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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,"慢性咽炎科普","","https://cdn.yishi-tong.com/console/3/n8P8KlAMUSv5keTidNo9l0R0DvaAoyoX.png",1,"WEBVTT\n\n00:02.115 --> 00:02.315\n嗯，\n\n00:02.565 --> 00:03.664\n各位大家好，\n\n00:03.865 --> 00:07.565\n今天给大家做一个慢性咽炎的科普讲座。\n\n00:08.265 --> 00:10.064\n今天讲座的内容呢，\n\n00:10.114 --> 00:11.664\n分为以下六个方面，\n\n00:11.965 --> 00:12.614\n第一，\n\n00:12.715 --> 00:14.965\n慢性咽炎这个疾病的认识。\n\n00:15.765 --> 00:16.065\n第二，\n\n00:16.065 --> 00:18.215\n慢性咽炎这个疾病的表现，\n\n00:18.766 --> 00:19.365\n第三，\n\n00:19.516 --> 00:21.365\n慢性咽炎的诊断方法，\n\n00:21.766 --> 00:22.365\n第四，\n\n00:22.465 --> 00:24.266\n慢性咽炎的治疗方案，\n\n00:24.566 --> 00:25.215\n第五，\n\n00:25.316 --> 00:27.266\n慢性咽炎的预防措施，\n\n00:27.465 --> 00:28.115\n第六，\n\n00:28.166 --> 00:30.115\n慢性咽炎疾病的管理。\n\n00:32.386 --> 00:34.085\n什么是慢性咽炎呢？\n\n00:34.285 --> 00:39.636\n慢性咽炎是一种咽部粘膜及粘膜下组织的慢性的炎症。\n\n00:40.436 --> 00:41.236\n通常呢，\n\n00:41.236 --> 00:43.785\n是由急性咽炎反复的发作。\n\n00:44.824 --> 00:45.673\n转变而来，\n\n00:45.923 --> 00:48.023\n慢性咽炎是个慢性疾病，\n\n00:48.273 --> 00:49.473\n病程较长，\n\n00:49.673 --> 00:51.223\n症状比较顽固。\n\n00:52.169 --> 00:55.720\n慢性咽炎根据它的病因和病理的变化呢，\n\n00:55.869 --> 00:58.669\n临床上分为慢性单纯性咽炎，\n\n00:58.919 --> 01:00.569\n慢性肥厚性咽炎，\n\n01:00.619 --> 01:02.569\n慢性萎缩性胃咽炎。\n\n01:04.389 --> 01:05.940\n慢性咽炎的患者呢，\n\n01:05.940 --> 01:08.089\n经常觉得咽部的干燥，\n\n01:08.339 --> 01:09.790\n咽部的发痒，\n\n01:09.989 --> 01:11.290\n咽部的疼痛，\n\n01:11.639 --> 01:13.114\n咽部有异物感，\n\n01:13.114 --> 01:15.089\n经常有刺激性的咳嗽。\n\n01:15.639 --> 01:17.889\n患者的症状时轻时重，\n\n01:18.690 --> 01:21.639\n容易受气候、情绪等因素的影响。\n\n01:22.963 --> 01:25.564\n慢性咽炎和急性咽炎相比啊，\n\n01:25.613 --> 01:27.164\n它的病程比较长，\n\n01:27.564 --> 01:29.414\n症状相对较轻，\n\n01:29.713 --> 01:30.564\n但是呢，\n\n01:30.814 --> 01:33.664\n反复发作难以治愈。\n\n01:34.164 --> 01:35.613\n而急性咽炎呢，\n\n01:35.613 --> 01:36.863\n是个急性的疾病，\n\n01:36.914 --> 01:38.363\n它的病程比较短，\n\n01:38.664 --> 01:39.814\n症状比较重，\n\n01:40.164 --> 01:41.539\n及时的治疗呢，\n\n01:41.539 --> 01:42.963\n通常可以痊愈的。\n\n01:45.023 --> 01:45.273\n嗯。\n\n01:46.050 --> 01:48.349\n慢性咽炎什么原因会引起呢？\n\n01:48.949 --> 01:51.800\n首先环境因素非常重要，\n\n01:52.400 --> 01:58.199\n空气污染、气候干燥都可以导致我们的咽部黏膜的受损，\n\n01:58.300 --> 02:00.150\n引起的咽慢性咽炎。