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慢性阻塞性肺疾病、支气管哮喘、支气管扩张等呼吸系统常见病的规范诊断与治疗 肺癌的规范诊断与综合治疗；肺癌的规范诊断与综合治疗","上海市东方医院","呼吸内科","主治医师",9,"慢性咽炎患者教育指南","","https://cdn.yishi-tong.com/console/3/A-GGxp0tN_5JRrxqH0okSyw60m46cN1d.png",1,"WEBVTT\n\n00:04.574 --> 00:04.800\n各位，\n\n00:04.800 --> 00:05.724\n大家晚上好，\n\n00:06.074 --> 00:08.725\n今天我给大家做一个临床讲座。\n\n00:09.375 --> 00:09.750\n嗯，\n\n00:09.750 --> 00:12.824\n标题是慢性咽炎患者教育指南。\n\n00:16.781 --> 00:18.330\n今天讲座的内容呢，\n\n00:18.330 --> 00:19.731\n分为以下几个部分，\n\n00:20.180 --> 00:21.080\n第一个呢，\n\n00:21.080 --> 00:23.231\n慢性咽炎这个疾病的认知。\n\n00:23.731 --> 00:24.631\n第二个呢，\n\n00:24.631 --> 00:27.680\n是慢性咽炎的症状和慢性咽炎的病因。\n\n00:28.281 --> 00:29.430\n第三个方面呢，\n\n00:29.430 --> 00:31.680\n是慢性咽炎的检查治疗。\n\n00:32.030 --> 00:33.256\n第四个方面呢，\n\n00:33.256 --> 00:36.131\n是慢性咽炎的日常管理与饮食。\n\n00:36.680 --> 00:37.480\n第五呢，\n\n00:37.581 --> 00:40.680\n慢性咽炎这个疾病的误区与诊。\n\n00:41.131 --> 00:42.206\n第六个内容呢，\n\n00:42.206 --> 00:44.680\n是慢性咽炎的自评与结语。\n\n00:44.779 --> 00:44.979\n对。\n\n00:48.111 --> 00:51.062\n首先介绍一个今天讲座的第一个内容，\n\n00:51.161 --> 00:53.312\n慢性咽炎这个疾病的认知。\n\n00:55.541 --> 00:56.466\n慢性咽炎呢，\n\n00:56.466 --> 01:01.492\n大家都知道它是一个慢性的咽部的粘膜，\n\n01:01.591 --> 01:05.891\n粘膜下及淋巴组织的长期的慢性的炎症。\n\n01:06.342 --> 01:08.092\n慢性咽炎的病程呢，\n\n01:08.141 --> 01:09.016\n一般来说，\n\n01:09.016 --> 01:11.342\n我们临床是说超过三个月，\n\n01:11.791 --> 01:13.291\n这在成人当中呢，\n\n01:13.291 --> 01:14.241\n最为常见。\n\n01:16.793 --> 01:17.918\n慢性咽炎呢，\n\n01:17.918 --> 01:21.744\n大家都知道它并不是由细菌感染引起的，\n\n01:22.094 --> 01:25.494\n所以如果诊断这个患者是慢性咽炎，\n\n01:25.694 --> 01:26.418\n医生呢，\n\n01:26.418 --> 01:29.143\n一般来说并不给患者应用抗生素，\n\n01:29.744 --> 01:31.643\n过度的使用抗生素呢，\n\n01:31.643 --> 01:34.043\n对慢性咽炎的患者不但无效，\n\n01:34.244 --> 01:35.194\n还可能呢，\n\n01:35.194 --> 01:37.293\n带来其他严重的健康问题。\n\n01:40.182 --> 01:41.407\n慢性咽炎呢，\n\n01:41.407 --> 01:46.282\n是一种长期反复发作的咽喉部的慢性炎症，\n\n01:46.932 --> 01:47.833\n患者呢。\n\n01:49.069 --> 01:51.470\n症状顽固而且反复，\n\n01:52.069 --> 01:53.544\n慢性咽炎的患者呢，\n\n01:53.544 --> 01:55.470\n长期会感到咽部不适。