[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fYSrhyWiLbPKq7o_Hkbv3QCt12P0bx_-dTYrZ1WPLglo":8,"$fm9rvrqAwbTqJm594HqXFKxmQo8IBnxedagRwBbaVLZ4":61,"$fhCMJdgSJ29MYL9MyXM3P2AcG_Pga1Jw-aiVdCwzVpKY":62,"$fcI4XqooZNzMym_6L-VvaTqzMe1cq33NrnNrAD_o8VJY":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":60},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":58,"url":59},11237,869990,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//ATJTmMPg3AzLFf5VSERBZjl8TZBHpsHb.png","刘振威",0,"慢性气道疾病、呼吸相关疾病","上海市第一人民医院","呼吸内科","主任医师",5,10,"咳嗽性哮喘","","https://cdn.yishi-tong.com/console/3/t_ZZAX2CYGKexgKv4gdBO4hmECT1Bz-w.png",1,"WEBVTT\n\n00:02.184 --> 00:03.134\n各位专家，\n\n00:03.334 --> 00:04.234\n各位同道。\n\n00:05.647 --> 00:06.348\n大家好。\n\n00:07.242 --> 00:10.541\n今天和大家一起学习咳嗽性哮喘。\n\n00:11.737 --> 00:13.612\n解开咳嗽背后的。\n\n00:14.770 --> 00:16.069\n哮喘秘密。\n\n00:17.152 --> 00:21.601\n大家都知道咳嗽在临床上是一个比较多见的一个疾病。\n\n00:22.002 --> 00:24.201\n目前在临床上这个咳嗽。\n\n00:25.691 --> 00:26.891\n很多是一种。\n\n00:27.955 --> 00:28.231\n咳嗽，\n\n00:28.231 --> 00:30.805\n变异性哮喘所造成的，\n\n00:30.805 --> 00:32.555\n所以说在临床上来吧，\n\n00:32.855 --> 00:37.206\n这个咳嗽不仅仅是把它看作一个简单的咳嗽，\n\n00:37.206 --> 00:40.055\n还有一种另一种类型的哮喘。\n\n00:52.368 --> 00:53.844\n对于这个今天的内容，\n\n00:53.844 --> 00:56.269\n我主要讲述四个板块。\n\n00:57.290 --> 00:59.189\n第一个是疾病的概述，\n\n00:59.490 --> 01:01.939\n再就是误区的解析。\n\n01:02.853 --> 01:04.453\n再就是治疗的策略。\n\n01:05.537 --> 01:07.086\n再就是未来的展望。\n\n01:12.078 --> 01:13.678\n疾病的是概述吧，\n\n01:13.727 --> 01:17.477\n要了解他最性哮喘的基本的特征，\n\n01:17.727 --> 01:18.078\n哎，\n\n01:18.078 --> 01:19.477\n这是最主要的。\n\n01:20.182 --> 01:21.782\n咳嗽性哮喘基本的特征。\n\n01:23.819 --> 01:25.569\n什么是咳嗽性哮喘？\n\n01:26.992 --> 01:29.093\n咳嗽性哮喘的定义与特点？\n\n01:31.305 --> 01:32.856\n咳嗽性哮喘是一种。\n\n01:33.833 --> 01:35.633\n特殊类型的哮喘。\n\n01:37.251 --> 01:39.202\n表现为持续性的干咳，\n\n01:39.202 --> 01:41.402\n尤其在夜间或清晨加重，\n\n01:42.152 --> 01:46.351\n容易易被误诊为其他的呼吸系统疾病。\n\n01:47.391 --> 01:49.541\n全球范围内，\n\n01:49.641 --> 01:51.791\n全球的范围内是高发性。\n\n01:52.686 --> 01:54.336\n在全球的哮喘患者中，\n\n01:54.336 --> 01:58.037\n约30%表现为咳嗽性哮喘。\n\n02:00.236 --> 02:01.886\n病理机制与典型哮喘相似，\n\n02:01.886 --> 02:06.986\n涉及气道炎症、气道高反应性零五症状常因环境因素诱发。\n\n02:07.860 --> 02:11.110\n如冷空气、烟雾等加剧特殊的症状。\n\n02:12.100 --> 02:14.500\n第六是治疗反应不同于典型的哮喘。\n\n02:15.270 --> 02:19.320\n对传传统哮喘药物的反应可能较慢或者不明显。\n\n02:24.714 --> 02:26.164\n症状表现。\n\n02:27.582 --> 02:29.832\n识别咳嗽性哮喘的常见症状。