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--> 00:07.263\n嗯，\n\n00:07.263 --> 00:07.837\n大家好，\n\n00:08.038 --> 00:11.288\n今天我来讲一下慢性咽炎的概述。\n\n00:12.409 --> 00:15.659\n慢性咽炎属于常见病与多发病，\n\n00:15.659 --> 00:17.459\n多与气候变化有关，\n\n00:17.659 --> 00:18.985\n与生活习惯啊，\n\n00:18.985 --> 00:19.709\n抽烟啊，\n\n00:19.709 --> 00:21.459\n喝酒都有莫大的关系。\n\n00:22.010 --> 00:25.135\n我们先来看一下慢性咽炎的目录啊，\n\n00:25.135 --> 00:30.209\n讲这次讲课的目录包括慢性咽炎的定义与分类。\n\n00:31.107 --> 00:33.207\n慢性咽炎的诊断与鉴别？\n\n00:34.617 --> 00:36.117\n它的预防与教育，\n\n00:36.617 --> 00:38.516\n慢性咽炎的临床表现，\n\n00:39.016 --> 00:40.916\n还有治疗与护理，\n\n00:41.067 --> 00:43.416\n还有对慢性咽炎的未来展望。\n\n00:47.089 --> 00:50.638\n我们先来看一下慢性咽炎的定义与分类。\n\n00:54.638 --> 00:55.488\n慢性咽炎，\n\n00:55.738 --> 01:03.238\n它包括慢性单纯性咽炎、慢性肥厚性咽炎和慢性萎缩性咽炎。\n\n01:04.702 --> 01:07.052\n依据病史、症状和体征，\n\n01:07.351 --> 01:09.152\n结合喉镜检查呢，\n\n01:09.202 --> 01:10.501\n可以进行诊断。\n\n01:11.561 --> 01:13.061\n它的诊断标准包括，\n\n01:13.512 --> 01:20.662\n常见症状有咽部干燥、异物感、痒痛和吞咽困难。\n\n01:21.707 --> 01:26.507\n它的常见类型包括咽部黏膜慢性炎症。\n\n01:26.607 --> 01:30.056\n它具有病程长、反复发作的特点。\n\n01:33.060 --> 01:34.611\n先来看一下它的病因。\n\n01:35.646 --> 01:37.295\n那病因多种多样，\n\n01:37.545 --> 01:38.945\n包括有感染，\n\n01:39.396 --> 01:42.195\n比如说上呼吸道感染迁延不愈，\n\n01:42.695 --> 01:43.746\n包括过敏，\n\n01:44.396 --> 01:46.846\n还有理化刺激性抽烟啊，\n\n01:46.846 --> 01:47.621\n喝酒啊，\n\n01:47.621 --> 01:48.445\n寒冷啊，\n\n01:48.795 --> 01:50.521\n或者温度的急剧改变，\n\n01:50.521 --> 01:52.096\n都会引起慢性咽炎。\n\n01:52.396 --> 01:53.646\n那它的诱因呢，\n\n01:54.096 --> 01:57.146\n有生活习惯、职业习惯。\n\n01:58.100 --> 01:58.276\n嗯，\n\n01:58.276 --> 02:01.850\n气候环境均可诱发慢性咽炎。\n\n02:03.571 --> 02:10.472\n还有空气污染、吸烟、饮酒、过度用声等可加重咽部的炎症。\n\n02:11.643 --> 02:11.994\n当然，\n\n02:12.343 --> 02:19.093\n现在还发现它与遗传和免疫功能异常也可能参与到慢性咽炎的发生。\n\n02:22.382 --> 02:24.231\n我们来看一下流行病学。\n\n02:28.141 --> 02:29.442\n它的发病率呢，\n\n02:29.641 --> 02:31.042\n因为空气污染。\n\n02:31.968 --> 02:32.917\n逐年上升，\n\n02:32.968 --> 02:35.117\n已成为常见的咽部疾病。