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--> 00:30.767\n大家好，\n\n00:30.767 --> 00:32.567\n我是呼吸科的魏医生。\n\n00:33.459 --> 00:39.860\n今天我们一起来学习一下慢阻肺哮喘之类的患者的雾化吸入装置。\n\n00:41.566 --> 00:44.765\n就是我们呼吸科常用的这些气雾剂。\n\n00:46.009 --> 00:47.034\n像慢阻肺哮喘，\n\n00:47.034 --> 00:47.959\n他们都是。\n\n00:49.094 --> 00:50.094\n家里要常备的。\n\n00:51.125 --> 00:51.325\n嗯，\n\n00:51.325 --> 00:54.250\n首先我们来聊一聊吸入装置的前世今生。\n\n00:54.250 --> 00:54.875\n第二呢，\n\n00:54.875 --> 00:56.525\n我们要吸入装置的种类。\n\n00:56.775 --> 00:59.625\n第三部分是存在的问题以及解决方法。\n\n00:59.924 --> 01:02.025\n第四部分是未来发展的趋势。\n\n01:04.257 --> 01:04.457\n嗯。\n\n01:05.855 --> 01:07.129\n在呼吸科的世界里，\n\n01:07.129 --> 01:08.968\n有一个小装置扮演着大作用，\n\n01:08.968 --> 01:10.205\n它就是吸入装置。\n\n01:10.455 --> 01:13.504\n这个装置可谓是我们的小护士，\n\n01:13.504 --> 01:14.529\n别看它小小的，\n\n01:14.529 --> 01:16.205\n却是不折不扣的大忙人，\n\n01:16.205 --> 01:18.355\n一直在默默的照顾着我们的健康。\n\n01:18.855 --> 01:19.254\n那么，\n\n01:19.254 --> 01:20.504\n他到底是从哪来的，\n\n01:20.504 --> 01:22.154\n又经历了怎样的历程呢？\n\n01:22.154 --> 01:25.105\n让我们一起来探索他的今前世今生。\n\n01:26.986 --> 01:27.310\n第一部分，\n\n01:27.310 --> 01:29.036\n修物装置的前世今生。\n\n01:30.946 --> 01:32.247\n公元前1554年，\n\n01:32.247 --> 01:39.997\n在古埃及的埃伯斯博比书就记载了通过吸入狼当烟雾来治疗呼吸困难。\n\n01:42.984 --> 01:46.083\n在公元前的460.377年，\n\n01:46.083 --> 01:47.859\n最早的简易装置诞生了。\n\n01:47.859 --> 01:52.833\n西方医学之父希波克拉底曾采用了一种弧形的装置，\n\n01:53.234 --> 01:58.859\n把用醋和油浸泡好的草药和树脂放在装置中加热，\n\n01:58.859 --> 01:59.759\n产生气雾，\n\n01:59.759 --> 02:02.183\n用来治疗呼吸道的疾病。\n\n02:04.788 --> 02:06.163\n在公元1767年，\n\n02:06.163 --> 02:08.787\n最早的雾化吸入装置诞生了，\n\n02:08.938 --> 02:15.138\n英国医生约翰马奇设置了马奇吸入器并制成食物。\n\n02:15.537 --> 02:20.738\n该装置在维多利亚女王时代被广泛应用于吸入药物的治疗，\n\n02:20.738 --> 02:22.688\n并沿用了160多年。\n\n02:26.337 --> 02:28.388\n1865年著名医学期刊。\n\n02:30.300 --> 02:30.425\n嗯，\n\n02:30.425 --> 02:34.125\nL介绍了改进型的内尔森吸入器，\n\n02:34.125 --> 02:36.274\n这是一种陶瓷器物吸入器，\n\n02:36.274 --> 02:40.399\n带有一个空气入口和一个吸嘴药物放在容器中。\n\n02:41.750 --> 02:42.375\n热水中，\n\n02:42.375 --> 02:46.250\n这种吸入器被制成了各种精巧迷人的造型。\n\n02:49.628 --> 02:50.477\n1956年，\n\n02:50.477 --> 02:53.102\n最早的压力定量吸入器诞生了，\n\n02:53.102 --> 02:56.527\n吸入疗法从此被广泛应用于临床。