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--> 00:00.970\n嗯。\n\n00:02.938 --> 00:05.888\n各位同道、各位专家、各位教授。\n\n00:06.656 --> 00:07.205\n晚上好，\n\n00:07.205 --> 00:09.855\n我是来自仁济医院的格林娜医生。\n\n00:10.864 --> 00:17.264\n今天我和大家分享的主题是流感后咳嗽症状解析与防治建议。\n\n00:19.680 --> 00:22.129\n我将从五个方面进行分享，\n\n00:22.729 --> 00:25.280\n第一个方面就是流感后咳嗽的一个特点。\n\n00:26.298 --> 00:26.572\n第二呢，\n\n00:26.572 --> 00:28.048\n就是家庭护理与治疗，\n\n00:28.197 --> 00:30.697\n第三就是咳嗽期间的方面细节。\n\n00:31.530 --> 00:33.380\n第四就是高频误区澄清，\n\n00:33.529 --> 00:36.130\n第五就是给我们居民的一个付费清单。\n\n00:40.501 --> 00:41.902\n流感后的咳嗽特点。\n\n00:43.270 --> 00:46.370\n它的一个所谓的特点就是持续时间比较久。\n\n00:47.987 --> 00:50.937\n然后我们在门诊上碰到病人的一个主诉啊，\n\n00:50.937 --> 00:51.562\n就会讲，\n\n00:51.562 --> 00:51.987\n医生，\n\n00:51.987 --> 00:56.537\n我一周前、两周前或三周前感染过流感。\n\n00:57.270 --> 00:57.645\n但是呢，\n\n00:57.645 --> 00:58.669\n我还是在咳嗽。\n\n01:01.845 --> 01:03.244\n对于这类人群来说，\n\n01:03.244 --> 01:05.845\n它的一个特点就是咳嗽时间特别久。\n\n01:06.869 --> 01:08.369\n为什么会出现这种情况呢？\n\n01:09.179 --> 01:10.278\n我们知道流感病毒呢，\n\n01:10.278 --> 01:12.628\n它会破坏我们的呼吸道黏膜。\n\n01:13.538 --> 01:15.138\n引起一个气道高反应，\n\n01:15.438 --> 01:17.813\n所以即使他体温没有了，\n\n01:17.813 --> 01:19.513\n就是但是呢，\n\n01:19.513 --> 01:20.987\n它的残留的炎症呢，\n\n01:21.038 --> 01:22.288\n还是仍然存在，\n\n01:22.737 --> 01:23.087\n嗯，\n\n01:23.087 --> 01:23.938\n他的一个。\n\n01:24.907 --> 01:27.307\n是神经的一个刺激的症状，\n\n01:27.807 --> 01:28.133\n嗯，\n\n01:28.133 --> 01:30.708\n它还是它的修复需要一个过程。\n\n01:31.559 --> 01:31.684\n嗯，\n\n01:31.684 --> 01:35.660\n所以这个咳嗽的症状可能会持续两到四周，\n\n01:36.110 --> 01:40.059\n这是属于一个免疫细胞战后的经常正常的正常反应。\n\n01:41.123 --> 01:41.273\n嗯，\n\n01:41.273 --> 01:44.697\n但是对于超过四周仍然咳嗽，\n\n01:44.697 --> 01:45.572\n迁延不愈，\n\n01:45.572 --> 01:46.922\n会出现黄脓反应。\n\n01:47.810 --> 01:48.435\n喘息啊，\n\n01:48.435 --> 01:49.386\n胸闷啊，\n\n01:49.386 --> 01:50.060\n胸痛啊，\n\n01:50.060 --> 01:50.661\n咯血，\n\n01:51.161 --> 01:54.511\n那我们还是要去排查一下有没有肺炎、支气管炎。\n\n01:56.969 --> 01:57.994\n第二个大的特点呢，\n\n01:57.994 --> 01:59.319\n就是咳嗽类型不同，\n\n02:00.719 --> 02:01.119\n嗯，\n\n02:01.119 --> 02:02.469\n一个是干咳无痰。\n\n02:03.517 --> 02:04.443\n我知道流感病毒，\n\n02:04.443 --> 02:06.468\n它往往攻击是我们的上呼吸道。\n\n02:07.397 --> 02:08.897\n你的声纹是比较敏感，\n\n02:09.097 --> 02:09.847\n所以呢。