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--> 00:00.980\n嗯，\n\n00:00.980 --> 00:01.580\n大家好，\n\n00:01.580 --> 00:05.905\n我是来自奉贤区凤城医院的王小莹啊。\n\n00:05.905 --> 00:10.930\n今天给大家我们大家一起学习一下支气管哮喘的科普知识。\n\n00:12.123 --> 00:13.298\n支气管哮喘。\n\n00:16.134 --> 00:19.284\n首先我们说支气管哮喘还是一个常见病，\n\n00:19.534 --> 00:22.833\n它是一种慢性的气道炎症性的疾病，\n\n00:23.134 --> 00:25.534\n涉及到多种细胞和细胞。\n\n00:26.629 --> 00:30.030\n细胞组分参与的气道慢性炎症性疾病。\n\n00:30.954 --> 00:32.203\n它的发病机制。\n\n00:33.230 --> 00:40.555\n最主要是涉及一个变态反应、气道炎症和气道高反应性和神经调节等多个方面。\n\n00:41.318 --> 00:43.618\n患者常表现为可逆性的。\n\n00:44.298 --> 00:47.798\n气流受阻或者和气道重塑的症状。\n\n00:49.040 --> 00:50.939\n那么全球的流行状况，\n\n00:50.939 --> 00:55.840\n那支气管哮喘是一个全球最常见的慢性疾病之一。\n\n00:56.577 --> 00:59.327\n全球约有3亿人患有哮喘，\n\n00:59.478 --> 01:01.728\n且发病率仍在不断上升。\n\n01:02.555 --> 01:04.555\n那我们我国的流行情况，\n\n01:04.805 --> 01:06.956\n那我国的哮喘发病率比较高，\n\n01:07.155 --> 01:09.106\n而且存在的地区差异，\n\n01:09.405 --> 01:11.155\n城市高于农村，\n\n01:11.155 --> 01:12.856\n儿童高于成人，\n\n01:13.155 --> 01:17.755\n哮喘给我我国带来了严重的医疗负担和经济。\n\n01:18.372 --> 01:19.472\n社会经济负担。\n\n01:20.505 --> 01:23.606\n那支气管哮喘我们临床可以表现分为？\n\n01:24.424 --> 01:24.624\n嗯，\n\n01:24.624 --> 01:30.573\n典型的症状一个是发作性伴有哮鸣音的呼气性的呼吸困难。\n\n01:30.874 --> 01:36.424\n夜间及凌晨发作或加重是气哮喘的重要临床特征。\n\n01:37.146 --> 01:37.670\n风型。\n\n01:37.670 --> 01:43.146\n我们把哮喘可以分为急性发作期、慢性持续期和临床缓解期。\n\n01:44.125 --> 01:51.526\n还可以根据肺功能的检测结果进行分为轻度、中度、重度和微重度的哮喘。\n\n01:53.640 --> 01:56.841\n支气管哮喘对患者的生活质量的影响啊，\n\n01:56.841 --> 01:58.091\n首先生理方面，\n\n01:58.591 --> 02:03.191\n哮喘发作时可以导致患者呼吸困难、咳嗽等症状，\n\n02:03.490 --> 02:06.416\n严重时甚至危及生命，\n\n02:06.416 --> 02:09.791\n严重影响患者的日常生活和工作能力。\n\n02:10.985 --> 02:12.160\n在心理方面，\n\n02:12.160 --> 02:19.035\n哮喘常因担心哮喘发作而产生焦虑、抑郁等心理障碍。\n\n02:19.792 --> 02:21.292\n进而影响生活质量。\n\n02:22.352 --> 02:24.276\n在生社会经济方面，\n\n02:24.276 --> 02:30.552\n那哮喘导致的医疗费用和生活生产力的损伤损失给患者。\n\n02:31.268 --> 02:33.268\n和社会带来了巨大经济负担。\n\n02:35.602 --> 02:35.902\n嗯，\n\n02:36.152 --> 02:38.152\n哮喘的诊断标准啊，\n\n02:38.152 --> 02:45.352\n诊断标准症状有喘息、气急、胸闷或咳嗽以及肺部的哮鸣音等特征，\n\n02:45.703 --> 02:48.552\n结合病史和实验室检查进行诊断。