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--> 00:01.804\n大家好，\n\n00:01.804 --> 00:06.179\n今天和大家分享儿童鼻炎的全面认识与科学管理。\n\n00:06.679 --> 00:09.529\n我们将从以下六个方面来进行介绍，\n\n00:09.579 --> 00:19.030\n分别是疾病认知基础、临床表现与诊断、阶梯治疗策略、居家护理体系、预防管理模型以及认知误区突破。\n\n00:21.541 --> 00:22.566\n第一点，\n\n00:22.566 --> 00:23.992\n疾病认知基础。\n\n00:25.256 --> 00:29.281\n鼻腔的结构具有特殊性，\n\n00:29.281 --> 00:31.156\n儿童鼻腔相对狭窄，\n\n00:31.156 --> 00:32.106\n鼻道短小，\n\n00:32.157 --> 00:34.770\n这使得鼻腔在受到外界刺激时，\n\n00:34.770 --> 00:37.506\n通气和引流功能更容易受到影响。\n\n00:37.506 --> 00:38.056\n例如，\n\n00:38.056 --> 00:41.757\n轻微的粘膜肿肿胀就可能导致明显的鼻塞症状。\n\n00:42.591 --> 00:43.067\n同时呢，\n\n00:43.067 --> 00:44.942\n儿童的鼻粘膜柔软，\n\n00:44.942 --> 00:47.516\n屏障功能不完善，\n\n00:47.516 --> 00:48.992\n粘膜下血管丰富，\n\n00:48.992 --> 00:54.192\n这使得鼻粘膜容易受到病毒、细菌等病原体的侵袭引发。\n\n00:55.244 --> 00:55.994\n炎症反应，\n\n00:56.544 --> 01:00.845\n儿童的免疫系统处于不断发发育和完善的过程中，\n\n01:00.845 --> 01:02.494\n免疫功能相对较弱。\n\n01:02.494 --> 01:04.144\n面对外界病原体时，\n\n01:04.144 --> 01:07.144\n不能及时有效的启动免疫防御机制，\n\n01:07.294 --> 01:09.870\n增加了患鼻炎的风险。\n\n01:09.870 --> 01:15.595\n这就是小儿鼻炎的这个解剖学特征与易感因素。\n\n01:19.672 --> 01:20.023\n鼻炎，\n\n01:20.222 --> 01:24.672\n小儿鼻炎的这个病理分型分为感染性鼻炎、过敏性鼻炎，\n\n01:24.672 --> 01:26.648\n还有非过敏非感染性鼻炎。\n\n01:26.648 --> 01:27.797\n感染性鼻炎呢，\n\n01:27.797 --> 01:30.773\n主要由细菌、病毒等微生物感染引起。\n\n01:30.873 --> 01:36.672\n在儿童免疫力低下时更易发生鼻腔分泌物可从粘液性转流性，\n\n01:36.672 --> 01:39.322\n可能伴有发热、全身不适等症状。\n\n01:39.472 --> 01:41.148\n据的BO数据呢，\n\n01:41.148 --> 01:44.623\n感染性鼻炎在儿童鼻炎中占有一定比例。\n\n01:45.123 --> 01:46.347\n过敏性鼻炎呢，\n\n01:46.347 --> 01:47.972\n是因为吸入过敏原，\n\n01:47.972 --> 01:49.873\n如尘螨、花粉、动物。\n\n01:49.935 --> 01:54.036\n皮屑或者是进食某些过敏原食物引发的，\n\n01:54.085 --> 01:58.161\n主要症状有清水样鼻涕、鼻痒、打喷嚏、鼻塞等，\n\n01:58.161 --> 02:01.335\n还可能伴有眼痒、结膜充血等眼部症状。\n\n02:01.585 --> 02:06.210\n我国小儿过敏性鼻炎的患病率约为15.79%，\n\n02:06.210 --> 02:08.535\n且呈逐年增高的趋势。\n\n02:09.740 --> 02:16.891\n那么最后一个非过敏非感染性鼻炎的病因包括空气污染、烟雾、刺激性气体等环境因素，\n\n02:16.891 --> 02:21.291\n或者鼻腔结构异常等鼻部症状与过敏性鼻炎类似，\n\n02:21.341 --> 02:24.341\n但无有明显的过敏或感染因素。