[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fCLBLsZDcoGH0D916gvcH0M9FodfzJwq_yZZIWj4i69E":8,"$fwbmbENXSJeHqKl43XXlPKDhTnkRZ_wz3Zk-zZIXtwuM":58,"$f3tg5GerG7XFlGMUTk8ckve2wKkeVs3VN6AHLUzmCadA":59,"$fPZg8Tasbj3JNuGOHgl1pmE17Ik2f6GlY---DHhq0EBk":62},{"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":22,"videoTotal":23,"isConcern":7,"title":24,"coverVertical":25,"coverAcross":26,"directionMarker":27,"description":28,"vid":29,"time":30,"mediaType":27,"views":31,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":32,"seoTitle":24,"seoKeywords":33,"seoDescription":34,"shelvesTime":35,"menus":36,"menuId":38,"type":55,"quality":6,"commentCount":17,"isComment":27,"deviceType":23,"url":56},14372,865438,[],"https://yst.tos-cn-shanghai.volces.com/venue%2Fundefined%2F2025-12-16-16%3A11%3A04%2F76060049-1dff-40f7-88f3-c646c1d87a63.png","陈旋",0,"呼吸道慢性疾病的诊断与治疗","上海中医药大学附属曙光医院","呼吸内科","副主任医师",10,4,"守气发声 养喉润音","","https://cdn.yishi-tong.com/console/3/A8KsEN3gRVYgLEnMYfQ0vLCCBS3lZuJE.png",1,"WEBVTT\n\n00:01.230 --> 00:02.930\n各位大家好，\n\n00:03.329 --> 00:05.679\n我是呼吸科的陈璇医师。\n\n00:06.380 --> 00:13.529\n今天我给大家讲的最主要的内容是手气发声、养喉润音。\n\n00:13.729 --> 00:18.579\n我们一起来聊一聊关于我们喉部与声音的这样一个问题。\n\n00:20.233 --> 00:23.284\n我们今天讲要讲的主要内容呢，\n\n00:23.284 --> 00:28.409\n包括一就是现象和本质声音嘶哑的初探。\n\n00:29.174 --> 00:29.799\n2呢，\n\n00:29.799 --> 00:30.875\n脏腑的关联，\n\n00:30.875 --> 00:32.525\n声音背后的身体。\n\n00:33.025 --> 00:33.724\n三呢，\n\n00:33.825 --> 00:37.224\n溯源求因伤身习惯的盘点。\n\n00:37.775 --> 00:38.349\n四呢，\n\n00:38.349 --> 00:39.375\n内调外治，\n\n00:39.375 --> 00:40.974\n中医防治的宝库，\n\n00:41.525 --> 00:43.075\n生活管理包括呢，\n\n00:43.075 --> 00:45.575\n科学用生与调护啊，\n\n00:45.575 --> 00:47.224\n我们的警钟与总结，\n\n00:47.275 --> 00:49.474\n合适就医与行动纲领。\n\n00:51.234 --> 00:54.083\n因而现象与本质声音嘶哑的初态，\n\n00:54.383 --> 00:58.933\n现代医学视角上声音嘶哑定义为声带振动的异常。\n\n00:59.183 --> 01:04.033\n声音嘶哑在现代医学中主要由于声带振动异常时候引起的。\n\n01:04.183 --> 01:05.958\n正常声带振动时呢，\n\n01:05.958 --> 01:08.958\n声带是紧紧紧闭合的啊，\n\n01:08.958 --> 01:13.058\n可以出现规律的震动发出清晰的声音啊。\n\n01:13.058 --> 01:14.759\n一旦因为声带炎症啊，\n\n01:14.759 --> 01:18.808\n息肉等导致声带闭合不全的情况下呢，\n\n01:18.808 --> 01:20.783\n就可以导致震动不规律，\n\n01:20.783 --> 01:21.634\n出现音质。