\n\n02:11.089 --> 02:13.789\n往往会有一个咽喉部的痒感，\n\n02:14.240 --> 02:15.190\n他咳嗽呢，\n\n02:15.190 --> 02:17.389\n就是在平常的时候容易加重。\n\n02:18.287 --> 02:18.686\n对一下，\n\n02:18.686 --> 02:20.087\n一岁以上的人群呢，\n\n02:20.087 --> 02:21.486\n可以含服蜂蜜，\n\n02:21.486 --> 02:23.587\n可以舒缓咽喉部的刺激，\n\n02:23.936 --> 02:24.337\n嗯。\n\n02:26.016 --> 02:26.466\n药物呢，\n\n02:26.466 --> 02:29.216\n可以参考一些右美沙芬、氯雷他定。\n\n02:30.938 --> 02:32.087\n有痰难咳。\n\n02:33.408 --> 02:34.059\n痰液呢？\n\n02:35.764 --> 02:36.464\n为白色。\n\n02:37.602 --> 02:39.453\n我合并细菌感染的时候呢，\n\n02:39.453 --> 02:42.253\n往往是有黄绿色黄脓痰。\n\n02:43.369 --> 02:44.919\n对于老人和儿童呢，\n\n02:44.919 --> 02:46.770\n他那个排痰能力比较差，\n\n02:46.919 --> 02:48.195\n这两类人群呢，\n\n02:48.195 --> 02:49.770\n我们要特别的关注啊。\n\n02:50.593 --> 02:53.044\n那我们也可以采用拍背排痰法，\n\n02:53.544 --> 02:54.218\n药物呢，\n\n02:54.218 --> 02:56.444\n就是一个就是化痰，\n\n02:56.544 --> 02:59.143\n参考氨溴索乙酰半胱氨酸。\n\n03:01.813 --> 03:02.714\n可以加强化痰。\n\n03:04.261 --> 03:05.561\n易加重的人群呢，\n\n03:05.662 --> 03:07.136\n是有两大的人群的。\n\n03:07.136 --> 03:08.111\n感染流感后呢，\n\n03:08.111 --> 03:09.712\n他的一个症状容易加重。\n\n03:10.882 --> 03:11.856\n一个是过敏体质，\n\n03:11.856 --> 03:13.731\n一个是吸烟慢阻肺患者。\n\n03:14.751 --> 03:15.050\n我们知道，\n\n03:15.050 --> 03:16.001\n过敏体质呢，\n\n03:16.251 --> 03:18.550\n他的气道往往也是比较敏感的。\n\n03:18.901 --> 03:20.401\n病毒损伤后呢，\n\n03:20.550 --> 03:22.901\n更容易诱发出这种气道高反应，\n\n03:23.251 --> 03:25.350\n他的咳嗽就可能迁延不愈。\n\n03:27.121 --> 03:28.246\n对于这一代人群呢，\n\n03:28.246 --> 03:32.371\n我们可以使用一些抗过敏的药物来缓解气道高反应性。\n\n03:34.014 --> 03:34.988\n第二大人群呢，\n\n03:34.988 --> 03:36.113\n就易加重人群呢，\n\n03:36.113 --> 03:36.813\n是吸烟，\n\n03:37.164 --> 03:37.563\n嗯，\n\n03:37.664 --> 03:40.964\n或者或者是和有这个慢阻肺的患者。\n\n03:41.845 --> 03:41.945\n嗯，\n\n03:41.945 --> 03:43.070\n这一大的人群呢，\n\n03:43.070 --> 03:45.246\n他的抵抗力免疫力是比较低的，\n\n03:45.246 --> 03:50.145\n并且他的气道的一个修复能力比较弱，\n\n03:50.145 --> 03:52.046\n它的一个防御能力也比较弱。\n\n03:52.395 --> 03:56.296\n往往出现这个咳痰痰多咳痰费力。\n\n03:57.113 --> 03:58.513\n我们要建议及早就医，\n\n03:58.863 --> 03:59.263\n嗯，\n\n03:59.813 --> 04:01.813\n并且进行一个健康的宣教，\n\n04:01.863 --> 04:02.513\n戒烟，\n\n04:02.912 --> 04:03.287\n嗯，\n\n04:03.287 --> 04:05.813\n使用一些支气管的扩张剂缓解症状。\n\n04:10.636 --> 04:12.535\n第二个方面就是家庭护理治疗。