\n\n02:24.641 --> 02:27.990\n目前应在儿童鼻炎中的这个。\n\n02:29.876 --> 02:31.802\n具体流行病学数据呢，\n\n02:31.802 --> 02:33.326\n有待进一步的研究。\n\n02:35.714 --> 02:37.688\n那么多因素啊，\n\n02:37.688 --> 02:39.563\n可能可能触发小儿的鼻炎。\n\n02:40.393 --> 02:40.643\n嗯，\n\n02:41.744 --> 02:45.694\n一般分为病毒、细菌感染还有过敏源的暴露。\n\n02:46.143 --> 02:46.593\n那么，\n\n02:46.593 --> 02:49.119\n儿童的免疫系统尚未完全成熟，\n\n02:49.119 --> 02:50.968\n容易受到病毒细菌的感染。\n\n02:50.968 --> 02:53.544\n如感冒病毒在鼻腔内滋生繁衍，\n\n02:53.544 --> 02:55.569\n可以导致鼻腔黏膜发炎，\n\n02:55.569 --> 02:56.393\n引发鼻炎。\n\n02:56.643 --> 02:57.669\n在季节交替，\n\n02:57.669 --> 02:58.994\n儿童免疫力低下时，\n\n02:58.994 --> 03:00.143\n感染风险更高。\n\n03:00.694 --> 03:01.143\n那么，\n\n03:01.143 --> 03:05.319\n当儿童接触到尘螨、花粉、动物皮屑等过敏原时，\n\n03:05.319 --> 03:07.593\n免疫系统会产生过度的反应，\n\n03:07.593 --> 03:09.218\n导致鼻腔粘膜发炎。\n\n03:09.218 --> 03:09.694\n例如，\n\n03:09.694 --> 03:10.593\n在花粉季节。\n\n03:10.751 --> 03:12.852\n儿童外出接触花粉后，\n\n03:13.052 --> 03:14.901\n可能诱发过敏性的鼻炎。\n\n03:17.274 --> 03:17.375\n那么，\n\n03:17.375 --> 03:19.850\n它的这个多因素触发机制呢，\n\n03:19.850 --> 03:23.524\n还包括环境刺激和鼻腔结构异常。\n\n03:23.625 --> 03:30.475\n空气污染、烟雾、刺激性气体等环境因素会刺激儿童鼻腔黏膜，\n\n03:30.475 --> 03:32.050\n破坏黏膜的正常功能，\n\n03:32.050 --> 03:32.824\n引发炎症。\n\n03:33.024 --> 03:37.824\n长期暴露在污染环境中的儿童患鼻炎的几率相对较高。\n\n03:38.833 --> 03:44.059\n鼻中隔偏曲、鼻甲肥大等鼻腔结构异常会影响鼻腔的通气和引流，\n\n03:44.059 --> 03:46.634\n导致鼻腔内的分泌物排出不畅，\n\n03:46.634 --> 03:48.333\n容易滋生细菌和病毒，\n\n03:48.333 --> 03:49.634\n从而引发鼻炎。\n\n03:51.889 --> 03:52.188\n第二点，\n\n03:52.188 --> 03:54.639\n我们讲一下临床表现与诊断。\n\n03:56.050 --> 03:56.774\n小儿鼻炎，\n\n03:56.774 --> 03:59.350\n它有一个四联针识别法则，\n\n03:59.350 --> 04:03.750\n包括典型症状组合、变异性心理针、变异性黑眼圈，\n\n04:03.750 --> 04:08.350\n还有变变异性的一个皱褶。\n\n04:08.350 --> 04:09.600\n它的典型症状呢，\n\n04:09.600 --> 04:13.350\n是是鼻塞、流涕、喷嚏。\n\n04:14.089 --> 04:14.414\n鼻痒，\n\n04:14.414 --> 04:17.838\n这个是作为一个四联典型症状的啊，\n\n04:18.239 --> 04:20.764\n还有变异性的这个静理针呢，\n\n04:20.764 --> 04:25.989\n是因为部分过敏性鼻炎儿童为减轻鼻痒和使鼻腔通畅，\n\n04:25.989 --> 04:29.989\n会用手掌或手指向上揉鼻形成变异性静忌针，\n\n04:30.289 --> 04:32.239\n是这个特殊体征之一。