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--> 00:00.710\n好，\n\n00:00.710 --> 00:01.559\n各位同道。\n\n00:02.934 --> 00:09.534\n今天我们来分享一下感冒咳嗽全解码上呼吸道健康指南。\n\n00:12.486 --> 00:14.286\n今天我从两大部分去讲解。\n\n00:15.039 --> 00:22.540\n第一大部分里面包括认识上呼吸道感冒真相大揭秘症状地图前染。\n\n00:23.523 --> 00:25.822\n传播路径与高危场景。\n\n00:26.790 --> 00:28.340\n儿童与成人的差异。\n\n00:29.135 --> 00:31.186\n以及居家对症的一个护理。\n\n00:33.465 --> 00:34.290\n第二大部分呢，\n\n00:34.290 --> 00:36.665\n是从用药误区与症结，\n\n00:37.165 --> 00:38.665\n何时必须就医。\n\n00:39.622 --> 00:41.672\n怎么预预防的一个锦囊，\n\n00:42.071 --> 00:44.922\n最后我们最后总结与行动。\n\n00:49.603 --> 00:50.103\n第一部分，\n\n00:50.303 --> 00:51.853\n如何认识上呼吸道？\n\n00:52.507 --> 00:53.458\n上呼吸道啊，\n\n00:53.507 --> 00:55.608\n是空气的第一道关。\n\n00:56.849 --> 00:59.750\n也就是我们的空气通关的口岸。\n\n01:00.889 --> 01:05.190\n鼻咽喉组成空气第一站，\n\n01:05.389 --> 01:08.690\n负责加温、加湿、过滤。\n\n01:09.396 --> 01:12.596\n让每一口空气变得温暖湿润，\n\n01:12.846 --> 01:15.195\n保护肺部不受刺激。\n\n01:19.982 --> 01:20.531\n智能地毯。\n\n01:21.472 --> 01:23.972\n它可以导致粘膜与纤毛啊，\n\n01:23.972 --> 01:27.872\n像智能地毯捕捉灰尘与病菌，\n\n01:28.272 --> 01:30.122\n每分钟摆动千次，\n\n01:30.372 --> 01:33.472\n把有害物质打包送出体外。\n\n01:35.194 --> 01:37.694\n每天呼吸1点5万升空气啊，\n\n01:37.694 --> 01:39.745\n病毒细菌，\n\n01:39.745 --> 01:41.495\nPM2.5轮番来袭。\n\n01:42.279 --> 01:43.980\n关卡一旦失守，\n\n01:44.080 --> 01:46.029\n感冒咳嗽就正常。\n\n01:48.880 --> 01:51.581\n那么粘膜免疫卫队如何工作的呢？\n\n01:53.421 --> 01:55.147\n城墙加护城河的作用，\n\n01:55.147 --> 01:55.671\n第一，\n\n01:55.722 --> 01:57.097\n粘膜粘液啊，\n\n01:57.097 --> 01:58.272\n像护城河。\n\n01:59.127 --> 02:02.152\n先困住病毒抗体呢，\n\n02:02.152 --> 02:03.477\n像标记弹，\n\n02:03.877 --> 02:05.377\n让敌人显形。\n\n02:06.223 --> 02:07.323\n吞噬细胞。\n\n02:08.281 --> 02:08.930\n像哨兵，\n\n02:09.430 --> 02:10.231\n最后呢，\n\n02:10.330 --> 02:11.330\n清扫战场。\n\n02:14.326 --> 02:15.126\n三步拦截。\n\n02:17.828 --> 02:19.179\n捕获标记，\n\n02:19.328 --> 02:20.029\n清除，\n\n02:20.378 --> 02:21.229\n三步走，\n\n02:21.479 --> 02:23.078\n24小时无休，\n\n02:23.429 --> 02:24.878\n多数病毒呢，\n\n02:25.279 --> 02:28.328\n没机会扎根就被扔出体外。\n\n02:34.565 --> 02:37.466\n我们看一下感冒真相大揭秘。\n\n02:38.410 --> 02:39.059\n感冒。\n\n02:39.863 --> 02:40.914\n不是一种病。\n\n02:41.750 --> 02:43.250\n病毒家族大平牌，\n\n02:43.800 --> 02:47.399\n里面包括200+200多种病毒，\n\n02:47.699 --> 02:49.100\n可以导致感冒。\n\n02:50.080 --> 02:51.130\n鼻病毒呢，\n\n02:51.531 --> 02:52.630\n就占了四成。\n\n02:53.557 --> 02:58.408\n冠状病毒、副流感腺病毒轮番上阵，\n\n02:58.807 --> 03:00.257\n基因各异，\n\n03:00.257 --> 03:02.457\n症状却像双胞胎。\n\n03:05.945 --> 03:06.996\n无万能药。