\n\n01:56.169 --> 01:57.019\n但是呢，\n\n01:57.169 --> 01:59.519\n根据流行病学的调查显示，\n\n01:59.720 --> 02:01.644\n慢性咽炎这个疾病呢，\n\n02:01.644 --> 02:04.220\n并不会导致咽部的癌变。\n\n02:05.517 --> 02:07.718\n虽然慢性咽炎不会癌变，\n\n02:08.167 --> 02:12.593\n但是患者的反复的咽部不适症状呢，\n\n02:12.593 --> 02:15.268\n它可以严重的影响患者的生活质量。\n\n02:15.567 --> 02:16.192\n所以呢，\n\n02:16.192 --> 02:19.218\n临床需要重视并进行积极的治疗。\n\n02:19.917 --> 02:20.817\n患者呢，\n\n02:20.817 --> 02:24.317\n表现为咽部反复的干疼发痒，\n\n02:24.518 --> 02:29.218\n有些患者会告知好像有蚂蚁在喉咙里爬一样。\n\n02:29.617 --> 02:30.518\n通常呢，\n\n02:30.667 --> 02:32.442\n就是患者这个症状呢，\n\n02:32.442 --> 02:33.968\n持续时间比较长。\n\n02:34.615 --> 02:35.914\n影响了患者的生活。\n\n02:38.313 --> 02:39.289\n慢性咽炎呢，\n\n02:39.289 --> 02:42.764\n我们经常按临床药和急性咽炎来鉴别一下。\n\n02:43.164 --> 02:44.464\n急性咽炎呢，\n\n02:44.613 --> 02:45.863\n患者起病急，\n\n02:46.514 --> 02:48.264\n咽痛非常非常明显。\n\n02:49.363 --> 02:50.039\n患者呢，\n\n02:50.039 --> 02:52.164\n常常伴畏寒发热等表现。\n\n02:52.613 --> 02:53.714\n急性咽炎呢，\n\n02:53.714 --> 02:55.164\n具有一定的传染性，\n\n02:55.613 --> 02:57.014\n通过飞沫传播。\n\n02:57.774 --> 02:58.998\n急性咽炎的疗程呢，\n\n02:58.998 --> 03:00.623\n一般来说是一到两周。\n\n03:01.373 --> 03:04.824\n我们诊断患者急性咽炎治疗呢，\n\n03:04.824 --> 03:06.923\n是以抗感染和休息为主。\n\n03:07.673 --> 03:10.748\n而刚才我也提到了慢性咽炎呢，\n\n03:10.748 --> 03:12.074\n起病比较缓慢，\n\n03:12.423 --> 03:14.473\n患者的咽痛比较轻微，\n\n03:14.774 --> 03:15.149\n嗯，\n\n03:15.149 --> 03:17.574\n仅仅表现为异物感。\n\n03:18.074 --> 03:18.798\n患者呢，\n\n03:18.798 --> 03:22.074\n慢性咽炎的患者基本上是没有发热的表现，\n\n03:22.423 --> 03:23.973\n而且慢性咽炎呢，\n\n03:23.973 --> 03:24.923\n没有传染性，\n\n03:25.673 --> 03:27.324\n但是时间比较长。\n\n03:28.014 --> 03:30.214\n慢性咽炎病程3个月以上，\n\n03:30.464 --> 03:33.039\n而且患者的咽部不适的症状呢，\n\n03:33.039 --> 03:35.063\n反复发作。\n\n03:35.063 --> 03:40.664\n慢性咽炎的治疗的重点在于去除病因和改善患者的生活习惯。\n\n03:43.664 --> 03:44.363\n第二呢，\n\n03:44.363 --> 03:47.613\n介绍一下慢性咽炎的症状和病因。\n\n03:50.972 --> 03:52.272\n慢性咽炎呢，\n\n03:52.272 --> 03:53.572\n典型症状呢，\n\n03:53.972 --> 03:56.472\n包括患者的咽部呢，\n\n03:56.472 --> 03:57.121\n异物感，\n\n03:57.121 --> 03:59.572\n这是患者最常见的症状。