\n\n02:01.572 --> 02:01.947\n嗯，\n\n02:01.947 --> 02:07.822\n有些患者有慢性鼻炎、鼻窦炎、慢性扁桃体炎等器官的炎症，\n\n02:08.473 --> 02:09.748\n还有些患者呢，\n\n02:09.748 --> 02:11.973\n患有胃食管反流性的疾病。\n\n02:12.473 --> 02:14.272\n胃食管反流性的疾病呢，\n\n02:14.272 --> 02:18.423\n胃酸的反酸都可以引起慢性的咽炎。\n\n02:20.462 --> 02:25.061\n有些患者喜欢进食辛辣刺激油腻的食物，\n\n02:25.611 --> 02:28.761\n长期这些刺激食物进食了以后呢，\n\n02:28.761 --> 02:31.212\n会刺激咽部的黏膜，\n\n02:31.412 --> 02:32.912\n引起炎症反应，\n\n02:33.412 --> 02:35.561\n诱发加重慢性咽炎。\n\n02:37.938 --> 02:44.039\n长期的吸烟、饮酒、熬夜等不良的生活习惯也会刺激咽部的粘膜，\n\n02:44.289 --> 02:46.039\n降低我们的抵抗力，\n\n02:46.589 --> 02:48.238\n导致了慢性咽炎。\n\n02:50.483 --> 02:51.307\n慢性咽炎呢，\n\n02:51.307 --> 02:53.182\n好发于中老年人。\n\n02:53.533 --> 02:55.832\n但是流行病学调查显示，\n\n02:56.283 --> 02:59.983\n由于环境污染、生活习惯的原因，\n\n03:00.233 --> 03:04.082\n年轻患者的比例是目前来说是逐渐增多的。\n\n03:06.136 --> 03:07.011\n性别原因呢，\n\n03:07.011 --> 03:10.636\n就是在慢性咽炎这个疾病当中没有明显的差异。\n\n03:10.985 --> 03:12.936\n但是临床研究显示，\n\n03:13.285 --> 03:14.085\n女性呢，\n\n03:14.085 --> 03:16.210\n可能因为激素水平的变化呢，\n\n03:16.210 --> 03:18.285\n更容易罹患慢性咽炎。\n\n03:20.020 --> 03:22.570\n慢性咽炎也有一定的职业特点，\n\n03:23.070 --> 03:24.270\n像老师啊，\n\n03:24.371 --> 03:25.520\n销售员啊，\n\n03:25.621 --> 03:26.395\n医生啊，\n\n03:26.395 --> 03:27.171\n护士啊。\n\n03:28.671 --> 03:29.371\n歌唱演员。\n\n03:30.294 --> 03:31.044\n这些职业呢，\n\n03:31.044 --> 03:32.294\n需要长期用身，\n\n03:33.544 --> 03:40.220\n有些就是职业需要长期接触粉尘化学物质。\n\n03:40.220 --> 03:43.294\n在这些职业当中的慢性咽炎的发病率呢，\n\n03:43.294 --> 03:44.294\n是比较高的。\n\n03:45.294 --> 03:47.169\n慢性咽炎的发病率啊，\n\n03:47.169 --> 03:49.395\n也存在着一定的地域性的差异。\n\n03:50.044 --> 03:51.270\n因为城市呢，\n\n03:51.270 --> 03:53.494\n因为空气污染等原因呢，\n\n03:53.494 --> 03:55.744\n发病率比农村要高。\n\n03:58.272 --> 03:59.947\n慢性咽炎的患者呢，\n\n03:59.947 --> 04:02.222\n经常表现为咽部的不适，\n\n04:02.371 --> 04:04.621\n咽部的干燥、异物感，\n\n04:04.921 --> 04:06.022\n咽部发痒，\n\n04:06.322 --> 04:07.272\n灼热感。\n\n04:08.195 --> 04:08.919\n这些症状呢，\n\n04:08.919 --> 04:10.195\n是因人而异的。\n\n04:11.091 --> 04:13.192\n慢性咽炎是个慢性的疾病，\n\n04:13.591 --> 04:16.467\n症状持续的时间比较长。\n\n04:16.467 --> 04:17.992\n有些患者呢，\n\n04:17.992 --> 04:19.891\n会告知医师，\n\n04:20.191 --> 04:22.242\n反反复复的发作数年。\n\n04:23.160 --> 04:26.209\n这个急性咽炎的短暂发作是不同的，\n\n04:26.459 --> 04:27.959\n慢性咽炎的症状呢，\n\n04:27.959 --> 04:29.160\n是慢性化的。