[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fM6NFnLY3qaz0Zrqun4MGJxFLCZuoJaWst-c4fLwrrt0":8,"$fXLIqVYDM3c8fwUiGMurUrhgj9W54FjxWIOOYnLvYUbw":58,"$fPoIoWsDEcHhhXPpEgec6hfgM9JsHCxa2GrLfo8H84G4":59,"$f8LOkA8SlUfAg5oInhzYjPkWxEClYAkJfozHk7nlmhTI":63},{"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":57},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":17,"videoTotal":22,"isConcern":7,"title":23,"coverVertical":15,"coverAcross":24,"directionMarker":25,"description":26,"vid":27,"time":28,"mediaType":25,"views":29,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":30,"seoTitle":31,"seoKeywords":32,"seoDescription":33,"shelvesTime":34,"menus":35,"menuId":37,"type":54,"quality":6,"commentCount":17,"isComment":25,"deviceType":55,"url":56},14327,871862,[],"","黄晓颖",0,"老年心血管疾病、呼吸系统疾病","奉贤区奉城医院","内科","主治医师",8,"支气管扩张症的治疗","https://cdn.yishi-tong.com/console/3/t3z8pXAmWV7_QHXFsmi6dAjvCYvtLkvb.png",1,"WEBVTT\n\n00:19.635 --> 00:20.284\n大家好，\n\n00:20.284 --> 00:23.985\n我是来自奉贤区奉城医院老年科的黄小英，\n\n00:23.985 --> 00:27.684\n今天跟大家一起分享一下支气管扩张症的治疗。\n\n00:28.423 --> 00:32.273\n我们探索疾病管理和患者护理的新方法啊。\n\n00:35.027 --> 00:36.426\n首先我们了解一下。\n\n00:37.262 --> 00:37.562\n嗯，\n\n00:37.562 --> 00:38.462\n治疗原则，\n\n00:38.462 --> 00:39.387\n药物治疗，\n\n00:39.387 --> 00:40.286\n非药物治疗，\n\n00:40.286 --> 00:42.161\n病案分析和未来的展望。\n\n00:44.250 --> 00:46.799\n支气管概述的和它的重要性。\n\n00:47.543 --> 00:49.993\n首先了解一下什么是支气管扩张？\n\n00:50.816 --> 00:53.890\n支气管扩张是一种慢性的肺部疾病，\n\n00:53.890 --> 00:55.965\n导致支气管永久性的扩张。\n\n00:56.748 --> 00:58.397\n我们支气管结构的变化，\n\n00:58.397 --> 00:59.897\n使患者更容易感染。\n\n01:00.604 --> 01:01.679\n更容易受到感染，\n\n01:01.679 --> 01:03.354\n导致频繁的急性发作。\n\n01:04.129 --> 01:06.529\n那症状我们包括持续的咳嗽，\n\n01:06.930 --> 01:09.580\n大量的脓痰和反复的咯血。\n\n01:10.625 --> 01:14.325\n这些症状严重影响患者的呼吸功能和生活质量。\n\n01:15.181 --> 01:16.306\n病因比较复杂，\n\n01:16.306 --> 01:18.582\n肠病这个这个与。\n\n01:19.384 --> 01:21.533\n感染、遗传等多种因素有关，\n\n01:21.634 --> 01:24.908\n比如说细菌性的感染、先天性的免疫缺陷，\n\n01:24.908 --> 01:27.083\n都可能会引发支气管扩张症。\n\n01:28.445 --> 01:28.695\n嗯，\n\n01:28.695 --> 01:31.320\n还有一个疾病的定义和特征啊，\n\n01:31.320 --> 01:33.695\n支气管支气管症的流行病学。