\n\n01:21.720 --> 01:22.269\n的改变，\n\n01:22.470 --> 01:24.269\n从而导致声音的嘶哑。\n\n01:24.569 --> 01:26.419\n中医的病因病机来说，\n\n01:26.470 --> 01:27.870\n从中医角度看，\n\n01:28.169 --> 01:30.919\n声音嘶哑并非单纯的局部病变。\n\n01:31.120 --> 01:32.694\n中医有金石不明，\n\n01:32.694 --> 01:34.495\n经魄不明的说法，\n\n01:34.495 --> 01:37.970\n比较形象的比喻了声音嘶哑的两种情况，\n\n01:38.319 --> 01:39.745\n由于外邪侵袭呢，\n\n01:39.745 --> 01:42.370\n气机闭阻就是金实不明，\n\n01:42.519 --> 01:43.944\n由于脏腑亏虚呢，\n\n01:43.944 --> 01:46.120\n喉实濡养为经魄不明。\n\n01:46.269 --> 01:51.519\n提示我们需从整体脏腑功能失调来理解这样一个声音。\n\n01:51.688 --> 01:54.288\n滋养中医的核心病机呢，\n\n01:54.337 --> 01:56.788\n与金石与精魄相关。\n\n01:56.987 --> 01:58.263\n金石不明呢，\n\n01:58.263 --> 01:59.087\n指的就是。\n\n02:02.873 --> 02:03.072\n嗯，\n\n02:03.072 --> 02:05.072\n我们指的是啊。\n\n02:06.036 --> 02:08.535\n外邪那里壅塞了肺部，\n\n02:08.636 --> 02:11.386\n导致气机的阻塞啊，\n\n02:11.386 --> 02:12.960\n肺声门的失宣。\n\n02:12.960 --> 02:16.610\n例如风热犯肺热邪上扰咽喉，\n\n02:16.610 --> 02:18.136\n导致声带红肿，\n\n02:18.136 --> 02:19.136\n闭合不全，\n\n02:19.436 --> 02:20.636\n声音嘶哑。\n\n02:20.735 --> 02:21.585\n这时候呢，\n\n02:21.585 --> 02:26.085\n患者常伴有咳嗽、咳黄痰、咽喉肿痛等症状。\n\n02:26.535 --> 02:28.186\n伴有舌红苔黄，\n\n02:28.186 --> 02:28.985\n脉浮数，\n\n02:29.535 --> 02:33.485\n精魄不明的就是都是由于肺肾阴虚，\n\n02:33.485 --> 02:36.235\n气津两伤所导致的。\n\n02:36.311 --> 02:37.111\n喉湿濡痒，\n\n02:37.511 --> 02:38.436\n长期的呢，\n\n02:38.436 --> 02:44.287\n用声过度或者久病伤阴也可以导致肺肾阴液的亏虚。\n\n02:44.287 --> 02:47.162\n虚火上炎灼伤了喉部，\n\n02:47.561 --> 02:48.861\n患者声音嘶哑，\n\n02:48.861 --> 02:50.212\n时间久了以后呢，\n\n02:50.311 --> 02:51.886\n可以喉干灼热，\n\n02:51.886 --> 02:53.111\n干咳少痰，\n\n02:53.511 --> 02:54.686\n舌红少苔，\n\n02:54.686 --> 02:55.611\n脉细数。\n\n02:56.111 --> 02:56.761\n另外呢，\n\n02:56.761 --> 02:58.462\n从辨证的重要性来说，\n\n02:58.611 --> 03:00.662\n中医强调辨证论治，\n\n03:00.811 --> 03:04.212\n金石与精魄是两种截然不同的病机。\n\n03:04.561 --> 03:05.712\n金石不明呢，\n\n03:05.712 --> 03:06.212\n就需。\n\n03:06.320 --> 03:07.619\n要去邪宣肺，\n\n03:08.020 --> 03:09.169\n经魄不明呢，\n\n03:09.169 --> 03:10.820\n则需要滋阴润肺。\n\n03:11.119 --> 03:12.720\n只有准确的辨证，\n\n03:12.720 --> 03:15.220\n才能制定个体化的治疗方案，\n\n03:15.270 --> 03:17.820\n有效的缓解我们的声音嘶哑。\n\n03:19.382 --> 03:20.932\n与脏腑的关联呢，\n\n03:20.981 --> 03:21.832\n也就是说，\n\n03:21.832 --> 03:23.231\n我们声音背后呢，\n\n03:23.231 --> 03:26.731\n是由我们身体的病机改变所导致的。