[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fgv-oHTZlpDxpVdynfs7fgDNIj8KPACiridTgbUNGeJo":8,"$f6waLppVqwwxZdNUGNGC-nhTgRv_vl24CbzC8h3q3HPg":58,"$fhrKghHtDQnebzZ3BHDlrs0ii4FRbd6Uxx1Cmv7X8JvQ":59,"$frNgxVl_zz4LYSPVTAYa-ZgPSCA9ZU6cqMG3SzMRgYdE":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":24,"coverAcross":25,"directionMarker":26,"description":27,"vid":28,"time":29,"mediaType":26,"views":30,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":31,"seoTitle":23,"seoKeywords":32,"seoDescription":33,"shelvesTime":34,"menus":35,"menuId":37,"type":54,"quality":6,"commentCount":17,"isComment":26,"deviceType":55,"url":56},23589,871818,[],"https://ystcdn.venuertc.com/venue/app/27727/2026-05-28/5ad89d39-2e9a-489b-9c54-9c1f9270203c.png","查云岚",0,"擅长： 慢性阻塞性肺疾病、支气管哮喘、支气管扩张等呼吸系统常见病的规范诊断与治疗 肺癌的规范诊断与综合治疗；肺癌的规范诊断与综合治疗","上海市东方医院","呼吸内科","主治医师",9,"急性鼻炎","","https://cdn.yishi-tong.com/console/3/MwruSAbImwg8GPGiqdpVOs-cR2aqNt5M.png",1,"WEBVTT\n\n00:01.990 --> 00:02.940\n各位大家好，\n\n00:03.240 --> 00:06.389\n今天给大家介绍一下急性鼻炎。\n\n00:09.461 --> 00:10.862\n今天讲座的内容呢，\n\n00:10.862 --> 00:12.012\n分为六个部分。\n\n00:12.411 --> 00:13.586\n第一个部分呢，\n\n00:13.586 --> 00:17.611\n是急性鼻炎这个疾病的基本概念和它的危害。\n\n00:18.162 --> 00:18.961\n第二呢，\n\n00:18.961 --> 00:23.461\n去介绍一下鼻粘膜的生理功能和急性鼻炎的关系。\n\n00:24.162 --> 00:25.361\n第三个部分呢，\n\n00:25.361 --> 00:31.111\n是介绍一下急性鼻炎常见症状的解析和自我诊断方法。\n\n00:31.711 --> 00:37.661\n第四个部分是介绍一下急性鼻炎的治疗方法及药物选择指导原则。\n\n00:38.411 --> 00:39.661\n第五个方面呢。\n\n00:39.926 --> 00:44.801\n是介绍一下急性鼻炎的护理和康复期管理策略的分享。\n\n00:45.251 --> 00:46.426\n第六个部分呢，\n\n00:46.426 --> 00:51.951\n是介绍一下急性鼻炎并发症的预防和早期发现的机制建立。\n\n00:53.914 --> 00:58.863\n首先介绍一下急性鼻炎这个疾病的基本概念和它的危害。\n\n00:59.763 --> 01:01.464\n什么是急性鼻炎呢？\n\n01:01.714 --> 01:04.914\n急性鼻炎是鼻粘膜的急性炎症，\n\n01:05.164 --> 01:07.763\n它通常是由病毒感染引起的。\n\n01:08.314 --> 01:12.613\n急性鼻炎常常伴有急性咽炎和急性中耳炎等疾病。\n\n01:13.769 --> 01:16.819\n急性鼻炎根据流行病学的调查呢，\n\n01:17.019 --> 01:19.519\n是人类最常见的疾病，\n\n01:20.120 --> 01:22.220\n一年四季都可以发病。\n\n01:23.001 --> 01:24.552\n冬春季节更为多见，\n\n01:25.652 --> 01:27.001\n据调查显示，\n\n01:27.552 --> 01:27.952\n嗯，\n\n01:27.952 --> 01:32.702\n成人平均每年要感染急性鼻炎2.5次。\n\n01:33.251 --> 01:37.052\n儿童更多每年发病是6.10次。