\n\n04:14.330 --> 04:14.955\n因为流感嘛，\n\n04:14.955 --> 04:17.730\n大部分还是要在就是家庭护理，\n\n04:17.730 --> 04:20.031\n家庭护理方面还是比较重要的。\n\n04:23.259 --> 04:24.658\n最重要的是对症处理啊，\n\n04:24.658 --> 04:26.259\n对于干咳不止的啊，\n\n04:26.259 --> 04:28.109\n我们建议含服蜂蜜。\n\n04:28.459 --> 04:32.109\n睡前一勺蜂蜜可以舒缓咽喉部的刺激。\n\n04:32.509 --> 04:33.183\n药物呢，\n\n04:33.183 --> 04:35.183\n可以参考使用一些中枢进口药，\n\n04:35.183 --> 04:35.908\n用沙芬，\n\n04:36.509 --> 04:36.908\n嗯，\n\n04:37.009 --> 04:41.009\n或者使用一些抗过敏药来缓解气道高反应性。\n\n04:43.511 --> 04:44.911\n对于就是痰比较多，\n\n04:44.911 --> 04:46.511\n或者说咳痰费力，\n\n04:46.511 --> 04:47.386\n会咳痰的，\n\n04:47.386 --> 04:49.261\n那我们可以帮助他们排痰。\n\n04:49.312 --> 04:49.911\n拍背，\n\n04:50.111 --> 04:52.312\n空心掌从下往上轻叩，\n\n04:52.361 --> 04:53.286\n每日两次，\n\n04:53.286 --> 04:54.261\n每次5分钟。\n\n04:55.713 --> 04:55.963\n嗯，\n\n04:56.014 --> 04:58.914\n第二个方面就是在药物方面可以加强化痰。\n\n05:02.141 --> 05:03.041\n禁忌的提醒呢，\n\n05:03.041 --> 05:04.342\n就是强行镇咳。\n\n05:04.492 --> 05:05.992\n我们不能强行镇咳，\n\n05:05.992 --> 05:08.092\n因为尤其对一些，\n\n05:08.141 --> 05:11.766\n高龄虚弱、长期卧床、失智失能的，\n\n05:11.766 --> 05:13.242\n就是，\n\n05:13.641 --> 05:14.992\n患者还有一些。\n\n05:16.509 --> 05:16.609\n嗯，\n\n05:16.609 --> 05:18.459\n就是小朋友啊，\n\n05:18.808 --> 05:22.658\n我们是不建议进行一个强行整课的。\n\n05:23.904 --> 05:28.079\n因为你强强使用那个强行镇咳后呢，\n\n05:28.079 --> 05:30.404\n往往会导致一个痰不容易排出，\n\n05:30.755 --> 05:32.404\n反而会堵塞气道。\n\n05:33.240 --> 05:34.390\n第二个就是盲目消炎，\n\n05:34.841 --> 05:36.716\n如果没有一个病原学的依据，\n\n05:36.716 --> 05:38.816\n或者说没有一个感染的依据的话，\n\n05:38.816 --> 05:40.390\n我们不建议使用抗生素。\n\n05:43.473 --> 05:44.123\n中医食疗。\n\n05:45.161 --> 05:46.087\n中医食疗的话，\n\n05:46.087 --> 05:48.062\n一个对于就是咽干咽痒的话，\n\n05:48.062 --> 05:48.911\n只能可以。\n\n05:50.205 --> 05:51.756\n参考一下川贝炖梨，\n\n05:52.205 --> 05:53.355\n把梨去核，\n\n05:53.906 --> 05:55.055\n加川贝3g，\n\n05:55.055 --> 05:55.955\n冰糖10g，\n\n05:56.406 --> 05:57.455\n蒸30分钟。\n\n05:58.457 --> 05:58.682\n但是，\n\n05:58.682 --> 06:00.957\n对于虚寒体质不合适啊。\n\n06:00.957 --> 06:01.707\n你知道川贝，\n\n06:01.707 --> 06:04.506\n它有一个清热化痰、润肺止咳的功效。\n\n06:05.377 --> 06:05.451\n嗯，\n\n06:05.451 --> 06:08.127\n由于对于干咳无痰、咽干咽痒的患者呢，\n\n06:08.127 --> 06:10.377\n特别的第大类的症候群呢，\n\n06:10.726 --> 06:12.027\n效果是很好的。\n\n06:13.243 --> 06:14.118\n对痰湿咳，\n\n06:14.118 --> 06:15.343\n陈皮生姜水，\n\n06:15.794 --> 06:16.843\n陈皮5g，\n\n06:16.843 --> 06:19.794\n生姜三片进行煮沸来化痰暖胃。