\n\n04:00.222 --> 04:00.621\n嗯，\n\n04:00.722 --> 04:02.772\n患者会告知医生，\n\n04:03.171 --> 04:03.871\n咽部呢，\n\n04:03.871 --> 04:05.472\n像贴上树叶的感觉，\n\n04:05.871 --> 04:07.822\n咽部又干又痒，\n\n04:08.121 --> 04:09.822\n平时总想清嗓子，\n\n04:10.322 --> 04:11.546\n晨起的时候呢，\n\n04:11.546 --> 04:13.322\n会出现刺激性的干咳。\n\n04:14.121 --> 04:14.871\n咽部呢，\n\n04:14.871 --> 04:17.622\n有些患者会有疼痛感或灼热感。\n\n04:18.221 --> 04:18.596\n嗯，\n\n04:18.596 --> 04:19.372\n慢性咽。\n\n04:19.563 --> 04:20.588\n鼻炎的症状呢，\n\n04:20.588 --> 04:22.213\n和说话过多。\n\n04:23.460 --> 04:24.311\n非常有关系，\n\n04:24.760 --> 04:26.036\n像销售员啊，\n\n04:26.036 --> 04:26.710\n老师啊，\n\n04:26.710 --> 04:27.510\n护士啊，\n\n04:27.710 --> 04:31.911\n经常觉得上班一段时间讲话过多以后，\n\n04:32.110 --> 04:34.561\n咽部不适的症状会明显的加重。\n\n04:36.355 --> 04:38.430\n慢性咽炎有些警示症状，\n\n04:38.480 --> 04:40.430\n比如说患者咽部不适，\n\n04:40.730 --> 04:43.680\n出现了声音嘶哑、痰中带血，\n\n04:43.781 --> 04:44.805\n吞咽困难，\n\n04:44.805 --> 04:46.555\n体重下降等症状呢，\n\n04:46.555 --> 04:47.256\n这些呢，\n\n04:47.256 --> 04:48.430\n是警示症状。\n\n04:48.930 --> 04:51.531\n如果患者出现以上症状的话呢，\n\n04:51.580 --> 04:52.980\n建议立即就医，\n\n04:53.180 --> 04:55.381\n排除肿瘤等严重的疾病。\n\n04:57.600 --> 04:57.950\n嗯，\n\n04:57.950 --> 04:59.399\n慢性咽炎的患者呢，\n\n04:59.399 --> 05:02.625\n可以通过自我观察这些症状，\n\n05:02.625 --> 05:04.799\n及时发现慢性咽炎的迹象。\n\n05:05.000 --> 05:05.799\n早发现，\n\n05:05.799 --> 05:06.600\n早治疗。\n\n05:10.203 --> 05:10.303\n嗯，\n\n05:10.303 --> 05:12.252\n介绍一下慢性咽炎的病因。\n\n05:12.953 --> 05:14.178\n慢性咽炎呢，\n\n05:14.178 --> 05:15.403\n病因比较复杂，\n\n05:15.403 --> 05:18.002\n多种因素会引起，\n\n05:18.553 --> 05:21.703\n局部的刺激会导致慢性咽炎的产生。\n\n05:22.102 --> 05:22.453\n嗯，\n\n05:22.453 --> 05:24.053\n局部的刺激因素呢，\n\n05:24.203 --> 05:24.578\n嗯，\n\n05:24.578 --> 05:25.553\n大家都知道，\n\n05:25.602 --> 05:27.102\n包括吸烟啊，\n\n05:27.352 --> 05:28.352\n饮酒啊，\n\n05:28.703 --> 05:30.502\n进食辛辣的食物，\n\n05:30.653 --> 05:31.803\n油炸的食物，\n\n05:31.803 --> 05:32.852\n过烫的食物。\n\n05:33.385 --> 05:34.561\n这些因素呢，\n\n05:34.561 --> 05:37.286\n会直接刺激患者的咽部的黏膜，\n\n05:37.686 --> 05:39.860\n导致咽炎的发生，\n\n05:39.860 --> 05:41.485\n炎症的反复发作，\n\n05:41.585 --> 05:43.036\n慢性咽炎产生。