\n\n03:27.082 --> 03:33.531\n如果肺肾脾肝跟我们的发声之间都是有关系的，\n\n03:33.932 --> 03:34.531\n肺呢，\n\n03:34.531 --> 03:36.757\n是主司呼吸的啊，\n\n03:36.757 --> 03:39.882\n司呼吸就是发声为声音之门，\n\n03:40.132 --> 03:41.207\n肺气充沛，\n\n03:41.207 --> 03:42.257\n气机通畅，\n\n03:42.257 --> 03:44.781\n声音才能够洪亮有力。\n\n03:44.932 --> 03:46.606\n如果肺气不足呢，\n\n03:46.606 --> 03:47.582\n就肺失宣，\n\n03:47.582 --> 03:48.932\n降气机不畅。\n\n03:49.177 --> 03:49.902\n声音呢，\n\n03:49.902 --> 03:52.527\n就会变得低沉或者嘶哑。\n\n03:52.578 --> 03:54.027\n例如感冒以后呢，\n\n03:54.027 --> 03:55.027\n肺气被郁，\n\n03:55.177 --> 03:58.477\n常常就会出现短暂的声音嘶哑了。\n\n03:59.841 --> 04:00.516\n另外呢，\n\n04:00.516 --> 04:04.792\n肾也藏精纳气为肾阴的根本啊，\n\n04:04.792 --> 04:05.992\n肾精充足了，\n\n04:05.992 --> 04:07.417\n纳气功能正常，\n\n04:07.417 --> 04:10.192\n才能保证肺气的稳定。\n\n04:10.292 --> 04:11.692\n肾精亏虚呢，\n\n04:11.692 --> 04:12.641\n纳气无权，\n\n04:12.742 --> 04:13.841\n肺气浮散，\n\n04:14.091 --> 04:16.441\n声音就会变得嘶哑低沉，\n\n04:16.592 --> 04:19.441\n甚至出现气短懒言的情况。\n\n04:20.141 --> 04:21.391\n二组三呢，\n\n04:21.391 --> 04:22.842\n脾为后天之本，\n\n04:22.992 --> 04:25.066\n生气血为生阴之本，\n\n04:25.066 --> 04:25.791\n脾呢，\n\n04:25.791 --> 04:28.842\n也运化水谷精微化生气血，\n\n04:28.842 --> 04:29.842\n濡养喉窍。\n\n04:30.308 --> 04:31.657\n如果脾虚失运了，\n\n04:31.657 --> 04:33.608\n气血生化乏源，\n\n04:33.907 --> 04:35.433\n喉部失去滋养，\n\n04:35.433 --> 04:38.308\n声音也会变得嘶哑无力啊，\n\n04:39.358 --> 04:43.108\n肝主疏泄调畅气机视为声音的枢纽。\n\n04:43.308 --> 04:44.282\n肝气郁结，\n\n04:44.282 --> 04:45.308\n气机不畅呢，\n\n04:45.308 --> 04:47.458\n会影响肺气的宣发与速降，\n\n04:47.608 --> 04:49.808\n进而导致声音的嘶哑。\n\n04:49.907 --> 04:51.433\n情绪不佳的时候呢，\n\n04:51.433 --> 04:53.157\n就会出现声音的变化，\n\n04:53.308 --> 04:54.483\n就是肝气呢，\n\n04:54.483 --> 04:56.257\n影响发生的一个体现。\n\n04:56.558 --> 05:00.208\n五大辩证分型的速览病证分。\n\n05:00.316 --> 05:01.466\n当中呢，\n\n05:01.466 --> 05:05.415\n我们声音嘶哑在中医当中有多种的辨证分型，\n\n05:05.566 --> 05:14.415\n最常见的就是风热犯肺症、风寒袭肺症、肺肾阴虚症以及肺脾气虚症啊，\n\n05:14.415 --> 05:16.316\n气滞血瘀痰凝症。\n\n05:16.566 --> 05:20.566\n每种症型都有着独特的症状跟表现，\n\n05:20.665 --> 05:22.216\n以及舌脉的特点。\n\n05:22.415 --> 05:23.591\n准确的辨证呢，\n\n05:23.591 --> 05:26.066\n是中医治疗声音嘶哑的一个关键。\n\n05:27.505 --> 05:34.054\n溯源求因伤声习惯的一个盘点过度与错误的用声呢，\n\n05:34.505 --> 05:38.855\n也是损伤我们声音的一个主要的原因。\n\n05:39.105 --> 05:43.154\n过度与错误的用声是导致声音嘶哑常见的原因。