\n\n02:37.798 --> 02:39.048\n秋冬季节高发，\n\n02:39.298 --> 02:43.397\n这可能与气候干燥和室内的空气污染有关。\n\n02:44.298 --> 02:44.697\n嗯，\n\n02:44.697 --> 02:46.498\n我们研究发现，\n\n02:46.848 --> 02:49.473\n成人更容易患慢性咽炎，\n\n02:49.473 --> 02:52.147\n而女性患病率略高于男性。\n\n02:54.391 --> 02:57.341\n在气候干燥和污染严重的地区，\n\n02:57.742 --> 02:59.992\n慢性咽炎的发病率较高。\n\n03:04.098 --> 03:07.048\n我们来着重看一下慢性咽炎的临床表现。\n\n03:08.919 --> 03:10.369\n它主要表现为。\n\n03:12.285 --> 03:16.936\n咳嗽与喉咙痛常常表现为刺激性干咳，\n\n03:17.235 --> 03:18.035\n喉咙痛，\n\n03:18.136 --> 03:20.436\n尤其是在吞咽时加剧。\n\n03:22.725 --> 03:24.875\n还有吞咽困难与异物感，\n\n03:25.225 --> 03:25.600\n嗯，\n\n03:25.600 --> 03:28.475\n慢性咽炎有可能让声音变得沙哑，\n\n03:28.625 --> 03:30.625\n严重时发音困难，\n\n03:30.625 --> 03:32.425\n有影响日常的交流。\n\n03:34.080 --> 03:35.830\n在吞咽食物时，\n\n03:35.830 --> 03:37.804\n时常感觉困难，\n\n03:37.804 --> 03:40.080\n喉咙有异物感而影响饮食。\n\n03:41.865 --> 03:43.115\n而咽喉干燥呢，\n\n03:43.115 --> 03:44.216\n还伴有异物感，\n\n03:44.216 --> 03:46.766\n频繁清嗓有感觉咽部不适。\n\n03:49.850 --> 03:50.901\n慢性咽炎的检查，\n\n03:51.151 --> 03:59.651\n它可以通过喉镜检查、咽部触诊、听诊与声带检查和实验室检测四个方面，\n\n04:00.050 --> 04:01.076\n我们先来看，\n\n04:01.076 --> 04:02.951\n先来看一下喉镜检查，\n\n04:03.600 --> 04:07.001\n通过喉镜观察喉部粘膜的情况，\n\n04:07.501 --> 04:10.550\n检查是否有炎症或者病变。\n\n04:11.858 --> 04:12.108\n嗯。\n\n04:12.861 --> 04:15.912\n在听诊检查有无异常的呼吸音，\n\n04:16.261 --> 04:18.812\n来观察声带运动情况。\n\n04:20.222 --> 04:25.673\n然后可以进行血常规等实验室的检测来辅助诊断。\n\n04:26.763 --> 04:27.263\n医生，\n\n04:27.263 --> 04:32.263\n也可以通过触诊检查咽部有无肿大或者压痛。\n\n04:36.281 --> 04:38.730\n慢性咽炎同样具有并发症，\n\n04:39.080 --> 04:45.781\n它可以并发成并发慢性喉炎、支气管炎等呼吸系统的疾病。\n\n04:47.727 --> 04:51.627\n他对生活、工作、对心理都有一定的危害性。\n\n04:52.377 --> 04:53.477\n在工作上。\n\n04:55.315 --> 04:55.565\n嗯，\n\n04:55.864 --> 04:58.989\n尤其是需要频繁讲话的职业呢，\n\n04:58.989 --> 05:00.364\n就特别影响工作。\n\n05:00.464 --> 05:03.165\n工作的表现在生活上呢，\n\n05:03.165 --> 05:05.165\n因为你咽部不适，\n\n05:05.464 --> 05:08.065\n可能会影响你的睡眠质量，\n\n05:08.565 --> 05:10.364\n从而降低生活质量。