\n\n04:32.588 --> 04:34.438\n变变异性黑眼圈呢，\n\n04:34.438 --> 04:39.639\n指的是由于下眼睑肿胀而出现下睑的暗影及变异性黑眼圈，\n\n04:39.639 --> 04:43.289\n这个也是过敏性鼻炎可能出现的特殊表现。\n\n04:44.196 --> 04:45.471\n变性的皱褶呢，\n\n04:45.471 --> 04:47.721\n是因为患儿经常揉鼻，\n\n04:47.721 --> 04:50.096\n在鼻部出现横行皱纹，\n\n04:50.545 --> 04:52.496\n称为变性的皱褶。\n\n04:52.496 --> 04:55.196\n这个可以辅助识别小儿鼻炎。\n\n04:57.895 --> 04:58.170\n那么，\n\n04:58.170 --> 05:01.246\n我们明确的诊断措施呢，\n\n05:01.246 --> 05:04.545\n也包括前鼻镜检查、皮肤点刺试验。\n\n05:04.645 --> 05:05.045\n那么，\n\n05:05.045 --> 05:08.621\n前鼻镜检查是可以直观观察患儿鼻粘膜情况，\n\n05:08.621 --> 05:11.045\n判断有无炎症肿胀的，\n\n05:11.045 --> 05:13.996\n是种诊断的一个重要的依据。\n\n05:14.346 --> 05:16.221\n皮肤点刺试验呢，\n\n05:16.221 --> 05:19.446\n是可以检测患儿是否对特定物质过敏，\n\n05:19.446 --> 05:23.196\n这个有助于诊断是否为过敏性的鼻炎。\n\n05:25.281 --> 05:25.580\n还有，\n\n05:25.680 --> 05:28.855\n同时我们还有IG的检测作用啊，\n\n05:28.855 --> 05:31.855\n鼻分泌物的细胞学检查。\n\n05:31.855 --> 05:32.656\nIG检测呢，\n\n05:32.656 --> 05:35.631\n旨在测定患儿体内IG抗体浓度，\n\n05:35.631 --> 05:38.381\n这个也是协助诊断过敏性鼻炎的。\n\n05:38.480 --> 05:39.055\n那么，\n\n05:39.055 --> 05:40.756\n鼻分泌物细胞学呢，\n\n05:40.756 --> 05:47.180\n是可以辅助判断患儿是否存在的真菌或者其他的病原体的感染。\n\n05:49.774 --> 05:56.125\n我们常见的与这个鼻炎的这个鉴别一般是和感冒鉴别，\n\n05:56.225 --> 05:57.649\n和鼻窦炎鉴别，\n\n05:57.649 --> 05:59.825\n还有和腺样体肥大的鉴别。\n\n06:00.225 --> 06:00.674\n那么，\n\n06:00.674 --> 06:01.899\n小儿鼻炎和感冒呢，\n\n06:01.899 --> 06:04.024\n它都会有鼻塞啊，\n\n06:04.024 --> 06:04.975\n流涕打喷嚏，\n\n06:04.975 --> 06:08.174\n但是感冒可能会伴有发热咽痛等全身症状。\n\n06:09.122 --> 06:09.497\n那么，\n\n06:09.497 --> 06:10.347\n鼻窦炎呢，\n\n06:10.347 --> 06:14.398\n它除了和这个小儿鼻炎一样有鼻塞、流涕等症状外，\n\n06:14.398 --> 06:17.472\n它还可能会有头痛、面部压痛等表现。\n\n06:17.523 --> 06:18.122\n而且，\n\n06:18.122 --> 06:20.048\n经过这个鼻窦CT的扫描，\n\n06:20.048 --> 06:22.722\n这些影像学检查可以发现鼻窦病变。\n\n06:23.273 --> 06:26.622\n而小儿鼻炎主要病变是在鼻腔粘膜。\n\n06:28.015 --> 06:28.216\n嗯，\n\n06:28.466 --> 06:29.716\n腺样体肥大呢，\n\n06:29.716 --> 06:31.015\n它可能导致鼻塞加重，\n\n06:31.015 --> 06:32.216\n睡眠打鼾的症状。