\n\n05:43.454 --> 05:48.304\n例如长时间的大声说话喊叫语速过快等等，\n\n05:48.355 --> 05:50.704\n会导致声带过度疲劳的，\n\n05:50.704 --> 05:53.404\n也会导致声带的充血水肿，\n\n05:53.404 --> 05:55.804\n甚至形成小结节或者息肉，\n\n05:56.005 --> 05:57.154\n从而引起声。\n\n05:57.239 --> 05:57.890\n声音嘶哑，\n\n05:58.140 --> 05:59.714\n如果饮食失节呢，\n\n05:59.714 --> 06:02.190\n也会对声音产生不良的影响。\n\n06:02.440 --> 06:05.089\n如果过食辛辣油腻啊，\n\n06:05.190 --> 06:06.290\n或者啊，\n\n06:06.290 --> 06:07.464\n质薄之品，\n\n06:07.464 --> 06:10.714\n就是我们这些烧烤啊，\n\n06:10.714 --> 06:11.339\n还有呢，\n\n06:11.339 --> 06:12.640\n腌制的东西啊，\n\n06:12.640 --> 06:14.489\n也会助热生火的，\n\n06:14.839 --> 06:16.739\n就灼伤了我们的喉部。\n\n06:16.890 --> 06:17.989\n而生冷呢，\n\n06:17.989 --> 06:19.239\n寒冷的植物呢，\n\n06:19.239 --> 06:21.290\n更容易损伤脾胃的阳气，\n\n06:21.489 --> 06:25.790\n导致痰湿的内生向上的干扰我们的咽喉，\n\n06:25.890 --> 06:27.190\n使声音变得。\n\n06:27.253 --> 06:27.753\n滋养，\n\n06:28.553 --> 06:29.204\n还有呢，\n\n06:29.204 --> 06:31.204\n就是环境与作息的失衡。\n\n06:33.096 --> 06:35.147\n环境作息的失衡当中呢，\n\n06:35.147 --> 06:37.546\n环境与作息是非常重要的。\n\n06:37.647 --> 06:41.497\n长期处于非常干燥污染的环境当中呢，\n\n06:41.497 --> 06:45.046\n也会使喉部的咽黏膜干燥受损。\n\n06:45.397 --> 06:46.471\n如果熬夜呢，\n\n06:46.471 --> 06:50.897\n耗伤阴液也许会导致虚火上炎灼伤喉部。\n\n06:51.196 --> 06:52.296\n压力过大呢，\n\n06:52.296 --> 06:53.671\n也会使肝气郁结，\n\n06:53.671 --> 06:55.397\n影响喉部的一个发生。\n\n06:55.946 --> 06:59.046\n内调外治要注重中医的防治保护。\n\n06:59.346 --> 07:00.946\n我们辨证食疗呢，\n\n07:00.946 --> 07:03.247\n跟润喉茶饮同样重要。\n\n07:03.924 --> 07:05.049\n食疗当中呢，\n\n07:05.049 --> 07:14.424\n通过润喉茶、罗汉果、胖大海啊、雪梨蜂蜜水是通常常用的一个润喉茶饮罗汉果呢，\n\n07:14.424 --> 07:16.049\n就能够清热解毒，\n\n07:16.399 --> 07:17.500\n润肺止咳。\n\n07:17.799 --> 07:19.424\n那胖大海雪梨呢，\n\n07:19.424 --> 07:22.950\n也可以清热润肺利咽开音。\n\n07:23.250 --> 07:24.250\n蜂蜜水呢，\n\n07:24.250 --> 07:26.950\n是非常好的滋阴润肺的一个东西，\n\n07:27.149 --> 07:29.200\n可以滋养肺阴啊，\n\n07:29.200 --> 07:30.350\n润燥止咳，\n\n07:30.350 --> 07:31.899\n适合日常饮用。\n\n07:32.350 --> 07:33.200\n那也能。\n\n07:33.350 --> 07:34.600\n缓解咽喉的不适，\n\n07:34.950 --> 07:36.649\n辨证是膳当中呢，\n\n07:36.649 --> 07:39.399\n我们要根据食疗的方案呢，\n\n07:39.399 --> 07:46.325\n阴虚者可以用银耳羹、百合粥、沙参麦冬汤等等滋阴润肺。\n\n07:46.325 --> 07:47.049\n气虚呢，\n\n07:47.049 --> 07:50.075\n可以选用黄芪来泡水啊，\n\n07:50.075 --> 07:53.649\n或者党参啊、山药粥这些补气健脾。\n\n07:53.649 --> 07:54.424\n同时呢，\n\n07:54.424 --> 07:58.549\n要忌口忌辛辣油腻生冷的食物，\n\n07:58.549 --> 08:00.100\n以免加重病情。