\n\n02:58.960 --> 02:59.636\n1969年，\n\n02:59.636 --> 03:00.785\n沙丁胺醇上市，\n\n03:00.785 --> 03:05.460\n并很快成为了全球范围内处方量最大的支气管舒张剂。\n\n03:07.733 --> 03:08.132\n之后，\n\n03:08.132 --> 03:10.608\n越来越多的吸入器面世，\n\n03:10.608 --> 03:12.457\n随着医学技术的不断发展，\n\n03:12.457 --> 03:14.783\n吸入装置也在不断的改进和完善。\n\n03:18.261 --> 03:23.360\n现代的吸入装置已经成为了慢阻肺等呼吸道疾病的主要治疗手段之一。\n\n03:23.511 --> 03:27.410\n这个小小的装置能够将药物直接送入到患者的气道，\n\n03:27.910 --> 03:29.761\n让药物发挥最大的作用。\n\n03:29.910 --> 03:30.835\n除此之外，\n\n03:30.835 --> 03:33.511\n吸入装置还能帮助我们改善肺功能，\n\n03:33.511 --> 03:34.386\n减轻症状，\n\n03:34.386 --> 03:35.660\n提高生活质量。\n\n03:39.746 --> 03:41.195\n这张图是我们的气管，\n\n03:41.796 --> 03:44.095\n正常的气管管腔比较大，\n\n03:44.695 --> 03:45.095\n嗯，\n\n03:45.145 --> 03:47.345\n慢阻肺的气管，\n\n03:47.595 --> 03:48.246\n它的。\n\n03:49.619 --> 03:49.770\n狭，\n\n03:49.770 --> 03:53.720\n他的那个气道是特别的狭窄的。\n\n03:55.263 --> 03:56.613\n气管壁是增厚的。\n\n04:03.289 --> 04:06.863\n首先要吸入治疗药物直达肺部起效要快，\n\n04:06.863 --> 04:07.988\n不良反应要少，\n\n04:08.039 --> 04:09.139\n服用要方便，\n\n04:09.688 --> 04:10.664\n吸入的药物，\n\n04:10.664 --> 04:11.938\n药物达到肺部，\n\n04:12.238 --> 04:12.988\n到达肺，\n\n04:12.988 --> 04:15.539\n然后药物进入血液循环的量要少，\n\n04:15.539 --> 04:16.889\n不良反应要减少。\n\n04:17.721 --> 04:21.147\n口服注射药物进入血液量比较多，\n\n04:21.147 --> 04:22.622\n不良反应风险要高，\n\n04:23.022 --> 04:24.671\n药物在肺部沉积要少，\n\n04:24.671 --> 04:25.471\n疗效要差。\n\n04:29.562 --> 04:29.713\n嗯，\n\n04:29.713 --> 04:31.037\n慢阻肺哮喘的病人，\n\n04:31.037 --> 04:34.363\n我们一般是选择吸入药物是为主，\n\n04:34.513 --> 04:36.162\n因为它的副作用比较小。\n\n04:38.941 --> 04:39.091\n嗯，\n\n04:39.091 --> 04:41.066\n吸入治疗为首选的给药方式，\n\n04:41.066 --> 04:42.115\n药物直达肺部，\n\n04:42.115 --> 04:42.890\n起效要快，\n\n04:42.890 --> 04:43.890\n不良反应要少。\n\n04:48.804 --> 04:48.954\n第二，\n\n04:48.954 --> 04:51.255\n我们要介绍一下吸入装置的种类。\n\n04:51.404 --> 04:52.730\n吸入装置的种类，\n\n04:52.730 --> 04:55.304\n市面上的吸入装置可谓是五花八门，\n\n04:55.605 --> 04:58.704\n有气雾吸入器、干粉吸入器、雾化器等，\n\n04:58.704 --> 05:02.255\n它们各自有各自的特点和适用的人群。\n\n05:02.554 --> 05:03.954\n比如干粉吸入器，\n\n05:03.954 --> 05:07.154\n它适合治疗轻度和中度的慢阻肺，\n\n05:07.505 --> 05:09.130\n它的优点是使用方便，\n\n05:09.130 --> 05:10.605\n不需要特别的设备，\n\n05:10.605 --> 05:13.804\n但是用的时候要得注意正确的使用方法。