\n\n06:20.194 --> 06:20.968\n陈皮呢，\n\n06:20.968 --> 06:22.743\n它有一个理气健脾的。\n\n06:23.690 --> 06:23.839\n嗯，\n\n06:23.839 --> 06:24.790\n燥湿化痰，\n\n06:24.890 --> 06:25.739\n生姜呢，\n\n06:25.739 --> 06:26.940\n温中散寒，\n\n06:27.339 --> 06:31.989\n两者搭配就是起到一个缓解痰湿咳嗽。\n\n06:34.854 --> 06:35.503\n康复训练。\n\n06:36.345 --> 06:38.394\n三分动一个锁唇呼吸，\n\n06:39.095 --> 06:40.445\n就鼻吸气两秒，\n\n06:40.494 --> 06:41.144\n然后呢，\n\n06:41.144 --> 06:43.945\n像吹口哨一样缓慢的呼吸4秒。\n\n06:44.622 --> 06:45.148\n每日3组，\n\n06:45.148 --> 06:45.847\n每组10次。\n\n06:45.847 --> 06:46.997\n锻炼膈肌的功能，\n\n06:46.997 --> 06:48.197\n增加气道压力，\n\n06:48.197 --> 06:51.072\n帮助排出肺内残余气体，\n\n06:51.273 --> 06:52.423\n改善肺功能。\n\n06:53.872 --> 06:55.173\n在进行练习时呢，\n\n06:55.173 --> 06:56.847\n我们要保持呼吸要均匀的，\n\n06:56.847 --> 06:57.923\n要缓慢的，\n\n06:58.273 --> 07:00.648\n避免用力过度会导致，\n\n07:00.648 --> 07:01.847\n因为用力过猛的话，\n\n07:01.847 --> 07:02.497\n导致头晕，\n\n07:02.497 --> 07:03.322\n呼吸急促。\n\n07:04.252 --> 07:07.677\n第腹式呼吸法腹式呼吸法就是你平躺或坐位，\n\n07:07.677 --> 07:08.476\n一手放腹部，\n\n07:08.476 --> 07:09.351\n一手放胸部。\n\n07:10.373 --> 07:10.998\n吸气时呢，\n\n07:10.998 --> 07:11.873\n腹部隆起。\n\n07:13.783 --> 07:14.158\n呼气时，\n\n07:14.158 --> 07:16.783\n能感受到你的腹部是凹陷下去的，\n\n07:16.933 --> 07:18.433\n每次10.15分钟，\n\n07:18.834 --> 07:20.033\n每日2.3次。\n\n07:22.337 --> 07:22.511\n嗯，\n\n07:22.511 --> 07:25.312\n腹式呼吸可以增强你的膈肌的运动，\n\n07:25.312 --> 07:26.286\n提高肺活量，\n\n07:26.286 --> 07:28.536\n缓解咳嗽引起的呼吸困难。\n\n07:29.338 --> 07:30.063\n练习时呢，\n\n07:30.063 --> 07:31.639\n我们可以配合深呼吸。\n\n07:32.139 --> 07:32.864\n吸气时，\n\n07:32.864 --> 07:36.239\n你可以想象你的腹部就充满了空气，\n\n07:36.539 --> 07:37.289\n呼气时，\n\n07:37.289 --> 07:39.938\n你可以感受到你的腹部的在收缩。\n\n07:43.178 --> 07:46.477\n第三个方面就是咳嗽期间的一个防疫的细节。\n\n07:47.684 --> 07:49.684\n我们来进行简单的一个。\n\n07:50.444 --> 07:50.843\n分享。\n\n07:51.964 --> 07:52.665\n减少刺激。\n\n07:53.841 --> 07:54.040\n嗯，\n\n07:54.091 --> 07:55.066\n就是在外出，\n\n07:55.066 --> 07:57.040\n外出的时候我们要做好防护。\n\n07:57.981 --> 07:59.231\n口罩还是要戴一戴的，\n\n07:59.231 --> 08:01.731\n我们知道口罩它可以阻挡一些冷气啊，\n\n08:01.782 --> 08:02.782\n灰尘啊，\n\n08:02.981 --> 08:04.332\n对呼吸道的刺激。\n\n08:04.832 --> 08:05.231\n嗯，\n\n08:05.231 --> 08:07.131\n在家里面的加湿器呢，\n\n08:07.131 --> 08:13.631\n我们可以就是保持家家里的一个就是一个一个很适当的湿度，\n\n08:13.981 --> 08:14.682\n这样子呢，\n\n08:14.682 --> 08:16.582\n可以缓解咳嗽的症状。