\n\n08:01.492 --> 08:05.066\n穴位按摩与中药熏蒸穴位按摩当中呢，\n\n08:05.066 --> 08:08.842\n我们的廉泉人迎天突啊，\n\n08:09.291 --> 08:16.641\n百合谷列缺是利喉开阴的这样一个特效的穴位。\n\n08:17.041 --> 08:17.441\n嗯，\n\n08:17.842 --> 08:18.717\n廉泉呢，\n\n08:18.717 --> 08:22.041\n位于颈部按摩可以清热利咽。\n\n08:22.342 --> 08:23.166\n人迎呢，\n\n08:23.166 --> 08:26.541\n在颈部的两侧能疏风散热。\n\n08:26.791 --> 08:27.641\n天突呢，\n\n08:27.641 --> 08:30.641\n就以位于胸骨上窝宽胸理气，\n\n08:30.941 --> 08:31.641\n颌骨呢。\n\n08:31.701 --> 08:34.476\n在于手背能够清热解表，\n\n08:34.476 --> 08:36.601\n列缺位于手腕的后面，\n\n08:36.802 --> 08:40.351\n可以宣肺解表。\n\n08:40.552 --> 08:41.377\n中药呢，\n\n08:41.377 --> 08:44.452\n蒸汽熏蒸也是一种非常有效的外治法，\n\n08:44.552 --> 08:48.002\n可以选用薄荷、金银花等治疗啊。\n\n08:48.002 --> 08:50.601\n将药物煎煮以后产生的蒸汽呢，\n\n08:50.601 --> 08:52.552\n熏蒸在喉部的位置。\n\n08:52.752 --> 08:53.677\n操作时呢，\n\n08:53.677 --> 08:54.877\n要注意温度适宜，\n\n08:54.877 --> 08:55.851\n避免烫伤。\n\n08:56.202 --> 08:57.026\n每次呢，\n\n08:57.026 --> 08:59.651\n熏蒸的时间是15.20分钟，\n\n08:59.952 --> 09:01.601\n每天可以做一到两。\n\n09:01.718 --> 09:04.117\n次注意事项当中呢，\n\n09:04.168 --> 09:06.867\n我们穴位按摩的时候手法要轻柔，\n\n09:07.067 --> 09:08.218\n力度要适中，\n\n09:08.468 --> 09:10.968\n避免用力过猛或者导致不适。\n\n09:11.117 --> 09:12.742\n中药熏蒸的时候呢，\n\n09:12.742 --> 09:16.293\n要注意药物的选择和煎煮的方法啊，\n\n09:16.293 --> 09:19.117\n来确保药物的有效成分能够充分的释放。\n\n09:19.317 --> 09:20.067\n同时呢，\n\n09:20.067 --> 09:25.317\n孕妇皮肤破损者也要谨慎的使用这样的一个手法。\n\n09:25.918 --> 09:27.218\n生活当中呢，\n\n09:27.268 --> 09:28.968\n我们也要科学的用身，\n\n09:29.168 --> 09:31.067\n注重调护和管理。\n\n09:31.067 --> 09:31.668\n我们的身。\n\n09:31.718 --> 09:31.968\n嗯，\n\n09:32.468 --> 09:33.893\n科学的用声呢，\n\n09:33.893 --> 09:36.018\n它最主要的原则啊。\n\n09:36.869 --> 09:38.119\n就是，\n\n09:38.119 --> 09:42.820\n起居当中注意发热前发声要热身。\n\n09:43.219 --> 09:45.419\n发声前的热身非常重要，\n\n09:45.419 --> 09:50.544\n可以通过哼鸣的方式让声带逐渐进入工作状态。\n\n09:50.544 --> 09:51.770\n鸣的时候呢，\n\n09:51.770 --> 09:53.419\n用鼻子轻轻哼出声音，\n\n09:53.469 --> 09:53.869\n嗯，\n\n09:54.469 --> 09:56.070\n感受声带的震动，\n\n09:56.219 --> 09:58.744\n可以避免声带突然过度冲击，\n\n09:58.744 --> 09:59.969\n减少我们的损伤。\n\n10:00.812 --> 10:01.736\n发声时呢，\n\n10:01.736 --> 10:03.611\n要借力使用嗓子。\n\n10:03.812 --> 10:04.986\n发声时要注意，\n\n10:04.986 --> 10:06.387\n借力呢，\n\n10:06.387 --> 10:07.586\n让嗓子休息，\n\n10:07.586 --> 10:09.211\n让力量充分表现。