\n\n02:49.406 --> 02:52.356\n诊断的流程首先要采集病史，\n\n02:52.755 --> 02:55.156\n了解患者的症状和诱因。\n\n02:55.964 --> 02:57.164\n进行身体检查，\n\n02:57.214 --> 02:58.464\n寻找体征，\n\n02:58.563 --> 03:00.063\n进行肺功能检查，\n\n03:00.563 --> 03:02.764\n评估气流的受限程度，\n\n03:03.014 --> 03:04.664\n结合过敏原的测定，\n\n03:04.664 --> 03:05.738\n确定过敏原，\n\n03:05.738 --> 03:07.113\n排除其他疾病，\n\n03:07.264 --> 03:08.514\n最终确诊。\n\n03:09.904 --> 03:13.154\n肺功能检查在诊断诊断中的应用。\n\n03:14.048 --> 03:15.798\n那肺功能检查的重要性？\n\n03:16.615 --> 03:16.865\n嗯，\n\n03:17.065 --> 03:21.966\n它是评估气道受限程度的程度的一个主要手段，\n\n03:22.315 --> 03:28.966\n对于支气管哮喘的诊断、病情评估和治疗方案制定具有重要的意义。\n\n03:30.889 --> 03:33.889\n常见的我们这些肺功能的检测标准啊，\n\n03:33.889 --> 03:36.789\n包括一秒钟的用力呼气容积。\n\n03:38.117 --> 03:44.117\n用力的肺活量等都可以反映气道狭窄程度和气流的受限程度。\n\n03:45.916 --> 03:47.966\n肺功能检查的注意事项，\n\n03:48.216 --> 03:52.865\n我们检查前需要停止使用支气管扩张剂的药物。\n\n03:53.598 --> 03:57.798\n那么检查的时候就配合医生的指示进行呼吸动呼吸动作。\n\n03:58.613 --> 04:00.714\n检查的结果需要结合。\n\n04:01.667 --> 04:01.867\n嗯，\n\n04:01.867 --> 04:03.867\n患者的具体情况进行解读。\n\n04:05.162 --> 04:07.662\n买一个过敏原的检测方法和记忆。\n\n04:08.565 --> 04:11.315\n那过敏原的检查我们包括皮肤试验，\n\n04:11.615 --> 04:17.466\n比如像皮内试验、皮肤点刺试验和血清特异性的IGE的检测等。\n\n04:19.201 --> 04:21.152\n过敏原检测的意义。\n\n04:21.971 --> 04:24.321\n它有助于确定患者的过敏源，\n\n04:24.321 --> 04:27.446\n从而指导患者避免接触过敏源，\n\n04:27.446 --> 04:28.971\n减少哮喘的发作。\n\n04:29.846 --> 04:34.196\n同时对于脱敏治疗的选择和疗效评估也具有重要的意义。\n\n04:35.697 --> 04:38.398\n支气管哮喘我们需要鉴别诊断。\n\n04:39.503 --> 04:41.803\n一个就慢性阻塞性的肺疾病。\n\n04:42.671 --> 04:45.421\n心源性的哮喘等疾病进行鉴别，\n\n04:45.622 --> 04:47.421\n避免误诊和误治。\n\n04:48.609 --> 04:50.234\n一个误区的解析啊，\n\n04:50.234 --> 04:51.609\n第一就是哮喘，\n\n04:51.709 --> 04:54.084\n认为哮喘只是气喘啊，\n\n04:54.084 --> 04:55.559\n忽略了其他的症状。\n\n04:56.411 --> 04:59.361\n第二个认为哮喘无法治愈而放弃治疗。\n\n05:00.044 --> 05:00.444\n第三，\n\n05:00.794 --> 05:04.243\n将哮喘的症状和过敏性的鼻炎混淆，\n\n05:04.544 --> 05:05.593\n导致误诊。\n\n05:06.510 --> 05:09.359\n第四个忽略过敏原检测的重要性。\n\n05:10.131 --> 05:12.981\n未能有效避免接触过敏源。