\n\n06:32.615 --> 06:33.115\n但是，\n\n06:33.115 --> 06:35.566\n鼻镜检查可以发现腺样体肥大。\n\n06:35.566 --> 06:38.216\n而小儿鼻炎主要是鼻腔粘膜炎症，\n\n06:38.365 --> 06:41.515\n无腺样体的明显异常增大。\n\n06:43.520 --> 06:43.946\n第三点，\n\n06:43.946 --> 06:45.821\n我们讲一下阶梯治疗策略。\n\n06:48.501 --> 06:49.726\n药物治疗方面呢，\n\n06:49.726 --> 06:52.675\n我一般可以选用抗组胺药，\n\n06:52.675 --> 06:53.825\n还有鼻用激素。\n\n06:53.976 --> 06:56.001\n那对于症状较轻，\n\n06:56.001 --> 06:58.726\n发作不频繁的过敏性鼻炎患儿，\n\n06:58.726 --> 07:00.376\n可以使用这个抗组胺药，\n\n07:00.376 --> 07:03.276\n缓解鼻痒、打喷嚏、流涕等症状。\n\n07:04.864 --> 07:08.563\n因为对于这个中重度过敏性鼻炎的患儿，\n\n07:08.614 --> 07:09.014\n嗯，\n\n07:09.063 --> 07:11.889\n他可能会有出现一个持续性的鼻塞，\n\n07:11.889 --> 07:13.014\n大量的流涕等。\n\n07:13.364 --> 07:15.588\n那使用抗组胺效果不佳。\n\n07:15.588 --> 07:16.164\n那么这个时候，\n\n07:16.164 --> 07:18.164\n我们可以选用鼻用激素，\n\n07:18.514 --> 07:21.063\n这个可以有效的减轻鼻粘膜的炎症，\n\n07:21.213 --> 07:22.813\n缓解多种症状。\n\n07:25.243 --> 07:31.394\n那么对于合并哮喘的中重度的过敏性鼻炎患儿，\n\n07:31.593 --> 07:34.894\n患儿是同时存在鼻炎和哮喘症状时呢，\n\n07:34.894 --> 07:37.294\n我们可以使用白三烯受体拮抗剂，\n\n07:37.444 --> 07:41.444\n这个可以药物可以同时控制两种疾病的症状。\n\n07:44.592 --> 07:45.041\n现在呢，\n\n07:45.041 --> 07:47.691\n有也有这个小儿鼻炎的免疫治疗，\n\n07:47.691 --> 07:51.391\n包括舌下含服脱敏疗法。\n\n07:52.544 --> 07:54.993\n这个是一般适用于5岁以上，\n\n07:55.243 --> 08:01.794\n这个对尘螨过敏的轻中度的过敏性鼻炎患儿。\n\n08:02.942 --> 08:07.317\n一般是对于不愿意接受皮下注射的儿童，\n\n08:07.368 --> 08:09.268\n这可是一个比较好的选择。\n\n08:13.683 --> 08:18.433\n这个还有一个皮下注射脱敏疗法，\n\n08:18.734 --> 08:22.484\n那这个是相较于这个舌下含服呢，\n\n08:22.734 --> 08:28.734\n它是更加适合症状较为严重的这个过敏性鼻炎的患儿，\n\n08:28.734 --> 08:32.533\n但是它可能会出现局部的或者全身的不良反应。\n\n08:32.533 --> 08:32.934\n因此，\n\n08:32.934 --> 08:35.333\n这个是需要专业医生操作，\n\n08:35.333 --> 08:37.934\n不可以自己在家进行一个操作的。\n\n08:40.656 --> 08:40.830\n那么，\n\n08:40.830 --> 08:42.705\n对于物理的疗法呢，\n\n08:42.856 --> 08:44.455\n可以有鼻腔冲洗，\n\n08:44.556 --> 08:47.056\n还有鼻部按摩、雾化吸入等等。\n\n08:47.106 --> 08:49.056\n鼻腔冲洗呢，\n\n08:49.255 --> 08:51.755\n是就是选择合适的冲洗液。\n\n08:53.046 --> 08:53.396\n然后，\n\n08:54.197 --> 08:55.322\n冲洗的频率呢，\n\n08:55.322 --> 08:58.096\n根据孩子鼻腔情况和医生建议决定。