\n\n10:10.450 --> 10:14.150\n可以借助麦克风减少声带的负担，\n\n10:14.400 --> 10:16.349\n同时要注意呼吸的技巧，\n\n10:16.400 --> 10:19.299\n用腹式的呼吸来代替胸式的呼吸，\n\n10:19.500 --> 10:21.650\n使声音稳定有力，\n\n10:21.750 --> 10:25.099\n避免过度用力导致声带的这样一个疲劳。\n\n10:25.299 --> 10:26.375\n发声以后呢，\n\n10:26.375 --> 10:27.500\n也要及时的休息。\n\n10:27.900 --> 10:29.625\n发声以后及时休息呢，\n\n10:29.625 --> 10:31.750\n让声带得到充分的恢复，\n\n10:32.049 --> 10:35.400\n避免长时间连续的说话或者唱歌，\n\n10:35.650 --> 10:37.700\n每隔一段时间让声带。\n\n10:38.385 --> 10:39.335\n休息一下，\n\n10:39.786 --> 10:42.010\n如果这时候感到咽喉不适了，\n\n10:42.010 --> 10:43.736\n就要适当的喝些温水，\n\n10:43.885 --> 10:45.536\n缓解喉咙的疲劳。\n\n10:45.986 --> 10:47.560\n起居调护当中呢，\n\n10:47.560 --> 10:48.786\n也是同样重要的，\n\n10:48.835 --> 10:50.986\n要保持室内空气的湿润，\n\n10:51.135 --> 10:53.135\n可以适当的使用加湿器，\n\n10:53.435 --> 10:56.986\n避免非常干燥的空气对喉部造成刺激，\n\n10:57.135 --> 10:58.786\n保证充足的睡眠，\n\n10:59.036 --> 11:01.810\n避免熬夜或者因为熬夜呢，\n\n11:01.810 --> 11:04.736\n损伤阴液导致虚火上炎，\n\n11:04.736 --> 11:05.585\n影响声音。\n\n11:05.585 --> 11:06.111\n同时呢，\n\n11:06.111 --> 11:07.085\n要适当运动，\n\n11:07.185 --> 11:08.335\n做做太极拳。\n\n11:08.669 --> 11:15.169\n打打八段锦就可以增强我们的体质来提高我们身体的抗病能力啊。\n\n11:15.169 --> 11:15.869\n第六呢，\n\n11:15.869 --> 11:17.919\n就是我们的警中医总结。\n\n11:18.169 --> 11:21.869\n那么出现声音嘶哑的就需要就医啊。\n\n11:22.169 --> 11:23.669\n就医行动当中呢，\n\n11:23.669 --> 11:25.070\n我们也有一些啊，\n\n11:25.070 --> 11:27.594\n提示我们总结了几大原则，\n\n11:27.594 --> 11:32.020\n也就是发现这些高危险的信号的时候呢，\n\n11:32.020 --> 11:33.169\n就要及时就医，\n\n11:33.520 --> 11:35.719\n我们称之为危险信号。\n\n11:36.254 --> 11:36.729\n第一个呢，\n\n11:36.729 --> 11:38.153\n就是就医的指征。\n\n11:38.554 --> 11:41.554\n声音嘶哑如果持续两周以上没有改善的，\n\n11:41.554 --> 11:44.229\n或者半年内反复发作两次以上的，\n\n11:44.229 --> 11:45.304\n就要及时就医。\n\n11:45.453 --> 11:50.804\n这两个时间点是判断声音嘶哑严重程度的重要参考啊，\n\n11:50.804 --> 11:53.528\n可能提示存在器质性的病变，\n\n11:53.528 --> 11:57.653\n或者其他严重的这样一个疾病危险的信号呢，\n\n11:57.653 --> 12:01.453\n包括如果是因为有痰血那么。\n\n12:02.452 --> 12:04.401\n呼吸困难或者吞咽困难，\n\n12:04.651 --> 12:06.552\n或者颈部肿块的时候，\n\n12:06.752 --> 12:13.002\n那么还有一种就是我们不知道原因不明原因突然出现消瘦啊，\n\n12:13.002 --> 12:15.851\n并且持续消瘦不缓解的时候呢，\n\n12:15.851 --> 12:20.302\n我们也是可能是由于严重的疾病的信号所导致的。