\n\n02:30.867 --> 02:32.567\n常常是持续性的干咳，\n\n02:33.167 --> 02:34.966\n通常持续超过8周，\n\n02:34.966 --> 02:36.317\n无明显感染迹象，\n\n02:36.766 --> 02:38.292\n夜间或清晨加重，\n\n02:38.292 --> 02:40.042\n咳嗽常在夜间或清晨加剧，\n\n02:40.042 --> 02:40.817\n影响睡眠。\n\n02:41.867 --> 02:42.067\n对，\n\n02:42.167 --> 02:43.117\n刺激性的。\n\n02:44.210 --> 02:45.509\n物质吧，\n\n02:46.059 --> 02:46.759\n敏感，\n\n02:46.809 --> 02:48.009\n像烟雾啊，\n\n02:48.009 --> 02:48.910\n粉尘呀，\n\n02:48.910 --> 02:49.910\n烟尘等，\n\n02:49.910 --> 02:52.059\n可诱发或加重咳嗽。\n\n02:53.210 --> 02:54.585\n并且季节性的变化，\n\n02:54.585 --> 02:58.110\n某些季节咳嗽症状可能更加频繁，\n\n02:58.360 --> 03:00.559\n无痰或者少痰啊。\n\n03:01.936 --> 03:06.335\n咳嗽时通常无痰或仅有少量的白痰。\n\n03:09.128 --> 03:11.927\n再就是有时候运动后咳嗽加剧，\n\n03:12.328 --> 03:15.578\n伴体力活动后咳嗽症状明显的加重，\n\n03:15.927 --> 03:17.027\n伴随呼吸困难，\n\n03:17.027 --> 03:20.977\n严重的情况下可能出现呼吸急促或喘息。\n\n03:24.938 --> 03:25.837\n流行趋势。\n\n03:27.182 --> 03:28.007\n流行趋势，\n\n03:28.007 --> 03:30.207\n全球发病率其上升的趋势。\n\n03:31.158 --> 03:33.108\n当前咳嗽性哮喘的流行现状，\n\n03:33.158 --> 03:37.457\n全球范围内咳嗽性哮喘的发病是逐年上升的，\n\n03:37.457 --> 03:40.658\n尤其在工业化国家更为显著。\n\n03:41.533 --> 03:44.182\n第二是儿童和青少年是高发的人群。\n\n03:44.632 --> 03:47.483\n儿童及青少年由于免疫系统尚未成熟，\n\n03:47.483 --> 03:49.882\n成为可能性哮喘的高发群体。\n\n03:51.292 --> 03:51.942\n环境因素。\n\n03:53.074 --> 03:53.973\n影响显著。\n\n03:55.098 --> 03:59.947\n空气污染、气候变化等环境因素加剧了咳嗽性哮喘的流行趋势。\n\n04:02.563 --> 04:04.514\n再就是城市聚美风险更高，\n\n04:04.563 --> 04:07.863\n城市聚美容易暴露在更多的污染环境当中。\n\n04:08.985 --> 04:09.934\n咳嗽慢，\n\n04:09.934 --> 04:12.335\n患咳嗽性哮喘的风险是较高的。\n\n04:13.440 --> 04:14.440\n地区差异明显。\n\n04:15.753 --> 04:18.053\n不同地区的发病率存在严重的差异，\n\n04:18.053 --> 04:24.153\n可能与那个地理、气候及生活方式是有关系的。\n\n04:28.101 --> 04:28.800\n影响因素。\n\n04:29.675 --> 04:33.175\n要是探讨影响咳嗽性哮喘发病的因素。\n\n04:33.575 --> 04:34.825\n一是气候变化。\n\n04:35.786 --> 04:37.911\n气候巨变及季节交替时，\n\n04:37.911 --> 04:40.136\n咳嗽性哮喘症状更易发作。\n\n04:40.536 --> 04:43.886\n遗传因素、家族史是重要因素。\n\n04:44.897 --> 04:45.397\n风险因素，\n\n04:45.397 --> 04:48.696\n有哮喘家族史患者患病的几率高。\n\n04:49.196 --> 04:50.096\n感染因素，\n\n04:50.397 --> 04:54.997\n呼吸道感染如感冒可触发咳嗽性哮喘的发作。\n\n04:55.842 --> 04:56.492\n环境因素，\n\n04:56.891 --> 04:57.916\n空气污染，\n\n04:57.916 --> 04:58.467\n烟雾，\n\n04:58.467 --> 05:01.191\n尘螨等环境因素可预防和加重症状。\n\n05:01.950 --> 05:02.601\n药物因素，\n\n05:03.501 --> 05:06.700\n某些药物如阿司匹林可能引发哮喘症状，\n\n05:07.050 --> 05:08.401\n需谨慎使用。\n\n05:09.201 --> 05:11.351\n生活方式像吸烟。\n\n05:12.359 --> 05:15.035\n饮食不当及缺乏运动等生活方式，\n\n05:15.035 --> 05:16.609\n增加患病的风险。