\n\n05:11.820 --> 05:12.920\n长期不适呢，\n\n05:12.920 --> 05:15.720\n长期咽部不适有可能导致焦虑啊，\n\n05:15.720 --> 05:17.420\n抑郁等心理的问题。\n\n05:20.194 --> 05:23.144\n我们来看一下慢性咽炎的诊断与鉴别。\n\n05:27.364 --> 05:27.714\n第一步，\n\n05:27.714 --> 05:29.515\n我们是病史采集，\n\n05:30.015 --> 05:32.765\n来综合了解患者的病史，\n\n05:33.114 --> 05:38.015\n包括症状、起始、持续时间、加重因素等，\n\n05:38.265 --> 05:41.515\n为慢性咽炎的诊断提供重要的线索。\n\n05:43.476 --> 05:49.126\n再利用实验室检测、影像学检查等手段辅助诊断，\n\n05:49.376 --> 05:51.626\n排除其他可能的疾病。\n\n05:53.221 --> 05:58.921\n再通过喉镜检查、咽部触诊等观察咽部黏膜变化，\n\n05:59.272 --> 06:01.872\n判断有无炎症或者异常。\n\n06:04.740 --> 06:07.290\n我们遵循规范的诊断流程，\n\n06:07.640 --> 06:10.540\n从病史采集到临床检查，\n\n06:10.790 --> 06:12.265\n再到辅助检查，\n\n06:12.265 --> 06:14.390\n以确保诊断的准确性。\n\n06:17.044 --> 06:21.044\n慢性咽炎与其他疾病也要进行鉴别诊断。\n\n06:22.641 --> 06:24.967\n与其他咽部疾病的鉴别呢，\n\n06:24.967 --> 06:28.166\n可以区分慢性咽炎与其他咽部疾病，\n\n06:28.166 --> 06:29.842\n如慢性扁桃体炎。\n\n06:30.717 --> 06:31.666\n咽异感症。\n\n06:34.320 --> 06:37.619\n先来看一下与呼吸系统疾病的鉴别，\n\n06:38.269 --> 06:44.619\n要注意慢性咽炎与消化系统疾病如胃食管反流病的鉴别，\n\n06:45.019 --> 06:48.320\n这可以通过胃镜等检查进行区别。\n\n06:50.510 --> 06:52.811\n与消化系统疾病的鉴别呢，\n\n06:53.010 --> 06:55.960\n是鉴别慢性咽炎与免疫系统疾病。\n\n06:58.507 --> 07:02.108\n如系统性红斑狼疮、干燥综合症等，\n\n07:02.157 --> 07:04.657\n要需要综合评估免疫功能。\n\n07:08.687 --> 07:09.036\n当然，\n\n07:09.087 --> 07:16.636\n与免疫系统鉴别的诊断还要需要排除与呼吸系统疾病如慢性支气管炎、哮喘等的混淆，\n\n07:16.786 --> 07:20.687\n这需要详细的询问病史和建筑，\n\n07:20.837 --> 07:22.386\n借助理化检查。\n\n07:25.182 --> 07:27.057\n在慢性咽炎的诊断中，\n\n07:27.057 --> 07:29.582\n我们要避免误诊与漏诊。\n\n07:31.028 --> 07:35.703\n在注意避免因症状相似导致的误诊或漏诊。\n\n07:35.703 --> 07:37.278\n需要细致的分析。\n\n07:38.846 --> 07:41.696\n依据专业诊断标准与指南，\n\n07:41.996 --> 07:44.545\n确保诊断结果准确可靠，\n\n07:44.746 --> 07:46.596\n要符合医学的规范。\n\n07:48.868 --> 07:52.518\n在必要时可以采取多学科联合诊断，\n\n07:52.868 --> 07:56.067\n提高诊断的全面性和准确性。\n\n07:58.266 --> 08:00.217\n我们也要进行患者教育，\n\n08:00.467 --> 08:04.266\n要对患者进行充分的疾病知识教育，\n\n08:04.467 --> 08:07.516\n提高其自我管理意识和能力，\n\n08:07.516 --> 08:08.617\n促进康复。