\n\n01:37.601 --> 01:42.001\n其中学龄儿童的发病是发病率是最高的，\n\n01:42.251 --> 01:45.052\n平均每年要高达12次。\n\n01:46.115 --> 01:48.816\n随着机体免疫系统的退化呢，\n\n01:48.916 --> 01:53.666\n老年人的每年的急性鼻炎的发病率也是逐年上升的。\n\n01:56.365 --> 01:57.966\n刚才已经提出了，\n\n01:58.066 --> 02:01.015\n急性鼻炎主要是由病毒感染引起，\n\n02:01.265 --> 02:03.416\n比如说鼻病毒啊，\n\n02:03.416 --> 02:04.466\n流感病毒啊，\n\n02:04.466 --> 02:05.566\n腺病毒等等，\n\n02:05.816 --> 02:09.115\n也可以继发于细菌感染或者理化刺激。\n\n02:12.798 --> 02:15.947\n介绍一下急性鼻炎的临床表现和分型。\n\n02:17.777 --> 02:19.527\n急性鼻炎发作的时候啊，\n\n02:19.677 --> 02:26.227\n患者常常出现鼻塞、流涕、打喷嚏、头痛、发热等症状。\n\n02:26.927 --> 02:28.503\n局部检查的时候呢，\n\n02:28.503 --> 02:31.477\n可发现患者鼻粘膜充血肿胀，\n\n02:31.578 --> 02:32.777\n分泌物增多。\n\n02:33.968 --> 02:37.018\n根据患者的临床表现和病理变化呢，\n\n02:37.268 --> 02:43.867\n急性鼻炎在临床上分为单纯性鼻炎和肥厚性鼻炎两种不同的类型。\n\n02:46.501 --> 02:48.550\n急性鼻炎是个常见病，\n\n02:48.701 --> 02:49.626\n它严重了，\n\n02:49.626 --> 02:51.550\n影响了患者的生活质量。\n\n02:52.947 --> 02:53.522\n患者，\n\n02:53.522 --> 02:57.147\n反复的鼻塞不适导致了患者的呼吸不畅。\n\n02:57.748 --> 02:59.147\n急性鼻炎患者呢，\n\n02:59.147 --> 03:00.298\n常常觉得头痛，\n\n03:00.697 --> 03:02.772\n头痛会影响工作效率，\n\n03:02.772 --> 03:03.897\n影响了生活。\n\n03:04.748 --> 03:06.272\n急性鼻炎的患者呢，\n\n03:06.272 --> 03:08.098\n鼻腔分泌物明显增多。\n\n03:08.871 --> 03:09.371\n流涕，\n\n03:09.421 --> 03:10.121\n咳嗽。\n\n03:11.490 --> 03:14.414\n急性鼻炎如何预防呢？\n\n03:14.414 --> 03:15.664\n平时的时候呢，\n\n03:15.664 --> 03:17.639\n我们应该加强体育锻炼，\n\n03:17.889 --> 03:18.539\n这样呢，\n\n03:18.539 --> 03:20.839\n可以有助于增强身体的抵抗力。\n\n03:21.539 --> 03:22.289\n平时呢，\n\n03:22.289 --> 03:23.839\n要避免过度的劳累。\n\n03:24.658 --> 03:25.408\n防止受凉。\n\n03:26.300 --> 03:27.850\n保持室内空气流通，\n\n03:28.350 --> 03:29.100\n室内呢，\n\n03:29.100 --> 03:30.151\n要保持通风。\n\n03:31.194 --> 03:32.593\n多进新鲜空气，\n\n03:33.194 --> 03:37.893\n避免与急性鼻炎的感染者急性的密切接触。\n\n03:40.494 --> 03:40.744\n嗯，\n\n03:40.794 --> 03:42.070\n很多人认为啊，\n\n03:42.070 --> 03:43.945\n急性鼻炎是个小问题，\n\n03:44.294 --> 03:46.145\n不用治疗也能自愈。\n\n03:46.895 --> 03:47.470\n但是，\n\n03:47.470 --> 03:48.494\n临床上发现，\n\n03:48.695 --> 03:51.595\n急性鼻炎的患者如果不及时治疗呢，\n\n03:51.595 --> 03:56.095\n有些患者会引发鼻窦炎、中耳炎等并发症。\n\n03:56.345 --> 03:57.445\n有些患者呢，\n\n03:57.445 --> 03:58.895\n急性鼻炎反复发作，\n\n03:58.994 --> 04:00.645\n导致了慢性鼻炎。\n\n04:02.287 --> 04:02.686\n嗯。