\n\n05:44.083 --> 05:44.833\n还有呢，\n\n05:44.833 --> 05:46.632\n上气道的慢性病灶，\n\n05:47.083 --> 05:48.433\n胃食管反流，\n\n05:49.083 --> 05:50.183\n用嗓不当，\n\n05:50.382 --> 05:52.808\n以及环境和全身因素呢，\n\n05:52.808 --> 05:55.032\n也是慢性咽炎的常见病因。\n\n05:57.386 --> 05:57.736\n嗯，\n\n05:57.736 --> 05:59.687\n上呼吸道感染以后呢，\n\n05:59.687 --> 06:02.437\n比如说患者是感冒啊，\n\n06:02.437 --> 06:03.911\n流感啊，\n\n06:03.911 --> 06:05.011\n急性的鼻炎，\n\n06:05.011 --> 06:06.837\n急性的鼻窦炎以后呢，\n\n06:06.837 --> 06:08.236\n炎性分泌物呢，\n\n06:08.236 --> 06:11.587\n会刺激咽部的黏膜啊。\n\n06:11.587 --> 06:12.312\n患者呢，\n\n06:12.312 --> 06:14.937\n咽部不适反反复复的发作呢，\n\n06:14.937 --> 06:16.286\n导致的慢性咽炎。\n\n06:18.535 --> 06:18.851\n而且，\n\n06:18.851 --> 06:21.535\n有些患者有多种慢性疾病，\n\n06:21.684 --> 06:27.135\n比如说消化不良啊、心血管疾病啊、慢性支气管炎啊，\n\n06:27.135 --> 06:30.484\n这些患者也会导致咽部的刺激，\n\n06:30.584 --> 06:32.285\n导致慢性咽炎的产生。\n\n06:32.885 --> 06:33.734\n所以呢，\n\n06:34.234 --> 06:35.535\n对于患者来说，\n\n06:35.535 --> 06:37.785\n要综合考虑以上这些因素，\n\n06:37.934 --> 06:40.334\n找到适合自己的治疗方法。\n\n06:41.721 --> 06:41.920\n嗯。\n\n06:46.238 --> 06:46.588\n嗯，\n\n06:46.588 --> 06:50.588\n接下来介绍一下慢性咽炎的检查和治疗。\n\n06:55.807 --> 06:56.856\n电子鼻咽镜呢，\n\n06:56.856 --> 07:00.006\n是临床确诊慢性咽炎的必做项目。\n\n07:04.273 --> 07:05.122\n慢性咽炎呢，\n\n07:05.122 --> 07:10.322\n我们临床上分为慢性单纯性的咽炎和慢性肥厚性的咽炎。\n\n07:10.822 --> 07:12.822\n慢性单纯性的咽炎呢，\n\n07:13.372 --> 07:14.673\n鼻咽镜显示。\n\n07:17.471 --> 07:19.520\n咽部的黏膜弥漫性的充血，\n\n07:19.770 --> 07:20.871\n血管扩张，\n\n07:21.270 --> 07:22.721\n血管呈暗红色。\n\n07:23.020 --> 07:24.621\n患者的咽喉部呢，\n\n07:24.821 --> 07:27.221\n有少许粘稠分泌物的附着。\n\n07:27.821 --> 07:30.121\n而慢性肥厚性的咽炎呢，\n\n07:30.121 --> 07:35.721\n患者表现为在鼻咽镜检查发现粘膜肥厚，\n\n07:36.020 --> 07:37.321\n弥漫性的充血。\n\n07:37.621 --> 07:44.270\n咽后壁较多颗粒状隆起的淋巴滤泡可以散在分布或者融合成块。\n\n07:47.139 --> 07:48.114\n电子鼻咽镜呢，\n\n07:48.114 --> 07:52.938\n可以直接的观察患者的咽部的粘膜的颜色和淋巴滤泡的情况。\n\n07:53.489 --> 07:53.838\n嗯，\n\n07:53.838 --> 08:00.389\n电子鼻咽镜可以明确的显示慢性单纯性咽炎和慢性肥厚性咽炎的表现。\n\n08:02.779 --> 08:03.279\n所以呢，\n\n08:03.279 --> 08:04.480\n电子鼻咽镜呢，\n\n08:04.480 --> 08:06.730\n是确诊慢性咽炎的必做项目。