\n\n08:11.022 --> 08:14.171\n我们再来看一下慢性咽炎的治疗与护理。\n\n08:16.571 --> 08:18.121\n慢性咽炎的治疗呢，\n\n08:18.420 --> 08:18.821\n嗯，\n\n08:18.971 --> 08:24.621\n可以用抗炎药物、解痉药物、抗病毒药物和中药治疗。\n\n08:25.071 --> 08:25.645\n首先，\n\n08:25.645 --> 08:27.571\n我们来看一下抗炎药物。\n\n08:28.221 --> 08:31.471\n抗炎药物可以减轻咽部的炎症，\n\n08:31.821 --> 08:36.620\n常用的药物有泼尼松、地塞米松等激素类。\n\n08:40.107 --> 08:41.182\n抗病毒药物呢，\n\n08:41.182 --> 08:43.408\n可以用于病毒性咽炎。\n\n08:44.773 --> 08:46.922\n如利巴韦林、干扰素等。\n\n08:47.958 --> 08:49.258\n解痉药物呢？\n\n08:50.179 --> 08:50.403\n嗯，\n\n08:50.403 --> 08:53.078\n可以缓解咽部肌肉痉挛。\n\n08:53.379 --> 08:56.679\n常用药物有普鲁卡因、阿托品等。\n\n08:58.314 --> 08:59.314\n那中药治疗呢，\n\n08:59.314 --> 09:01.713\n可以通过辨证施治，\n\n09:01.963 --> 09:05.814\n使用清热解毒、养阴润肺的中药方剂。\n\n09:07.184 --> 09:08.534\n还可以用中药泡茶，\n\n09:08.835 --> 09:12.135\n比如说胖大海、罗汉果、木蝴蝶等，\n\n09:12.234 --> 09:15.835\n可以寻找专业的中医医生进行辨证施治。\n\n09:19.169 --> 09:20.169\n非药物治疗。\n\n09:21.625 --> 09:22.276\n看一下啊，\n\n09:22.276 --> 09:29.526\n我们可以采取声音休息、咽部护理、蒸汽吸入和心理支持的方式。\n\n09:31.479 --> 09:33.729\n是我们可以减少用声，\n\n09:33.979 --> 09:36.030\n避免避免过度用力，\n\n09:36.179 --> 09:38.630\n让声带得到充分的休息。\n\n09:39.781 --> 09:40.981\n咽部护理呢，\n\n09:40.981 --> 09:43.031\n可以保持咽部的清洁，\n\n09:43.382 --> 09:45.081\n可用盐水漱口，\n\n09:45.382 --> 09:47.182\n减少细菌的滋生。\n\n09:48.742 --> 09:54.293\n也可以通过吸入蒸汽缓解咽部干燥和疼痛。\n\n09:55.650 --> 09:55.849\n当然，\n\n09:55.849 --> 09:58.200\n因为慢性咽炎迁延不愈，\n\n09:58.750 --> 09:59.150\n嗯，\n\n09:59.599 --> 10:01.150\n影响生活质量，\n\n10:01.250 --> 10:03.150\n可以提供心理咨询，\n\n10:03.150 --> 10:05.900\n以患减轻患者心理压力，\n\n10:06.150 --> 10:07.349\n改善情绪。\n\n10:08.934 --> 10:11.835\n慢性咽炎与生活方式密切相关，\n\n10:12.184 --> 10:15.734\n我们也可以采用生活方式调整的。\n\n10:16.796 --> 10:17.646\n进行减缓。\n\n10:19.112 --> 10:20.213\n慢性咽炎的症状。\n\n10:21.653 --> 10:22.604\n可以从饮食。\n\n10:24.012 --> 10:28.661\n增强免疫力和环境和生活习惯入手。\n\n10:29.510 --> 10:32.161\n比如说在饮食调整方面，\n\n10:32.611 --> 10:33.611\n我们可以。