\n\n04:30.298 --> 04:30.697\n嗯，\n\n04:30.798 --> 04:36.447\n除了咽部不适、干燥、异物感、咽部干痒、灼痛等症状，\n\n04:36.798 --> 04:37.822\n有些患者呢，\n\n04:37.822 --> 04:42.097\n还常有刺激性的咳嗽、吞吞咽困难、声音嘶哑的症状。\n\n04:43.417 --> 04:45.018\n慢性咽炎的症状啊，\n\n04:45.018 --> 04:46.167\n波动性比较大，\n\n04:46.567 --> 04:47.417\n有时候呢，\n\n04:47.417 --> 04:49.118\n因为气候的干燥啊，\n\n04:49.268 --> 04:50.442\n饮食不当啊，\n\n04:50.442 --> 04:53.618\n过度疲劳等因素会明显的加重。\n\n04:57.329 --> 04:58.378\n慢性咽炎呢，\n\n04:58.878 --> 05:00.878\n患者就诊了以后呢，\n\n05:00.979 --> 05:04.428\n医师会给他做一个咽部的相对的检查。\n\n05:05.028 --> 05:06.278\n咽部的检查呢，\n\n05:06.278 --> 05:13.278\n包括喉镜检查和间接喉镜直接喉镜纤维喉镜检查。\n\n05:13.928 --> 05:15.479\n喉镜的检查的目的呢，\n\n05:15.479 --> 05:18.678\n是观察患者咽部黏膜的色泽形态，\n\n05:19.329 --> 05:21.479\n看看有没有特殊的情况。\n\n05:22.579 --> 05:22.979\n嗯，\n\n05:23.028 --> 05:24.653\n在咽部检查中呢，\n\n05:24.653 --> 05:27.528\n发现患者的咽部的粘膜充血。\n\n05:27.686 --> 05:29.936\n肿胀淋巴滤泡增生，\n\n05:30.286 --> 05:32.235\n咽后壁淋巴滤泡增生，\n\n05:34.385 --> 05:36.760\n除了喉镜的检查，\n\n05:36.760 --> 05:39.536\n医师还会用一些辅助检查手段，\n\n05:39.686 --> 05:44.135\n比如说血液检查、过敏原检测、影像学检查，\n\n05:44.385 --> 05:47.686\n包括X线、CT、磁共振等。\n\n05:48.914 --> 05:50.664\n对慢性咽炎来说呢，\n\n05:50.664 --> 05:52.963\n医师还要进行鉴别诊断，\n\n05:53.313 --> 06:01.414\n排除慢性扁桃体炎、慢性喉炎、胃食管反流性疾病、喉结核等疾病。\n\n06:04.157 --> 06:06.207\n慢性咽炎是个慢性的疾病，\n\n06:06.356 --> 06:07.957\n它的进展速度呢？\n\n06:09.158 --> 06:09.908\n因人而异，\n\n06:10.058 --> 06:11.209\n不是一样的。\n\n06:11.359 --> 06:12.509\n有些患者呢，\n\n06:12.509 --> 06:14.459\n病程进展比较慢，\n\n06:14.859 --> 06:16.158\n有些患者呢，\n\n06:16.209 --> 06:18.808\n较短时间内症状会迅速加重。\n\n06:19.308 --> 06:23.834\n这和患者的健康状况、生活习惯等一些因素呢，\n\n06:23.834 --> 06:24.808\n是有关系的。\n\n06:25.933 --> 06:27.834\n慢性咽炎的初期呢，\n\n06:28.234 --> 06:31.584\n患者可能只有轻微的咽部的不舒服，\n\n06:31.884 --> 06:34.009\n比如说咽部干燥啊，\n\n06:34.009 --> 06:35.584\n咽部痒啊，\n\n06:35.834 --> 06:38.709\n咽痛等等这些症状呢，\n\n06:38.709 --> 06:40.283\n可以间断性的出现。\n\n06:40.533 --> 06:41.183\n所以呢，\n\n06:41.183 --> 06:42.933\n经常会被患者忽视。\n\n06:44.028 --> 06:45.753\n随着病情的进展呢，\n\n06:45.753 --> 06:48.378\n慢性咽炎的症状会更加明显。\n\n06:49.178 --> 06:49.579\n嗯，\n\n06:49.579 --> 06:51.428\n患者会觉得咽部疼痛，\n\n06:51.579 --> 06:52.704\n有些患者呢，\n\n06:52.704 --> 06:55.378\n进食的时候会觉得吞咽困难。