\n\n01:34.484 --> 01:36.783\n像全球与地区的疾病负担，\n\n01:37.333 --> 01:40.283\n气管扩张在不同的年龄段分布不均，\n\n01:40.484 --> 01:41.984\n老年人更为常见。\n\n01:42.832 --> 01:44.607\n因为老年人由于免疫力下降，\n\n01:44.607 --> 01:45.632\n更容易感染，\n\n01:46.031 --> 01:48.232\n并发展成为支气管扩张。\n\n01:49.262 --> 01:50.637\n那我们研究显示，\n\n01:50.637 --> 01:53.037\n随着诊断技术的进步，\n\n01:53.037 --> 01:54.512\n确诊率有所增加，\n\n01:54.811 --> 01:56.912\n像高分辨率的CT扫描，\n\n01:57.262 --> 02:01.412\n扫描的应用提高了早期的发现和诊断的准确性。\n\n02:02.421 --> 02:03.347\n像某些地区，\n\n02:03.347 --> 02:05.722\n由于气候或者环境的污染，\n\n02:05.722 --> 02:07.821\n发病率显著的高于其他地区，\n\n02:08.272 --> 02:12.347\n那比如像亚洲或非洲部分的地区，\n\n02:12.347 --> 02:14.772\n受气候和卫生条件影响比较大。\n\n02:15.490 --> 02:19.639\n那全球范围内支气管扩张的患病率约为1.2%，\n\n02:19.789 --> 02:21.490\n尤其在发展中的国家，\n\n02:21.740 --> 02:23.490\n由于医疗条件有限。\n\n02:24.785 --> 02:27.035\n患者实际发病率可能会被低估。\n\n02:28.985 --> 02:30.485\n治疗的一个重要性，\n\n02:30.835 --> 02:32.436\n有效管理对。\n\n02:33.395 --> 02:34.796\n改善生活质量的影响。\n\n02:35.746 --> 02:37.322\n以我们适当的治疗，\n\n02:37.322 --> 02:44.046\n可以可以减显著的减少急性发作的发急性加重的次数。\n\n02:47.070 --> 02:50.169\n通过定期的药物管理和良好的生活习惯，\n\n02:50.169 --> 02:53.720\n患者可以减少因为感染引起引发的急性发作。\n\n02:54.501 --> 02:57.102\n那我们我可以维持较好的呼吸功能。\n\n02:58.070 --> 02:58.720\n第二个，\n\n02:59.169 --> 03:02.070\n提高患者的整体的生活质量。\n\n03:02.822 --> 03:04.722\n我们通过合理的治疗方案，\n\n03:04.972 --> 03:07.947\n患者能够更更好的参与日常活动，\n\n03:07.947 --> 03:12.322\n减少因为疾病造成的社交或者工工作障碍。\n\n03:13.242 --> 03:13.716\n第三，\n\n03:13.716 --> 03:15.891\n我们可以预防病情恶化，\n\n03:16.292 --> 03:17.042\n降低。\n\n03:18.550 --> 03:20.100\n长期并发症的风险。\n\n03:20.988 --> 03:24.337\n那规范的治疗有助于缓解支气管扩张的进展。\n\n03:25.119 --> 03:29.820\n减少肺纤维化和呼吸衰竭等严重并发症的发生率。\n\n03:31.557 --> 03:35.858\n第四个就是我们要增强患者的自我管理能力，\n\n03:36.158 --> 03:41.658\n通过教育、支持患者能够更好的理解和管理自身的疾病。\n\n03:42.761 --> 03:44.861\n提高对治疗的依从性，\n\n03:45.261 --> 03:47.412\n从而改善长期的预后。\n\n03:48.231 --> 03:49.957\n那像治疗的挑战啊，\n\n03:49.957 --> 03:52.332\n患者对治疗方案的依从性比较差，\n\n03:52.832 --> 03:56.932\n由于这种这种慢性支气管扩张需要长期的。\n\n03:58.009 --> 03:59.509\n长期坚持的治疗，\n\n03:59.559 --> 04:04.910\n那部分患者因为药物的副作用或者忘记了服药而中断治疗。\n\n04:06.322 --> 04:06.546\n嗯，\n\n04:06.546 --> 04:08.772\n缺乏一个有效的治愈方法。