\n\n05:17.010 --> 05:17.885\n职业暴露，\n\n05:17.885 --> 05:21.209\n长期暴露于化学物质或本身的职业环境当中，\n\n05:21.410 --> 05:23.359\n易患咳嗽性哮喘。\n\n05:27.216 --> 05:27.915\n诊断标准。\n\n05:28.945 --> 05:31.894\n高渗性哮喘的诊断方法和标准，\n\n05:32.295 --> 05:33.795\n一个是肺功能检查。\n\n05:34.661 --> 05:35.861\n通过肺功能检查。\n\n05:38.016 --> 05:40.516\n测试评估气道的堵塞程度，\n\n05:40.566 --> 05:41.717\n帮助确诊。\n\n05:41.816 --> 05:47.166\n第二是咳嗽计划实验与评估气道反应性是诊断的重要。\n\n05:48.067 --> 05:50.567\n依据第三是排除其他疾病。\n\n05:51.373 --> 05:54.523\n去排除慢性支气管炎等类似的疾病，\n\n05:54.674 --> 05:56.824\n确保诊断准确。\n\n05:58.436 --> 06:00.286\n04过敏史和家族史，\n\n06:00.585 --> 06:03.735\n评估个人过敏史和家族史、哮喘史，\n\n06:03.735 --> 06:05.735\n提高诊断准确性。\n\n06:06.756 --> 06:07.156\n零五。\n\n06:08.016 --> 06:13.816\n胸部X光和CT扫描排除其他肺部的疾病。\n\n06:14.670 --> 06:15.170\n零六。\n\n06:16.147 --> 06:17.247\n过敏源测试。\n\n06:18.304 --> 06:19.255\n检测过敏源，\n\n06:19.304 --> 06:23.105\n帮助识别跟可能触发的因素。\n\n06:23.605 --> 06:28.954\n症状持续时间持续8周以上的咳嗽是诊断的重要线索。\n\n06:33.049 --> 06:35.199\n去分析这个，\n\n06:35.799 --> 06:40.449\n纠正关于咳嗽性哮喘的常见的误解。\n\n06:42.532 --> 06:43.631\n常见的误区。\n\n06:44.627 --> 06:48.778\n大众对咳嗽性哮喘的常见错误认知，\n\n06:49.477 --> 06:51.778\n咳嗽性哮喘只是普通的咳嗽，\n\n06:51.778 --> 06:54.727\n误认为只需止咳药即可缓解。\n\n06:55.757 --> 06:57.208\n忽视其哮喘的本质。\n\n06:58.143 --> 06:59.792\n症状轻无需治疗，\n\n07:00.042 --> 07:02.542\n误认为症状轻的无需干预，\n\n07:02.643 --> 07:04.493\n可能导致疾病的加重。\n\n07:05.842 --> 07:06.666\n咳嗽性哮喘呢，\n\n07:06.666 --> 07:07.342\n无法治愈，\n\n07:07.342 --> 07:09.691\n错误的认为是无法根治的，\n\n07:10.092 --> 07:13.016\n其实通过规范化的治疗，\n\n07:13.016 --> 07:14.492\n可以良好的控制。\n\n07:15.397 --> 07:16.997\n所有的咳嗽都源于感染。\n\n07:17.812 --> 07:19.412\n认为咳嗽均由感染引起，\n\n07:19.662 --> 07:21.113\n忽视非感染因素，\n\n07:21.113 --> 07:21.763\n如哮喘。\n\n07:22.785 --> 07:24.209\n症状缓解即可停药，\n\n07:24.209 --> 07:26.234\n误认为症状消失即可停药。\n\n07:26.234 --> 07:27.334\n需长期管理，\n\n07:27.535 --> 07:28.484\n以防复发。\n\n07:29.339 --> 07:30.989\n咳嗽性哮喘仅限于儿童，\n\n07:31.339 --> 07:32.790\n认为只有儿童会患，\n\n07:32.790 --> 07:34.290\n成人可能会被影响。\n\n07:35.436 --> 07:36.686\n不是环境因素影响，\n\n07:36.835 --> 07:42.085\n未意识到环境刺激可诱发或加重咳嗽性哮喘，\n\n07:42.436 --> 07:44.585\n缺乏对过敏原的惊觉。\n\n07:45.395 --> 07:48.395\n忽略过敏原在哮喘、咳嗽性哮喘中的作用，\n\n07:48.596 --> 07:50.145\n影响症状的管理。\n\n07:53.479 --> 07:55.329\n不适症状可能带来的后果。\n\n07:57.106 --> 07:58.356\n症状可能得到后果，\n\n07:58.457 --> 08:01.457\n病情恶化忽数症状可能导致。\n\n08:02.500 --> 08:05.049\n他最近哮喘病情逐渐的加重。\n\n08:06.454 --> 08:07.403\n增加治疗难度，\n\n08:07.954 --> 08:09.303\n生活质量下降。