\n\n08:17.928 --> 08:18.028\n嗯，\n\n08:18.028 --> 08:20.729\n饮食调整一定要戒烟戒酒，\n\n08:20.778 --> 08:24.628\n忌一些辛辣的过甜过咸的食物。\n\n08:24.778 --> 08:26.278\n因为这一大类食物呢，\n\n08:26.278 --> 08:28.479\n往往会刺激呼吸道黏膜，\n\n08:28.729 --> 08:31.604\n导致它的痰液粘液分泌过多，\n\n08:31.604 --> 08:33.078\n会加重口臭的症状。\n\n08:34.997 --> 08:36.221\n第三个就是环境改善。\n\n08:36.221 --> 08:36.896\n我们要。\n\n08:38.364 --> 08:39.388\n过两天天冷了，\n\n08:39.388 --> 08:40.713\n可能要开空调了。\n\n08:41.213 --> 08:41.614\n嗯，\n\n08:41.963 --> 08:46.414\n但是我们还是建议要多多开窗通风，\n\n08:46.414 --> 08:48.414\n保持室内空气的清新。\n\n08:49.359 --> 08:49.559\n嗯，\n\n08:49.559 --> 08:52.059\n避免接触二手烟和有害气体。\n\n08:52.945 --> 08:54.169\n二手烟和有害气体，\n\n08:54.169 --> 08:56.344\n它往往往会刺激呼吸道，\n\n08:56.594 --> 08:58.520\n会加重痰液的分泌，\n\n08:58.520 --> 09:00.294\n会加重咳嗽的症状。\n\n09:01.057 --> 09:02.981\n保持室内空气的清新啊，\n\n09:02.981 --> 09:05.807\n有助于缓解患者的咳嗽咳痰症状。\n\n09:08.080 --> 09:08.505\n第二个方面，\n\n09:08.505 --> 09:10.080\n我们要注意警惕二次感染，\n\n09:10.281 --> 09:13.181\n避免去一些就是人员比较多的地方。\n\n09:14.125 --> 09:15.526\n我知道在咳嗽期间，\n\n09:15.526 --> 09:17.176\n人的免疫力是比较低的。\n\n09:17.898 --> 09:18.098\n嗯，\n\n09:18.398 --> 09:20.273\n人群密集的地方呢，\n\n09:20.273 --> 09:23.447\n往往有是比较容易传播病毒细菌的，\n\n09:23.648 --> 09:25.547\n增加了二次感染的风险。\n\n09:26.908 --> 09:27.158\n还有呢，\n\n09:27.158 --> 09:28.583\n就是我们要注意个人卫生，\n\n09:28.583 --> 09:29.783\n一定要勤洗手，\n\n09:29.783 --> 09:31.007\n尤其是小朋友。\n\n09:31.408 --> 09:31.732\n嗯，\n\n09:31.732 --> 09:34.658\n勤洗手要使用肥皂吸收液，\n\n09:35.057 --> 09:38.807\n每次洗的时间要大于要大于20秒。\n\n09:40.867 --> 09:41.216\n第三呢，\n\n09:41.216 --> 09:42.492\n就是要增强免疫力，\n\n09:42.492 --> 09:43.916\n保持充足的睡眠。\n\n09:44.267 --> 09:46.466\n每天要睡7.8个小时。\n\n09:46.916 --> 09:50.966\n睡眠是有助于身体的恢复和免疫力的提升。\n\n09:51.416 --> 09:52.841\n如果你睡眠不足呢，\n\n09:52.841 --> 09:54.617\n免疫力就会相应的下降，\n\n09:55.017 --> 09:56.892\n那么你的感染就会增加，\n\n09:56.892 --> 09:58.416\n感染的风险就会增加。\n\n09:59.864 --> 10:00.463\n所以说呢，\n\n10:00.463 --> 10:03.114\n充足的睡眠有助于身体的恢复。\n\n10:05.578 --> 10:06.278\n康复训练，\n\n10:06.778 --> 10:11.177\n康复训练这两个方法我们在前面那一张PPT已经说过了，\n\n10:11.177 --> 10:12.778\n已经详细的讲过了。\n\n10:13.557 --> 10:13.706\n嗯，\n\n10:13.706 --> 10:16.557\n对我们就不再进行一一的赘述。