\n\n04:09.072 --> 04:10.772\n现在这种支气管扩张，\n\n04:10.772 --> 04:12.722\n我们还是缺乏有效的治愈方法。\n\n04:12.871 --> 04:18.122\n目前的治疗方法主要集中在症状的控制和预防发作。\n\n04:18.795 --> 04:20.145\n没有根治的手段啊，\n\n04:20.145 --> 04:21.395\n没有根治的手段。\n\n04:22.019 --> 04:22.494\n那其次，\n\n04:22.494 --> 04:23.920\n一个高昂的医疗费用。\n\n04:24.726 --> 04:25.925\n高昂的医疗费用，\n\n04:25.925 --> 04:27.626\n我们就是，\n\n04:27.626 --> 04:30.325\n长期的药物和定期的检查费用，\n\n04:30.675 --> 04:33.026\n对部分患者造成了经济负担，\n\n04:33.026 --> 04:35.276\n影响了治疗的持续性。\n\n04:38.221 --> 04:41.872\n地域地域医疗资源的不均衡啊，\n\n04:42.071 --> 04:46.171\n像偏远地方可能缺乏专业的医疗设备和专家，\n\n04:46.171 --> 04:47.321\n导致患者无法。\n\n04:48.450 --> 04:48.950\n获得。\n\n04:49.776 --> 04:51.075\n及时有效的治疗。\n\n04:51.799 --> 04:53.850\n这是当前治疗中的主要障碍。\n\n04:55.321 --> 04:57.272\n那治疗原则。\n\n04:58.157 --> 05:01.308\n支气管扩张症的治疗和基本框架啊，\n\n05:01.808 --> 05:03.558\n一个个性化的治疗方案，\n\n05:03.558 --> 05:05.308\n量身定制治疗方案。\n\n05:06.403 --> 05:09.752\n一个针对每一位患者的具体情况制定治疗。\n\n05:10.933 --> 05:17.234\n计划一个根据患者年龄、病史、合并症以及生活的方式。\n\n05:17.533 --> 05:18.584\n我们确保。\n\n05:19.433 --> 05:21.382\n治疗方案的个性化和有效性。\n\n05:22.294 --> 05:23.993\n那么定期要评估。\n\n05:25.425 --> 05:26.751\n和调整治疗策略。\n\n05:26.751 --> 05:29.151\n根据患者的治疗反应、病情变化，\n\n05:29.151 --> 05:32.101\n及时调整药物剂量和治疗方法，\n\n05:32.101 --> 05:32.825\n以表证，\n\n05:33.026 --> 05:34.075\n以保持疗效。\n\n05:35.170 --> 05:38.519\n那么其次要重视一下患者的意愿和偏好。\n\n05:39.721 --> 05:42.272\n在治疗计划中纳入患者的意见，\n\n05:42.571 --> 05:45.471\n我们这样可以提高治疗的依从性，\n\n05:45.622 --> 05:48.872\n使患者更加积极的参与自我管理中。\n\n05:50.925 --> 05:54.026\n一直加强了多学科的协作，\n\n05:54.276 --> 05:57.925\n整合呼吸科、感染科、康复科等专业，\n\n05:57.925 --> 06:02.675\n建议提供综合协协调的医疗支持，\n\n06:02.776 --> 06:04.126\n提高治疗效果。\n\n06:04.981 --> 06:07.182\n那我们的目标制定啊。\n\n06:08.040 --> 06:10.940\n首先是减少急性发作次数，\n\n06:10.940 --> 06:12.290\n提高生活质量。\n\n06:13.536 --> 06:16.985\n通过有效的药物治疗和良好的生活习惯，\n\n06:17.436 --> 06:20.286\n我们只能说减少急性发作的频率。\n\n06:21.605 --> 06:24.256\n提来提升患者的日常活动的能力。\n\n06:25.002 --> 06:25.552\n第二。\n\n06:26.522 --> 06:27.872\n防止病情进展，\n\n06:27.971 --> 06:29.471\n延长患者的寿命。\n\n06:30.885 --> 06:34.085\n通过持续监控和调整治疗方案，\n\n06:34.286 --> 06:35.686\n防止病情恶化，\n\n06:35.885 --> 06:37.885\n确保患者长期健康。