\n\n08:58.096 --> 08:58.872\n这绝对呢，\n\n08:58.872 --> 09:00.497\n要避免过度的冲洗。\n\n09:01.411 --> 09:02.736\n鼻部按摩呢，\n\n09:02.736 --> 09:06.461\n是通过按摩印堂穴、太阳穴和迎香穴等穴位。\n\n09:07.426 --> 09:09.575\n可以有效的缓解鼻炎的症状。\n\n09:10.497 --> 09:11.322\n雾化吸入呢，\n\n09:11.322 --> 09:14.747\n是使用专业的雾化吸入设备，\n\n09:15.197 --> 09:16.797\n将药物放入雾化器，\n\n09:16.898 --> 09:19.697\n让孩子采取一个坐位或者半卧位，\n\n09:19.697 --> 09:22.398\n用面罩或口含器进行吸入。\n\n09:25.525 --> 09:25.849\n第四点，\n\n09:25.849 --> 09:27.775\n我们讲一下居家护理体系。\n\n09:30.661 --> 09:31.812\n居家护理体系。\n\n09:33.273 --> 09:35.299\n最关键的一个环境控制呢，\n\n09:35.299 --> 09:42.124\n它是从尘螨清洗、温度调控、不明规避来进行入手的。\n\n09:42.124 --> 09:43.523\n尘螨清除呢，\n\n09:43.523 --> 09:51.773\n是每周要使用带有高效空气过滤器的真空吸尘器进行一个清洁。\n\n09:52.223 --> 09:55.573\n这个包括了各种织物、床上用品等。\n\n09:56.179 --> 09:57.729\n这个可以有效的杀死尘螨，\n\n09:58.028 --> 10:00.179\n那么家里的这个湿度呢，\n\n10:00.278 --> 10:03.179\n控制在40%.60%之间。\n\n10:05.414 --> 10:07.840\n过敏源规避是在花粉季节。\n\n10:08.684 --> 10:12.234\n每天关注这个花粉的浓度预报，\n\n10:12.784 --> 10:14.359\n来选择这个。\n\n10:14.359 --> 10:15.635\n外出佩戴口罩啊，\n\n10:15.635 --> 10:16.085\n眼镜。\n\n10:20.461 --> 10:20.687\n还有，\n\n10:20.687 --> 10:24.361\n要对这个孩子的这个症状进行一个监测记录，\n\n10:24.512 --> 10:26.887\n要记录喷嚏频率，\n\n10:26.887 --> 10:28.012\n然后睡眠质量，\n\n10:28.211 --> 10:29.461\n还有用药记录。\n\n10:30.153 --> 10:33.328\n这个都可以反映鼻炎啊，\n\n10:33.328 --> 10:35.254\n症状症状的发作规律，\n\n10:35.304 --> 10:38.129\n对孩子生活的影响程度啊，\n\n10:38.129 --> 10:41.754\n那这些记录可以有助于医生根据孩子的。\n\n10:42.802 --> 10:48.052\n的这个用药还有症状的反应来进行调整治疗方案。\n\n10:52.284 --> 10:54.434\n在免疫营养免疫方面呢，\n\n10:54.434 --> 10:57.809\n可以使用维生素D调节免疫功能啊，\n\n10:57.809 --> 10:59.585\n益生菌调节肠道菌群，\n\n10:59.635 --> 11:02.085\n欧米伽三进行一个抗炎，\n\n11:02.085 --> 11:07.984\n这个都对小儿鼻炎有一个营养支持的作用。\n\n11:10.598 --> 11:11.148\n第五点呢，\n\n11:11.148 --> 11:12.947\n我们讲一下预防管理模型。\n\n11:15.325 --> 11:16.724\n它的三级预防体系，\n\n11:16.724 --> 11:19.025\n一级预防是病因预防。