\n\n08:09.604 --> 08:12.403\n持续性的咳嗽不仅影响睡眠，\n\n08:12.803 --> 08:14.903\n还可能导致日常活动受限，\n\n08:14.903 --> 08:16.153\n降低生活质量。\n\n08:17.101 --> 08:17.901\n肺功能受损，\n\n08:18.251 --> 08:21.825\n长期的忽视症状可能引发不可逆的肺功能损伤，\n\n08:21.825 --> 08:23.101\n影响呼吸效率。\n\n08:23.964 --> 08:24.915\n增加医疗成本。\n\n08:25.916 --> 08:26.691\n病情加重后，\n\n08:26.691 --> 08:29.842\n治疗费用的和时间的投入将显著增加，\n\n08:29.842 --> 08:31.016\n造成经济负担。\n\n08:33.653 --> 08:34.604\n心理负担加重，\n\n08:34.903 --> 08:37.903\n你像焦虑和抑郁的情绪影响到。\n\n08:38.869 --> 08:39.693\n心理健康，\n\n08:39.693 --> 08:42.169\n社交活动影响工作学习，\n\n08:42.468 --> 08:45.369\n频繁的咳嗽、呼吸困难会影响工作效率，\n\n08:45.369 --> 08:45.994\n学业成绩，\n\n08:45.994 --> 08:46.919\n降低生产力。\n\n08:50.976 --> 08:51.476\n等因素。\n\n08:55.370 --> 08:56.421\n说最近哮喘的。\n\n08:59.187 --> 09:00.586\n误诊原因。\n\n09:01.718 --> 09:03.367\n一是症状不典型。\n\n09:05.239 --> 09:08.164\n这是咳嗽哮喘主要表现为干咳。\n\n09:08.164 --> 09:08.914\n小防哮喘，\n\n09:08.914 --> 09:10.815\n常见的喘息和呼吸困难，\n\n09:10.965 --> 09:13.015\n一被误认为其他呼吸系统疾病。\n\n09:13.715 --> 09:17.015\n甲支气管炎或咽喉炎缺乏认识。\n\n09:17.114 --> 09:17.640\n医生，\n\n09:17.640 --> 09:20.015\n患者对咳嗽性哮喘的认识不足。\n\n09:20.762 --> 09:23.711\n长脚气症状不于普通感冒和过敏反应，\n\n09:24.062 --> 09:25.861\n导致诊断延迟和误诊。\n\n09:26.645 --> 09:33.145\n诊断方法极限常规的诊断方法与胸部X光血液检查对咳嗽、哮喘的特异性不高，\n\n09:33.546 --> 09:37.046\n需要更专业的肺功能测试和咳嗽计划实验。\n\n09:40.659 --> 09:43.010\n除了病史和环境因素。\n\n09:46.994 --> 09:50.693\n为全面评估患者的过敏史、家族史及环境因素，\n\n09:51.143 --> 09:54.193\n这些信息对高哮喘的诊断至关重要，\n\n09:54.193 --> 09:54.994\n易被忽视。\n\n09:56.645 --> 09:58.994\n多诊断、多诊断的局限性。\n\n10:01.159 --> 10:03.010\n一是症状相似。\n\n10:04.922 --> 10:07.697\n咳嗽性哮喘与其他呼吸道症状相似，\n\n10:07.697 --> 10:10.497\n容易混淆小潘专业判断，\n\n10:10.497 --> 10:13.072\n非专业人士难以准确的判断病情，\n\n10:13.072 --> 10:14.672\n可能导致误诊误治。\n\n10:15.804 --> 10:17.205\n忽视潜在的危险，\n\n10:17.205 --> 10:21.304\n自我诊断可能忽略其他潜在的健康风险，\n\n10:21.304 --> 10:22.155\n延误治疗，\n\n10:22.554 --> 10:23.830\n信息获取有限，\n\n10:23.830 --> 10:26.155\n普通人难以获取全面的医学信息。\n\n10:26.799 --> 10:27.025\n因此，\n\n10:27.025 --> 10:27.950\n正在决心。\n\n10:29.622 --> 10:32.773\n再就是专业检查的缺失。\n\n10:34.328 --> 10:35.778\n专业检查的缺失。\n\n10:36.953 --> 10:38.953\n缺乏专业医疗设备的检查，\n\n10:38.953 --> 10:40.552\n无法全面了解病情。\n\n10:41.476 --> 10:43.052\n依赖经验诊断。\n\n10:43.052 --> 10:46.476\n过度依赖个人经验可能导致错误的自我诊断，\n\n10:46.827 --> 10:49.827\n误诊后果严重误诊可能导致病情加重，\n\n10:50.077 --> 10:51.877\n增加治疗难度和成本。\n\n10:57.065 --> 10:57.965\n社会认知。\n\n11:00.072 --> 11:02.447\n社会对咳嗽性哮喘认知不足。\n\n11:03.416 --> 11:04.690\n一是公众知晓率低。