\n\n05:16.083 --> 05:16.433\n嗯，\n\n05:16.433 --> 05:20.632\n接下来我们讲一下支气管哮喘的治疗策略和药物的选择。\n\n05:21.890 --> 05:22.140\n嗯，\n\n05:22.140 --> 05:25.640\n急性发作期的治疗原则和药物的选择。\n\n05:26.493 --> 05:28.593\n第一个快速的缓解症状。\n\n05:29.384 --> 05:31.183\n采用贝塔二受体激动剂，\n\n05:31.183 --> 05:32.484\n如沙丁胺醇等。\n\n05:33.243 --> 05:34.343\n能够叙述的。\n\n05:35.156 --> 05:36.480\n迅速扩张支气管，\n\n05:36.480 --> 05:37.906\n缓解哮喘症状，\n\n05:38.305 --> 05:39.355\n抗炎治疗。\n\n05:40.140 --> 05:40.714\n抗炎治疗，\n\n05:40.714 --> 05:42.640\n就糖皮质激素类的药物治疗，\n\n05:42.640 --> 05:44.390\n如布地奈德等，\n\n05:44.690 --> 05:45.839\n可以减轻气，\n\n05:45.839 --> 05:47.440\n减轻气道的炎症。\n\n05:48.286 --> 05:50.235\n降低气道的高反应性。\n\n05:51.630 --> 05:52.779\n第三就是氧疗。\n\n05:53.970 --> 05:55.420\n给予患者吸氧，\n\n05:55.420 --> 05:56.970\n缓解缺氧的症状。\n\n05:58.623 --> 06:02.924\n那一个慢性持续期管理策略和药物的使用。\n\n06:04.085 --> 06:05.885\n你就控制气道炎症。\n\n06:07.157 --> 06:09.608\n长期使用糖皮质激素类的药物，\n\n06:09.608 --> 06:09.858\n如。\n\n06:10.743 --> 06:11.042\n嗯，\n\n06:11.042 --> 06:15.393\n丙酸氟替卡松的也用来控制气道的炎症，\n\n06:15.393 --> 06:16.643\n预防哮喘发作。\n\n06:17.570 --> 06:19.420\n还有一个使用支气管舒张剂。\n\n06:21.022 --> 06:21.296\n嗯，\n\n06:21.296 --> 06:25.622\n如长如长效的贝塔受体激动剂、抗胆碱能药物等，\n\n06:26.022 --> 06:29.022\n可以长期的改善支气管扩张，\n\n06:29.421 --> 06:30.522\n缓解症状。\n\n06:31.609 --> 06:32.059\n第三，\n\n06:32.209 --> 06:33.359\n寻找过敏源，\n\n06:33.359 --> 06:34.160\n避免接触。\n\n06:35.058 --> 06:36.983\n对于已知过敏原的患者，\n\n06:36.983 --> 06:38.532\n应尽量避免接触，\n\n06:38.532 --> 06:40.007\n减少哮喘的发作。\n\n06:40.795 --> 06:42.746\n发作发作的风险。\n\n06:44.522 --> 06:44.821\n嗯，\n\n06:45.022 --> 06:48.372\n脱敏治疗在过支气管哮喘中的应用啊。\n\n06:49.269 --> 06:53.670\n脱敏治疗的原则就是通过反复接触过敏源。\n\n06:54.454 --> 06:57.053\n它可以使机体产生免疫耐受。\n\n06:57.454 --> 06:58.903\n那这样就可以减轻。\n\n06:59.973 --> 07:02.123\n和或者消除过敏反应。\n\n07:03.437 --> 07:08.986\n要过敏治疗方法包括皮下注射、舌下含服多多种方式。\n\n07:09.386 --> 07:14.536\n这个根据患者的病情和过敏原的过敏源的类型进行选择。\n\n07:15.773 --> 07:16.223\n第三，\n\n07:16.273 --> 07:17.924\n脱敏治疗的疗程。\n\n07:18.881 --> 07:20.981\n脱敏治疗需要长期的进行。