\n\n03:08.130 --> 03:09.479\n病毒种类多，\n\n03:09.630 --> 03:10.729\n靶点不同，\n\n03:11.080 --> 03:14.229\n目前无广谱杀感冒病毒药，\n\n03:14.479 --> 03:19.429\n治疗核心仍然是对症加等待免疫清除清除。\n\n03:21.651 --> 03:23.602\n那为什么会反复得感冒呢？\n\n03:24.309 --> 03:25.184\n感染后呀，\n\n03:25.184 --> 03:30.360\n仅对同类免疫新病毒的换装再来吸。\n\n03:31.186 --> 03:33.136\n成人年均2.4次，\n\n03:33.186 --> 03:33.936\n儿童。\n\n03:34.675 --> 03:36.526\n6到八次属于正常。\n\n03:38.735 --> 03:40.585\n医生总是说病毒性。\n\n03:41.598 --> 03:44.848\n那门诊的男及时分行医生。\n\n03:45.740 --> 03:47.940\n通通成为病毒性上感。\n\n03:49.654 --> 03:50.203\n这个说法呢，\n\n03:50.203 --> 03:52.154\n其实并并非敷衍，\n\n03:52.503 --> 03:56.104\n而是告诉你不需要使用抗生素。\n\n03:59.817 --> 04:02.817\n进入病病毒侵入速度很快，\n\n04:02.917 --> 04:05.417\n我们通常说闪电战。\n\n04:06.356 --> 04:08.807\n就叫快递小哥抢工厂。\n\n04:09.660 --> 04:10.261\n病毒呢？\n\n04:10.261 --> 04:13.761\n让快递小哥骗过细胞膜，\n\n04:14.311 --> 04:18.061\n把自身RNA塞进生产线，\n\n04:18.411 --> 04:22.510\n24小时就能复制上千病毒。\n\n04:23.063 --> 04:23.713\n细胞呢？\n\n04:23.713 --> 04:24.614\n破裂后啊，\n\n04:24.614 --> 04:25.563\n大军扩散，\n\n04:25.713 --> 04:27.364\n此时你还有没有感觉，\n\n04:27.713 --> 04:29.614\n却已有感染？\n\n04:33.355 --> 04:33.506\n那么，\n\n04:33.506 --> 04:37.105\n细菌与病毒的背锅区别在哪里呢？\n\n04:40.010 --> 04:40.260\n其中，\n\n04:40.260 --> 04:42.510\n它们的大小与结构不同，\n\n04:43.059 --> 04:43.834\n病毒呢，\n\n04:43.834 --> 04:45.359\n只有0.1μm，\n\n04:45.510 --> 04:46.309\n细菌呢，\n\n04:46.309 --> 04:47.410\n有一微米。\n\n04:47.809 --> 04:50.959\n病毒需劫持细胞才能繁殖，\n\n04:51.359 --> 04:53.510\n细菌可独立开店。\n\n04:55.122 --> 04:55.346\n这呢，\n\n04:55.346 --> 04:56.921\n是钥匙与财产。\n\n04:58.066 --> 04:58.816\n病毒啊，\n\n04:58.816 --> 05:00.515\n像钥匙开锁，\n\n05:01.066 --> 05:01.816\n冰梗，\n\n05:02.115 --> 05:03.515\n但难通用。\n\n05:04.407 --> 05:05.058\n细菌呢，\n\n05:05.058 --> 05:06.358\n像开墙打洞，\n\n05:06.757 --> 05:07.708\n破坏大。\n\n05:08.712 --> 05:11.312\n但却易被抗生素围剿。\n\n05:12.218 --> 05:12.894\n最后呢，\n\n05:12.894 --> 05:14.368\n用药策略也不同。\n\n05:15.040 --> 05:15.790\n抗生素呢，\n\n05:15.790 --> 05:17.339\n对病毒完全无效。\n\n05:18.057 --> 05:20.307\n滥用只会杀伤。\n\n05:22.002 --> 05:26.403\n肠道菌群制造的耐药超级细菌啊。\n\n05:31.149 --> 05:33.924\n我们接下来看一下上感的一个症状，\n\n05:33.924 --> 05:34.850\n力图全明。\n\n05:37.000 --> 05:38.799\n鼻塞流涕的幕后信号啊，\n\n05:39.000 --> 05:43.225\n一般先是有清鼻涕到黄绿鼻涕的一种，\n\n05:43.225 --> 05:44.450\n真相是什么样子呢？\n\n05:45.376 --> 05:47.825\n一定是早期血浆渗出。\n\n05:48.661 --> 05:49.812\n黄皮呢，\n\n05:50.062 --> 05:51.562\n是白细胞尸体，\n\n05:51.911 --> 05:54.911\n不代表细菌颜色变化，\n\n05:55.011 --> 05:57.661\n仅提示病程进入尾声。\n\n06:02.468 --> 06:04.169\n交通拥堵的一个比喻，\n\n06:04.569 --> 06:07.468\n云尼博尔风雪向晚高峰。