\n\n11:04.690 --> 11:07.466\n大多数人对咳嗽性哮喘了解有限，\n\n11:07.765 --> 11:09.065\n缺乏相关知识，\n\n11:09.515 --> 11:10.716\n教育普及不足，\n\n11:10.716 --> 11:16.015\n学校及社区对咳嗽性哮喘的教育普及不够。\n\n11:16.864 --> 11:22.763\n患者权益忽视就是患者权益为了得到充分的关注和保护。\n\n11:23.721 --> 11:25.122\n医疗资源分配不均，\n\n11:25.122 --> 11:26.697\n部分地区医疗资源不足，\n\n11:26.697 --> 11:28.171\n影响诊断和治疗。\n\n11:30.898 --> 11:32.197\n媒体关注不够，\n\n11:32.197 --> 11:33.422\n媒体报道较少，\n\n11:33.422 --> 11:36.197\n导致公众对该病关注不足，\n\n11:36.598 --> 11:38.098\n缺乏公共讨论，\n\n11:38.247 --> 11:41.247\n公共平台上关于可定哮喘的讨论较少。\n\n11:42.088 --> 11:43.289\n政策支持缺乏。\n\n11:45.111 --> 11:47.211\n政策支持学相关的政策，\n\n11:47.211 --> 11:50.012\n对高校喘的支持和资源投入不足。\n\n11:50.877 --> 11:51.877\n科研投入有限。\n\n11:53.094 --> 11:57.669\n咳嗽、哮喘相关研究未获得足够科研经费的支持。\n\n12:02.632 --> 12:03.757\n治疗的策略，\n\n12:03.807 --> 12:06.357\n按照有效的防病哮喘的治疗策略。\n\n12:09.026 --> 12:11.726\n药物治疗各类哮喘常的药物，\n\n12:11.976 --> 12:13.726\n一是支气管扩张剂。\n\n12:15.484 --> 12:18.434\n通过放松支气管平滑肌，\n\n12:18.734 --> 12:20.135\n缓解气道狭窄，\n\n12:20.184 --> 12:21.184\n改善呼吸。\n\n12:21.184 --> 12:23.684\n二、吸入性的糖皮质激素，\n\n12:23.684 --> 12:25.534\n有效的抑制气道炎症，\n\n12:25.835 --> 12:28.234\n减少哮喘发作的频率。\n\n12:30.242 --> 12:31.043\n的严重程度。\n\n12:33.645 --> 12:35.919\n第三是抗过敏药物，\n\n12:35.919 --> 12:37.895\n针对过敏原引起的症状，\n\n12:38.145 --> 12:40.195\n减轻咳嗽和过敏反应。\n\n12:40.445 --> 12:42.594\n第四是白三烯受体拮抗剂，\n\n12:42.844 --> 12:44.320\n阻断白三烯的作用，\n\n12:44.320 --> 12:46.445\n减少炎症和哮喘的症状。\n\n12:47.414 --> 12:48.864\n短效的白色受体激动剂，\n\n12:48.914 --> 12:51.263\n快速缓解哮喘急性发作，\n\n12:51.564 --> 12:52.914\n改善呼吸困难。\n\n12:53.632 --> 12:57.533\n长效的白色素的机动剂与吸入性的糖壁的机组联合应用，\n\n12:57.632 --> 12:59.333\n预防哮喘症状的恶化。\n\n13:00.770 --> 13:02.119\n口服糖皮质激素，\n\n13:02.570 --> 13:04.294\n使用严重的哮喘发作，\n\n13:04.294 --> 13:06.520\n短期控制炎症和症状。\n\n13:10.221 --> 13:11.070\n药物治疗。\n\n13:14.151 --> 13:17.151\n药物疗法在咳嗽性哮喘管理当中应用。\n\n13:18.187 --> 13:20.937\n一是避免过敏源识别，\n\n13:20.937 --> 13:23.387\n并避免接触尘螨、花粉、宠物。\n\n13:24.200 --> 13:25.799\n毛发等过敏原，\n\n13:26.049 --> 13:27.049\n改善环境，\n\n13:27.049 --> 13:28.750\n保持室内空气清新，\n\n13:29.000 --> 13:30.375\n使用空气净化器，\n\n13:30.375 --> 13:31.849\n减少尘螨滋生。\n\n13:33.307 --> 13:34.158\n健康方式，\n\n13:34.158 --> 13:35.283\n健康方式生活，\n\n13:35.283 --> 13:35.807\n戒烟，\n\n13:35.857 --> 13:36.607\n合理饮食，\n\n13:36.607 --> 13:37.408\n适当运动，\n\n13:37.757 --> 13:38.932\n保持良好作息，\n\n13:38.932 --> 13:39.958\n增强免疫力。\n\n13:40.732 --> 13:43.932\n呼吸训练通过腹式呼吸、缩唇呼吸等训练，\n\n13:44.333 --> 13:45.507\n增强肺部功能，\n\n13:45.507 --> 13:46.732\n改善呼吸频率。