\n\n06:39.885 --> 06:40.385\n还有一个，\n\n06:40.385 --> 06:42.635\n提高患者的自我管理能力。\n\n06:44.226 --> 06:44.526\n嗯，\n\n06:44.526 --> 06:45.950\n通过教育和支持，\n\n06:45.950 --> 06:48.976\n使患者更好的理解和管理自身疾病，\n\n06:48.976 --> 06:50.726\n提高治疗的依从性。\n\n06:52.371 --> 06:55.821\n第四个要改善患者的心理状况，\n\n06:56.071 --> 06:58.346\n我们通过心理支持和干预，\n\n06:58.346 --> 07:00.920\n减少患者的焦虑和抑郁情绪。\n\n07:01.809 --> 07:04.109\n提高治疗信心和生活质量。\n\n07:05.057 --> 07:06.832\n所以我们要明确治疗目标，\n\n07:06.832 --> 07:08.631\n提高患者的参与度。\n\n07:10.470 --> 07:13.269\n接下来我们要多学科的团队合作。\n\n07:13.971 --> 07:14.622\n整合资源，\n\n07:14.622 --> 07:16.272\n提高综合治疗方案。\n\n07:19.127 --> 07:22.928\n一个就呼吸科、感染科和康复科的协同合作。\n\n07:23.278 --> 07:25.477\n我们通过多学科团队的合作。\n\n07:26.204 --> 07:28.053\n提供全面的诊疗方案，\n\n07:28.253 --> 07:30.704\n确保患者获得最佳的医疗支持。\n\n07:32.514 --> 07:32.813\n要，\n\n07:32.813 --> 07:33.664\n就是我们。\n\n07:34.514 --> 07:34.813\n嗯，\n\n07:34.963 --> 07:37.514\n定期进行病例的讨论和评估。\n\n07:38.355 --> 07:40.105\n定期召开病例讨论会，\n\n07:40.105 --> 07:41.906\n评估患者的治疗进展，\n\n07:42.006 --> 07:45.555\n我们就要及时调整治疗策略和优化效果。\n\n07:46.721 --> 07:46.971\n哎，\n\n07:46.971 --> 07:49.372\n就是提高患者的教育和支持。\n\n07:50.873 --> 07:52.723\n通过教育项目和支持小组，\n\n07:52.723 --> 07:54.924\n增加患者的自我管理能力。\n\n07:55.778 --> 07:59.678\n那促进期患者积极参加治疗的过程。\n\n08:00.950 --> 08:03.649\n第四个就是引入了心理和社会服务。\n\n08:04.187 --> 08:06.937\n整合心理辅导和社会服务资源，\n\n08:06.937 --> 08:11.263\n帮助患者对疾病应对疾病带来的心理和社会挑战，\n\n08:11.263 --> 08:13.488\n提高整整体的生活质量。\n\n08:14.742 --> 08:17.141\n接下来我们就重要的讲一个药物治疗，\n\n08:17.441 --> 08:20.191\n药物在支气管扩张管理中的作用。\n\n08:22.026 --> 08:24.175\n首先是一个抗生素的使用。\n\n08:24.940 --> 08:25.964\n我们就控制感染，\n\n08:25.964 --> 08:26.739\n预防恶化。\n\n08:27.838 --> 08:29.988\n那急性急性的加重期，\n\n08:29.988 --> 08:32.288\n我们就使用广谱的抗生素。\n\n08:33.096 --> 08:34.445\n在急性的加重期。\n\n08:34.445 --> 08:36.145\n广谱的抗生素能够。\n\n08:36.911 --> 08:38.262\n迅速控制感染，\n\n08:38.262 --> 08:40.012\n防止病情进一步恶化。\n\n08:40.872 --> 08:42.872\n并改善患者的整体情况，\n\n08:42.971 --> 08:44.421\n整体的症状啊。\n\n08:45.669 --> 08:46.969\n长期使用。\n\n08:47.828 --> 08:49.153\n低剂量的抗生素，\n\n08:49.153 --> 08:50.078\n预防复发。\n\n08:51.581 --> 08:55.331\n长期使用低剂量抗生素可以减少急性发病率。