\n\n05:14.555 --> 05:16.006\n气雾吸入器，\n\n05:16.006 --> 05:19.256\n它治疗中度和重度的慢阻肺的患者。\n\n05:19.305 --> 05:21.118\n它的优点是药物起效快，\n\n05:21.118 --> 05:23.680\n手口协调能力要求也可以，\n\n05:23.680 --> 05:25.930\n借助特殊的设备，\n\n05:25.930 --> 05:28.006\n携带起来就不太方便。\n\n05:30.317 --> 05:30.493\n嗯，\n\n05:30.493 --> 05:31.692\n还有个就是雾化器，\n\n05:31.692 --> 05:34.118\n它适用于各种呼吸道疾病的治疗，\n\n05:34.167 --> 05:36.967\n它的优点是可以将药物直接送入气道，\n\n05:37.167 --> 05:38.018\n效果不错，\n\n05:38.018 --> 05:40.967\n但要用的时候得用特殊的装备，\n\n05:41.518 --> 05:43.368\n操作起来也比较繁琐。\n\n05:47.506 --> 05:50.032\n地面上的吸入装置主要分为四大类，\n\n05:50.032 --> 05:52.307\n它们有各自的特点和适用人群。\n\n05:52.807 --> 05:58.657\n吸入器有软雾吸入器、定量吸入器、干粉吸入器、雾化吸入雾化器。\n\n05:59.752 --> 06:02.152\n其实我们呼吸科用的多的是。\n\n06:03.411 --> 06:04.335\n定量是入器，\n\n06:04.335 --> 06:05.710\n比如像万托林啊，\n\n06:05.710 --> 06:06.811\n布地格福啊，\n\n06:07.110 --> 06:08.561\n还有干粉吸入器，\n\n06:08.760 --> 06:11.335\n比如说是赛托溴铵呀，\n\n06:11.335 --> 06:13.161\n还有一个就是新必可啊，\n\n06:13.161 --> 06:14.210\n这之类的。\n\n06:14.610 --> 06:15.510\n雾化器的话，\n\n06:15.510 --> 06:17.610\n我们病房里一般就用的比较多，\n\n06:17.610 --> 06:19.960\n因为这个设备比较特殊嘛。\n\n06:20.110 --> 06:21.460\n病人急性加重的时候，\n\n06:21.460 --> 06:23.460\n我们一般是在病房里做雾化治疗。\n\n06:26.600 --> 06:27.700\n吸入装置的种类，\n\n06:27.700 --> 06:28.575\n定量气雾，\n\n06:28.575 --> 06:30.700\n气雾器带或不带，\n\n06:30.700 --> 06:33.274\n带带或不带储物罐的，\n\n06:33.924 --> 06:36.475\n比如像这个图上显示的。\n\n06:37.346 --> 06:37.446\n嗯，\n\n06:37.446 --> 06:38.545\n它的优点是小巧，\n\n06:38.545 --> 06:39.346\n便于携带，\n\n06:39.346 --> 06:41.846\n定量吸入药物种类繁多，\n\n06:41.846 --> 06:42.746\n使用方便。\n\n06:43.246 --> 06:46.096\n缺点是手口眼协调要求高，\n\n06:46.795 --> 06:48.746\n口咽部沉积率比较高，\n\n06:49.096 --> 06:51.496\n所以呼吸驱动含推进器。\n\n06:53.687 --> 06:55.863\n第二个是软雾吸雾器啊，\n\n06:55.863 --> 06:56.738\n如这张图，\n\n06:57.138 --> 06:58.138\n它的优点呢，\n\n06:58.138 --> 06:59.738\n是简单便携，\n\n06:59.738 --> 07:01.088\n不含推进器，\n\n07:01.437 --> 07:03.787\n主动喷雾对吸力要求低，\n\n07:03.988 --> 07:05.513\n肺部沉积率比较高。\n\n07:05.513 --> 07:09.388\n缺点是手口眼协调操作要有一定的要求的。