\n\n08:07.912 --> 08:08.062\n嗯，\n\n08:08.062 --> 08:09.838\n对于慢性咽炎的患者呢，\n\n08:09.838 --> 08:11.763\n我们还可以做其他检查。\n\n08:12.062 --> 08:12.812\n比如说，\n\n08:12.812 --> 08:17.062\n我们怀疑是患者是胃食管反流导致的慢性咽炎。\n\n08:17.412 --> 08:18.162\n建议呢，\n\n08:18.162 --> 08:24.263\n对患者进行二十四四小时的食管PH阻抗监测和胃镜的检查。\n\n08:25.113 --> 08:29.263\n如果有些患者的表现为反复的鼻塞，\n\n08:29.912 --> 08:31.562\n然后鼻腔有脓涕，\n\n08:31.763 --> 08:35.862\n我们是导考虑患者是鼻窦炎引起的慢性咽炎。\n\n08:36.112 --> 08:36.463\n嗯，\n\n08:36.463 --> 08:38.013\n建议对这些患者呢。\n\n08:38.172 --> 08:39.822\n进行鼻窦的CT扫描。\n\n08:41.088 --> 08:43.612\n为排除肿瘤疾病呢，\n\n08:43.612 --> 08:47.663\n我们建议进行纤维喉镜检查和颈部超声检查。\n\n08:49.768 --> 08:52.968\n临床怀疑患者有慢性咽炎的表现呢，\n\n08:53.018 --> 08:53.994\n我们建议呢，\n\n08:53.994 --> 08:55.468\n做一个血常规的检查。\n\n08:55.718 --> 08:57.044\n血常规的检查呢，\n\n08:57.044 --> 08:59.869\n目的是排除有没有链球菌的感染。\n\n09:00.768 --> 09:02.169\n过敏原的筛查呢，\n\n09:02.169 --> 09:03.619\n可以作为可选项目，\n\n09:03.818 --> 09:07.018\n可以帮助医生更全面的了解患者的病情。\n\n09:08.112 --> 09:08.362\n嗯。\n\n09:09.796 --> 09:10.046\n嗯。\n\n09:14.556 --> 09:16.106\n慢性咽炎的治疗呢，\n\n09:16.556 --> 09:20.255\n总原则是找到患者的病因病情，\n\n09:20.255 --> 09:22.656\n对患者进行长期的管理，\n\n09:23.356 --> 09:23.731\n嗯，\n\n09:23.731 --> 09:25.356\n和患者进行沟通。\n\n09:25.556 --> 09:27.306\n这是一个慢性的疾病。\n\n09:27.656 --> 09:28.056\n嗯，\n\n09:28.056 --> 09:28.731\n但是呢，\n\n09:28.731 --> 09:30.906\n这个疾病不会引起癌变，\n\n09:31.056 --> 09:36.955\n虽然它会导致患者生活和工作有一定的影响，\n\n09:37.156 --> 09:37.880\n但是呢，\n\n09:37.880 --> 09:38.705\n经过治疗。\n\n09:39.424 --> 09:40.823\n症状会明显的改善，\n\n09:41.473 --> 09:44.624\n去除病因是治疗慢性咽炎的关键。\n\n09:45.809 --> 09:50.184\n同时告知患者配合医生进行规范性的用药，\n\n09:50.383 --> 09:52.083\n改善患者的生活习惯，\n\n09:52.083 --> 09:54.033\n才能有效的缓解症状。\n\n09:57.132 --> 09:57.533\n嗯，\n\n09:57.583 --> 10:02.783\n接下来介绍一下慢性咽炎的日常管理和患者的饮食介绍。\n\n10:04.315 --> 10:04.690\n嗯，\n\n10:04.690 --> 10:07.116\n慢性咽炎的患者确诊以后呢，\n\n10:07.116 --> 10:08.815\n告知患者，\n\n10:09.015 --> 10:10.666\n建议充足的饮水，\n\n10:11.216 --> 10:14.265\n每日饮用1500ml的温水，\n\n10:14.565 --> 10:16.216\n少量多次饮水，\n\n10:16.815 --> 10:19.015\n保持咽喉部的湿润，\n\n10:19.166 --> 10:22.166\n有助于缓解患者的咽部不适的症状。