\n\n06:57.329 --> 06:58.428\n这个时候呢，\n\n06:58.579 --> 07:00.329\n咽部的慢性的炎症呢，\n\n07:00.329 --> 07:02.829\n已经影响到了咽部周围的结构了。\n\n07:03.528 --> 07:05.104\n随着病情的进展呢，\n\n07:05.104 --> 07:07.079\n患者的症状会更加严重。\n\n07:07.378 --> 07:08.479\n有些患者呢，\n\n07:08.479 --> 07:10.079\n会出现呼吸困难，\n\n07:10.079 --> 07:11.628\n声音嘶哑的症状。\n\n07:14.895 --> 07:15.246\n嗯，\n\n07:15.246 --> 07:16.721\n慢性咽炎的诊断呢，\n\n07:16.721 --> 07:22.446\n包括病史的询问、体格的检查、咽部内镜的检查和实验室检查。\n\n07:23.346 --> 07:23.721\n嗯，\n\n07:23.721 --> 07:24.895\n病史询问呢，\n\n07:24.895 --> 07:27.145\n是诊断慢性咽炎的第一步。\n\n07:27.545 --> 07:28.371\n医师呢，\n\n07:28.371 --> 07:31.871\n会详细询问患者的病史，\n\n07:31.871 --> 07:35.246\n咽部不适的表现什么时候开始的，\n\n07:35.496 --> 07:38.096\n持续时间多长时间，\n\n07:38.096 --> 07:39.696\n咽部不适的性质，\n\n07:40.045 --> 07:41.395\n有没有伴随症状，\n\n07:41.645 --> 07:44.395\n有没有咽部干、咽部痒。\n\n07:45.015 --> 07:46.216\n吞咽困难等症状。\n\n07:47.729 --> 07:49.229\n第二个体格检查呢，\n\n07:49.229 --> 07:51.229\n是非常重要的。\n\n07:51.229 --> 07:54.178\n通过观察咽部的外观颜色，\n\n07:54.428 --> 07:56.579\n咽部有没有肿胀充血，\n\n07:57.378 --> 08:00.854\n还要检查一下颈部淋巴结有没有肿大，\n\n08:00.854 --> 08:02.778\n排除其他可能的疾病。\n\n08:04.234 --> 08:05.234\n第三步呢，\n\n08:05.433 --> 08:08.209\n对于怀疑慢性咽炎的患者呢，\n\n08:08.209 --> 08:10.884\n医生会建议做一个咽部内镜的检查，\n\n08:11.283 --> 08:17.359\n使用喉镜检查直接观察咽部的粘膜形态有没有炎症啊，\n\n08:17.359 --> 08:19.058\n溃疡肿瘤性的病变，\n\n08:19.058 --> 08:20.533\n这是非常重要的。\n\n08:20.933 --> 08:22.259\n实验室检查呢，\n\n08:22.259 --> 08:25.234\n包括血液检查、咽拭子培养，\n\n08:25.933 --> 08:28.234\n还有评估患者的免疫状态，\n\n08:28.533 --> 08:29.558\n这些检查呢，\n\n08:29.558 --> 08:33.783\n都有助于患医师对患者进行诊断和鉴别诊断。\n\n08:36.942 --> 08:38.291\n免疫学检查呢，\n\n08:38.291 --> 08:40.642\n对患者的免疫功能进行评估。\n\n08:41.091 --> 08:41.466\n嗯，\n\n08:41.466 --> 08:42.216\n一般来说，\n\n08:42.216 --> 08:46.341\n会检测患者的免疫球蛋白的水平、细胞免疫功能等。\n\n08:46.591 --> 08:47.716\n这些检查呢，\n\n08:47.716 --> 08:50.392\n是有助于了解患者的免疫状态，\n\n08:50.841 --> 08:53.942\n为治疗和预防慢性咽炎提供依据。\n\n08:55.208 --> 08:55.533\n嗯，\n\n08:55.533 --> 08:56.732\n影像学检查呢，\n\n08:56.732 --> 09:01.333\n包括X线、CT、磁共振等这些检查呢，\n\n09:01.333 --> 09:02.732\n就帮助医生呢，\n\n09:02.732 --> 09:05.807\n了解患者的咽部及周围组织的结构变化，\n\n09:06.257 --> 09:10.007\n有没有肿胀啊、狭窄啊、肿瘤等等。\n\n09:10.856 --> 09:12.356\n病理组织检查呢，\n\n09:12.356 --> 09:14.955\n是对怀疑慢性咽炎的患者呢，\n\n09:15.356 --> 09:18.856\n取咽部的组织样本进行显微镜的检查，\n\n09:19.406 --> 09:21.580\n确定是否存在着肿瘤啊，\n\n09:21.580 --> 09:23.005\n炎症或其他病变。