\n\n10:34.695 --> 10:37.495\n避免辛辣刺激的食物，\n\n10:37.895 --> 10:38.296\n嗯，\n\n10:38.296 --> 10:39.195\n避免吃，\n\n10:39.945 --> 10:40.346\n嗯，\n\n10:40.645 --> 10:43.395\n多吃清淡易消化的食物。\n\n10:48.635 --> 10:52.536\n在通过运动、合理饮食等手段，\n\n10:52.536 --> 10:55.335\n提供提高身体的抵抗力，\n\n10:55.335 --> 10:56.635\n增强免疫力。\n\n10:57.486 --> 10:59.260\n还有可以，\n\n10:59.260 --> 11:01.986\n生活习惯上可以规律作息，\n\n11:02.385 --> 11:04.335\n保持充足的睡眠，\n\n11:04.685 --> 11:05.835\n避免熬夜，\n\n11:05.835 --> 11:07.635\n减少咽部的负担。\n\n11:08.958 --> 11:09.958\n在环境上呢，\n\n11:09.958 --> 11:12.458\n可以保持室内的空气流通，\n\n11:12.859 --> 11:17.559\n避免烟雾、灰尘等对咽喉的不良不良刺激。\n\n11:21.591 --> 11:25.341\n接下来我们来看一下慢性咽炎的预防与教育。\n\n11:27.177 --> 11:35.677\n从健康生活方式、环境保护、免疫力提升和四定期体检的四个方面入手。\n\n11:37.137 --> 11:38.687\n健康生活方式呢，\n\n11:38.687 --> 11:42.187\n主要是改善室内的空气质量，\n\n11:42.486 --> 11:44.637\n减少污染物的吸收。\n\n11:45.723 --> 11:49.323\n避免长时间处于干燥或者污染的环境中。\n\n11:51.625 --> 11:53.176\n保持规律的作息，\n\n11:53.726 --> 11:55.325\n戒烟限酒，\n\n11:55.825 --> 11:57.426\n避免过度劳累，\n\n11:57.726 --> 11:59.125\n以增强体质，\n\n11:59.176 --> 12:01.776\n减少慢性咽炎的发生风险。\n\n12:02.892 --> 12:05.192\n也可以通过合理的饮食，\n\n12:05.642 --> 12:06.742\n适量运动，\n\n12:06.992 --> 12:10.192\n充足睡眠等方式提高免疫力，\n\n12:10.341 --> 12:11.992\n减少感染机会，\n\n12:12.692 --> 12:14.892\n并进行定期体检。\n\n12:15.442 --> 12:18.224\n定期可以进行咽喉部检查，\n\n12:18.224 --> 12:21.291\n及时发现并治疗慢性咽喉炎，\n\n12:21.442 --> 12:23.192\n防止病情恶化。\n\n12:26.268 --> 12:28.968\n慢性咽炎作为常见病和多发病，\n\n12:29.318 --> 12:32.393\n对对患者进行健康教育，\n\n12:32.393 --> 12:36.268\n指导患者如何预防与治疗慢性咽喉炎。\n\n12:36.869 --> 12:44.568\n首先我们要向公众普及慢性咽炎的病因、症状和预防知识，\n\n12:44.919 --> 12:48.119\n以此来提高大众的健康意识。\n\n12:50.698 --> 12:54.448\n并教育患者如何自我监测病情，\n\n12:54.848 --> 12:55.999\n合理用药，\n\n12:56.148 --> 12:58.299\n以避免病情的加重。\n\n13:00.458 --> 13:08.158\n通过社区活动、宣传栏等形式加强慢性咽炎的健康教育，\n\n13:08.307 --> 13:11.107\n提升社区健康水平。\n\n13:13.046 --> 13:19.046\n并指导患者家属如何协助患者进行家庭护理，\n\n13:19.245 --> 13:23.046\n包括饮食调理和日常保健。