\n\n07:21.854 --> 07:24.104\n通常需要数年的时间，\n\n07:24.454 --> 07:26.803\n那就患者应该坚持治疗，\n\n07:26.803 --> 07:29.253\n并定期的评估疗效。\n\n07:31.971 --> 07:32.295\n嗯，\n\n07:32.295 --> 07:32.795\n患者，\n\n07:32.795 --> 07:35.020\n教育在药物治疗中的重要性。\n\n07:35.786 --> 07:38.786\n首先可以提高患者对疾病的认识，\n\n07:39.187 --> 07:43.087\n让患者了解支气管哮喘的治和发病的机制，\n\n07:43.486 --> 07:45.786\n来增强对治疗的信心。\n\n07:46.890 --> 07:47.364\n第二，\n\n07:47.364 --> 07:49.440\n教育患者正确使用药物。\n\n07:50.294 --> 07:52.644\n指导患者正确使用各种药物，\n\n07:52.644 --> 07:57.243\n包括吸入装置的使用、用药的时间、剂量等，\n\n07:57.843 --> 08:02.694\n避免使用药物、药物使用不当导致的不良反应。\n\n08:04.475 --> 08:04.774\n嗯，\n\n08:04.774 --> 08:05.250\n第三，\n\n08:05.250 --> 08:07.325\n增强患者的自我管理意识。\n\n08:08.190 --> 08:10.964\n教育患者如何监测病情变化，\n\n08:10.964 --> 08:12.540\n如何调整药物质量，\n\n08:12.640 --> 08:14.390\n如何避免过敏原等。\n\n08:15.052 --> 08:16.902\n提高患者的自我管理能力，\n\n08:16.902 --> 08:18.902\n减少哮喘发作的风险。\n\n08:23.044 --> 08:24.944\n接下来就支气管哮喘啊，\n\n08:24.944 --> 08:27.743\n生活方式的调整和环境的改善。\n\n08:27.743 --> 08:29.144\n意见建议。\n\n08:30.174 --> 08:31.574\n第一个首先要戒烟，\n\n08:31.574 --> 08:32.674\n避免二手烟。\n\n08:33.684 --> 08:36.083\n吸烟是支气管哮喘的重要诱因。\n\n08:37.786 --> 08:44.986\n戒烟和避免二手烟是改善病情和防止恶化的关键。\n\n08:46.434 --> 08:47.809\n要避免过敏源，\n\n08:47.809 --> 08:48.434\n尽量。\n\n08:49.489 --> 08:53.840\n避免接触花粉、尘螨、动物皮毛等过敏源，\n\n08:53.940 --> 08:55.890\n减少支气管哮喘的发作。\n\n08:56.973 --> 08:57.473\n第三，\n\n08:57.924 --> 08:59.424\n室内空气质量。\n\n09:00.223 --> 09:01.698\n保持室内空气清新，\n\n09:01.698 --> 09:03.223\n定期通风换气。\n\n09:04.156 --> 09:05.005\n避免使用。\n\n09:07.125 --> 09:09.226\n有细菌性气味的物品。\n\n09:11.270 --> 09:13.171\n意思就饮食调整啊。\n\n09:13.987 --> 09:16.263\n避免误入啊，\n\n09:16.263 --> 09:20.937\n适量误入就是富含有维生素和抗氧化剂的食物，\n\n09:21.187 --> 09:23.237\n比如说新鲜的蔬菜水果，\n\n09:23.487 --> 09:25.888\n都有助于减轻支气管哮喘的症状。\n\n09:27.625 --> 09:27.926\n嗯。\n\n09:30.185 --> 09:33.286\n运动锻炼在支气管哮喘中的作用？\n\n09:35.090 --> 09:35.515\n首先，\n\n09:35.515 --> 09:36.539\n改善肺功能。\n\n09:37.307 --> 09:38.007\n有氧运动，\n\n09:38.007 --> 09:43.132\n比如像散步、慢跑、游泳都可以增强心肺功能，\n\n09:43.132 --> 09:44.807\n提高肺部的耐受力。\n\n09:45.976 --> 09:47.276\n要增强体质。