\n\n10:19.999 --> 10:20.398\n第四呢，\n\n10:20.398 --> 10:22.348\n就是高频舞区的场听。\n\n10:27.338 --> 10:28.538\n咳嗽第一个误区，\n\n10:28.538 --> 10:29.937\n治咳嗽必须吃消炎药。\n\n10:30.763 --> 10:32.288\n这个我们在门诊上经常碰到啊，\n\n10:32.288 --> 10:32.663\n医生，\n\n10:32.663 --> 10:33.362\n我咳嗽了，\n\n10:33.362 --> 10:34.513\n帮我配点头孢。\n\n10:35.671 --> 10:37.171\n配点氧氟沙星，\n\n10:37.171 --> 10:38.072\n阿莫西林。\n\n10:39.995 --> 10:41.495\n咳嗽就一定要吃消炎药吗？\n\n10:41.796 --> 10:42.596\n不是的。\n\n10:43.596 --> 10:44.896\n多数的流感、咳嗽，\n\n10:45.296 --> 10:46.947\n它都是病毒引起的。\n\n10:46.947 --> 10:48.497\n你抗生素是没有效果的。\n\n10:49.643 --> 10:51.843\n抗生素是没法杀掉病毒的，\n\n10:51.843 --> 10:53.294\n它只能杀掉细菌的。\n\n10:53.693 --> 10:55.893\n那你使用抗生素没有效果的，\n\n10:55.994 --> 10:57.994\n反而让自己的抵抗力下降了，\n\n10:58.143 --> 11:00.093\n增加了一个药物的耐药性。\n\n11:01.232 --> 11:02.682\n那么正确的做法是什么呢？\n\n11:02.732 --> 11:03.432\n我们就。\n\n11:04.403 --> 11:06.903\n看看有没有细菌感染的依据啊？\n\n11:06.903 --> 11:09.528\n你的炎症指标高不高啊？\n\n11:09.528 --> 11:11.453\n找到有没有找到病原学的依据？\n\n11:12.346 --> 11:12.721\n嗯，\n\n11:12.721 --> 11:13.721\n如果是有啊，\n\n11:13.721 --> 11:14.421\n有炎症，\n\n11:14.421 --> 11:15.645\n怀疑细菌感染，\n\n11:15.796 --> 11:18.445\n在医生的指导下是可以使用抗生素的。\n\n11:19.364 --> 11:20.864\n但是我们不能乱用抗生素，\n\n11:20.914 --> 11:23.739\n因为抗生素在病毒毒感染的情况下，\n\n11:23.739 --> 11:24.765\n你使用抗生素无效，\n\n11:24.765 --> 11:25.765\n必然是伤身的。\n\n11:28.484 --> 11:28.760\n所以呢，\n\n11:28.760 --> 11:31.609\n专家的建议在就是咳嗽的初期呢，\n\n11:31.609 --> 11:33.234\n我们还是以这种治疗为主。\n\n11:33.984 --> 11:35.583\n动态观察你的症状的变化，\n\n11:36.033 --> 11:38.184\n必要的时候进行一个细菌检测。\n\n11:39.197 --> 11:40.096\n出现了一个，\n\n11:40.596 --> 11:42.521\n那就是怀疑的细菌感染，\n\n11:42.521 --> 11:43.896\n或者说，\n\n11:44.096 --> 11:47.146\n你检测到一个就是病原血，\n\n11:47.497 --> 11:49.396\n那么可以使用抗生素。\n\n11:50.445 --> 11:51.895\n这误区就输液好的快。\n\n11:53.083 --> 11:54.309\n那对于老年人啊，\n\n11:54.309 --> 11:55.734\n这是个很大的误区。\n\n11:56.184 --> 11:56.559\n嗯，\n\n11:56.559 --> 11:59.083\n咳嗽医生帮我开点补液，\n\n11:59.383 --> 12:00.583\n我一天就得好，\n\n12:00.583 --> 12:02.033\n要一天补液就好了。\n\n12:04.719 --> 12:06.219\n你如果没有并发症的咳嗽，\n\n12:06.270 --> 12:07.969\n其实口服药物就可以了。\n\n12:08.270 --> 12:11.919\n盲目的输液只会增加它的一个副作用的风险。\n\n12:13.320 --> 12:16.119\n口服药物是可以有效缓解咳嗽症状的。\n\n12:17.125 --> 12:18.625\n输液不是必要的，\n\n12:18.674 --> 12:21.375\n输液它对身体是有伤害的。