\n\n13:47.776 --> 13:48.676\n根据心理调节，\n\n13:48.676 --> 13:51.875\n通过放松训练、冥想的方式减轻压力和焦虑，\n\n13:52.176 --> 13:53.976\n减少哮喘的发作。\n\n13:55.203 --> 13:56.103\n定期的检测，\n\n13:56.453 --> 13:59.353\n使用风流素仪检测肺功能的变化，\n\n13:59.552 --> 14:01.252\n及时的调整治疗方案。\n\n14:02.500 --> 14:03.651\n还有一个长期管理，\n\n14:04.051 --> 14:06.559\n长期管理是定期进行医疗检查，\n\n14:06.559 --> 14:08.551\n及时的调整治疗方案。\n\n14:09.866 --> 14:13.666\n再就是定期的随访心理支持，\n\n14:13.666 --> 14:14.940\n提供心理支持。\n\n14:15.869 --> 14:16.520\n帮助患者。\n\n14:17.744 --> 14:18.794\n应对疾病的压力，\n\n14:19.594 --> 14:20.744\n普及疾病知识，\n\n14:20.744 --> 14:22.494\n提高患者自我管理能力，\n\n14:22.645 --> 14:23.445\n患者教育，\n\n14:23.445 --> 14:24.695\n制定行动计划。\n\n14:25.765 --> 14:28.364\n定制个性化的哮喘行动计划，\n\n14:28.414 --> 14:30.465\n以应对急性发作。\n\n14:35.127 --> 14:37.677\n这就是记录症状的变化，\n\n14:37.677 --> 14:39.577\n帮助医生准确调整治疗。\n\n14:42.200 --> 14:44.325\n第四是改善生活方式，\n\n14:44.325 --> 14:46.051\n减少哮喘的发作风险。\n\n14:46.973 --> 14:48.073\n生活方式干预。\n\n14:49.424 --> 14:52.174\n得定期的评估药物的疗效，\n\n14:52.374 --> 14:53.523\n定期评估药效，\n\n14:53.523 --> 14:55.023\n确保治疗效果的最佳。\n\n14:56.236 --> 14:57.286\n建立支持网络。\n\n14:57.385 --> 15:00.835\n与医生、家人和朋友建立支持网络，\n\n15:00.835 --> 15:02.435\n提高患者的信心。\n\n15:03.752 --> 15:04.752\n最新的进展。\n\n15:05.810 --> 15:07.510\n恶性哮喘治疗的新发展，\n\n15:07.560 --> 15:09.710\n一是新型药物的研发，\n\n15:10.111 --> 15:13.861\n生物制剂和靶向药物提供更准确的治疗选择。\n\n15:14.741 --> 15:16.690\n精准医疗基因检测，\n\n15:16.690 --> 15:17.440\n个体化治疗，\n\n15:17.440 --> 15:18.940\n提高疗效和安全性，\n\n15:19.440 --> 15:20.616\n数字健康管理，\n\n15:20.616 --> 15:24.390\n利用智能设备和应用程序监控病情，\n\n15:24.390 --> 15:25.341\n优化管理，\n\n15:25.940 --> 15:27.166\n远程医疗服务，\n\n15:27.166 --> 15:29.890\n通过在线平台进行远程。\n\n15:31.226 --> 15:32.276\n疗诊疗，\n\n15:32.677 --> 15:34.827\n提高患者的便利性，\n\n15:35.327 --> 15:36.401\n多学科合作，\n\n15:36.401 --> 15:42.476\n医生、护士、营养师等多学科团队提供综合服务患者与研究，\n\n15:42.526 --> 15:45.127\n鼓励患者参与临床实验，\n\n15:45.127 --> 15:46.476\n推动新药的研发。\n\n15:49.159 --> 15:50.885\n第七是环境控制技术，\n\n15:50.885 --> 15:53.210\n开发新型的空气净化技术，\n\n15:53.559 --> 15:55.109\n减少过敏原暴露。\n\n15:55.409 --> 15:57.159\n第八是健康宣教。\n\n15:58.405 --> 16:00.705\n创新利用社交媒体。\n\n16:02.070 --> 16:03.645\n和移动应用，\n\n16:03.645 --> 16:04.969\n普及健康知识。\n\n16:07.715 --> 16:08.765\n未来展望。\n\n16:09.745 --> 16:14.296\n往咳嗽、哮喘的未来的发展方向都是很重要的一个环节。\n\n16:15.265 --> 16:16.565\n一个是研究方向。\n\n16:17.315 --> 16:19.116\n定哮喘的研究热点，\n\n16:19.116 --> 16:20.315\n一是发病机制。