\n\n07:10.410 --> 07:10.559\n嗯，\n\n07:10.559 --> 07:12.535\n15μl的体积限制，\n\n07:12.535 --> 07:14.760\n使得药物传送量受限。\n\n07:18.769 --> 07:18.970\n嗯，\n\n07:18.970 --> 07:22.019\n吸入装置的种类繁多，\n\n07:22.220 --> 07:22.619\n嗯，\n\n07:22.670 --> 07:25.220\n它这些都均需要药物气雾吸入。\n\n07:25.720 --> 07:26.095\n嗯，\n\n07:26.095 --> 07:28.320\n临床比如多的是万托林啊。\n\n07:29.890 --> 07:31.040\n各有各的优缺点吧。\n\n07:33.582 --> 07:34.532\n装置的种类。\n\n07:35.658 --> 07:36.658\n干粉吸入器，\n\n07:36.658 --> 07:38.109\n那新必可度宝啊，\n\n07:38.158 --> 07:40.009\n还有一个是赛多溴铵呀，\n\n07:40.009 --> 07:42.058\n这个使用是比较方便的，\n\n07:42.058 --> 07:43.259\n不需要特别的设备，\n\n07:43.459 --> 07:45.908\n呼吸驱动不含推进推动剂。\n\n07:46.359 --> 07:49.058\n缺点是需要较大的吸力吸入药物，\n\n07:49.109 --> 07:51.558\n就患者把药物放在这个罐子里，\n\n07:51.558 --> 07:53.084\n然后吐出气，\n\n07:53.084 --> 07:56.533\n然后包口要包住这个机器，\n\n07:56.533 --> 07:59.058\n然后使劲的吸吸入干粉，\n\n07:59.058 --> 08:01.558\n产生气道刺激和咳嗽啊，\n\n08:01.558 --> 08:01.884\n对，\n\n08:01.884 --> 08:02.783\n是有些患者，\n\n08:02.783 --> 08:05.859\n就是特别是慢阻肺或者是有脑梗的患者。\n\n08:05.946 --> 08:07.596\n他的力道本身就比较小，\n\n08:07.596 --> 08:09.721\n你让他再用使劲去吸，\n\n08:09.721 --> 08:11.895\n有的时候是确实确实吸不动的。\n\n08:15.361 --> 08:16.312\n干粉吸入器，\n\n08:16.411 --> 08:19.611\n干粉吸入器准纳器的使用步骤啊，\n\n08:19.611 --> 08:20.911\n这是在右边的。\n\n08:22.704 --> 08:24.753\n就是刚刚说的像赛罗溴铵呀，\n\n08:24.753 --> 08:26.428\n左下角的这个就是赛罗溴胺，\n\n08:26.428 --> 08:32.129\n一粒小胶囊塞到这个这个像鸭蛋一样的这个这个机器里，\n\n08:32.129 --> 08:35.453\n然后左边是右边是有一个按钮，\n\n08:35.453 --> 08:37.504\n你亲一下会把这个胶囊给刺破。\n\n08:37.953 --> 08:38.754\n然后呢，\n\n08:39.453 --> 08:41.953\n把这个口咬嘴放在嘴巴，\n\n08:42.504 --> 08:43.278\n嘴巴里，\n\n08:43.278 --> 08:45.453\n那个嘴口嘴唇要把它包牢，\n\n08:45.453 --> 08:46.903\n不能漏气啊。\n\n08:46.903 --> 08:47.979\n在包牢之前呢，\n\n08:47.979 --> 08:48.403\n要把。\n\n08:49.179 --> 08:51.479\n肺里的气要排空吐出去，\n\n08:51.479 --> 08:53.429\n使劲的把这个气排排空，\n\n08:53.729 --> 08:54.830\n然后包好以后，\n\n08:54.830 --> 08:56.630\n使劲的吸一口啊，\n\n08:56.630 --> 08:57.979\n像吸面条一样的，\n\n08:58.229 --> 09:01.679\n把这个里面的气药粉给吸到气管里。\n\n09:01.979 --> 09:03.979\n这个要有一定的力道，\n\n09:04.179 --> 09:04.905\n慢阻肺。\n\n09:04.905 --> 09:07.080\n老年虚弱的人一般是吸不动的。\n\n09:09.500 --> 09:10.450\n雾化器是。