\n\n04:03.714 --> 04:06.565\n所以急性鼻炎需要及时治疗。\n\n04:06.764 --> 04:07.339\n这个呢，\n\n04:07.339 --> 04:11.115\n我们平时要对患者进行多方的宣教，\n\n04:11.414 --> 04:14.014\n因为它是一个常见病，\n\n04:14.014 --> 04:14.764\n多发病。\n\n04:15.514 --> 04:17.890\n如果急性鼻炎发作的时候呢，\n\n04:17.890 --> 04:19.765\n应该避免病情的恶化。\n\n04:20.015 --> 04:20.815\n同时呢，\n\n04:20.815 --> 04:22.165\n要注意饮食卫生，\n\n04:22.565 --> 04:25.415\n避免吸入刺激性气体和过敏原，\n\n04:25.565 --> 04:27.165\n减少发病的几率。\n\n04:29.295 --> 04:31.596\n今天讲座的第二个内容呢，\n\n04:31.596 --> 04:36.596\n是介绍一下鼻粘膜的生理功能和急性鼻炎的关系。\n\n04:38.592 --> 04:39.541\n鼻粘膜，\n\n04:40.092 --> 04:44.691\n它是由上皮、固有层、粘膜下层三个部分构成。\n\n04:45.291 --> 04:48.992\n鼻粘膜含有丰富的粘液腺和毛细血管。\n\n04:51.213 --> 04:51.713\n平时呢，\n\n04:51.713 --> 04:54.164\n我们一般来说都是经鼻呼吸，\n\n04:54.764 --> 04:56.063\n所以鼻粘膜呢，\n\n04:56.063 --> 05:01.164\n具有温暖湿润、过滤清洁、吸入空气的功能。\n\n05:02.417 --> 05:02.817\n同时，\n\n05:02.868 --> 05:06.868\n鼻粘膜能够分泌粘液和免疫球蛋白，\n\n05:07.167 --> 05:10.667\n可以抵御外部的病毒、细菌等的入侵。\n\n05:12.837 --> 05:13.111\n嗯，\n\n05:13.111 --> 05:14.812\n在急性鼻炎的时候呢，\n\n05:14.812 --> 05:17.587\n鼻粘膜的变化过程我介绍一下。\n\n05:17.986 --> 05:18.636\n首先，\n\n05:18.986 --> 05:20.611\n急性鼻炎的时候呢，\n\n05:20.611 --> 05:23.136\n鼻粘膜内的血管会扩张，\n\n05:23.486 --> 05:26.587\n这样就导致鼻粘膜的充血肿胀。\n\n05:27.286 --> 05:28.036\n第二呢，\n\n05:28.036 --> 05:30.937\n急性鼻炎炎症刺激的情况下呢，\n\n05:30.986 --> 05:33.536\n鼻粘膜的腺体分泌物会增多，\n\n05:33.786 --> 05:35.386\n产生大量的鼻涕。\n\n05:36.602 --> 05:37.903\n第三个方面呢，\n\n05:38.102 --> 05:39.403\n急性鼻炎的时候，\n\n05:39.403 --> 05:42.053\n鼻粘膜的纤毛运动会受到影响。\n\n05:42.403 --> 05:43.153\n这样呢，\n\n05:43.153 --> 05:47.703\n就导致患者无法有效的清除鼻腔内的病毒和细菌。\n\n05:50.464 --> 05:52.065\n急性鼻炎的时候呢，\n\n05:52.065 --> 05:53.265\n鼻粘膜肿胀，\n\n05:53.515 --> 05:54.765\n分泌物增多，\n\n05:55.065 --> 05:56.964\n导致患者鼻塞不适，\n\n05:57.315 --> 05:58.464\n鼻腔狭窄，\n\n05:58.815 --> 06:00.265\n影响呼吸通畅。\n\n06:01.325 --> 06:03.026\n急性鼻炎的时候呢，\n\n06:03.126 --> 06:04.726\n患者鼻腔肿胀，\n\n06:04.776 --> 06:05.976\n分泌物堵塞，\n\n06:06.425 --> 06:07.126\n这样呢，\n\n06:07.126 --> 06:10.325\n气味就无法到达患者的嗅觉区域，\n\n06:10.425 --> 06:12.325\n导致患者嗅觉减退。\n\n06:14.092 --> 06:17.342\n急性鼻炎如果没有得到及时的治疗呢，\n\n06:17.342 --> 06:20.993\n容易引发鼻窦炎、中耳炎等其他感染。\n\n06:22.104 --> 06:23.704\n严重的急性鼻炎呢，\n\n06:23.704 --> 06:24.778\n有些患者呢，\n\n06:24.778 --> 06:27.954\n会有头痛、发热、乏力等全身的症状。