\n\n12:20.401 --> 12:21.627\n如果喉癌啊，\n\n12:21.627 --> 12:22.752\n这些啊，\n\n12:22.752 --> 12:25.851\n就是它可能存在的这种除了啊，\n\n12:26.052 --> 12:30.901\n我们常见的声音嘶哑以外的这样危险的信号是要需需要及时治疗的，\n\n12:31.151 --> 12:31.851\n另外呢，\n\n12:31.851 --> 12:32.302\n就是。\n\n12:33.138 --> 12:34.737\n这些呢，\n\n12:35.338 --> 12:36.987\n这些恶性的疾病呢，\n\n12:36.987 --> 12:44.112\n是需要专业的医疗机构在有一定的医疗资质的条件下呢，\n\n12:44.112 --> 12:46.362\n进行仔细的排查跟诊断的。\n\n12:46.362 --> 12:50.513\n需要特殊的仪器以及丰富的临床经验啊，\n\n12:50.513 --> 12:55.013\n不是患者在家中或者在家中啊，\n\n12:55.013 --> 12:56.312\n或者通过啊，\n\n12:56.312 --> 12:58.388\n外面这些，\n\n12:58.388 --> 13:01.487\n普通的问诊是能够诊断的，\n\n13:01.487 --> 13:02.888\n或者能够进行排。\n\n13:02.918 --> 13:04.768\n排除的还有呢，\n\n13:04.768 --> 13:07.018\n就是我们的。\n\n13:08.213 --> 13:09.763\n总结了行动的纲领，\n\n13:10.164 --> 13:15.914\n就是将我们今天所说的这些东西进行了简单的总结啊。\n\n13:15.914 --> 13:16.614\n首先呢，\n\n13:16.614 --> 13:18.689\n就是要避外邪啊，\n\n13:18.689 --> 13:19.814\n所谓的外邪呢，\n\n13:19.814 --> 13:25.463\n就是中医的风寒暑湿燥火这些都是外邪，\n\n13:25.513 --> 13:28.463\n就是寒的冷的啊，\n\n13:28.564 --> 13:29.963\n暑热还有呢，\n\n13:29.963 --> 13:32.539\n像秋天的燥邪就是干燥啊，\n\n13:32.539 --> 13:35.114\n的环境或者气候都要避免。\n\n13:35.213 --> 13:36.164\n还有火呢，\n\n13:36.164 --> 13:36.963\n就是实火，\n\n13:36.963 --> 13:38.513\n那么就是辛辣。\n\n13:38.541 --> 13:41.067\n刺激这些外界的因素啊，\n\n13:41.067 --> 13:42.791\n或者我们的这样一个虚火，\n\n13:42.791 --> 13:44.916\n就是情绪的烦躁啊，\n\n13:44.916 --> 13:50.642\n阴虚肝火上亢这些火邪也会影响我们的声音。\n\n13:50.742 --> 13:52.392\n还有就是节饮食，\n\n13:52.791 --> 13:55.242\n我们知道咽喉也是我们啊，\n\n13:55.341 --> 13:57.892\n吃食物的这样一个。\n\n13:58.630 --> 14:00.130\n最主要的一个通道，\n\n14:00.280 --> 14:03.630\n那么通过吃了食物以后呢，\n\n14:03.679 --> 14:04.679\n食物会。\n\n14:05.843 --> 14:08.843\n通过我们的口腔进入咽喉啊，\n\n14:08.843 --> 14:10.218\n刺激咽喉啊，\n\n14:10.218 --> 14:14.244\n如果吃过辣过热过烫啊，\n\n14:14.343 --> 14:19.693\n或者过度香燥这些食物都会引起喉部适应的改变。\n\n14:20.294 --> 14:20.943\n另外呢，\n\n14:20.943 --> 14:21.943\n要慎用声，\n\n14:21.943 --> 14:30.643\n就是不能够长时间大声或者长时间高强度的用嗓，\n\n14:30.744 --> 14:32.244\n要定期休息。\n\n14:32.693 --> 14:33.419\n另外呢，\n\n14:33.419 --> 14:34.943\n要注意借力，\n\n14:34.994 --> 14:36.244\n就是说我们。\n\n14:36.309 --> 14:39.909\n可以通过扩音器喇叭啊，\n\n14:39.909 --> 14:43.859\n或者调整声息这样的方式来发音，\n\n14:43.859 --> 14:45.460\n避免过度的用嗓。\n\n14:45.710 --> 14:46.409\n还有呢，\n\n14:46.409 --> 14:48.409\n就是调畅情志啊，\n\n14:48.409 --> 14:52.659\n不要情志波动过大或者情绪过激啊，\n\n14:52.659 --> 14:54.559\n过度的啊，\n\n14:55.309 --> 14:59.409\n嘶喊过度的喊叫过度的哭泣啊。