\n\n08:56.047 --> 08:56.947\n发病的频率，\n\n08:56.947 --> 08:59.297\n提高患者的长期生活质量，\n\n08:59.697 --> 09:01.497\n减少他的住院次数嘛。\n\n09:02.929 --> 09:03.530\n第二，\n\n09:03.530 --> 09:06.479\n有没有个性化的抗生素方案？\n\n09:07.330 --> 09:09.929\n根据患者的细菌培养，\n\n09:09.979 --> 09:10.929\n药敏试验，\n\n09:10.929 --> 09:12.280\n像痰平这种。\n\n09:12.995 --> 09:13.745\n细菌的试验，\n\n09:13.745 --> 09:16.596\n制定个体化的抗生素治疗方案。\n\n09:16.596 --> 09:18.346\n这样就能能够提高。\n\n09:20.021 --> 09:20.546\n疗效，\n\n09:20.546 --> 09:23.072\n并减少耐药菌的产生。\n\n09:24.838 --> 09:25.413\n第四个，\n\n09:25.413 --> 09:27.588\n监测抗生素的治疗效果。\n\n09:27.788 --> 09:30.562\n我们要定期评估抗生素治疗的效果，\n\n09:30.562 --> 09:32.187\n及时调整用药方案，\n\n09:32.437 --> 09:36.013\n以确保最佳的疗效和减少不良反应。\n\n09:36.013 --> 09:37.187\n减少不良反应。\n\n09:39.140 --> 09:40.989\n要我们要用支气管扩张剂。\n\n09:42.021 --> 09:42.546\n减少，\n\n09:42.546 --> 09:43.947\n改善气道阻塞，\n\n09:43.947 --> 09:45.171\n促进痰液排出。\n\n09:46.445 --> 09:50.745\n短效的胚大2受体激动剂用于急性的症状缓解，\n\n09:50.995 --> 09:52.770\n快速扩张支气管，\n\n09:52.770 --> 09:54.195\n缓解哮喘发作。\n\n09:55.020 --> 09:58.070\n那个长效的支气管扩张剂用于维持治疗。\n\n09:58.760 --> 10:01.309\n它可以持续的改善气道通气，\n\n10:01.659 --> 10:03.460\n减少夜间的症状。\n\n10:04.971 --> 10:06.671\n还有一个抗胆碱能药物，\n\n10:06.820 --> 10:08.471\n减少粘液的分泌。\n\n10:09.442 --> 10:10.492\n减少粘液分泌，\n\n10:10.492 --> 10:14.192\n我们就保持可以帮助保持气道通畅，\n\n10:14.492 --> 10:16.742\n减少痰液阻塞啊，\n\n10:16.791 --> 10:18.091\n防止痰液阻塞。\n\n10:18.442 --> 10:19.841\n还有一个联合用药，\n\n10:19.841 --> 10:20.817\n增加疗效，\n\n10:20.817 --> 10:21.791\n增强疗效。\n\n10:22.463 --> 10:23.914\n结合不同的药物，\n\n10:23.914 --> 10:25.213\n提高治疗效果。\n\n10:26.190 --> 10:26.489\n嗯，\n\n10:26.489 --> 10:28.789\n根据定期要评估，\n\n10:28.789 --> 10:31.789\n用定期的评估调整剂量啊。\n\n10:32.140 --> 10:33.840\n根据患者的情况，\n\n10:34.239 --> 10:35.239\n病情变化，\n\n10:35.239 --> 10:37.989\n我们要定期要调整用药方案。\n\n10:41.921 --> 10:42.447\n第六个，\n\n10:42.447 --> 10:44.622\n我们主要要注意药物的副作用。\n\n10:45.356 --> 10:46.731\n注意患者的反应，\n\n10:46.731 --> 10:48.606\n及时调整用药。\n\n10:49.392 --> 10:49.791\n还有嘛，\n\n10:49.791 --> 10:51.841\n提高患者的依从性。\n\n10:52.799 --> 10:55.799\n教育患者要正确使用药物。\n\n10:56.471 --> 10:57.546\n提高治疗效果，\n\n10:57.546 --> 11:01.122\n像这种长效的支气管扩张剂一定要。\n\n11:03.705 --> 11:05.356\n指导患者怎么使用，\n\n11:05.606 --> 11:08.356\n有效的使用这种支气管扩张器。