\n\n09:23.806 --> 09:25.656\n对于慢性咽炎的患者呢，\n\n09:25.656 --> 09:27.255\n这是非常非常重要的。\n\n09:28.710 --> 09:31.460\n因为患者的咽部反复的炎症发作，\n\n09:31.760 --> 09:35.310\n咽部的恶性肿瘤的几率也会明显的增高，\n\n09:35.611 --> 09:37.710\n所以对慢性咽炎的患者呢，\n\n09:37.760 --> 09:38.710\n一般来说，\n\n09:38.760 --> 09:40.310\n医师会告知患者，\n\n09:40.310 --> 09:41.960\n会定期进行复查。\n\n09:42.869 --> 09:44.770\n药物的敏感性测试呢，\n\n09:44.919 --> 09:48.820\n是对检测患者对特定药物敏感程度的方法。\n\n09:49.369 --> 09:50.969\n通过这种测试呢，\n\n09:51.520 --> 09:56.719\n医师可以确定哪种抗生素对患者的咽部细菌感染更有效，\n\n09:56.869 --> 09:58.820\n从而指导临床用药。\n\n10:03.005 --> 10:04.755\n慢性咽炎的患者呢，\n\n10:04.804 --> 10:06.955\n医师还要进行鉴别诊断，\n\n10:07.304 --> 10:15.255\n比如说要和慢性扁桃体炎、咽部肿瘤、喉结核等患者进行鉴别。\n\n10:16.005 --> 10:16.679\n医生呢，\n\n10:16.679 --> 10:21.255\n会根据病史、临床表现、检查结果进行综合的分析。\n\n10:22.929 --> 10:23.854\n有些患者呢，\n\n10:23.854 --> 10:30.580\n就是慢性鼻炎反复的鼻塞流涕也会觉得经常有咽部不适的症状。\n\n10:30.929 --> 10:33.979\n也胃食管反流性疾病的患者呢，\n\n10:34.130 --> 10:38.130\n反复的泛酸水也是会觉得咽部干咽部痒，\n\n10:38.130 --> 10:38.979\n吞咽不适。\n\n10:39.630 --> 10:40.155\n这呢，\n\n10:40.155 --> 10:41.330\n也要进行鉴别。\n\n10:43.333 --> 10:44.184\n辨别诊断呢？\n\n10:45.072 --> 10:46.671\n包括详细的病史询问，\n\n10:46.671 --> 10:51.622\n前面的体格检查、针对性的实验室检查和影像学检查。\n\n10:53.401 --> 10:58.302\n鉴别诊断对于制定正确的治疗方案是非常非常重要的，\n\n10:59.452 --> 11:02.302\n以免避免误诊和延误治疗。\n\n11:05.739 --> 11:07.263\n对于慢性咽炎的患者呢，\n\n11:07.263 --> 11:09.189\n常常觉得咽痛，\n\n11:09.189 --> 11:11.638\n这些患者如果咽痛非常明显呢，\n\n11:11.739 --> 11:12.588\n临床上呢，\n\n11:12.588 --> 11:14.939\n可以使用止痛药物，\n\n11:14.939 --> 11:16.989\n比如说对乙酰氨基酚等等。\n\n11:17.138 --> 11:17.763\n但是呢，\n\n11:17.763 --> 11:20.239\n止痛药物只能缓解患者咽痛的症状，\n\n11:20.239 --> 11:21.439\n不能根治病因。\n\n11:22.953 --> 11:23.953\n抗炎药物呢，\n\n11:23.953 --> 11:26.703\n可以减轻患者的咽部炎症。\n\n11:26.703 --> 11:28.953\n临床上常用非甾体的抗炎药，\n\n11:29.002 --> 11:30.502\n比如说布洛芬啊，\n\n11:30.502 --> 11:31.802\n阿司匹林等等。\n\n11:34.043 --> 11:35.393\n慢性咽的患者呢，\n\n11:35.393 --> 11:38.442\n临床上还会用免疫调节剂、中药制剂，\n\n11:38.742 --> 11:39.668\n这些药物呢，\n\n11:39.668 --> 11:41.593\n有助于改善患者的免疫状态，\n\n11:41.643 --> 11:43.143\n减轻炎症反应。\n\n11:43.593 --> 11:48.593\n但根据患者的具体情况和医生的诊断来决定是否使用。