\n\n16:21.169 --> 16:21.518\n研究，\n\n16:21.518 --> 16:24.518\n深入探究咳嗽性哮喘的病理生理机制，\n\n16:24.869 --> 16:27.119\n有助于开发新的治疗策略。\n\n16:27.950 --> 16:29.224\n精准医疗，\n\n16:29.224 --> 16:32.849\n利用基因技术、生物标志物实现个体化诊疗，\n\n16:32.849 --> 16:33.700\n提高疗效。\n\n16:34.719 --> 16:35.820\n环境因素影响。\n\n16:36.270 --> 16:41.520\n研究环境污染和气候变化对咳嗽、哮喘的影响及其预防措施。\n\n16:42.418 --> 16:43.168\n新药开发。\n\n16:43.418 --> 16:45.018\n开发针对哮喘。\n\n16:46.414 --> 16:48.289\n咳嗽性哮喘的特异药物，\n\n16:48.289 --> 16:50.765\n以改善患者的症状和生活质量。\n\n16:51.630 --> 16:52.630\n公共卫生策略。\n\n16:52.630 --> 16:54.580\n制定有效的公共卫生策略，\n\n16:54.580 --> 16:56.780\n提高疾病管理水平，\n\n16:56.780 --> 16:58.080\n患者的生活质量。\n\n17:00.681 --> 17:01.531\n心理社会因素，\n\n17:01.531 --> 17:04.931\n探讨心理社会因素对咳嗽哮喘影响，\n\n17:05.380 --> 17:06.331\n以保全，\n\n17:06.630 --> 17:09.031\n以以提供全面的治疗方案。\n\n17:10.612 --> 17:10.812\n嗯。\n\n17:12.374 --> 17:15.723\n免疫治疗研究免疫治疗的咳嗽、哮喘应用，\n\n17:15.723 --> 17:17.423\n减少症状发作的频率。\n\n17:20.057 --> 17:21.008\n挑战与机遇，\n\n17:21.208 --> 17:24.458\n咳嗽性哮喘领域的挑战与机遇。\n\n17:25.152 --> 17:27.003\n这个里边还是蛮多的，\n\n17:27.003 --> 17:29.152\n一是公众认识不足。\n\n17:30.094 --> 17:32.170\n公众对科顿哮喘的了解有限，\n\n17:32.170 --> 17:34.444\n需要加强健康教育和宣传。\n\n17:35.392 --> 17:36.267\n诊疗资源不均，\n\n17:36.267 --> 17:39.017\n地区间医疗资源差异较大，\n\n17:39.017 --> 17:41.093\n去优化资源配置，\n\n17:41.392 --> 17:42.542\n新技术应用，\n\n17:42.542 --> 17:45.042\n利用新技术提升诊疗水平，\n\n17:45.042 --> 17:46.292\n如AI辅助诊断。\n\n17:49.213 --> 17:49.812\n政策支持，\n\n17:49.812 --> 17:50.863\n呼吁政府，\n\n17:51.412 --> 17:54.637\n呼吁政府出台更多的支持性的策略，\n\n17:54.637 --> 17:55.863\n促进疾病的管理，\n\n17:55.863 --> 17:56.863\n国际合作，\n\n17:57.213 --> 17:59.437\n加强国际间的科研合作，\n\n17:59.437 --> 18:01.162\n分享先进的治疗经验。\n\n18:01.899 --> 18:02.798\n患者知识体系，\n\n18:03.149 --> 18:05.098\n建立完善的患者知识体系，\n\n18:05.098 --> 18:06.548\n提升患者生活质量。\n\n18:07.160 --> 18:10.260\n研究投入增加对咳嗽性哮喘研究的投入推动。\n\n18:12.411 --> 18:13.562\n新疗法的开发。\n\n18:14.459 --> 18:14.660\n患者，\n\n18:14.660 --> 18:15.560\n生活的改善？\n\n18:16.905 --> 18:20.005\n改善各自性哮喘患者生活质量的方法。\n\n18:20.994 --> 18:22.144\n增强自我管理。\n\n18:24.052 --> 18:26.276\n患者应掌握疾病的管理技能，\n\n18:26.276 --> 18:29.401\n不如正确的使用吸入器和监测疾病的变化，\n\n18:29.751 --> 18:31.302\n以及有效的控制症状，\n\n18:31.602 --> 18:32.852\n提高社会支持。\n\n18:33.202 --> 18:36.901\n通过组建病友互助小组和参与社区活动，\n\n18:37.102 --> 18:40.001\n患者可以获得情感支持和信息交流。\n\n18:40.631 --> 18:41.631\n促进心理调适。\n\n18:41.631 --> 18:44.256\n通过心理咨询和放松训练，\n\n18:44.256 --> 18:45.732\n患者能够缓解压力，\n\n18:45.732 --> 18:47.732\n减少焦虑和抑郁情绪，\n\n18:48.031 --> 18:49.281\n提升生活质量。