\n\n09:49.315 --> 09:51.614\n运动锻炼能增强患者的。\n\n09:52.510 --> 09:53.484\n身体的免疫力，\n\n09:53.484 --> 09:56.409\n减少感染病毒和细菌的机会，\n\n09:56.409 --> 09:59.059\n从而降低支气管哮喘的发病率。\n\n10:04.090 --> 10:05.114\n缓解压力。\n\n10:05.114 --> 10:07.265\n运动可以缓解精神压力，\n\n10:07.265 --> 10:11.539\n有助于减少因情绪因素引起的支气管哮喘。\n\n10:12.257 --> 10:16.857\n那运动时的我们的注意事项就是应该在医生的指导下，\n\n10:16.857 --> 10:20.158\n选择合适的运动和运动方式和强度，\n\n10:20.458 --> 10:22.857\n避免过度劳累和剧烈运动。\n\n10:24.398 --> 10:24.697\n嗯，\n\n10:24.747 --> 10:27.148\n接下来我们就是一个应急的指南啊，\n\n10:27.148 --> 10:28.297\n急性加重。\n\n10:29.309 --> 10:32.059\n急性加重的识别和应急的处理指南。\n\n10:33.161 --> 10:36.111\n怎么来识别急性加重的症状。\n\n10:36.111 --> 10:37.062\n比如包括。\n\n10:37.963 --> 10:38.989\n呼吸困难加重，\n\n10:38.989 --> 10:40.013\n咳嗽加剧，\n\n10:40.213 --> 10:41.713\n喘息声音加强，\n\n10:42.114 --> 10:43.814\n都应该及时的就医。\n\n10:44.786 --> 10:46.435\n那应急处理措施，\n\n10:46.885 --> 10:50.486\n那我们在家就是迅速的使用快速缓解药物，\n\n10:50.685 --> 10:53.536\n比如像沙丁胺醇的贝塔受体激动剂，\n\n10:53.786 --> 10:55.585\n以缓解支气管痉挛。\n\n10:56.533 --> 10:56.883\n第三，\n\n10:56.883 --> 10:58.083\n寻求医疗帮助。\n\n10:59.004 --> 11:00.254\n如果病情严重，\n\n11:00.254 --> 11:01.328\n应及时就医，\n\n11:01.328 --> 11:05.903\n可能需要使用氧气、输液等支持性的治疗措施。\n\n11:08.986 --> 11:10.486\n长期的管理，\n\n11:10.536 --> 11:14.986\n长期随访管理和评估的方法一个定期随访。\n\n11:16.057 --> 11:21.507\n支气管哮喘患者应定期到医院进行肺功能检测和评估，\n\n11:21.658 --> 11:23.908\n以调整治疗方案。\n\n11:24.861 --> 11:25.411\n第二，\n\n11:25.861 --> 11:28.012\n评估病情的控制情况。\n\n11:28.361 --> 11:35.187\n我们来通过症状评估、肺功能的检测的手段来了解病情的控制情况啊，\n\n11:35.187 --> 11:36.861\n及时调整治疗方案。\n\n11:37.726 --> 11:38.151\n第三，\n\n11:38.151 --> 11:40.426\n我们来监测药物的副作用。\n\n11:40.726 --> 11:45.325\n长期使用支气管哮喘药物可能会引起一些副作用，\n\n11:45.325 --> 11:46.726\n应该定期监测。\n\n11:47.544 --> 11:49.843\n并调整药物剂量或者更换药物。\n\n11:50.693 --> 11:52.693\n那第四就是教育和管理。\n\n11:53.481 --> 11:56.132\n应接受相关的教育和管理，\n\n11:56.481 --> 11:58.882\n了解支气管哮喘的基本知识。\n\n11:59.635 --> 12:04.085\n治疗方法和预防措施来提高自我管理能力。\n\n12:06.557 --> 12:06.833\n嗯，\n\n12:06.833 --> 12:11.257\n接下来我们了解一下支气管哮喘的并发症和危险危害。