\n\n09:12.489 --> 09:14.015\n我们老早是病房用的比较多，\n\n09:14.015 --> 09:16.614\n但现在还有一些家庭里也可以自己买个雾化器。\n\n09:16.614 --> 09:17.989\n像有些小朋友啊，\n\n09:18.289 --> 09:19.414\n细支气管炎呀，\n\n09:19.414 --> 09:21.190\n自己在家里做做雾化啊，\n\n09:21.190 --> 09:23.390\n就是图上这这所示的这个。\n\n09:24.247 --> 09:24.372\n嗯，\n\n09:24.372 --> 09:26.372\n雾化器适用于各种呼吸道的治疗。\n\n09:26.372 --> 09:28.598\n它的优点是将药物直接送入气道，\n\n09:28.598 --> 09:29.348\n效果不错。\n\n09:29.697 --> 09:30.773\n但用的时候，\n\n09:30.773 --> 09:33.997\n它这个设备操作起来比较麻烦，\n\n09:33.997 --> 09:35.447\n就是它配备的药啊，\n\n09:35.447 --> 09:36.648\n是从医院里开的，\n\n09:37.047 --> 09:43.398\n然后放把药物给它放到这个机器的特特制的一个口口里面。\n\n09:44.336 --> 09:44.562\n嗯，\n\n09:44.562 --> 09:46.687\n然后是在家里面是。\n\n09:48.598 --> 09:50.848\n有的是口咬口型的，\n\n09:50.848 --> 09:54.999\n有的时候是鼻子口是包在一起的那个面罩型的，\n\n09:54.999 --> 09:55.398\n嗯。\n\n09:59.218 --> 09:59.369\n嗯，\n\n09:59.369 --> 10:01.968\n第三是存在的问题和解决的方法。\n\n10:03.356 --> 10:04.531\n对于呼吸困难的患者，\n\n10:04.531 --> 10:06.682\n可以逐渐增加吸气量，\n\n10:06.682 --> 10:08.507\n慢慢的适应药物的刺激。\n\n10:09.437 --> 10:11.562\n对于呼吸道分泌物干燥的患者，\n\n10:11.562 --> 10:12.736\n可以多饮水，\n\n10:12.736 --> 10:14.736\n保持室内的湿度适宜。\n\n10:15.187 --> 10:17.961\n对于使用吸入装置不熟练的患者，\n\n10:17.961 --> 10:20.286\n我们可以寻求医生的指导和帮助。\n\n10:21.437 --> 10:23.236\n特别使用这些，\n\n10:23.536 --> 10:26.336\n吸入装置不是很很熟练的，\n\n10:26.536 --> 10:29.586\n刚开始的时候就要多询问医生，\n\n10:29.586 --> 10:31.786\n医生会手把手的会教你怎么用。\n\n10:32.187 --> 10:37.236\n而且现在很多这些这些气雾剂的盒子外面都会有个二维码，\n\n10:37.236 --> 10:38.637\n可以用手机扫一扫，\n\n10:38.937 --> 10:39.336\n嗯。\n\n10:39.702 --> 10:40.502\n会有个小视频，\n\n10:40.502 --> 10:41.752\n会教你怎么用的。\n\n10:42.052 --> 10:45.401\n而且医院里面也有一个特定的窗口，\n\n10:45.802 --> 10:48.877\n它是有一个医生会在那里，\n\n10:48.877 --> 10:51.052\n会教你手把手教你怎么使用。\n\n10:54.250 --> 10:56.000\n存在的问题和解决的方法。\n\n10:57.437 --> 10:57.562\n嗯，\n\n10:57.562 --> 10:58.762\n提供呼吸训练。\n\n10:58.762 --> 11:01.036\n医生可以指导患者进行呼吸训练，\n\n11:01.036 --> 11:02.586\n提高患者的呼吸功能，\n\n11:02.786 --> 11:05.137\n使其更容易使用呼吸装置。\n\n11:05.536 --> 11:06.437\n提高认知，\n\n11:06.437 --> 11:07.887\n加强对患者的教育，\n\n11:07.887 --> 11:11.137\n提高他们对吸入装置使用的认知，\n\n11:11.137 --> 11:13.661\n可以有效的减少使用不当的问题。