\n\n11:49.968 --> 11:51.867\n有些慢性咽炎的患者呢，\n\n11:51.867 --> 11:53.918\n是有细菌或者病毒感染，\n\n11:54.468 --> 11:56.768\n如果有细菌感染的依据呢，\n\n11:56.817 --> 11:59.567\n应该用适当的抗生素的治疗，\n\n12:00.117 --> 12:01.718\n如果是病毒感染呢，\n\n12:01.768 --> 12:05.567\n也要应用适当的抗病毒的药物，\n\n12:05.567 --> 12:06.367\n临床上呢，\n\n12:06.367 --> 12:08.918\n是建议应用药物敏感试验结果，\n\n12:09.067 --> 12:10.567\n选择合适的药物，\n\n12:10.718 --> 12:12.668\n避免药物耐药性的产生。\n\n12:14.622 --> 12:16.521\n慢性咽炎是个慢性的疾病，\n\n12:16.822 --> 12:17.622\n临床上呢，\n\n12:17.622 --> 12:20.122\n也可以用物理治疗的方法。\n\n12:20.771 --> 12:21.971\n咽部雾化呢，\n\n12:21.971 --> 12:25.046\n通过雾化器将药物以雾状的形式呢，\n\n12:25.046 --> 12:26.771\n直接作用于患者的咽部，\n\n12:27.271 --> 12:29.572\n有助于药物直接作用于患处。\n\n12:30.567 --> 12:31.841\n咽部冲洗呢，\n\n12:31.841 --> 12:36.117\n是临床上应用生理盐水或其他消毒液清洗咽部，\n\n12:36.517 --> 12:39.492\n以清除患者的咽部的细菌病毒，\n\n12:39.492 --> 12:40.466\n减轻炎症。\n\n12:41.478 --> 12:43.627\n还可以使用咽部按摩治疗，\n\n12:43.877 --> 12:45.578\n通过手法按摩咽部，\n\n12:45.828 --> 12:47.728\n促进咽部的血液循环，\n\n12:47.877 --> 12:50.528\n缓解咽部的肌肉紧张和疼痛。\n\n12:51.328 --> 12:52.927\n其他的物理疗法呢，\n\n12:52.927 --> 12:54.778\n有包括红外线照射啊，\n\n12:54.778 --> 12:55.877\n超短波治疗，\n\n12:56.278 --> 12:57.353\n这些疗法呢，\n\n12:57.353 --> 12:59.728\n可以改善患者的咽部的血液循环，\n\n12:59.927 --> 13:01.778\n促进咽部的炎症吸收，\n\n13:01.877 --> 13:04.078\n缓解咽干咽痛的症状。\n\n13:06.463 --> 13:08.062\n对于慢性咽炎的患者呢，\n\n13:08.112 --> 13:15.013\n我们会告知患者应该避免长时间处于干燥、烟尘等不良的环境，\n\n13:15.312 --> 13:17.663\n应该要保持室内的空气流通，\n\n13:18.013 --> 13:19.562\n使用空气净化器，\n\n13:19.763 --> 13:20.362\n这样呢，\n\n13:20.362 --> 13:22.463\n就可以减少对咽部的刺激。\n\n13:23.518 --> 13:24.718\n适当的运动呢，\n\n13:24.718 --> 13:26.668\n可以增强身体的免疫力，\n\n13:26.817 --> 13:28.418\n提高抗病能力，\n\n13:28.668 --> 13:30.018\n可以散步啊，\n\n13:30.018 --> 13:30.768\n游泳等，\n\n13:31.367 --> 13:32.117\n这样呢，\n\n13:32.317 --> 13:34.518\n可以保持健康的生活方式，\n\n13:34.718 --> 13:36.067\n对于慢性咽炎呢，\n\n13:36.067 --> 13:37.067\n是有好处的。\n\n13:37.831 --> 13:39.081\n充足的睡眠呢，\n\n13:39.081 --> 13:40.581\n有助于身体的恢复，\n\n13:40.882 --> 13:41.981\n避免熬夜，\n\n13:42.432 --> 13:44.081\n以减轻咽部的不适。\n\n13:44.831 --> 13:46.281\n慢性咽炎的患者呢，\n\n13:46.281 --> 13:47.481\n饮食非常重要，\n\n13:47.682 --> 13:51.132\n应该避免食用辛辣刺激的食物，\n\n13:51.481 --> 13:52.781\n戒烟戒酒。\n\n13:54.234 --> 13:54.783\n建议呢，\n\n13:54.883 --> 13:57.684\n多食用富含维生素C的食物，\n\n13:57.833 --> 13:59.833\n以保持咽部粘膜的健康。