\n\n06:29.808 --> 06:32.408\n所以如何保护鼻粘膜，\n\n06:32.408 --> 06:33.859\n预防急性鼻炎呢？\n\n06:34.838 --> 06:35.412\n首先呢，\n\n06:35.412 --> 06:38.488\n我们应该保持鼻腔的清洁。\n\n06:38.988 --> 06:40.238\n建议平时呢，\n\n06:40.287 --> 06:43.888\n可以用洗鼻器定期的清洗鼻腔。\n\n06:44.187 --> 06:44.888\n这样呢，\n\n06:44.888 --> 06:47.588\n可以清除鼻腔内的病毒细菌，\n\n06:47.787 --> 06:49.437\n保持鼻腔的清洁。\n\n06:50.289 --> 06:51.014\n第二呢，\n\n06:51.014 --> 06:53.639\n我们应该平时避免刺激性的物质，\n\n06:54.039 --> 06:56.914\n避免接触刺激性的气体啊，\n\n06:56.914 --> 06:57.588\n烟雾，\n\n06:57.739 --> 07:00.239\n这样可以减少对鼻粘膜的刺激。\n\n07:01.441 --> 07:02.242\n第三呢，\n\n07:02.342 --> 07:04.441\n平时应该加强锻炼，\n\n07:04.891 --> 07:06.842\n增强身体的免疫力，\n\n07:07.291 --> 07:07.916\n这样呢，\n\n07:07.916 --> 07:10.492\n就可以提高我们对病毒的抵抗力。\n\n07:11.532 --> 07:12.708\n第四个方面呢，\n\n07:12.708 --> 07:14.282\n我们应该合理的饮食。\n\n07:14.882 --> 07:18.782\n平时多吃富含维生素和微量元素的食物，\n\n07:18.882 --> 07:21.683\n比如说猕猴桃啊、海鱼之类。\n\n07:21.833 --> 07:22.458\n这样呢，\n\n07:22.458 --> 07:24.233\n有助于保护我们鼻粘膜。\n\n07:26.971 --> 07:28.821\n今天讲座的第三个内容呢，\n\n07:28.871 --> 07:32.721\n介绍一下急性鼻炎的常见症状和自我诊断。\n\n07:34.924 --> 07:36.625\n急性鼻炎的时候呢，\n\n07:36.674 --> 07:38.774\n患者鼻腔粘膜充血，\n\n07:39.225 --> 07:39.924\n这样呢，\n\n07:39.924 --> 07:41.125\n鼻腔通气不畅，\n\n07:41.325 --> 07:42.924\n出现了鼻塞的症状。\n\n07:43.875 --> 07:45.149\n鼻腔粘膜呢，\n\n07:45.149 --> 07:46.774\n受到了炎症的刺激，\n\n07:47.174 --> 07:48.774\n分泌物明显增多，\n\n07:48.975 --> 07:50.725\n患者反复的流鼻涕。\n\n07:52.222 --> 07:55.372\n患者的鼻腔粘膜神经的敏感性增高，\n\n07:55.773 --> 07:56.423\n这样呢，\n\n07:56.423 --> 07:58.173\n就对刺激的反应性增强，\n\n07:58.372 --> 08:00.173\n导致了反复的打喷嚏。\n\n08:02.372 --> 08:04.071\n急性鼻炎的时候呢，\n\n08:04.171 --> 08:05.671\n鼻窦内压力增高。\n\n08:06.876 --> 08:08.425\n毒素刺激神经末梢，\n\n08:08.626 --> 08:10.276\n引起患者的头痛。\n\n08:11.437 --> 08:12.486\n急性鼻炎呢，\n\n08:12.486 --> 08:15.236\n通常是由病毒感染所导致。\n\n08:15.486 --> 08:18.886\n病毒在患者的体内繁殖产生毒素，\n\n08:18.937 --> 08:21.587\n会导致患者出现发热的症状。\n\n08:23.398 --> 08:24.697\n急性鼻炎的时候呢，\n\n08:24.747 --> 08:26.398\n身体抵抗力会下降，\n\n08:26.747 --> 08:28.298\n肌肉等组织缺氧，\n\n08:28.298 --> 08:29.697\n出现全身乏力。\n\n08:32.718 --> 08:38.867\n患者的反复的鼻塞、流涕、打喷嚏、头痛、发烧，\n\n08:39.018 --> 08:40.468\n根据这些症状呢，\n\n08:40.468 --> 08:41.768\n结合个人的病史，\n\n08:42.218 --> 08:45.617\n患者可以初步判断是不是急性鼻炎。