\n\n06:08.235 --> 06:09.335\n血管扩张呢，\n\n06:09.335 --> 06:12.885\n让免疫细胞更快到鼻塞，\n\n06:12.936 --> 06:14.536\n只是临时封路，\n\n06:14.835 --> 06:17.485\n一般5到七天就解封了。\n\n06:20.674 --> 06:21.399\n症状呢，\n\n06:21.399 --> 06:22.575\n是身体的。\n\n06:23.807 --> 06:24.307\n听道。\n\n06:26.596 --> 06:29.147\n从这里有一个反射弧机制的解释，\n\n06:29.397 --> 06:32.846\n从异物刺激到神经报告，\n\n06:33.497 --> 06:35.497\n再到脑干命令，\n\n06:35.846 --> 06:39.296\n膈肌与声带瞬间协同，\n\n06:39.596 --> 06:41.747\n0.2秒完成一次咳嗽。\n\n06:46.378 --> 06:49.878\n干咳无痰多为早期刺激湿痰。\n\n06:50.881 --> 06:51.980\n只咳带痰呢，\n\n06:51.980 --> 06:55.580\n代表清理阶段各区从处理，\n\n06:58.830 --> 07:02.930\n然后来把粘液病毒灰尘打包送出。\n\n07:03.281 --> 07:06.230\n盲目认可等于关掉扫地机，\n\n07:06.330 --> 07:08.330\n垃圾越积越多。\n\n07:09.122 --> 07:10.346\n夜间咳嗽呢，\n\n07:10.346 --> 07:11.296\n到睡不着，\n\n07:11.296 --> 07:12.622\n可临时镇咳，\n\n07:12.872 --> 07:14.321\n白天鼓励排痰，\n\n07:14.671 --> 07:15.622\n再评估。\n\n07:15.671 --> 07:17.471\n先评估了再用药。\n\n07:20.757 --> 07:23.157\n发热就是免疫系统的加速器。\n\n07:24.329 --> 07:25.929\n体温每升一度，\n\n07:26.329 --> 07:28.579\n白细胞速度翻倍，\n\n07:29.079 --> 07:33.630\n病毒复制减速38.5°，\n\n07:33.880 --> 07:35.929\n是免疫优质温度，\n\n07:36.029 --> 07:38.079\n不必立刻退热。\n\n07:38.679 --> 07:40.079\n若精神尚可，\n\n07:40.329 --> 07:41.980\n可观察并补液。\n\n07:42.747 --> 07:46.398\n持续高热大于三天或伴有意识变化，\n\n07:46.398 --> 07:48.298\n我们这个时候再去就医。\n\n07:52.390 --> 07:54.190\n咽痛与生死的警报。\n\n07:55.636 --> 07:58.587\n走廊的扩音器进水什么意思呢？\n\n07:58.587 --> 08:00.437\n就是声带粘膜水肿，\n\n08:00.587 --> 08:02.286\n向扩音器进水。\n\n08:03.205 --> 08:04.205\n音色变粗，\n\n08:04.406 --> 08:05.705\n减少说话，\n\n08:05.906 --> 08:08.105\n多喝温水即可治愈。\n\n08:10.782 --> 08:11.457\n在临床上啊，\n\n08:11.457 --> 08:13.032\n咽痛是可以分级的。\n\n08:13.846 --> 08:14.596\n都应该。\n\n08:15.966 --> 08:20.515\n吞咽痛到放射痛程度的是递增。\n\n08:21.350 --> 08:23.700\n如果伴有高热浓点。\n\n08:24.634 --> 08:26.533\n去排查链球菌。\n\n08:31.742 --> 08:33.341\n路径与高危场景。\n\n08:34.234 --> 08:34.885\n成功路径。\n\n08:36.255 --> 08:37.705\n主要是飞沫传播，\n\n08:38.156 --> 08:38.955\n飞沫呢，\n\n08:38.955 --> 08:40.806\n我们当看不见的顺风车。\n\n08:43.054 --> 08:43.455\n一次。\n\n08:44.547 --> 08:45.348\n喷射呀，\n\n08:45.547 --> 08:47.197\n出2万粒飞沫，\n\n08:47.547 --> 08:49.648\n初速是每秒40米。\n\n08:50.575 --> 08:50.976\nB.\n\n08:52.002 --> 08:55.901\n一米内落地小粒的可悬浮数分钟。\n\n08:57.505 --> 08:59.854\n我们应该保持一米的社交距离。\n\n09:01.237 --> 09:02.138\nHO建议啊，\n\n09:02.237 --> 09:05.388\n距离患者大于等于1米以上，\n\n09:05.838 --> 09:09.687\n可降低70%的吸入风险。\n\n09:09.987 --> 09:12.038\n口罩在此范围外呢，\n\n09:12.138 --> 09:13.888\n也有手段意义。\n\n09:15.736 --> 09:15.961\n患者，\n\n09:15.961 --> 09:16.836\n戴口罩呀？\n\n09:17.666 --> 09:20.017\n是为了保护他人健康。