\n\n11:09.822 --> 11:12.822\n避免避免这种药物的耐药菌的产生。\n\n11:14.942 --> 11:16.492\n还有一个粘液的溶解剂，\n\n11:16.892 --> 11:19.392\n我们可以帮助清除呼吸道粘液。\n\n11:20.857 --> 11:23.307\n像这种乙酰半胱氨酸可以降低。\n\n11:24.442 --> 11:25.742\n粘液粘稠度，\n\n11:25.742 --> 11:26.742\n促进排痰。\n\n11:27.806 --> 11:30.806\n它只通过破坏粘液中的二硫键。\n\n11:31.934 --> 11:33.484\n使其变得稀薄。\n\n11:33.484 --> 11:34.758\n用于咳除改，\n\n11:34.758 --> 11:36.333\n改善呼吸道通畅。\n\n11:37.211 --> 11:41.411\n那羧甲司坦可以通过降低痰液的粘稠度，\n\n11:41.411 --> 11:43.611\n减少呼吸道阻塞。\n\n11:44.549 --> 11:48.075\n主要是通过影响痰液中的粘带般的结构，\n\n11:48.075 --> 11:49.200\n降低其的。\n\n11:50.030 --> 11:50.830\n粘稠度，\n\n11:50.929 --> 11:52.229\n改善呼吸情况。\n\n11:55.481 --> 11:56.456\n还一个氨溴索，\n\n11:56.456 --> 11:58.481\n可以增加呼吸道纤毛运动，\n\n11:58.481 --> 11:59.981\n提高清除率。\n\n12:00.703 --> 12:05.004\n它是通过增加纤毛的摆动的频率和强度。\n\n12:05.851 --> 12:07.351\n促进痰液排出，\n\n12:07.752 --> 12:10.151\n减少细菌的滋生环境。\n\n12:13.021 --> 12:15.572\n这是临床我们三个最常见的化痰的。\n\n12:16.286 --> 12:18.435\n还有一个定期监测粘液。\n\n12:19.351 --> 12:20.851\n粘液溶解剂的效果，\n\n12:20.851 --> 12:22.052\n及时调整剂量，\n\n12:22.351 --> 12:25.526\n我们评估一下患者的痰液排出情况，\n\n12:25.526 --> 12:26.552\n症状的改善，\n\n12:26.952 --> 12:29.202\n以确保治疗的最佳效果。\n\n12:32.174 --> 12:33.473\n还有一个抗炎药物，\n\n12:33.573 --> 12:36.473\n抗炎药物减少炎症的反应，\n\n12:36.473 --> 12:37.374\n保护气道。\n\n12:38.185 --> 12:41.585\n抗炎药物我们最常见一个吸入性的糖皮质激素。\n\n12:42.359 --> 12:44.409\n减少气道的炎症，\n\n12:44.909 --> 12:46.409\n减少气道的炎症，\n\n12:47.359 --> 12:49.635\n通过抑制炎症介质的释放，\n\n12:49.635 --> 12:53.609\n减少气道的水肿、粘液的分泌和改善肺功能。\n\n12:55.054 --> 12:57.203\n一个白三烯的受体拮抗体，\n\n12:57.203 --> 12:58.403\n用于辅助治疗。\n\n13:00.638 --> 13:02.189\n通过阻断白糖受体，\n\n13:02.189 --> 13:04.289\n减少支气管收缩和炎症，\n\n13:04.539 --> 13:07.189\n缓解症状并改善生活质量。\n\n13:09.325 --> 13:13.075\n第三个口服的糖皮质激素在急性发作期的，\n\n13:13.176 --> 13:14.726\n急性发作期的使用，\n\n13:15.075 --> 13:19.875\n严重的发哮喘发作或者急性加重的时候短期使用。\n\n13:21.426 --> 13:24.176\n我们口服的糖皮质激素可以是。\n\n13:25.236 --> 13:27.286\n可以迅速的控制炎症和症状，\n\n13:27.486 --> 13:27.885\n嗯。\n\n13:29.026 --> 13:29.476\n那么，\n\n13:29.526 --> 13:30.176\n第四个，\n\n13:30.176 --> 13:32.875\n我们要定期评估治疗效果啊，\n\n13:33.075 --> 13:34.375\n调整用药方案。\n\n13:35.159 --> 13:37.960\n根据患者的反应、病情情况。