\n\n08:47.357 --> 08:48.083\n平时呢，\n\n08:48.083 --> 08:52.158\n我们应该将急性鼻炎和过敏性鼻炎不能混淆。\n\n08:53.161 --> 08:54.536\n过敏性鼻炎的患者呢，\n\n08:54.536 --> 08:57.611\n反复的鼻塞、打喷嚏、流清涕。\n\n08:58.010 --> 08:58.911\n但是呢，\n\n08:58.911 --> 09:02.510\n过敏性鼻炎的患者一般没有头痛、发热等症状。\n\n09:04.642 --> 09:10.291\n如果出现急性鼻炎的鼻塞流涕打喷嚏的症状，\n\n09:11.242 --> 09:13.392\n患者发热全身乏力，\n\n09:13.742 --> 09:15.091\n应该及时就医，\n\n09:15.541 --> 09:18.341\n避免延误治疗导致病情加重。\n\n09:19.041 --> 09:20.341\n在就医前呢，\n\n09:20.591 --> 09:23.642\n应该避免使用含有麻黄素的滴鼻剂，\n\n09:23.892 --> 09:25.791\n以免影响医生的诊断。\n\n09:26.442 --> 09:29.992\n准备好个人的病例过敏史等相关的资料，\n\n09:30.192 --> 09:32.791\n帮助医生更好的了解病情。\n\n09:34.515 --> 09:36.690\n今天讲座的第四个内容呢，\n\n09:36.690 --> 09:41.815\n是介绍一下鼻性鼻炎的诊治疗方法和药物选择治疗。\n\n09:44.249 --> 09:46.448\n急性鼻炎刚才我已经提到了，\n\n09:46.598 --> 09:50.799\n它是由病毒感染引起的急性的鼻粘膜的炎症。\n\n09:51.520 --> 09:52.445\n它的治疗呢，\n\n09:52.445 --> 09:53.969\n以缓解症状为主。\n\n09:54.520 --> 09:55.794\n药物的选择呢，\n\n09:55.794 --> 09:57.794\n应该考虑患者的年龄啊，\n\n09:57.794 --> 09:58.669\n病因啊，\n\n09:58.719 --> 10:00.219\n症状严重程度，\n\n10:00.619 --> 10:03.020\n避免不必要的用药。\n\n10:03.770 --> 10:05.020\n急性鼻炎呢。\n\n10:05.890 --> 10:06.614\n常用药物呢，\n\n10:06.614 --> 10:10.440\n有抗组胺药、鼻用皮质类固醇喷雾剂。\n\n10:11.039 --> 10:12.065\n这些药物呢，\n\n10:12.065 --> 10:15.440\n可以缓解患者的鼻塞、流鼻涕等症状。\n\n10:17.494 --> 10:20.544\n急性鼻炎我们用喷鼻剂呢，\n\n10:20.544 --> 10:21.794\n或者喷雾剂，\n\n10:22.193 --> 10:26.494\n应该教导患者准确的滴入或者喷入鼻腔，\n\n10:27.044 --> 10:30.494\n避免药物流入咽喉引起患者的不适。\n\n10:32.510 --> 10:33.260\n用药呢，\n\n10:33.260 --> 10:34.409\n有一定的疗程。\n\n10:35.059 --> 10:36.710\n局部局部用药呢，\n\n10:36.710 --> 10:37.809\n不应该过量，\n\n10:37.960 --> 10:42.909\n以免产生依赖性或导致鼻粘膜干燥出血等不良的反应。\n\n10:45.431 --> 10:45.630\n嗯。\n\n10:47.448 --> 10:48.473\n急性鼻炎呢，\n\n10:48.473 --> 10:50.073\n还有一些非药物治疗，\n\n10:50.573 --> 10:51.424\n首先呢，\n\n10:51.424 --> 10:52.648\n刚才已经提到了，\n\n10:52.648 --> 10:53.523\n应该保持。\n\n10:54.697 --> 10:58.447\n鼻腔的清洁可以用生理盐水冲洗鼻腔。\n\n10:58.997 --> 10:59.398\n嗯，\n\n10:59.648 --> 11:03.322\n告知患者生理盐水最好是温和的。\n\n11:03.322 --> 11:06.247\n生理盐水稍微加热一下，\n\n11:06.348 --> 11:08.848\n一般来说呢，\n\n11:08.848 --> 11:09.547\n36.37°C。