\n\n09:20.017 --> 09:22.216\n人戴口罩是保护自己。\n\n09:23.546 --> 09:24.596\n单独反复呢，\n\n09:24.596 --> 09:26.745\n最高可降之五的。\n\n09:27.382 --> 09:27.981\n法律。\n\n09:31.978 --> 09:33.228\n接触传播的黑手。\n\n09:34.075 --> 09:35.750\n接触棒表面啊，\n\n09:35.750 --> 09:37.226\n比如说门把手。\n\n09:38.132 --> 09:38.882\n电梯按钮。\n\n09:39.802 --> 09:43.002\n手机屏幕可存活病毒24小时。\n\n09:45.281 --> 09:46.681\n组成接力棒，\n\n09:46.681 --> 09:49.130\n把病毒送进土里。\n\n09:51.755 --> 09:54.106\n但是我们要做好回家三部曲，\n\n09:54.106 --> 09:54.656\n做啥呢？\n\n09:54.656 --> 09:55.705\n一定要换鞋。\n\n09:56.718 --> 09:57.968\n要洗手20秒，\n\n09:58.317 --> 10:00.968\n再加上用酒精擦手机，\n\n10:01.567 --> 10:03.492\n家庭内的感染率啊，\n\n10:03.492 --> 10:04.468\n可降6成，\n\n10:04.817 --> 10:07.168\n比戴口罩更划算。\n\n10:10.976 --> 10:12.026\n那么密闭空间，\n\n10:12.327 --> 10:14.177\n如果处在密闭空间的话，\n\n10:14.377 --> 10:17.177\n这个细菌扩散的是一种放大的一个效应。\n\n10:18.677 --> 10:22.226\n室内的二氧化碳大于一千PPM的时候，\n\n10:22.276 --> 10:23.776\n就说明通风差。\n\n10:24.745 --> 10:26.645\n飞沫云耳持续悬浮，\n\n10:27.195 --> 10:29.596\n每30分钟要开窗5分钟，\n\n10:29.846 --> 10:32.945\n飞沫的浓度可降75%，\n\n10:33.296 --> 10:37.495\n地铁电梯尽量背向人群跌倒交谈。\n\n10:39.484 --> 10:41.385\n降低了暴露的剂量。\n\n10:45.562 --> 10:47.762\n我们看一下儿童与成人的一些差异，\n\n10:48.111 --> 10:50.262\n儿童为什么更容易中招？\n\n10:51.169 --> 10:52.369\n主要是因为它什么呢，\n\n10:52.369 --> 10:53.619\n是鼻腔狭窄。\n\n10:54.335 --> 10:57.286\n婴幼儿鼻道仅为成人的1/3。\n\n10:58.192 --> 10:59.291\n不懂比赛。\n\n11:00.401 --> 11:03.200\n被迫张口呼吸易继发感染。\n\n11:04.640 --> 11:04.989\n第二呢，\n\n11:04.989 --> 11:05.640\n纤薄。\n\n11:06.556 --> 11:10.606\n未成熟纤毛的数量和感动频率啊，\n\n11:10.606 --> 11:11.906\n随年龄增长，\n\n11:12.205 --> 11:14.955\n6岁以后才接近成年水平。\n\n11:15.653 --> 11:17.052\n病毒就更易停留。\n\n11:19.145 --> 11:19.921\n而婴幼儿呢？\n\n11:19.921 --> 11:21.695\n他的免疫是控制器。\n\n11:22.466 --> 11:24.017\n未接触多数病毒，\n\n11:24.267 --> 11:25.617\n记忆B细胞为零，\n\n11:25.666 --> 11:28.367\n每次遭遇都需从头验证，\n\n11:28.517 --> 11:29.367\n免得频繁。\n\n11:31.044 --> 11:31.893\n一般婴幼儿呢，\n\n11:31.893 --> 11:35.943\n是每年发病6.8次属于正常。\n\n11:36.502 --> 11:37.703\n家长无需焦虑，\n\n11:37.903 --> 11:39.028\n随年龄增长，\n\n11:39.028 --> 11:41.103\n感染次数自然下降。\n\n11:41.828 --> 11:42.002\n要，\n\n11:42.002 --> 11:43.627\n但是我们要重点观察，\n\n11:43.828 --> 11:44.778\n重点信号。\n\n11:48.129 --> 11:50.028\n感染有些什么新的特点？\n\n11:50.684 --> 11:51.283\n第一个。\n\n11:52.914 --> 11:55.338\n叫防火墙老化年癌。\n\n11:55.338 --> 11:56.364\n随着年龄的增加，\n\n11:56.364 --> 11:57.513\n身体机能下降，\n\n11:57.513 --> 11:58.314\n防火墙。\n\n11:59.239 --> 11:59.640\n的话。\n\n12:01.224 --> 12:01.674\n不变呀，\n\n12:01.674 --> 12:02.575\n压力呀，\n\n12:02.674 --> 12:03.775\n烟酒啊，\n\n12:04.224 --> 12:10.674\n都可以削弱粘膜的IGA病毒唐突植入症状呢，\n\n12:10.674 --> 12:12.375\n反而比较头重。