\n\n12:22.138 --> 12:23.038\n风险也是有的。\n\n12:25.336 --> 12:26.736\n那么正确的做法是什么？\n\n12:27.187 --> 12:29.887\n我们要根据病情选择合适的治疗方式。\n\n12:32.125 --> 12:33.025\n轻度的咳嗽呢，\n\n12:33.025 --> 12:34.224\n我们可以口服药物。\n\n12:34.224 --> 12:35.775\n重症或并发症时，\n\n12:36.325 --> 12:38.325\n在医生的指导下可以输液。\n\n12:42.632 --> 12:43.932\n我们要避免盲目主义。\n\n12:45.909 --> 12:48.010\n第三个误区就是咳久了会成肺炎。\n\n12:49.757 --> 12:51.507\n肺炎是因为感染加重引起的，\n\n12:51.507 --> 12:52.458\n咳嗽是个症状，\n\n12:52.458 --> 12:53.408\n它不是病因。\n\n12:54.245 --> 12:55.195\n咳嗽是个症状，\n\n12:55.195 --> 12:56.796\n是个症候群，\n\n12:56.796 --> 12:58.645\n这个它不是病因。\n\n13:00.440 --> 13:02.190\n咳嗽是呼吸道自我修复的过程，\n\n13:02.190 --> 13:04.190\n肺炎是因为感染加重引起的。\n\n13:06.182 --> 13:08.182\n如果你咳嗽超过两周不愈，\n\n13:08.283 --> 13:10.107\n那么你要及时就医，\n\n13:10.107 --> 13:11.882\n排查肺炎或其他并发症。\n\n13:14.674 --> 13:17.648\n如果你出现了这个发热、黄脓痰、呼吸困难，\n\n13:17.648 --> 13:18.924\n那及时的就医，\n\n13:19.174 --> 13:19.573\n嗯，\n\n13:19.674 --> 13:21.598\n拍个胸CT或胸片，\n\n13:21.598 --> 13:23.124\n验个炎症的指标。\n\n13:24.020 --> 13:27.419\n如果是看看有没有有没有并发肺炎。\n\n13:35.065 --> 13:35.515\n第五个呢，\n\n13:35.515 --> 13:36.465\n就是我们给。\n\n13:37.684 --> 13:39.385\n患者的一个付费清单。\n\n13:44.846 --> 13:45.896\n这个清单是什么呢？\n\n13:46.497 --> 13:46.796\n嗯，\n\n13:46.796 --> 13:48.296\n先讲一些预防措施。\n\n13:49.460 --> 13:50.784\n我们知道每年的这个时候，\n\n13:50.784 --> 13:52.809\n它都是流感的一个高发的季节。\n\n13:53.978 --> 13:57.127\n那我们要做好的一个预防工作。\n\n13:58.239 --> 14:00.239\n每年的九月十月份呢，\n\n14:00.239 --> 14:02.338\n还是建议的是接种流感疫苗，\n\n14:02.739 --> 14:05.338\n尤其是老人、儿童、一些慢病患者。\n\n14:06.254 --> 14:08.554\n流感疫苗是可以有效的预防流感的，\n\n14:08.554 --> 14:10.453\n并且可以降低重症的风险。\n\n14:11.538 --> 14:13.588\n尤其对于免疫力减弱人群来说，\n\n14:13.588 --> 14:16.588\n还是建议每年都要去接种这个流感疫苗。\n\n14:18.169 --> 14:18.520\n第二个呢，\n\n14:18.520 --> 14:19.520\n就是日常的护理。\n\n14:19.919 --> 14:21.320\n在流感的高发季节，\n\n14:21.320 --> 14:24.520\n我们可以每天服用那个淡盐水去漱漱口，\n\n14:25.020 --> 14:27.820\n可以降低口咽部的病毒的病制，\n\n14:28.270 --> 14:30.669\n并且我们要保持口腔的清洁。\n\n14:31.565 --> 14:31.690\n嗯，\n\n14:31.690 --> 14:33.815\n减少病毒在口咽部的定植，\n\n14:33.815 --> 14:35.065\n降低感染的风险。\n\n14:38.619 --> 14:40.669\n第三个预防的措施叫早期的检查。\n\n14:41.742 --> 14:42.617\n咳嗽超过两周，\n\n14:42.617 --> 14:44.841\n不要及时到医院进行。