\n\n13:38.932 --> 13:39.132\n嗯，\n\n13:39.281 --> 13:41.932\n调整抗炎药物的种类和剂量。\n\n13:43.030 --> 13:44.630\n以确保最佳的疗效。\n\n13:48.565 --> 13:48.815\n嗯，\n\n13:48.815 --> 13:50.716\n接下来是非药物治疗啊，\n\n13:50.716 --> 13:51.515\n非药物治疗，\n\n13:51.515 --> 13:52.265\n药物之外，\n\n13:52.265 --> 13:53.741\n药物之外的治疗，\n\n13:53.741 --> 13:56.116\n选择一个物理物理疗法，\n\n13:56.116 --> 13:58.466\n就是我们像个整合其他科室一样，\n\n13:58.466 --> 14:00.591\n就是增加呼吸功能，\n\n14:00.591 --> 14:01.515\n促进康复。\n\n14:03.661 --> 14:03.961\n嗯，\n\n14:03.961 --> 14:05.762\n像企微引流。\n\n14:06.752 --> 14:07.377\n体位引流，\n\n14:07.377 --> 14:10.351\n通过体位改变体位，\n\n14:10.351 --> 14:12.151\n我们促进痰液排出。\n\n14:12.401 --> 14:13.851\n通过重力作用。\n\n14:14.656 --> 14:17.705\n就是将痰液从肺部引流到气道，\n\n14:18.156 --> 14:19.080\n便于咳出，\n\n14:19.080 --> 14:20.755\n减少呼吸道阻塞。\n\n14:20.755 --> 14:22.380\n就是我们常见的拍背啊，\n\n14:22.380 --> 14:24.356\n这种一个胸部叩击。\n\n14:25.205 --> 14:26.155\n向胸部叩击，\n\n14:26.155 --> 14:27.229\n松动痰液，\n\n14:27.630 --> 14:29.530\n改善和排痰效果。\n\n14:30.280 --> 14:32.530\n通过有节奏的叩击胸部。\n\n14:33.377 --> 14:34.528\n使痰液松动。\n\n14:35.380 --> 14:37.130\n提高患者的排痰能力，\n\n14:37.280 --> 14:38.729\n保持呼吸道通畅。\n\n14:40.286 --> 14:40.635\n哼。\n\n14:42.781 --> 14:44.432\n还有一个呼吸道的训练，\n\n14:44.632 --> 14:45.932\n通过呼吸道训练，\n\n14:45.932 --> 14:47.281\n我们来增加肺活量，\n\n14:47.281 --> 14:50.031\n提高呼吸的频率效率。\n\n14:50.432 --> 14:54.531\n我们可以通过腹式呼吸或者缩唇呼吸的训练，\n\n14:54.882 --> 14:56.281\n提高呼吸肌的。\n\n14:56.901 --> 14:58.202\n呼吸机力量，\n\n14:58.401 --> 15:00.151\n改善患者的呼吸功能。\n\n15:01.466 --> 15:01.992\n第四个，\n\n15:01.992 --> 15:05.166\n我们要定期评估和调整物理的治疗方案。\n\n15:06.210 --> 15:10.109\n根据患者的治疗反应、病情变化，\n\n15:10.210 --> 15:13.510\n及时调整物理治疗方案和确保最佳效果。\n\n15:14.116 --> 15:15.116\n确保最下手。\n\n15:16.702 --> 15:16.976\n嗯，\n\n15:16.976 --> 15:20.702\n最后接下来我们讲一下营养支持，\n\n15:21.202 --> 15:22.177\n增加体质，\n\n15:22.177 --> 15:23.202\n提高免疫力。\n\n15:26.565 --> 15:28.265\n像高蛋白的饮食，\n\n15:28.466 --> 15:31.390\n增加机体的修复能力啊。\n\n15:31.390 --> 15:33.265\n我们要适当的补充营养，\n\n15:33.265 --> 15:33.916\n提高。\n\n15:34.828 --> 15:36.552\n提供充足的蛋白质，\n\n15:36.552 --> 15:39.028\n促进组织修复和细胞的再生。\n\n15:39.028 --> 15:39.877\n有助于。\n\n15:40.632 --> 15:42.031\n支气管组织的恢复。