\n\n10:25.601 --> 10:26.502\n第二条呢，\n\n10:26.502 --> 10:30.976\n就是慢性咽炎的患者对室内空气干燥呢，\n\n10:30.976 --> 10:32.552\n是非常非常敏感的。\n\n10:32.901 --> 10:33.627\n建议呢，\n\n10:33.627 --> 10:35.002\n保持室内湿度呢，\n\n10:35.002 --> 10:37.702\n在40%.60%，\n\n10:38.151 --> 10:41.901\n温度在22°C至24°C。\n\n10:42.302 --> 10:44.901\n过于干燥过于潮湿的环境呢，\n\n10:44.901 --> 10:47.101\n对患者的咽部会造成刺激，\n\n10:47.151 --> 10:49.202\n导致反复的咽干不适。\n\n10:51.895 --> 10:52.794\n合理用嗓，\n\n10:52.794 --> 10:55.695\n对于慢性咽炎的患者是非常非常重要的。\n\n10:56.195 --> 10:56.594\n嗯，\n\n10:56.794 --> 10:58.244\n每小时用嗓呢，\n\n10:58.244 --> 11:00.044\n建议不超过45分钟。\n\n11:00.544 --> 11:00.945\n嗯，\n\n11:02.294 --> 11:02.945\n讲话。\n\n11:04.081 --> 11:05.831\n说话一段时间以后呢，\n\n11:05.831 --> 11:07.281\n建议休息15分钟，\n\n11:07.682 --> 11:10.331\n而且告知患者说话时呢，\n\n11:10.331 --> 11:11.581\n尽量音量降低，\n\n11:11.981 --> 11:15.531\n可以使用扩音器保护声带的健康。\n\n11:17.039 --> 11:18.338\n刚才我也提到了，\n\n11:18.638 --> 11:20.164\n刺激性的食物呢，\n\n11:20.164 --> 11:23.039\n会导致慢性咽炎的症状反复发作，\n\n11:23.489 --> 11:25.239\n告知患者戒烟，\n\n11:25.289 --> 11:26.489\n远离二手烟，\n\n11:27.039 --> 11:30.138\n对于酒类应该戒酒。\n\n11:31.004 --> 11:33.203\n咖啡、浓茶、碳酸饮料呢，\n\n11:33.203 --> 11:34.054\n尽量少吃。\n\n11:34.854 --> 11:35.879\n这些物质呢，\n\n11:35.879 --> 11:38.354\n会刺激患者的咽部的黏膜，\n\n11:38.554 --> 11:40.054\n加重患者的炎症。\n\n11:52.059 --> 11:53.333\n慢性咽炎的患者呢，\n\n11:53.333 --> 11:55.109\n我们会告知患者。\n\n11:56.213 --> 11:58.314\n有红榜食物和黑榜食物，\n\n11:58.963 --> 12:00.064\n红榜食物呢，\n\n12:00.064 --> 12:03.263\n就是建议平时适当多吃点的食物，\n\n12:03.513 --> 12:04.314\n包括呢，\n\n12:04.314 --> 12:09.614\n具有清热解毒作用的黄瓜、冬瓜、苦瓜、绿豆。\n\n12:10.460 --> 12:11.661\n梨和西瓜等。\n\n12:12.731 --> 12:15.231\n还有富含B族维生素的谷物，\n\n12:15.781 --> 12:17.331\n牛奶、鸡蛋，\n\n12:17.632 --> 12:20.231\n还有深绿色的蔬菜，\n\n12:20.731 --> 12:25.481\n还有富含胶原蛋白的鱼类、猪蹄、银耳和海带。\n\n12:25.781 --> 12:26.981\n这些食物呢，\n\n12:27.132 --> 12:28.781\n对慢性咽炎的患者呢，\n\n12:28.781 --> 12:29.581\n比较适宜。