\n\n14:00.995 --> 14:01.245\n嗯。\n\n14:02.455 --> 14:02.731\n嗯，\n\n14:02.731 --> 14:05.406\n如何来预防慢性咽炎呢？\n\n14:05.606 --> 14:06.255\n首先，\n\n14:06.455 --> 14:10.205\n过度的疲劳会降低我们身体的抵抗力，\n\n14:10.505 --> 14:11.205\n所以呢，\n\n14:11.205 --> 14:13.705\n应该避免长时间的过度的劳累，\n\n14:13.856 --> 14:15.455\n合理的安排工作，\n\n14:15.505 --> 14:17.656\n保证充足的睡眠。\n\n14:18.356 --> 14:18.981\n第二呢，\n\n14:18.981 --> 14:21.606\n就是要避免吸烟饮酒，\n\n14:22.156 --> 14:23.931\n因为吸烟和饮酒呢，\n\n14:23.931 --> 14:25.705\n会刺激咽部的粘膜。\n\n14:26.518 --> 14:28.518\n加重咽部的炎症反应。\n\n14:29.369 --> 14:30.044\n第三呢，\n\n14:30.044 --> 14:31.645\n就是免疫力呢，\n\n14:31.645 --> 14:34.320\n是我们人体抵抗疾病的第一道防线。\n\n14:34.669 --> 14:35.344\n所以呢，\n\n14:35.344 --> 14:36.570\n应该合理饮食，\n\n14:36.719 --> 14:37.744\n充足睡眠，\n\n14:37.744 --> 14:38.744\n适当的运动，\n\n14:38.744 --> 14:40.020\n避免过度疲劳，\n\n14:40.369 --> 14:42.070\n可以预防慢性咽炎。\n\n14:43.182 --> 14:45.432\n口腔卫生和咽部的健康呢，\n\n14:45.432 --> 14:46.783\n是密切相关的，\n\n14:47.083 --> 14:47.757\n所以呢，\n\n14:47.757 --> 14:49.232\n每天早晚刷牙，\n\n14:49.333 --> 14:50.533\n使用漱口水。\n\n14:51.322 --> 14:55.172\n保持口腔清洁也是预防慢性咽炎的重要的措施。\n\n14:56.575 --> 14:56.974\n嗯，\n\n14:57.775 --> 14:59.275\n刚才我也提到了，\n\n14:59.275 --> 15:02.224\n空气污染是慢性咽炎的重要的诱因，\n\n15:02.625 --> 15:03.349\n所以呢，\n\n15:03.349 --> 15:07.325\n应该避免在污染严重的环境中长时间的停留。\n\n15:07.775 --> 15:10.375\n如果室外雾霾严重，\n\n15:10.375 --> 15:11.575\n建议佩戴口罩。\n\n15:13.380 --> 15:14.755\n空气净化器呢，\n\n15:14.755 --> 15:19.429\n也是有效的去除室内污染物和过敏源的有效的手段。\n\n15:21.114 --> 15:22.439\n室内的空气流通呢，\n\n15:22.439 --> 15:24.664\n可以减少病毒和细菌，\n\n15:24.864 --> 15:26.664\n降低感染的风险。\n\n15:26.914 --> 15:27.638\n建议呢，\n\n15:27.638 --> 15:29.364\n定期的开窗通风。\n\n15:30.114 --> 15:32.439\n对于过敏体质的人群来说呢，\n\n15:32.439 --> 15:35.814\n避免过敏源是非常重要的。\n\n15:35.814 --> 15:38.314\n常见的过敏源包括花粉啊，\n\n15:38.314 --> 15:39.088\n尘螨啊，\n\n15:39.088 --> 15:40.213\n动物皮屑等，\n\n15:40.263 --> 15:42.013\n所以应该尽量少接触。\n\n15:44.476 --> 15:44.676\n嗯。\n\n15:45.557 --> 15:47.307\n慢性咽炎是个慢性疾病，\n\n15:47.507 --> 15:49.106\n常见病、多发病。\n\n15:49.307 --> 15:51.081\n我们通过健康教育呢，\n\n15:51.081 --> 15:53.906\n可以提高大众对慢性咽炎的认识。\n\n15:54.827 --> 15:56.802\n对于慢性咽炎的患者呢，\n\n15:56.802 --> 15:59.276\n应该告知患者定期复查。\n\n16:01.539 --> 16:03.039\n定期的复查体检呢，\n\n16:03.039 --> 16:05.947\n可以帮助及早的发现咽部的问题，\n\n16:05.947 --> 16:09.340\n及时采取疾病的管理措施。