\n\n12:15.260 --> 12:15.885\n另一方面呢，\n\n12:15.885 --> 12:18.460\n更容易拖成慢性咳嗽。\n\n12:19.190 --> 12:21.140\n成年人常带病上班，\n\n12:21.590 --> 12:22.489\n休息不足，\n\n12:22.739 --> 12:23.489\n咳嗽呢，\n\n12:23.489 --> 12:24.690\n可迁延四周。\n\n12:25.854 --> 12:27.328\n同时我们建议呢，\n\n12:27.328 --> 12:28.854\n至少请两天假，\n\n12:29.004 --> 12:29.653\n全休。\n\n12:33.203 --> 12:34.979\n那么最后我们谈一下居家的对症，\n\n12:34.979 --> 12:36.004\n一些护理的知识。\n\n12:37.981 --> 12:38.281\n首先呢，\n\n12:38.281 --> 12:41.130\n是补液与休息的黄金组合。\n\n12:42.221 --> 12:43.421\n补补液，\n\n12:43.471 --> 12:46.122\n温水每小时200ml，\n\n12:46.271 --> 12:48.221\n血容量就可以增加1%。\n\n12:49.322 --> 12:53.021\n粘膜抗体的运输速度也就快3倍。\n\n12:53.840 --> 12:55.015\n深度睡眠时，\n\n12:55.015 --> 12:58.489\n脑积液清除炎症因子速度翻倍，\n\n12:58.590 --> 12:59.289\n建议。\n\n13:00.004 --> 13:01.653\n晚上10点前关灯，\n\n13:02.254 --> 13:03.653\n连续睡觉8小时，\n\n13:03.854 --> 13:06.354\n康复期可以缩短一天半。\n\n13:08.466 --> 13:08.716\n另外，\n\n13:08.716 --> 13:10.015\n空气的湿度，\n\n13:10.366 --> 13:11.966\n它的隐形药效。\n\n13:12.872 --> 13:14.322\n一般空气的湿度，\n\n13:14.671 --> 13:17.822\n它的黄金区是在40%.60%的，\n\n13:17.822 --> 13:19.271\n那个湿度是最好的。\n\n13:19.916 --> 13:20.791\n这个湿度下来，\n\n13:20.791 --> 13:22.515\n病毒半衰期最短，\n\n13:22.815 --> 13:24.466\n飞沫不易蒸发，\n\n13:24.515 --> 13:25.815\n呈微颗粒，\n\n13:25.866 --> 13:28.716\n感染风险也可以降46%。\n\n13:30.403 --> 13:32.203\n那么三选一的方案是，\n\n13:32.203 --> 13:33.752\n卧室可以放一盆水。\n\n13:34.755 --> 13:35.656\n挂一条湿毛巾。\n\n13:36.789 --> 13:37.739\n配个加湿器，\n\n13:38.190 --> 13:40.228\n成本由低到高，\n\n13:40.228 --> 13:41.989\n效果就能达标。\n\n13:43.500 --> 13:44.000\n放盆水，\n\n13:44.651 --> 13:45.750\n挂个湿毛巾，\n\n13:46.250 --> 13:48.301\n或者是有条件的加一个，\n\n13:48.601 --> 13:49.801\n配一个加湿器。\n\n13:50.679 --> 13:52.929\n那么夜间的重点睡眠的时候呢，\n\n13:52.929 --> 13:54.880\n是鼻呼吸为主。\n\n13:55.544 --> 13:58.544\n湿度不足可以导致黏膜干裂，\n\n13:58.794 --> 13:59.494\n儿童呢，\n\n13:59.494 --> 14:00.494\n更容易憋醒。\n\n14:01.226 --> 14:02.575\n所以是保持湿度，\n\n14:02.926 --> 14:04.726\n减少夜间咳嗽。\n\n14:04.875 --> 14:06.676\n一半的咳嗽50%。\n\n14:11.104 --> 14:11.729\n那么平时呢，\n\n14:11.729 --> 14:13.830\n我们可以用一些小技巧，\n\n14:13.830 --> 14:15.304\n比如说用盐水洗鼻。\n\n14:17.585 --> 14:18.409\n盐水洗鼻呢，\n\n14:18.409 --> 14:19.734\n一看二温，\n\n14:19.734 --> 14:21.984\n三侧头看镜子。\n\n14:22.135 --> 14:22.934\n风水呢，\n\n14:22.934 --> 14:23.934\n选择37°。\n\n14:24.651 --> 14:25.901\n侧头45°，\n\n14:26.002 --> 14:30.101\n让盐水从一侧鼻孔进入到另一，\n\n14:30.101 --> 14:32.502\n一一口进另一侧出。\n\n14:33.552 --> 14:33.776\n不，\n\n14:33.776 --> 14:34.302\n枪手。