\n\n15:42.953 --> 15:46.703\n第二个就饮食补充维生素和矿物质，\n\n15:47.004 --> 15:48.153\n改善免疫力。\n\n15:48.504 --> 15:55.403\n像维生素C、维生素E和锌都是有助于增强免疫免疫细胞功能，\n\n15:55.554 --> 15:57.254\n提高机体的免疫力。\n\n15:58.169 --> 15:58.619\n第三，\n\n15:58.619 --> 15:59.919\n我们要个体化。\n\n16:01.041 --> 16:02.492\n个体化的营养方案。\n\n16:02.892 --> 16:05.142\n我们要根据每个患者的不同。\n\n16:06.127 --> 16:08.828\n不同的进行具体的需求进行调整。\n\n16:09.697 --> 16:09.922\n嗯，\n\n16:09.922 --> 16:12.697\n每个不同的患者的营养缺乏的状况，\n\n16:12.898 --> 16:14.848\n制定个体化的营养计划，\n\n16:15.047 --> 16:16.348\n确保营养均衡。\n\n16:18.929 --> 16:20.479\n最后我们讲一个评估，\n\n16:20.479 --> 16:22.479\n最后我们要评估营养状况，\n\n16:22.479 --> 16:24.429\n调节调整饮食计划。\n\n16:25.536 --> 16:26.911\n感谢大家的。\n\n16:27.661 --> 16:28.161\n分享，\n\n16:28.262 --> 16:29.211\n谢谢大家。\n\n","v0247cg10004d76bn3aljhtd0cph9h10",1004,897,"2026-01-26 12:47:47"," 支气管扩张症的治疗方法 - 全面解析与专业指南  \n"," 支气管扩张症治疗,支气管扩张怎么治,支气管扩张症状,支气管扩张药物,支气管扩张手术,呼吸系统疾病治疗  \n"," 本视频详细讲解支气管扩张症的治疗方法，包括药物治疗、物理治疗和手术方案，帮助患者了解症状管理、预防感染和改善呼吸功能的专业医疗建议。适合患者及家属观看的权威指南。","2026-05-01 18:00:00",[36],{"menuId":37,"menuName":38,"parentId":17,"orderNum":39,"path":40,"component":41,"isFrame":42,"isCache":43,"menuType":44,"visible":25,"status":17,"createDept":6,"remark":15,"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 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",2,4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/871862/b12f07ab-8f61-4e62-8bf3-a919ecefec4f.tmp?a=0&auth_key=1789013916-26e22f1b4ec047d292c4e65a4a78c49d-0-bb6230813b4d809956a1f840558ec8ef&br=358&bt=358&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=4&eid=v0247cg10004d76bn3aljhtd0cph9h10&er=0&l=202608110201534A3305BE8E824E2DC8C9&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=M2trZmdrbzZlOjczNGY3M0ApNDxzM3dtZHE5ZzMzajo1eWcuNm0tcWdeazNhLS1kNC9zcy1lZWBhZWkwXzQxLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":56,"message":6,"data":6,"success":57},{"code":9,"msg":10,"message":6,"data":60,"success":57},{"pageNo":25,"pageSize":61,"result":62,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":64,"success":57},{"authors":65,"appraiseDimensionScoresVos":66},[],[]]