\n\n12:30.463 --> 12:31.838\n而黑榜食物呢，\n\n12:31.838 --> 12:35.263\n就是慢性咽炎的患者尽量少吃不吃的食物，\n\n12:35.763 --> 12:40.487\n比如说辛辣刺激的辣椒啊、花椒啊、生姜啊，\n\n12:40.487 --> 12:41.312\n还有火锅，\n\n12:41.963 --> 12:43.913\n还有就是油炸食物呢，\n\n12:44.213 --> 12:44.612\n嗯，\n\n12:44.663 --> 12:49.362\n比如说油条啊、炸鸡薯片等也要少吃或不吃。\n\n12:50.213 --> 12:51.513\n腌制类的食物，\n\n12:51.612 --> 12:55.312\n比如说咸菜、咸鱼、香肠、腊肉等，\n\n12:55.513 --> 12:57.663\n因为含盐分比较高，\n\n12:57.713 --> 12:59.713\n容易刺激咽部的黏膜，\n\n12:59.862 --> 13:00.663\n尽量少。\n\n13:00.713 --> 13:01.463\n少吃或避免，\n\n13:01.963 --> 13:04.513\n还有就是戒烟戒酒，\n\n13:04.713 --> 13:08.039\n咖啡、浓茶和碳酸饮品这些呢，\n\n13:08.039 --> 13:09.489\n刺激性的食物呢，\n\n13:09.489 --> 13:10.463\n应该少吃。\n\n13:18.380 --> 13:22.130\n接下来介绍一下慢性咽炎的误区和复诊。\n\n13:23.021 --> 13:23.322\n嗯，\n\n13:23.622 --> 13:25.471\n患者患有慢性咽炎，\n\n13:25.771 --> 13:28.997\n咽喉部就觉得经常发干发痒，\n\n13:28.997 --> 13:29.872\n咽部不适。\n\n13:30.221 --> 13:31.471\n有些患者呢，\n\n13:32.372 --> 13:37.322\n建议问会问医生可不可以长期应用含片。\n\n13:38.632 --> 13:38.831\n嗯，\n\n13:39.182 --> 13:40.581\n临床患者呢，\n\n13:40.632 --> 13:42.132\n我们会告知患者，\n\n13:42.481 --> 13:43.956\n慢性咽炎的患者呢，\n\n13:43.956 --> 13:45.981\n含片不利于长期使用。\n\n13:46.432 --> 13:47.231\n建议呢，\n\n13:47.231 --> 13:49.132\n连续使用不超过7天。\n\n13:49.632 --> 13:51.706\n因为含片长期使用呢，\n\n13:51.706 --> 13:54.031\n会导致破坏口腔菌群。\n\n13:54.281 --> 13:55.307\n有些患者呢，\n\n13:55.307 --> 13:56.932\n会引发真菌的感染。\n\n13:57.831 --> 13:59.281\n刚才我也提到了，\n\n13:59.432 --> 14:00.706\n慢性咽炎呢，\n\n14:00.706 --> 14:03.432\n是咽部粘膜的慢性炎症，\n\n14:03.581 --> 14:08.481\n它和那个细菌感染是没有关系的。\n\n14:08.885 --> 14:09.286\n所以，\n\n14:09.286 --> 14:12.111\n如果没有明确的细菌感染的依据呢，\n\n14:12.111 --> 14:13.685\n不建议应用抗生素。\n\n14:14.286 --> 14:15.335\n抗生素呢，\n\n14:15.635 --> 14:19.435\n提前服用对于慢性咽炎复发没有任何好处，\n\n14:19.885 --> 14:22.635\n除非患者的链球菌培养阳性，\n\n14:22.935 --> 14:24.786\n否则抗生素使用呢，\n\n14:24.935 --> 14:26.635\n利小于弊。\n\n14:27.890 --> 14:28.190\n嗯。\n\n14:31.578 --> 14:32.927\n慢性咽炎的患者呢，\n\n14:33.127 --> 14:35.278\n有出现以下症状呢，\n\n14:35.377 --> 14:37.177\n建议患者必须复诊。\n\n14:37.528 --> 14:38.377\n首先呢，\n\n14:38.377 --> 14:42.978\n如果患者的声音嘶哑持续超过两周不能够缓解，\n\n14:43.078 --> 14:45.528\n这可能是患者病情加重的信号，\n\n14:45.677 --> 14:47.028\n需要及时就医。