\n\n14:59.510 --> 15:00.309\n同时呢，\n\n15:00.309 --> 15:01.809\n这样过度的情绪呢，\n\n15:01.809 --> 15:03.710\n也会导致气机逆乱啊，\n\n15:03.710 --> 15:04.734\n气机上逆呢，\n\n15:04.734 --> 15:05.859\n冲到了咽喉。\n\n15:06.306 --> 15:06.556\n哎，\n\n15:06.705 --> 15:09.906\n使得咽喉气机紊乱也会发生这样的情况。\n\n15:10.406 --> 15:11.080\n另外呢，\n\n15:11.080 --> 15:13.356\n我们还要调情志啊，\n\n15:13.705 --> 15:15.806\n保持情志的一个舒畅。\n\n15:16.156 --> 15:16.830\n还有呢，\n\n15:16.830 --> 15:18.106\n就是勤保健。\n\n15:18.455 --> 15:22.106\n保健当中包括我们的生活习惯啊，\n\n15:22.106 --> 15:23.406\n环境啊，\n\n15:23.406 --> 15:25.031\n工作的环境啊，\n\n15:25.031 --> 15:29.556\n要避免这些烟雾粉尘化学品的刺激。\n\n15:29.906 --> 15:30.505\n另外呢，\n\n15:30.505 --> 15:35.806\n保持这样一个室内居住的环境的通风干燥啊。\n\n15:36.322 --> 15:37.971\n适度的湿度，\n\n15:38.021 --> 15:39.846\n适度的温度啊，\n\n15:39.846 --> 15:42.721\n这种情况也是我们要注意的。\n\n15:42.721 --> 15:46.521\n因为我们的粘膜也是需要我们这接触空气，\n\n15:46.521 --> 15:48.846\n在空气中受到保护啊。\n\n15:48.846 --> 15:50.322\n所以今天的内容呢，\n\n15:50.322 --> 15:52.372\n希望大家听了以后啊，\n\n15:52.372 --> 15:54.771\n能够有所启发，\n\n15:55.021 --> 15:55.846\n并且呢，\n\n15:55.846 --> 15:59.721\n在日常生活当中进行加以运用啊，\n\n16:00.122 --> 16:01.921\n达到一个护嗓的智慧，\n\n16:02.372 --> 16:04.171\n养成良好的生活习惯，\n\n16:04.521 --> 16:06.221\n保护好我们自己的。\n\n16:06.349 --> 16:07.349\n行好了，\n\n16:07.349 --> 16:10.525\n今天我们的内容就分享到这里，\n\n16:10.525 --> 16:12.400\n非常感谢大家的观看，\n\n16:12.500 --> 16:12.849\n好，\n\n16:12.849 --> 16:13.650\n再见啊。\n\n","v0d47cg10004d768g6aljhten4veesjg",981,685,"2026-01-26 13:11:47","现象和本质声音嘶哑的初探","医学视角上声音嘶哑定义为声带振动的异常","2026-06-11 11:25:43",[37],{"menuId":38,"menuName":39,"parentId":17,"orderNum":40,"path":41,"component":42,"isFrame":43,"isCache":44,"menuType":45,"visible":27,"status":17,"createDept":6,"remark":25,"createTime":46,"children":47,"columnImage":48,"columnLogo":49,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":50,"seoKeywords":51,"seoDescription":52,"contentNum":6,"promotionalPoster":53,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":54,"routerPath":41,"componentInfo":42},"1986622624134549505","科普视频",3,"video","/video.html","1","0","T","2025-11-07 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