\n\n11:09.898 --> 11:10.747\n这样呢，\n\n11:10.848 --> 11:15.197\n生理盐水冲洗鼻腔可以清除鼻腔内的分泌物，\n\n11:15.398 --> 11:17.348\n缓解患者的鼻塞症状。\n\n11:18.651 --> 11:22.601\n急性鼻炎的患者的鼻塞、流涕、全身乏力，\n\n11:22.851 --> 11:24.851\n可以用热毛巾敷鼻。\n\n11:25.401 --> 11:26.926\n这个方法呢，\n\n11:26.926 --> 11:29.200\n可以促进患者的血液循环，\n\n11:29.500 --> 11:31.801\n缓解鼻塞、头痛等症状。\n\n11:33.364 --> 11:34.739\n急性鼻炎的患者呢，\n\n11:34.739 --> 11:37.314\n我们可以将药物加入雾化器当中，\n\n11:37.513 --> 11:39.963\n通过雾化吸入的方式来治疗。\n\n11:41.017 --> 11:41.267\n嗯。\n\n11:43.046 --> 11:43.145\n嗯，\n\n11:43.145 --> 11:44.745\n对于急性鼻炎的患者呢，\n\n11:44.745 --> 11:48.895\n我们应该教导患者严格遵循医生的处方用药，\n\n11:49.445 --> 11:53.296\n不要自行增加药或者自行减少药。\n\n11:55.023 --> 11:58.322\n急性鼻炎大多数由病毒感染所致。\n\n11:59.651 --> 12:01.601\n如果没有细菌感染的依据，\n\n12:01.702 --> 12:04.302\n一般来说是不应用抗生素的。\n\n12:05.202 --> 12:06.726\n抗生素滥用呢，\n\n12:06.726 --> 12:08.401\n会导致耐药菌的产生。\n\n12:10.163 --> 12:15.562\n今天讲座的第五部分是急性鼻炎的护理、康复期管理的策略。\n\n12:17.052 --> 12:19.153\n急性鼻炎急性期呢，\n\n12:19.153 --> 12:21.353\n我们如何对患者进行护理呢？\n\n12:21.603 --> 12:22.502\n首先呢，\n\n12:22.502 --> 12:24.752\n应该保持室内的空气新鲜，\n\n12:25.302 --> 12:26.403\n定期通风，\n\n12:26.752 --> 12:28.552\n保持室内空气流通，\n\n12:29.103 --> 12:32.153\n避免室内过于密闭和空气污浊。\n\n12:32.853 --> 12:33.653\n第二呢，\n\n12:33.853 --> 12:37.153\n是用生理盐水帮助患者清理鼻腔，\n\n12:37.453 --> 12:39.252\n清除鼻腔内的分泌物，\n\n12:39.403 --> 12:40.853\n保持鼻腔清洁。\n\n12:41.815 --> 12:44.966\n告知患者不应该用力擤鼻涕。\n\n12:46.234 --> 12:48.835\n防止将病菌带入中耳或鼻窦，\n\n12:49.135 --> 12:51.234\n引发中耳炎或鼻窦炎。\n\n12:52.682 --> 12:53.831\n急性鼻炎患者呢，\n\n12:53.831 --> 12:55.932\n应该注意休息，\n\n12:55.981 --> 12:57.382\n避免过度劳累，\n\n12:57.682 --> 13:00.094\n暂停剧烈的体力活动，\n\n13:00.094 --> 13:02.281\n保证充足的睡眠时间。\n\n13:04.620 --> 13:06.520\n急性鼻炎的康复期呢，\n\n13:06.671 --> 13:08.620\n应该避免接触过敏源，\n\n13:08.770 --> 13:10.270\n比如说花粉啊，\n\n13:10.270 --> 13:11.221\n尘螨等，\n\n13:11.921 --> 13:12.671\n而且呢，\n\n13:12.671 --> 13:14.620\n避免受凉或过度疲劳，\n\n13:14.770 --> 13:17.471\n以免加重病情或引发复发。\n\n13:19.390 --> 13:20.065\n对于患者呢，\n\n13:20.065 --> 13:20.890\n应该教导，\n\n13:20.989 --> 13:23.789\n按照医生的指导坚持用药。\n\n13:25.155 --> 13:28.005\n而且告知患者应该定期复查，\n\n13:28.155 --> 13:30.405\n了解患者的病情恢复情况。