\n\n11:13.661 --> 11:14.137\n同时，\n\n11:14.137 --> 11:16.836\n医生可以在处方吸入装置时，\n\n11:16.836 --> 11:18.887\n考虑到患者的个体差异，\n\n11:19.086 --> 11:21.336\n选择最适合患者的吸入装置。\n\n11:22.155 --> 11:23.880\n改进吸入装置的设计。\n\n11:23.880 --> 11:28.880\n研究人员正在致力于研发更加易用、高效的吸入装置。\n\n11:28.880 --> 11:29.255\n例如，\n\n11:29.255 --> 11:33.354\n通过优化药物分布和减少气流阻力的设计，\n\n11:33.405 --> 11:36.804\n可以提高吸入装置的使用效率和适宜度。\n\n11:40.099 --> 11:42.700\n该把新型给药的方式除了吸入装置以外，\n\n11:42.700 --> 11:46.400\n科学家们还在探索其他的新型的给药方式，\n\n11:46.700 --> 11:49.450\n如口腔喷雾、金鼻给药等。\n\n11:49.549 --> 11:54.900\n这些新型给药方式可能会为患者提供更加方便舒适的治疗选择。\n\n11:57.929 --> 11:59.528\n存在的问题和解决方法。\n\n12:02.202 --> 12:02.377\n嗯，\n\n12:02.377 --> 12:04.502\n使用前要认真的阅读说明书，\n\n12:04.502 --> 12:07.002\n了解正确的使用方法和注意事项。\n\n12:07.401 --> 12:07.877\n第二，\n\n12:07.877 --> 12:09.851\n要选择适合自己的吸入装置，\n\n12:09.851 --> 12:11.401\n不要盲目的跟风购买。\n\n12:11.802 --> 12:12.327\n第三，\n\n12:12.327 --> 12:15.077\n要坚持按照医生的指导进行治疗，\n\n12:15.077 --> 12:17.101\n不要随意停药或者更改剂量。\n\n12:17.401 --> 12:17.901\n第四，\n\n12:17.901 --> 12:19.401\n要注意定期随访，\n\n12:19.401 --> 12:21.702\n及时调整治疗方案。\n\n12:21.702 --> 12:24.476\n有一些像信必可啊，\n\n12:24.476 --> 12:25.401\n舒地呀，\n\n12:25.802 --> 12:27.502\n布地格服之类的，\n\n12:27.502 --> 12:29.377\n含含有激素，\n\n12:29.377 --> 12:32.401\n患者在使用这些气雾剂以后一定要记得。\n\n12:32.434 --> 12:32.784\n漱口。\n\n12:34.403 --> 12:37.004\n否则这些激素是停留在咽部，\n\n12:37.304 --> 12:39.804\n时间久了会声音嘶哑，\n\n12:40.004 --> 12:41.854\n这些副作用会慢慢出来。\n\n12:44.474 --> 12:44.625\n嗯，\n\n12:44.625 --> 12:47.450\n第四部分我们介绍一下未来的发展趋势。\n\n12:47.450 --> 12:49.474\n吸入装置的未来发展趋势。\n\n12:49.474 --> 12:52.325\n随着人工智能和物联网技术的快速发展，\n\n12:52.724 --> 12:55.575\n未来的吸入装置将更加智能化、个性化。\n\n12:55.575 --> 12:57.224\n通过与智能设备连接，\n\n12:57.224 --> 12:59.924\n我们可以实时监测患者的呼吸状况，\n\n13:00.075 --> 13:03.125\n为患者提供更加精准的药物治疗方案。\n\n13:03.763 --> 13:04.013\n同时，\n\n13:04.013 --> 13:09.314\n新型高效吸入装置的研发也将为慢阻肺治疗带来更大的希望。\n\n13:14.161 --> 13:17.435\n右中位置作为呼吸科的重要治疗手段之一，\n\n13:17.435 --> 13:17.911\n虽然小，\n\n13:17.911 --> 13:19.310\n却发挥着大作用。\n\n13:20.163 --> 13:22.713\n我们在使用过程中要认真的对待，\n\n13:22.963 --> 13:24.562\n遵循医生的指导，\n\n13:24.663 --> 13:26.638\n以达到最佳的治疗效果。