\n\n13:26.573 --> 13:29.674\n我们来看一下慢性咽炎的未来展望。\n\n13:33.603 --> 13:36.552\n目前的研究进展在病因上，\n\n13:36.953 --> 13:39.953\n随着病因研究的不断深入，\n\n13:40.853 --> 13:45.802\n探索慢性咽炎与环境、遗传等因素的关联，\n\n13:46.252 --> 13:49.603\n为预防提供科学依据。\n\n13:50.804 --> 13:53.155\n从诊断技术层面来说，\n\n13:53.505 --> 13:56.554\n目前的诊断技术在不断更新中，\n\n13:57.054 --> 14:01.304\n如喉镜检查、生物标志物检测等，\n\n14:01.655 --> 14:05.655\n提高诊断的准确性和早期发现率。\n\n14:07.051 --> 14:08.601\n在治疗方法上，\n\n14:09.101 --> 14:11.750\n治疗方法在持续创新中，\n\n14:12.450 --> 14:17.500\n如药物治疗、物理疗法、中医中药等，\n\n14:17.851 --> 14:19.651\n旨在减轻症状，\n\n14:19.901 --> 14:21.801\n改善生活质量。\n\n14:23.978 --> 14:25.728\n从预防层面上来说，\n\n14:26.078 --> 14:32.728\n预防策略研究主要聚焦的是生活习惯、环境改善等，\n\n14:33.078 --> 14:36.677\n力求降低慢性咽炎的发病率。\n\n14:40.004 --> 14:41.304\n在医疗政策。\n\n14:43.361 --> 14:43.961\n保障上。\n\n14:45.531 --> 14:49.330\n政府出台了更多医疗保障政策，\n\n14:49.681 --> 14:54.731\n以确保慢性咽炎患者得到及时有效的治疗。\n\n14:55.966 --> 14:56.817\n在疾病，\n\n14:56.817 --> 15:02.317\n并且制定和更新了慢性咽炎疾病管理指南，\n\n15:02.666 --> 15:06.817\n为临床医生提供规范化治疗方案。\n\n15:09.405 --> 15:12.405\n目前我们在整合医疗资源，\n\n15:12.804 --> 15:15.804\n提高慢性咽炎治疗的可及性，\n\n15:16.455 --> 15:19.104\n缩短患者等待的时间。\n\n15:22.681 --> 15:24.380\n在公共宣传方面，\n\n15:24.531 --> 15:27.731\n我们已经加大了公共宣传的力度，\n\n15:28.080 --> 15:31.531\n提高大众对慢性咽炎的认识，\n\n15:31.880 --> 15:34.380\n促进健康的生活方式。\n\n15:36.713 --> 15:38.914\n慢性咽炎迁延不愈，\n\n15:39.064 --> 15:41.864\n患者心理状态不能缓解，\n\n15:41.864 --> 15:44.614\n常常有焦虑、抑郁的情况。\n\n15:45.669 --> 15:48.570\n这时候我们就必须要做患者的关怀。\n\n15:51.849 --> 15:54.400\n我们可以从患者的。\n\n15:55.580 --> 15:55.781\n嗯，\n\n15:55.931 --> 15:58.281\n关注患者的生活质量，\n\n15:58.681 --> 16:01.281\n提供个性化的治疗方案，\n\n16:01.731 --> 16:04.531\n帮助患者恢复正常的生活。\n\n16:06.632 --> 16:10.182\n并且提供心理支持和社会关怀，\n\n16:10.482 --> 16:13.583\n以此减轻患者的心理压力，\n\n16:13.882 --> 16:15.783\n增强治疗的信心。\n\n16:18.992 --> 16:20.992\n开展患者教育活动，\n\n16:21.341 --> 16:23.541\n提高自我管理能力，\n\n16:23.841 --> 16:27.992\n并且鼓励患者参与到社会活动中去。