\n\n13:32.101 --> 13:34.101\n对于急性鼻炎的患者呢，\n\n13:34.250 --> 13:37.125\n饮食应该清淡饮食，\n\n13:37.125 --> 13:40.750\n避免使用过度辛辣油腻刺激性的食物，\n\n13:41.051 --> 13:43.301\n适当的增加蛋白质的摄入，\n\n13:43.551 --> 13:45.301\n比如说瘦肉啊，\n\n13:45.351 --> 13:46.151\n鸡蛋啊，\n\n13:46.151 --> 13:46.825\n鱼类等，\n\n13:46.825 --> 13:48.500\n有助于提高免疫力。\n\n13:49.526 --> 13:51.776\n多吃新鲜的蔬菜水果，\n\n13:51.926 --> 13:54.325\n补充丰富的维生素、矿物质，\n\n13:55.026 --> 13:56.575\n促进病情康复。\n\n13:57.625 --> 13:58.726\n适当的饮水，\n\n13:58.976 --> 14:01.051\n每日饮水量呢，\n\n14:01.051 --> 14:01.875\n1500ml左右。\n\n14:01.926 --> 14:03.375\n少量多次饮水，\n\n14:03.575 --> 14:05.676\n保证体内水分充足，\n\n14:05.825 --> 14:08.226\n有助于稀释鼻腔的分泌物。\n\n14:10.375 --> 14:10.625\n嗯。\n\n14:11.729 --> 14:13.179\n生活方式的改善呢，\n\n14:13.229 --> 14:15.780\n有助于患者急性鼻炎的复发。\n\n14:18.505 --> 14:18.931\n平时呢，\n\n14:18.931 --> 14:20.656\n应该增强身体抵抗力，\n\n14:20.656 --> 14:21.606\n加强锻炼，\n\n14:22.156 --> 14:23.106\n勤洗手，\n\n14:23.705 --> 14:25.955\n减少病菌接触和传播。\n\n14:27.056 --> 14:28.531\n吸烟和饮酒呢，\n\n14:28.531 --> 14:30.481\n都会刺激我们的鼻腔粘膜，\n\n14:30.481 --> 14:31.455\n加重病情。\n\n14:31.755 --> 14:33.955\n所以应该戒烟戒酒。\n\n14:34.906 --> 14:36.007\n室内空气呢，\n\n14:36.007 --> 14:37.007\n不能过度干燥，\n\n14:37.307 --> 14:42.206\n应该室内的湿度保持在40%.60%。\n\n14:42.807 --> 14:43.906\n过于干燥呢，\n\n14:43.906 --> 14:45.706\n会容易刺激鼻腔的黏膜。\n\n14:47.599 --> 14:49.724\n今天讲座的第六部分呢，\n\n14:49.724 --> 14:54.849\n是介绍一下鼻性鼻炎并发症的预防和早期发现机制的建立。\n\n14:56.007 --> 14:56.408\n嗯，\n\n14:56.408 --> 15:02.057\n急性鼻炎的患者如果出现反复的鼻塞、头痛、嗅觉减退等症状，\n\n15:02.807 --> 15:05.257\n要警惕有没有并发鼻窦炎。\n\n15:05.807 --> 15:11.158\n如果患者出现耳痛、听力下降、耳部流水流脓等情况，\n\n15:11.307 --> 15:13.557\n应该警惕有没有发生中耳炎。\n\n15:14.458 --> 15:18.658\n如果患者出现咽痛、吞咽困难等症状呢，\n\n15:18.807 --> 15:21.107\n要警惕有没有鼻咽炎。\n\n15:22.398 --> 15:25.098\n急性鼻炎可能诱发或加重哮喘，\n\n15:25.497 --> 15:28.197\n所以如果患者有呼吸不畅的表现，\n\n15:28.497 --> 15:30.898\n体检发现呼气期的哮鸣音，\n\n15:31.648 --> 15:33.747\n需要警惕有没有并发哮喘。\n\n15:35.547 --> 15:35.922\n嗯，\n\n15:35.922 --> 15:37.898\n并发症的如何预防呢？\n\n15:37.898 --> 15:40.098\n首先应该保持鼻腔清洁。\n\n15:42.419 --> 15:43.768\n不能用力的擤鼻涕，\n\n15:45.169 --> 15:48.443\n如果患者鼻塞加重、流涕、颜色变化，\n\n15:48.443 --> 15:49.468\n嗅觉减退，\n\n15:50.169 --> 15:50.869\n耳痛。\n\n15:51.747 --> 15:52.297\n这时候呢，\n\n15:52.297 --> 15:53.648\n需要及时的就医。\n\n15:55.335 --> 15:57.684\n对有急性鼻炎病史的患者呢，\n\n15:57.835 --> 16:00.734\n建议患者定期进行鼻咽部的检查，\n\n16:01.085 --> 16:03.385\n以便及时的发现合并症。