\n\n13:26.638 --> 13:30.138\n同时也要关注吸入装置的发展和创新，\n\n13:30.138 --> 13:34.263\n期待它能够在未来的治疗中发挥更大的作用，\n\n13:34.963 --> 13:35.362\n嗯。\n\n13:37.784 --> 13:39.835\n临床上常见一些慢阻肺的患者，\n\n13:39.835 --> 13:46.085\n在使用刚刚第一次使用布迪格夫或者是赛托溴铵呀，\n\n13:46.085 --> 13:48.184\n这些装置用不来的时候，\n\n13:48.385 --> 13:50.309\n有些患者就会放弃治疗，\n\n13:50.309 --> 13:52.885\n他不会到医院里再来就诊，\n\n13:53.034 --> 13:56.284\n然后他的病情得不到了控制啊，\n\n13:56.885 --> 13:57.734\n胸闷啊，\n\n13:57.734 --> 13:58.335\n气喘呀，\n\n13:58.335 --> 14:00.184\n咳嗽会逐渐加重。\n\n14:00.684 --> 14:02.585\n等第二次再来医院的时候，\n\n14:02.585 --> 14:04.635\n患医生会发现。\n\n14:06.952 --> 14:10.177\n人问病史会发现他药物没有没有使用，\n\n14:10.177 --> 14:12.101\n或者是用的方法不正确。\n\n14:12.202 --> 14:17.677\n这个是我们一再要强调这个吸入雾化吸入装置啊，\n\n14:17.677 --> 14:21.202\n一定要学会耐心的教教来教患者，\n\n14:21.401 --> 14:22.802\n直到他学会为止。\n\n14:22.802 --> 14:24.302\n因为虽然他。\n\n14:25.940 --> 14:27.465\n用起来是稍微有点困难，\n\n14:27.465 --> 14:30.239\n但是它对患者的治疗是至关重要的。\n\n14:30.978 --> 14:32.478\n所以我们，\n\n14:32.728 --> 14:34.377\n要不怕麻烦啊，\n\n14:34.377 --> 14:36.228\n要手把手的去教患者。\n\n14:36.947 --> 14:37.096\n嗯，\n\n14:37.096 --> 14:37.822\n这样的话，\n\n14:37.822 --> 14:41.997\n他在经历了一次、两次、三次以后，\n\n14:41.997 --> 14:45.997\n他会逐渐会慢慢的就习惯了这个吸入装置，\n\n14:46.346 --> 14:47.046\n同时呢，\n\n14:47.046 --> 14:49.247\n他的病情还会得到很好的控制。\n\n14:50.210 --> 14:51.611\n方法一定要正确。\n\n14:52.856 --> 14:53.056\n嗯。\n\n14:56.994 --> 14:57.744\n谢谢大家。\n\n","v0247cg10004d6pn4cqljht9i9oie5kg",898,863,0,"2026-01-26 10:57:48"," 高效吸入装置使用指南 - 正确操作步骤与技巧  "," 吸入装置, 便携式吸入器, 呼吸治疗设备, 医疗吸入设备, 吸入装置使用方法  "," 观看本视频了解如何正确使用吸入装置，掌握高效呼吸治疗的技巧。适用于哮喘、COPD等患者，详细演示操作步骤、清洁维护及常见问题解答，提升治疗效果与安全性。","2026-04-23 06:30:00",[38],{"menuId":39,"menuName":40,"parentId":31,"orderNum":41,"path":42,"component":43,"isFrame":44,"isCache":45,"menuType":46,"visible":26,"status":31,"createDept":6,"remark":24,"createTime":47,"children":48,"columnImage":49,"columnLogo":50,"uncheckedLogo":6,"checkedLogo":6,"isHot":31,"isHome":31,"forceLogin":31,"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, 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