\n\n11:20.289 --> 11:22.440\n从源头上减少小儿鼻炎的发生，\n\n11:22.440 --> 11:24.640\n如避免孩子接触过敏原，\n\n11:24.640 --> 11:25.340\n像尘螨，\n\n11:25.340 --> 11:25.789\n花粉，\n\n11:25.789 --> 11:26.664\n动物皮屑等，\n\n11:26.664 --> 11:27.965\n保持环境清洁，\n\n11:27.965 --> 11:28.789\n定期通风，\n\n11:28.789 --> 11:29.789\n晾晒被褥，\n\n11:30.039 --> 11:31.390\n按照免疫接种计划，\n\n11:31.390 --> 11:33.090\n定时为孩子接种疫苗，\n\n11:33.090 --> 11:34.090\n增强免疫力。\n\n11:34.390 --> 11:35.215\n二级预防，\n\n11:35.215 --> 11:38.940\n早发现早治疗是指孩子家长要留意孩子的症状，\n\n11:39.539 --> 11:40.940\n如出现鼻塞，\n\n11:40.940 --> 11:41.265\n流涕，\n\n11:41.265 --> 11:41.914\n打喷嚏等，\n\n11:41.914 --> 11:43.039\n及时带孩子就医。\n\n11:43.039 --> 11:43.989\n医生通过病史，\n\n11:43.989 --> 11:46.114\n症状及相关检查明确诊断，\n\n11:46.114 --> 11:47.465\n尽早的进行治疗，\n\n11:47.465 --> 11:48.739\n防止病情的加重。\n\n11:49.242 --> 11:51.367\n三级预防并发症的管理，\n\n11:51.367 --> 11:53.567\n对于已经患鼻炎的孩子，\n\n11:53.567 --> 11:54.367\n积极治疗，\n\n11:54.367 --> 11:55.591\n预防并发症的发生。\n\n11:56.091 --> 11:57.791\n如鼻炎未及时治疗，\n\n11:57.791 --> 12:00.692\n可能引发中耳炎、鼻窦炎等啊，\n\n12:00.742 --> 12:03.992\n那么加强护理预防可降低此类风险。\n\n12:06.575 --> 12:07.901\n疫苗接种呢，\n\n12:07.901 --> 12:09.426\n可以接种流感疫苗，\n\n12:09.426 --> 12:11.226\n肺炎链球菌疫苗。\n\n12:12.177 --> 12:19.028\n这个都可以减少这个孩子患鼻炎的这个风险。\n\n12:22.739 --> 12:23.739\n家校联动机制，\n\n12:24.088 --> 12:27.289\n嗯一是过敏原报告流程，\n\n12:27.838 --> 12:29.664\n二是应急响应流程，\n\n12:29.664 --> 12:32.888\n三是三方沟通协作。\n\n12:33.039 --> 12:36.263\n那家在家校联动的这个情况下呢，\n\n12:36.263 --> 12:39.689\n可以更好的关注控制小孩，\n\n12:40.388 --> 12:41.588\n小孩这个。\n\n12:42.879 --> 12:44.528\n鼻炎的发生、发展。\n\n12:46.651 --> 12:47.375\n最后一点呢，\n\n12:47.375 --> 12:49.750\n我们讲一下认知误区突破。\n\n12:53.168 --> 12:54.567\n抗生素使用误区，\n\n12:54.867 --> 12:56.117\n病毒性的鼻炎。\n\n12:57.757 --> 13:00.958\n滥用抗生素是具有危害性的。\n\n13:01.057 --> 13:03.882\n病毒性的鼻炎具有自愈性，\n\n13:03.882 --> 13:05.958\n通常无需抗生素治疗。\n\n13:05.958 --> 13:08.708\n滥用抗生素不仅无法治疗病毒感染，\n\n13:08.708 --> 13:11.658\n还会导致孩子体内的菌群失调，\n\n13:11.658 --> 13:12.708\n产生耐药性，\n\n13:12.708 --> 13:15.007\n甚至引起其他的不良反应。\n\n13:16.078 --> 13:18.653\n那我们如何合理用药用药呢？\n\n13:18.653 --> 13:22.028\n合理用药评估表的建立是可以。