\n\n16:04.914 --> 16:05.213\n嗯，\n\n16:05.263 --> 16:06.664\n急性鼻炎的患者呢，\n\n16:06.664 --> 16:09.963\n我们应该建议就是化学科的合作，\n\n16:10.414 --> 16:11.939\n耳鼻喉科的医师呢，\n\n16:11.939 --> 16:14.064\n负责急性鼻炎的诊断治疗。\n\n16:16.043 --> 16:17.593\n呼吸科的患医生呢，\n\n16:17.593 --> 16:19.742\n跟评估患者的呼吸情况。\n\n16:19.992 --> 16:22.492\n如果患者有哮喘的并发症，\n\n16:22.843 --> 16:24.393\n嗯需要及时处理。\n\n16:24.843 --> 16:26.168\n感染科的医师呢，\n\n16:26.168 --> 16:28.492\n可以协助诊断急性鼻炎的病因，\n\n16:28.643 --> 16:30.543\n指导合理的使用抗生素。\n\n16:31.312 --> 16:32.312\n儿科医师呢，\n\n16:32.312 --> 16:35.161\n应该关注儿童急性鼻炎患者的发育情况，\n\n16:35.411 --> 16:37.411\n制定适宜的治疗方案。\n\n16:38.997 --> 16:39.372\n嗯，\n\n16:39.372 --> 16:40.523\n急性鼻炎呢，\n\n16:40.523 --> 16:42.247\n是一个常见病多发病。\n\n16:42.697 --> 16:46.398\n我们应该制定长期的随访计划，\n\n16:46.398 --> 16:49.398\n向患者普及急性鼻炎的相关知识，\n\n16:49.398 --> 16:50.398\n健康教育，\n\n16:50.447 --> 16:52.047\n提高自我防护，\n\n16:52.848 --> 16:54.898\n监测患者的症状变化，\n\n16:55.047 --> 16:56.997\n及时发现处理并发症。\n\n16:57.547 --> 16:59.598\n根据患者的康复情况，\n\n16:59.797 --> 17:02.047\n提供合理化的康复指导。\n\n17:02.559 --> 17:03.859\n促进康复的进程，\n\n17:04.659 --> 17:06.509\n今天的讲座就到这儿，\n\n17:06.509 --> 17:07.808\n谢谢大家的聆听。\n\n","v0247cg10004d751tv2ljht3ktt7ne3g",1031,919,"2026-02-05 17:47:18","急性鼻炎的病因、症状、治疗、预防","急性鼻炎主要是由病毒感染引起，流感病毒啊","2026-06-11 18:02:31",[36],{"menuId":37,"menuName":38,"parentId":17,"orderNum":39,"path":40,"component":41,"isFrame":42,"isCache":43,"menuType":44,"visible":26,"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 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/871818/e9234e7d-0b12-4a06-846d-70b13c654a6e.tmp?a=0&auth_key=1789022000-49bf22cff1dd4ccda0beab7659b46708-0-51306b41cd298e946db07e28988be2b0&br=380&bt=380&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=4&eid=v0247cg10004d751tv2ljht3ktt7ne3g&er=0&l=20260811041609CB89C968011CD7388504&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=amg6dzZrb3k0OjczNGY3M0ApNnF3bndtNXc4ZzMzajo1eWcwa3FocWcvcTJhLS1kNC9zc2RiNHEwZWlzLjQxLS5gMS06Yw%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":26,"pageSize":61,"result":62,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":64,"success":57},{"authors":65,"appraiseDimensionScoresVos":66},[],[]]