\n\n18:50.326 --> 18:51.225\n优化生活环境，\n\n18:51.225 --> 18:52.576\n改善居住环境，\n\n18:52.576 --> 18:54.375\n保证室内空气清新，\n\n18:54.725 --> 18:56.100\n减少过敏原接触，\n\n18:56.100 --> 18:58.826\n有助于减轻哮喘的症状。\n\n19:02.534 --> 19:03.333\n全球的合作。\n\n19:04.453 --> 19:08.354\n高天性哮喘的全球合作研究就是国际研究的合作。\n\n19:10.105 --> 19:11.706\n通过跨国的研究项目，\n\n19:11.755 --> 19:15.505\n促进各国科学家在核心校团中的合作，\n\n19:15.755 --> 19:17.105\n实现资源共享。\n\n19:17.881 --> 19:18.932\n联合诊疗方案，\n\n19:19.031 --> 19:20.881\n制定统一的诊疗方案。\n\n19:21.901 --> 19:23.202\n结合各国实际情况，\n\n19:23.251 --> 19:25.452\n提高核性哮喘的治疗水平。\n\n19:26.338 --> 19:27.213\n患者交流网络，\n\n19:27.213 --> 19:29.389\n建立国际患者交流平台，\n\n19:29.389 --> 19:31.188\n使患者能够分享经验，\n\n19:31.489 --> 19:32.889\n增强自我管理能力，\n\n19:32.889 --> 19:34.538\n促进全球患者的支持。\n\n19:35.598 --> 19:36.948\n信息共享平台。\n\n19:36.948 --> 19:38.548\n建立全球基本数据库，\n\n19:38.899 --> 19:43.198\n促进各国医学研究机构和临床医生之间的信息交流和共享。\n\n19:43.970 --> 19:45.495\n多学科的协作，\n\n19:45.495 --> 19:48.921\n加强呼吸科、免疫科的多学科的合作。\n\n19:49.784 --> 19:53.484\n推动抗特性哮喘的综合治疗的。\n\n19:54.521 --> 19:55.222\n特点研究。\n\n19:57.508 --> 19:58.407\n好，\n\n19:58.657 --> 20:01.508\n谢谢大家的耐心聆听和观看。\n\n20:02.984 --> 20:03.685\n这个。\n\n20:05.329 --> 20:06.880\n课件就讲到这儿。\n\n","v0347cg10004d624v3iljht5i8b6k8ig",1212,548,"2026-01-25 08:48:34","咳嗽性哮喘症状、治疗与预防指南 - 专业解析与建议  ","咳嗽性哮喘, 咳嗽变异性哮喘, 哮喘症状, 哮喘治疗, 慢性咳嗽, 过敏性哮喘, 哮喘预防, 呼吸系统疾病  ","咳嗽性哮喘（咳嗽变异性哮喘）是一种以慢性干咳为主要症状的特殊哮喘类型。本文详细讲解其症状表现、诊断方法、药物治疗方案（如吸入激素）、日常预防措施，以及与其他呼吸道疾病的区别，帮助患者科学应对这一常见但易被误诊的疾病。","2026-04-25 17:30:00",[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,"慢性病,过敏性疾病",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/869990/b77db0cf-f103-4372-b5c9-8c7e09459461.tmp?a=0&auth_key=1789027310-a9b3087a190b4b819bc1752faaef71fc-0-e8b57f900d35d58a24bfe71513d649e7&br=569&bt=569&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=4&eid=v0347cg10004d624v3iljht5i8b6k8ig&er=0&l=202608110541356285E40CEAFE4899ED88&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=ajs5OzhrbzY3OTczNGY3M0ApbG5lbHdtbHk1ZzMzajo2eWdmaF9mcWdmcy9hLS1kNDBzc2Q1MzUyZWkwMTMxLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":59,"message":6,"data":6,"success":60},{"code":9,"msg":10,"message":6,"data":63,"success":60},{"pageNo":27,"pageSize":23,"result":64,"totalSize":17},[],{"code":9,"msg":10,"message":6,"data":66,"success":60},{"authors":67,"appraiseDimensionScoresVos":68},[],[]]