\n\n14:47.677 --> 14:48.028\n嗯，\n\n14:48.028 --> 14:54.127\n有些慢性咽炎的患者出现了痰中带血吞咽困难或呼吸喘鸣的症状，\n\n14:54.278 --> 14:55.552\n这些症状呢，\n\n14:55.552 --> 14:56.802\n可以提示呢，\n\n14:56.802 --> 14:59.078\n患者有合并其他严重的疾病。\n\n14:59.278 --> 15:00.078\n建议患者，\n\n15:00.078 --> 15:01.778\n如果出现这些症状呢？\n\n15:01.976 --> 15:03.526\n必须立即的就医。\n\n15:04.625 --> 15:05.950\n如果应用了药物，\n\n15:05.950 --> 15:07.276\n出现了过敏反应，\n\n15:07.325 --> 15:09.476\n比如说皮疹或喉头水肿，\n\n15:09.726 --> 15:12.676\n应该立即停止用药并且就医。\n\n15:16.460 --> 15:17.710\n慢性咽炎的患者呢，\n\n15:17.710 --> 15:22.161\n我们建议患者通过对过去四周的症状进行打分，\n\n15:22.710 --> 15:24.810\n对咽部有没有异物感啊，\n\n15:24.861 --> 15:26.861\n咽部有没有干痒症状啊，\n\n15:26.861 --> 15:31.710\n有没有晨起咳嗽和用嗓后加重等症状进行评分。\n\n15:32.411 --> 15:32.760\n嗯，\n\n15:32.760 --> 15:34.310\n评分是零到5分，\n\n15:34.661 --> 15:36.861\n零分症状比较多，\n\n15:36.861 --> 15:38.560\n五分症状比较少。\n\n15:39.060 --> 15:41.885\n如果总分达到超过十二分呢，\n\n15:41.885 --> 15:45.760\n建议患者前往医院复查电子鼻咽镜。\n\n15:46.344 --> 15:47.044\n同时呢，\n\n15:47.044 --> 15:52.895\n患者通过在线评分保存记录可以长期最终患者的症状变化，\n\n15:53.094 --> 15:53.744\n这个呢，\n\n15:53.744 --> 15:54.869\n在临床当中呢，\n\n15:54.869 --> 15:58.244\n我们应用效果是非常非常好的。\n\n15:59.344 --> 16:01.520\n对于慢性咽炎呢，\n\n16:01.520 --> 16:02.094\n我们要。\n\n16:03.760 --> 16:06.260\n对疾病进行良好的认知，\n\n16:06.760 --> 16:09.460\n慢性咽炎良好的生活习惯呢，\n\n16:09.460 --> 16:11.059\n可以使它风平浪静。\n\n16:11.809 --> 16:12.184\n嗯，\n\n16:12.184 --> 16:14.210\n记住三句关键的。\n\n16:15.432 --> 16:20.731\n语言慢性咽炎的患者必须找病因、改习惯、勤复查，\n\n16:21.031 --> 16:24.632\n这是科学管理慢性咽炎的核心要点。\n\n16:25.655 --> 16:27.854\n慢性咽炎是个慢性疾病，\n\n16:28.054 --> 16:31.054\n对患者的生活和工作造成了困扰。\n\n16:31.955 --> 16:35.354\n医生将和患者携手守护呼吸道的健康，\n\n16:35.604 --> 16:36.604\n积极随访，\n\n16:36.705 --> 16:38.755\n确保长期管理的效果。\n\n16:41.864 --> 16:42.265\n嗯，\n\n16:42.265 --> 16:44.015\n今天的讲座就到这里，\n\n16:44.164 --> 16:45.664\n感谢大家的观看。\n\n","v0d47cg10004d70bh3qljht9rov1aqj0",1011,621,"2026-01-26 11:07:47","高清MP4视频下载 - 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