\n\n14:36.104 --> 14:36.403\n另外呢，\n\n14:36.403 --> 14:37.054\n可以漱口，\n\n14:37.203 --> 14:38.304\n漱口30秒，\n\n14:38.604 --> 14:40.604\n淡盐水漱口30秒啊，\n\n14:40.604 --> 14:41.703\n水流过后，\n\n14:41.703 --> 14:42.504\n咽后壁。\n\n14:43.236 --> 14:45.411\n可减少局部病毒量1/3，\n\n14:45.411 --> 14:47.085\n孕妇儿童都能用。\n\n14:50.283 --> 14:53.432\n那么咳嗽期间我们还有什么其他的一些食疗？\n\n14:54.271 --> 14:55.521\n饮食方面的注意吗？\n\n14:55.521 --> 14:56.971\n但是也有一些方法，\n\n14:57.021 --> 15:02.221\n比如说我们在排卵排痰期可以吃一点白萝卜炖蜂蜜。\n\n15:02.952 --> 15:03.452\n如果。\n\n15:04.229 --> 15:05.030\n流素啊，\n\n15:05.030 --> 15:06.679\n它稀释痰液、粘液，\n\n15:06.780 --> 15:07.580\n促排痰，\n\n15:07.679 --> 15:09.179\n每日一小碗即可。\n\n15:10.088 --> 15:10.463\n因呢，\n\n15:10.463 --> 15:11.638\n在干咳嗽的时候呢，\n\n15:11.638 --> 15:12.937\n可以温梨水润肺，\n\n15:13.138 --> 15:14.937\n加两片姜驱寒，\n\n15:15.187 --> 15:17.437\n每晚睡前200ml，\n\n15:17.737 --> 15:19.538\n降低夜间咳嗽率。\n\n15:20.418 --> 15:21.317\n到了恢复期呢，\n\n15:21.317 --> 15:22.617\n可以蒸一点苹果，\n\n15:22.718 --> 15:24.817\n因为它苹果含果胶，\n\n15:24.867 --> 15:25.817\n恢复粘膜。\n\n15:26.218 --> 15:28.418\n如果加点肉桂粉更好啊，\n\n15:28.418 --> 15:29.617\n增加血液循环，\n\n15:29.718 --> 15:30.668\n加速痊愈。\n\n15:33.213 --> 15:36.812\n还有就是我们老百姓常说的感冒期间要不要忌口？\n\n15:37.640 --> 15:38.440\n就直接上来，\n\n15:38.739 --> 15:41.190\n无咽痛和少量。\n\n15:42.187 --> 15:43.836\n风散构建循环。\n\n15:47.260 --> 15:48.161\n不必完全禁忌，\n\n15:48.560 --> 15:49.911\n自己耐受为主，\n\n15:50.010 --> 15:51.911\n不必盲目禁辣。\n\n15:57.242 --> 15:58.317\n那我们看一看下面，\n\n15:58.317 --> 16:00.393\n看看用药的一个误区与症结，\n\n16:00.893 --> 16:02.093\n尿生素啊。\n\n16:03.036 --> 16:03.387\n不是。\n\n16:04.252 --> 16:05.052\n退烧药是。\n\n16:06.033 --> 16:07.633\n红霉素杀不死流感？\n\n16:08.445 --> 16:09.945\n抗生素针对细菌，\n\n16:10.096 --> 16:11.846\n对病毒零作用，\n\n16:11.895 --> 16:13.320\n滥用导致腹泻。\n\n16:13.320 --> 16:14.796\n耐药以后啊，\n\n16:14.995 --> 16:17.296\n真细菌感染就无药可用。\n\n16:18.085 --> 16:18.935\n该问自己。\n\n16:20.158 --> 16:21.658\n高热大于三天。\n\n16:24.577 --> 16:27.276\nB2血项中性也大于八十，\n\n16:27.476 --> 16:29.976\n那么三缺一的时候先可以观察，\n\n16:30.026 --> 16:31.226\n不必自行买药。\n\n16:32.697 --> 16:34.471\n对照临床常寿的7成耐药，\n\n16:34.471 --> 16:37.947\n我国社区呼吸道感染抗生素使用率啊，\n\n16:37.947 --> 16:38.796\n70%，\n\n16:39.146 --> 16:40.947\n远远超过HO。\n\n16:42.245 --> 16:43.971\n标准的20%的红线，\n\n16:43.971 --> 16:46.895\n每个人都应该做减量一环。\n\n16:49.054 --> 16:50.004\n复方感冒药。\n\n16:51.674 --> 16:54.150\n有些复方感冒药含退热、抗过敏，\n\n16:54.150 --> 16:56.174\n更可减充血丝类，\n\n16:56.224 --> 16:59.424\n但是容易对一酰氨基酚超量。\n\n16:59.575 --> 17:01.924\n急性肝损伤案例年年有。