\n\n16:30.265 --> 16:34.515\n对慢性咽炎患者进行持续关爱和支持，\n\n16:34.966 --> 16:37.616\n建立长期的跟踪机制，\n\n16:37.866 --> 16:39.866\n确保它的治疗效果。\n\n16:40.758 --> 16:41.758\n在治疗方面，\n\n16:42.008 --> 16:44.158\n我们还可以局部的用药，\n\n16:44.408 --> 16:46.958\n可以直接缓解眼屎。\n\n16:48.091 --> 16:49.742\n我们可以用含漱液，\n\n16:50.142 --> 16:54.742\n比如复方硼砂溶液、呋喃西林溶液，\n\n16:54.992 --> 16:57.242\n可以清洁咽部的黏膜，\n\n16:57.291 --> 16:58.492\n减轻炎症。\n\n16:58.892 --> 17:00.492\n每日2.3次。\n\n17:00.992 --> 17:04.391\n含漱时可以头后仰发音，\n\n17:04.641 --> 17:07.192\n使药液充分接触咽部。\n\n17:08.743 --> 17:11.993\n我们还可以采取含片喷雾剂的方式，\n\n17:12.343 --> 17:13.692\n比较容易接受，\n\n17:13.942 --> 17:17.493\n比如薄荷喉片、西瓜霜含片，\n\n17:17.892 --> 17:20.792\n可缓解咽部干燥与异物感。\n\n17:21.243 --> 17:23.081\n咽部瘙痒明显者，\n\n17:23.081 --> 17:26.192\n可以使用含抗组胺成分的含片，\n\n17:26.542 --> 17:28.243\n如氯雷他定含片。\n\n17:28.692 --> 17:30.743\n萎缩性咽炎的患者呢？\n\n17:32.130 --> 17:34.480\n如咽喉黏膜干燥与假皮，\n\n17:34.880 --> 17:38.480\n可以使用鱼肝油含片促进粘膜的修复。\n\n17:41.296 --> 17:44.097\n如果有肥厚性咽炎患者，\n\n17:44.097 --> 17:47.197\n若咽部淋巴滤泡增生明显，\n\n17:47.496 --> 17:53.296\n可在医生指导下使用10%硝酸银溶液涂抹滤泡，\n\n17:53.546 --> 17:56.597\n或进行糖皮质激素局部治疗，\n\n17:56.947 --> 17:58.197\n减轻增生，\n\n17:58.546 --> 18:01.021\n但需注意避免过度治疗，\n\n18:01.021 --> 18:02.646\n防止粘膜萎缩。\n\n18:05.338 --> 18:09.588\n我们还可以针对针对慢性咽炎进行全身的用药，\n\n18:09.988 --> 18:10.387\n嗯，\n\n18:10.387 --> 18:12.437\n可采用中药的方法，\n\n18:12.437 --> 18:14.037\n比如说中成药，\n\n18:14.437 --> 18:16.988\n这个都就需要辨证使用。\n\n18:17.838 --> 18:25.588\n比如慢性单纯性咽炎属肺肾阴虚者可以服用六味地黄丸养阴。\n\n18:26.708 --> 18:29.508\n清肺丸缓解咽干咽痒，\n\n18:30.008 --> 18:32.657\n属脾胃虚弱者可食用。\n\n18:34.183 --> 18:37.933\n健脾的药物来改善咽部异物感与乏力。\n\n18:38.433 --> 18:42.833\n急性发作期咽部疼痛加重伴发热，\n\n18:43.134 --> 18:46.784\n可短期服用清热解毒类药物辅助抗炎。\n\n18:49.262 --> 18:50.512\n在物理治疗上，\n\n18:50.662 --> 18:53.463\n我们可以辅助改善局部的循环。\n\n18:55.025 --> 18:57.000\n比如激光、低温等。\n\n18:57.000 --> 19:00.375\n一次治疗适用于肥厚性咽喉炎。