\n\n14:45.718 --> 14:47.044\n检查，\n\n14:47.044 --> 14:48.768\n看看有没有合并其他的，\n\n14:49.119 --> 14:49.468\n嗯，\n\n14:49.468 --> 14:52.768\n就是重症有没有肺炎、支气管炎。\n\n14:55.854 --> 14:57.129\n日常保健除了预防，\n\n14:57.129 --> 14:58.403\n咱们日常保健什么？\n\n14:58.403 --> 14:59.804\n首先要增强体质。\n\n15:01.234 --> 15:02.633\n只有增强体质的才能，\n\n15:03.333 --> 15:08.133\n就是减少一个流感的一个感染流感的发生的风险。\n\n15:09.320 --> 15:11.270\n日常我们就要注意去增强体质，\n\n15:11.971 --> 15:12.370\n嗯，\n\n15:12.820 --> 15:15.070\n可以去练练八段锦啊，\n\n15:15.120 --> 15:16.671\n可以去跑跑步啊，\n\n15:17.171 --> 15:20.620\n可以去游泳等等等等。\n\n15:21.171 --> 15:21.495\n嗯，\n\n15:21.495 --> 15:22.721\n可以去练练瑜伽，\n\n15:23.171 --> 15:27.171\n适当适适当适合自己的一个方法。\n\n15:27.471 --> 15:27.870\n嗯，\n\n15:27.971 --> 15:28.645\n然后呢，\n\n15:28.645 --> 15:31.520\n要一个科学的一个锻炼，\n\n15:31.971 --> 15:33.971\n而不是三天打鱼两天晒网。\n\n15:35.267 --> 15:35.966\n还要坚持。\n\n15:37.783 --> 15:39.083\n第二个就是饮食的调理。\n\n15:40.085 --> 15:42.786\n要多吃一些富含维C和蛋白质的食物，\n\n15:43.085 --> 15:44.411\n有新鲜蔬菜啊，\n\n15:44.411 --> 15:45.710\n水果瘦肉啊，\n\n15:45.710 --> 15:47.585\n它有助于增强免疫力的。\n\n15:48.645 --> 15:49.044\n第三呢，\n\n15:49.044 --> 15:50.145\n就是心理调节。\n\n15:51.041 --> 15:52.142\n保持良好的心态，\n\n15:52.541 --> 15:54.341\n避免焦虑、紧张。\n\n15:55.427 --> 15:55.627\n嗯，\n\n15:55.677 --> 15:56.578\n睡眠也好。\n\n15:57.450 --> 15:58.924\n你只要你的心理素质好，\n\n15:58.924 --> 16:00.049\n心理状态好了，\n\n16:00.250 --> 16:05.599\n那么你的这个身体是有助于你身体的恢复和免疫力的提升的。\n\n16:06.364 --> 16:07.640\n在焦虑的情况下，\n\n16:07.640 --> 16:08.989\n紧张的状态下呢，\n\n16:08.989 --> 16:10.664\n我们的免疫力是下降的。\n\n16:11.015 --> 16:11.414\n嗯，\n\n16:11.465 --> 16:15.239\n所以保持良好的心态是有助于身心健康啊，\n\n16:15.239 --> 16:16.765\n有助于我们身体的健康。\n\n16:20.778 --> 16:20.953\n嗯，\n\n16:20.953 --> 16:25.427\n以上就是我和大家分享的主要内容。\n\n16:25.978 --> 16:26.377\n嗯，\n\n16:26.528 --> 16:27.828\n谢谢大家的聆听。\n\n","v0247cg10004d71looiljht4gv4nviu0",996,706,"2026-01-26 12:14:47","葛丽娜视频下载 | 葛丽娜精彩片段 | 葛丽娜高清MP4  ","葛丽娜,葛丽娜视频,葛丽娜MP4下载,葛丽娜高清视频,葛丽娜精彩片段,葛丽娜最新视频  ","观看并下载葛丽娜的高清MP4视频，包含葛丽娜的精彩片段和最新内容。提供流畅的播放体验和快速下载链接，满足您的观看需求。","2026-04-30 13:30:00",[36],{"menuId":37,"menuName":38,"parentId":17,"orderNum":39,"path":40,"component":41,"isFrame":42,"isCache":43,"menuType":44,"visible":21,"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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