\n\n17:04.300 --> 17:04.800\n买前啊，\n\n17:04.800 --> 17:06.900\n一定要读通用名，\n\n17:07.050 --> 17:08.550\n含安丰，\n\n17:08.550 --> 17:09.375\n晚安，\n\n17:09.375 --> 17:12.650\n别叠加单药对症更安全。\n\n17:12.650 --> 17:14.300\n能不吃就不吃。\n\n17:15.270 --> 17:17.369\n那么还可以使用一些中成药。\n\n17:19.062 --> 17:19.337\n中成，\n\n17:19.337 --> 17:20.062\n我们是中成药，\n\n17:20.062 --> 17:21.812\n可以风风寒风热，\n\n17:21.962 --> 17:22.712\n风寒呢，\n\n17:22.712 --> 17:23.462\n是怕冷，\n\n17:23.462 --> 17:24.661\n重清鼻涕。\n\n17:25.416 --> 17:26.941\n黑白风热呢，\n\n17:26.941 --> 17:27.765\n是咽喉重，\n\n17:27.816 --> 17:29.615\n咽痛很很厉害，\n\n17:30.115 --> 17:31.215\n流浓鼻涕，\n\n17:31.416 --> 17:32.365\n舌苔是黄。\n\n17:32.615 --> 17:33.715\n如果辨不清，\n\n17:33.965 --> 17:36.816\n那就先选平和的那个板蓝根。\n\n17:37.015 --> 17:37.715\n儿童呢，\n\n17:37.715 --> 17:38.765\n一定要按体重减半，\n\n17:38.916 --> 17:42.115\n不要盲目跟成人剂量克服麻黄类。\n\n17:42.989 --> 17:45.040\n会导致大量的虚脱，\n\n17:45.489 --> 17:47.140\n更加容易伤身体。\n\n17:49.154 --> 17:50.004\n何时就医呢？\n\n17:50.760 --> 17:53.385\n如果持续高烧大于38点五度，\n\n17:53.385 --> 17:54.160\n超过三天，\n\n17:54.459 --> 17:57.359\n其实可以这个合并细菌或者是其他感染，\n\n17:57.459 --> 17:58.709\n需要验血评估。\n\n17:59.395 --> 17:59.895\n第二呢，\n\n17:59.946 --> 18:01.196\n有呼吸急促的时候，\n\n18:01.196 --> 18:03.245\n呼吸急促是成人大于30次每分，\n\n18:03.245 --> 18:04.696\n儿童大于40次每分，\n\n18:04.696 --> 18:08.145\n这个时候紧急肺炎或者是其他的症状立即就医。\n\n18:08.852 --> 18:10.077\n如果伴有一时困难，\n\n18:10.077 --> 18:11.001\n一时变化，\n\n18:11.202 --> 18:15.302\n淡漠、嗜睡、答非所问疑时缺氧或者是颅内并发症。\n\n18:16.020 --> 18:17.819\n这个是很严重的一个红灯信号，\n\n18:17.869 --> 18:21.719\n最后的一步就是脱水出血、尿色色色深，\n\n18:21.969 --> 18:23.119\n皮肤弹性差，\n\n18:23.119 --> 18:24.420\n或者是出现出血点。\n\n18:25.126 --> 18:28.727\n这个时候可能会判断为重症或者是合并凝血异常。\n\n18:31.720 --> 18:32.821\n基础病患者呀，\n\n18:32.870 --> 18:34.071\n特别要注意。\n\n18:34.943 --> 18:38.593\n有伴有哮喘、慢阻肺、心衰、糖尿病。\n\n18:40.277 --> 18:41.703\n孕晚期感染后啊，\n\n18:41.703 --> 18:43.828\n更易诱发原发加重，\n\n18:44.078 --> 18:46.027\n所以说必须当日评估。\n\n18:47.397 --> 18:50.498\n那么我们居家的一些检测手段也可以使用，\n\n18:50.498 --> 18:51.248\n比如说血氧，\n\n18:51.248 --> 18:54.348\n血氧饱和度小于93%，\n\n18:54.647 --> 18:55.897\n血糖大于。\n\n18:57.084 --> 18:59.285\n15、每周和摩尔。\n\n18:59.901 --> 19:02.514\n分时流量下降大于20，\n\n19:02.514 --> 19:02.901\n20%，\n\n19:03.051 --> 19:05.125\n出现任一情况，\n\n19:05.125 --> 19:06.625\n我们就要立即去医院，\n\n19:06.625 --> 19:09.201\n不能在家里干等了。\n\n19:12.171 --> 19:14.371\n那么有一些哪一些预防锦囊呢？\n\n19:14.371 --> 19:16.771\n第一手卫生20秒通关。\n\n19:17.686 --> 19:19.885\n就有7步吸毒法，\n\n19:20.186 --> 19:23.436\n我们叫内夹弓大力丸，\n\n19:23.436 --> 19:24.586\n每步3秒，\n\n19:24.586 --> 19:25.286\n共20秒，\n\n19:25.536 --> 19:27.161\n可去除90%病毒，\n\n19:27.161 --> 19:30.036\n比戴两层口罩更加经济。