\n\n13:24.056 --> 13:26.231\n有一个很大的益处的，\n\n13:26.231 --> 13:28.505\n那么建立合理用药评估表呢，\n\n13:28.505 --> 13:36.255\n综合考虑患儿症状、病史、检查结果等因素来判断是否真正需要使用抗生素，\n\n13:36.505 --> 13:38.106\n避免盲目的用药。\n\n13:40.127 --> 13:43.377\n同时我们还要破除对激素的恐惧，\n\n13:43.776 --> 13:46.526\n临床试验表明呢。\n\n13:47.383 --> 13:51.434\n鼻用激素在规定剂量内使用是有明确的安全阈值，\n\n13:51.434 --> 13:57.434\n它能有效的缓解鼻塞、流涕、打喷嚏及鼻炎、鼻痒等症状。\n\n13:58.672 --> 14:01.622\n那么使用激素的这个获益风险比。\n\n14:03.343 --> 14:06.494\n我们分析鼻用激素的获益风险比呢，\n\n14:06.593 --> 14:12.419\n其在治疗鼻炎方面获益明显大于可能存在的风险。\n\n14:12.419 --> 14:15.044\n这个能显著改善患儿的生活质量。\n\n14:15.044 --> 14:15.619\n因此呢，\n\n14:15.619 --> 14:18.218\n我们不要谈激素色变，\n\n14:18.218 --> 14:22.744\n而是要破除对这个激素合理使用激素的恐惧。\n\n14:25.476 --> 14:26.776\n自愈认知矫正。\n\n14:28.307 --> 14:30.033\n并发症图谱展示呢？\n\n14:30.033 --> 14:31.607\n通过这个清晰的展示，\n\n14:31.607 --> 14:35.182\n小儿鼻炎若未规范的进行治疗，\n\n14:35.182 --> 14:38.257\n可能引发中耳炎、鼻窦炎等疾病，\n\n14:38.408 --> 14:42.107\n还可能导致腺样体面面容等后果。\n\n14:43.116 --> 14:43.491\n因此呢，\n\n14:43.491 --> 14:47.015\n我们要强调这个规范治疗的重要性，\n\n14:47.166 --> 14:50.466\n提醒我们家长重视小儿鼻炎的规范，\n\n14:50.616 --> 14:53.366\n规范治疗不能寄希望于自愈，\n\n14:53.565 --> 14:54.466\n以免给。\n\n14:55.505 --> 14:59.155\n孩子带来无法挽回的健康问题。\n\n15:00.664 --> 15:02.713\n那今天就分享到这里，\n\n15:02.864 --> 15:03.713\n谢谢大家。\n\n","v0247cg10004d769gdiljht5p4f5dls0",908,655,"2026-01-26 12:57:18"," 儿童鼻炎的全面认识与科学管理 - 症状、治疗与预防指南  "," 儿童鼻炎, 鼻炎症状, 鼻炎治疗, 儿童过敏, 鼻炎预防, 科学管理鼻炎, 小儿鼻塞, 过敏性鼻炎  "," 本视频全面解析儿童鼻炎的病因、常见症状及科学管理方法，涵盖药物治疗、家庭护理和预防策略，帮助家长有效应对孩子鼻炎问题，提升儿童呼吸健康。","2026-06-11 10:58:24",[37],{"menuId":38,"menuName":39,"parentId":21,"orderNum":22,"path":40,"component":41,"isFrame":42,"isCache":43,"menuType":44,"visible":26,"status":21,"createDept":6,"remark":24,"createTime":45,"children":46,"columnImage":47,"columnLogo":48,"uncheckedLogo":6,"checkedLogo":6,"isHot":21,"isHome":21,"forceLogin":21,"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","video","/video.html","1","0","T","2025-11-07 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