\n\n16:11.330 --> 16:13.280\n对于慢性咽炎的患者呢，\n\n16:13.429 --> 16:17.479\n应该告知患者密切注意自己的咽部的症状，\n\n16:17.729 --> 16:19.755\n比如说咽干咽痛，\n\n16:19.755 --> 16:20.479\n异物感，\n\n16:20.479 --> 16:21.679\n吞咽困难等，\n\n16:21.830 --> 16:23.304\n如果症状加重呢，\n\n16:23.304 --> 16:25.229\n应该及时的处理就诊。\n\n16:26.687 --> 16:28.661\n应该严格的遵照医嘱呢，\n\n16:28.661 --> 16:29.536\n使用药物，\n\n16:29.637 --> 16:32.211\n避免自行随意的更换药物，\n\n16:32.211 --> 16:33.236\n停用药物。\n\n16:34.567 --> 16:34.918\n患者呢，\n\n16:34.918 --> 16:36.418\n应该改善生活习惯，\n\n16:36.617 --> 16:38.268\n保持充足的睡眠，\n\n16:38.617 --> 16:41.817\n避免进食辛辣刺激油腻的食物，\n\n16:41.918 --> 16:43.067\n戒烟戒酒。\n\n16:44.077 --> 16:45.327\n慢性咽炎呢，\n\n16:45.627 --> 16:47.726\n患者反复的咽干咽痛，\n\n16:47.726 --> 16:48.726\n吞咽困难，\n\n16:48.726 --> 16:53.026\n窒息性的咳嗽可能会给患者带来焦虑和烦躁。\n\n16:53.677 --> 16:55.427\n应该告知患者呢，\n\n16:55.577 --> 16:57.127\n保持乐观的心态，\n\n16:57.177 --> 16:58.726\n心理要进行调试。\n\n17:00.885 --> 17:03.034\n慢性咽炎是个慢性的疾病，\n\n17:03.335 --> 17:04.135\n家庭呢，\n\n17:04.135 --> 17:05.334\n应该给予支持。\n\n17:06.260 --> 17:07.459\n了解患者的病情，\n\n17:07.709 --> 17:10.910\n提供必要的支持和帮助。\n\n17:10.910 --> 17:11.859\n在家中呢，\n\n17:11.859 --> 17:14.060\n保持良好的室内空气质量，\n\n17:14.109 --> 17:15.209\n定期通风。\n\n17:16.426 --> 17:17.701\n慢性咽炎呢，\n\n17:17.701 --> 17:18.875\n是个慢性疾病。\n\n17:19.026 --> 17:19.926\n患者呢，\n\n17:20.225 --> 17:23.225\n在治疗过程当中有可能会感到沮丧。\n\n17:23.725 --> 17:25.076\n家庭成员呢，\n\n17:25.125 --> 17:29.026\n应该鼓励患者保持其积极的治疗态度。\n\n17:29.973 --> 17:31.123\n家庭成员呢，\n\n17:31.123 --> 17:33.572\n共同参与健康生活方式的实践，\n\n17:33.873 --> 17:36.672\n比如说一起进行户外运动，\n\n17:36.672 --> 17:37.822\n提高抵抗力。\n\n17:39.426 --> 17:39.826\n嗯。\n\n17:41.359 --> 17:41.734\n患者呢，\n\n17:41.734 --> 17:43.958\n应该充分利用医疗资源，\n\n17:44.208 --> 17:47.509\n定期到医院进行复查。\n\n17:47.509 --> 17:48.234\n社区呢，\n\n17:48.234 --> 17:50.609\n提供健康教育和支持服务。\n\n17:51.759 --> 17:53.583\n医疗机构和社会呢，\n\n17:53.583 --> 17:55.458\n应该普及健康教育，\n\n17:55.759 --> 17:59.609\n提高大众呢对慢性咽炎这个慢性疾病的认识。\n\n18:02.086 --> 18:03.286\n今天的讲座呢，\n\n18:03.286 --> 18:04.135\n就到这里，\n\n18:04.186 --> 18:05.536\n谢谢大家的聆听。\n\n","v0247cg10004d74ucciljht1l1rqb6l0",1091,705,"2026-03-03 00:08:56","2026-06-11 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