\n\n19:30.765 --> 19:31.265\n第二呢，\n\n19:31.265 --> 19:34.041\n是哼唱两两遍生日歌，\n\n19:34.041 --> 19:35.265\n刚好20秒。\n\n19:35.947 --> 19:37.772\n儿童边洗边嬉戏，\n\n19:37.772 --> 19:38.348\n边洗。\n\n19:39.197 --> 19:40.022\n可以提升呢，\n\n19:40.022 --> 19:40.748\n50%，\n\n19:40.897 --> 19:43.098\n还有就是可以用一些免洗凝胶，\n\n19:43.647 --> 19:48.647\n外出选酒精大于用酒精大于60%的一子凝胶，\n\n19:49.098 --> 19:50.947\n做到全干才有效，\n\n19:51.248 --> 19:52.723\n喷完立即擦手，\n\n19:52.723 --> 19:53.498\n等于没用。\n\n19:56.767 --> 19:57.292\n那么最后呢，\n\n19:57.292 --> 19:59.368\n是聊聊疫苗跟体质。\n\n20:00.083 --> 20:01.833\n疫苗加生活上保险，\n\n20:01.933 --> 20:04.734\n流感疫苗可降低74%住院风险。\n\n20:05.394 --> 20:07.443\n肺炎球菌疫苗减少继发感染，\n\n20:07.693 --> 20:09.043\n运动150分钟，\n\n20:09.043 --> 20:10.744\n每周加深色腹带，\n\n20:10.793 --> 20:12.144\n每天300g，\n\n20:12.144 --> 20:15.994\n可提升粘膜IGA的水平55%，\n\n20:16.144 --> 20:19.793\n预防从被动打针到主动生活方式双管齐下。\n\n20:20.401 --> 20:21.401\n这是最有效的。\n\n20:24.322 --> 20:27.521\n那么最后我们稍微总结一下。\n\n20:28.271 --> 20:28.996\n健康呼吸啊，\n\n20:28.996 --> 20:30.271\n一定要从今天开始。\n\n20:30.472 --> 20:31.671\n我们三步回顾，\n\n20:31.871 --> 20:33.146\n一个是知真相，\n\n20:33.146 --> 20:35.421\n感冒和病毒没有万能药。\n\n20:36.067 --> 20:38.618\n要知道护理对症加休息加适度。\n\n20:39.498 --> 20:42.848\n重视预防守卫生加疫苗加好的习惯。\n\n20:43.795 --> 20:44.494\n第日清单呢，\n\n20:44.494 --> 20:45.670\n我们回家要勤洗手，\n\n20:45.670 --> 20:47.244\n卧室的湿度要检查，\n\n20:47.645 --> 20:49.645\n睡前早睡30分钟。\n\n20:49.994 --> 20:51.545\n还有是可以预约疫苗，\n\n20:52.094 --> 20:53.194\n拍照保留。\n\n20:54.021 --> 20:55.222\n然后打卡。\n\n20:55.948 --> 20:58.274\n正向循环就是坚持21天，\n\n20:58.274 --> 20:58.999\n形成习惯，\n\n20:58.999 --> 21:00.848\n减少感冒次数，\n\n21:00.948 --> 21:02.948\n让家人同事都受益，\n\n21:03.098 --> 21:05.999\n健康呼吸从此开启。\n\n21:07.631 --> 21:07.832\n好，\n\n21:07.832 --> 21:08.982\n谢谢大家的理解。\n\n","v0d47cg10004d74uq2qljhte1teub16g",1273,614,"2026-03-03 00:00:27","2026-06-11 18:20:04",[32],{"menuId":33,"menuName":34,"parentId":17,"orderNum":35,"path":36,"component":37,"isFrame":38,"isCache":39,"menuType":40,"visible":24,"status":17,"createDept":6,"remark":15,"createTime":41,"children":42,"columnImage":43,"columnLogo":44,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":45,"seoKeywords":46,"seoDescription":47,"contentNum":6,"promotionalPoster":48,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":49,"routerPath":36,"componentInfo":37},"1986622624134549505","科普视频",3,"video","/video.html","1","0","T","2025-11-07 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