638\n慢性咳嗽，\n\n14:37.638 --> 14:39.213\n然后引起一个生活质量下降。\n\n14:40.455 --> 14:42.104\n他麦克带骨生长，\n\n14:42.104 --> 14:43.955\n会影响患者日常生活细节。\n\n14:44.713 --> 14:45.664\n比说穿衣啊，\n\n14:45.864 --> 14:46.864\n饮食啊，\n\n14:47.463 --> 14:48.564\n生活质量大大。\n\n14:51.992 --> 14:52.793\n长期慢性咳嗽呢，\n\n14:52.793 --> 14:54.442\n还会有可能引发以下并发症，\n\n14:54.843 --> 14:55.692\n比如气胸。\n\n14:57.385 --> 14:58.435\n一个是气管扩张。\n\n14:59.692 --> 15:02.617\n长期剧烈的慢性咳嗽会使胸腔内压力突然升高，\n\n15:02.617 --> 15:03.841\n导致肺泡破裂，\n\n15:04.192 --> 15:05.742\n气体进入胸腔形成气，\n\n15:05.742 --> 15:06.642\n形成气胸。\n\n15:07.859 --> 15:08.184\n同时呢，\n\n15:08.184 --> 15:10.609\n慢性咳嗽还会导致气管的反复感染和炎症。\n\n15:11.573 --> 15:12.773\n破坏支气管壁的结构，\n\n15:12.924 --> 15:14.124\n引起血管扩张。\n\n15:16.379 --> 15:16.879\n同同时，\n\n15:16.879 --> 15:17.504\n同时呢，\n\n15:17.504 --> 15:20.379\n长期慢性咳嗽会引发一个呼吸衰竭的并发症。\n\n15:21.489 --> 15:23.138\n严重的慢性的呼吸衰，\n\n15:23.138 --> 15:24.814\n咳嗽如果不及时控制啊，\n\n15:24.814 --> 15:27.088\n会逐渐发展成为呼吸功能受损。\n\n15:27.825 --> 15:29.224\n最终导致呼吸衰竭。\n\n15:30.637 --> 15:35.536\n而一些慢性阻塞性肺疾病合并慢性咳嗽患者随病情的进展。\n\n15:36.504 --> 15:37.604\n呼吸功能不断恶化，\n\n15:37.604 --> 15:38.903\n出现呼吸衰竭，\n\n15:39.403 --> 15:40.703\n需要住院治疗，\n\n15:41.254 --> 15:44.354\n甚至需要呼吸机进行一个辅助呼吸。\n\n15:47.026 --> 15:48.526\n今天我给大家讲的这些东西，\n\n15:48.526 --> 15:49.176\n谢谢大家。\n\n","v0347cg10004d6242jqljht5g5ggni4g",967,705,"2026-01-25 06:39:34"," 慢性咳嗽科普：原因、诊断与治疗方法全解析  "," 慢性咳嗽, 咳嗽原因, 咳嗽诊断, 咳嗽治疗, 长期咳嗽, 咳嗽症状, 咳嗽缓解  "," 本文详细科普慢性咳嗽的常见原因、诊断方法及有效治疗方案，帮助您了解长期咳嗽的潜在问题，并提供实用的缓解建议，助您摆脱咳嗽困扰。","2026-04-13 21:00:00",[37],{"menuId":38,"menuName":39,"parentId":17,"orderNum":40,"path":41,"component":42,"isFrame":43,"isCache":44,"menuType":45,"visible":26,"status":17,"createDept":6,"remark":24,"createTime":46,"children":47,"columnImage":48,"columnLogo":49,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":50,"seoKeywords":51,"seoDescription":52,"contentNum":6,"promotionalPoster":53,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":54,"routerPath":41,"componentInfo":42},"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/871751/5bf1ea84-a1fd-4b49-aef7-96b207e5be4a.tmp?a=0&auth_key=1789033517-6fda9579f01c4de4a10fb71519ccecdc-0-68b0fd356a9a96e87ad70a640f1b13f1&br=536&bt=536&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=4&eid=v0347cg10004d6242jqljht5g5ggni4g&er=0&l=202608110729071033A20BC0CA928CA0D1&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=amxqODhrb203OTczNGY3M0ApN3FqandtdDU1ZzMzajo2eWcxa2RkcWduLy9hLS1kNDBzc2RmZDIyZWlnMTMxLS5gMS06Yw%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":26,"pageSize":63,"result":64,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":66,"success":59},{"authors":67,"appraiseDimensionScoresVos":68},[],[]]