\n\n19:02.133 --> 19:03.833\n还有超声雾化吸入，\n\n19:04.133 --> 19:08.782\n将生理盐水、糖皮质激素或化痰药物制成雾状，\n\n19:08.983 --> 19:11.932\n通过吸入直接作用于眼部黏膜，\n\n19:12.032 --> 19:13.083\n缓解干燥，\n\n19:13.083 --> 19:14.532\n稀释分泌物，\n\n19:14.883 --> 19:17.833\n适合咽干痰多的患者。\n\n19:19.193 --> 19:20.918\n慢性咽炎患者呢，\n\n19:20.918 --> 19:23.744\n就必须要做好自己的生活管理，\n\n19:24.244 --> 19:26.744\n这个要做到长期坚持，\n\n19:26.793 --> 19:27.894\n预防复发。\n\n19:29.105 --> 19:32.156\n因为慢性咽炎的治疗并非一劳永逸，\n\n19:32.456 --> 19:37.105\n长期生活管理是减少复发、巩固疗效的关键。\n\n19:42.358 --> 19:47.258\n需要从饮食、用嗓、环境、作息四方面入手。\n\n19:48.819 --> 19:50.869\n首先来看一下饮食调整，\n\n19:51.119 --> 19:53.069\n以清淡易消化，\n\n19:53.069 --> 19:55.569\n富含维生素类的食物为主，\n\n19:55.969 --> 19:57.719\n多吃新鲜蔬菜。\n\n19:58.734 --> 20:01.484\n如菠菜、西兰花、水果。\n\n20:01.984 --> 20:04.833\n补充维生素C与维生素B族，\n\n20:05.284 --> 20:06.884\n促进黏膜修复，\n\n20:07.284 --> 20:09.884\n避免辛辣、辣椒、生姜。\n\n20:10.866 --> 20:13.241\n过烫超过60°的食物，\n\n20:13.241 --> 20:14.467\n过咸食物，\n\n20:14.817 --> 20:16.467\n减少咽部刺激，\n\n20:16.717 --> 20:19.817\n每日饮水1500.2000ml，\n\n20:20.067 --> 20:21.366\n以温水为宜，\n\n20:21.666 --> 20:23.266\n使阴部湿润。\n\n20:26.244 --> 20:30.145\n我们要避免长时间大声说话、喊叫，\n\n20:30.545 --> 20:33.145\n说话时保持语速平稳，\n\n20:33.444 --> 20:34.594\n音量适中。\n\n20:36.232 --> 20:40.631\n教师、歌手等职业人群需掌握腹式呼吸法，\n\n20:40.881 --> 20:43.432\n减轻声带与咽部负担，\n\n20:43.682 --> 20:45.281\n每用嗓1小时，\n\n20:45.332 --> 20:46.631\n休息10分钟。\n\n20:47.765 --> 20:51.191\n可通过闭口哼唱放松咽部肌肉，\n\n20:51.191 --> 20:54.865\n感冒或咽部不适时尽量减少用嗓，\n\n20:55.066 --> 20:57.316\n避免症状加重加重。\n\n21:01.308 --> 21:02.058\n在临床中，\n\n21:02.359 --> 21:06.458\n许多患者因认知偏差导致治疗效果不佳，\n\n21:06.909 --> 21:08.659\n甚至加重病情。\n\n21:08.909 --> 21:11.359\n需要警惕以下的误区。\n\n","v0347cg10004d70c5lqljht24heco410",1278,799,"2026-01-26 11:11:18"," 医士通视频教程 - 20251023115734专业医疗知识分享  "," 医士通,医疗视频,医学教程,专业医士培训,20251023115734,医疗知识,医学教育  "," 观看医士通专业医疗视频教程（编号20251023115734），获取权威医学知识和实用技能培训，助力提升医疗从业者的专业水平。","2026-04-29 21:30:00",[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 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