\n\n12:12.262 --> 12:15.361\n常见的并发症类型和预防的措施。\n\n12:16.330 --> 12:18.729\n首先就是一个呼吸道的感染啊，\n\n12:18.729 --> 12:19.479\n并发症。\n\n12:20.252 --> 12:22.252\n那由于支气管粘膜的受损，\n\n12:22.502 --> 12:25.052\n容易引起细菌和病毒的感染，\n\n12:25.052 --> 12:26.851\n导致哮喘加重。\n\n12:27.101 --> 12:29.601\n那预防措施就是我们要加强锻炼。\n\n12:30.570 --> 12:32.770\n避免接触过敏源，\n\n12:32.820 --> 12:35.169\n保持室内的空气流通等。\n\n12:37.317 --> 12:39.968\n并发症还有一个就是常见的肺气肿，\n\n12:39.968 --> 12:41.367\n肺源性的心脏病。\n\n12:42.297 --> 12:43.273\n长期的哮喘，\n\n12:43.273 --> 12:47.598\n空气不佳会导致肺部的体积气体积聚，\n\n12:47.598 --> 12:50.172\n形成了肺气肿啊，\n\n12:50.172 --> 12:52.247\n继而引起了肺源性的心脏病。\n\n12:53.038 --> 12:55.388\n那预防措施包括规范治疗？\n\n12:56.192 --> 12:57.742\n定期监测肺功能，\n\n12:57.742 --> 12:59.341\n积极控制病情等。\n\n13:00.458 --> 13:03.408\n那呼吸衰竭严重哮喘发作时，\n\n13:03.857 --> 13:06.682\n支气平滑肌、支气管平滑肌收缩，\n\n13:06.682 --> 13:08.182\n导致通气不畅，\n\n13:08.182 --> 13:09.458\n引起呼吸衰竭。\n\n13:10.223 --> 13:14.624\n预防措施包括避免过敏原、规范治疗和加强锻炼。\n\n13:18.200 --> 13:18.650\n其次，\n\n13:18.650 --> 13:22.500\n我们来急性的加重风险评估和处理方法啊。\n\n13:23.291 --> 13:31.341\n评估的因素包括病史、临床表现、肺功能检查等来评估哮喘加重的风险。\n\n13:31.841 --> 13:37.091\n那么处理方法我们就根据病情采取相应的治疗措施。\n\n13:37.849 --> 13:40.599\n比如说增加吸入性的支气管舒张剂，\n\n13:41.299 --> 13:44.900\n口服或者静脉使用糖皮质激素、氧疗等。\n\n13:45.958 --> 13:46.932\n那预防措施，\n\n13:46.932 --> 13:49.607\n我们要就是加强哮喘的控制，\n\n13:50.007 --> 13:51.458\n避免接触过敏源，\n\n13:51.757 --> 13:54.057\n定期进行肺功能检测。\n\n13:56.638 --> 13:57.687\n那肺功能减。\n\n13:58.585 --> 14:02.484\n肺功能损害和损害的程度评估和监测。\n\n14:03.276 --> 14:05.601\n就是首选一个肺功能检查啊，\n\n14:05.601 --> 14:10.325\n来了解肺部通气功能、弥漫功能的评估来评估患者。\n\n14:11.254 --> 14:14.054\n哮喘对肺功能的损害的程度。\n\n14:15.622 --> 14:19.322\n那监监测的方法就是定期进行肺功能检查，\n\n14:19.622 --> 14:22.921\n对比前后结果来评估哮喘的控制情况。\n\n14:23.762 --> 14:25.411\n那注意事项就是。\n\n14:26.148 --> 14:30.848\n肺功能检查要在患者就是哮喘控制的良好情况。\n\n14:32.382 --> 14:34.281\n哮喘控制良好的情况下进行，\n\n14:34.281 --> 14:36.882\n以避免检查结果产生干扰。\n\n14:38.333 --> 14:39.383\n合并症啊，\n\n14:39.383 --> 14:42.633\n常见的合并对这生活质量的影响和对应治疗。\n\n14:43.320 --> 14:44.369\n合并症的类型，\n\n14:44.369 --> 14:49.869\n支气管哮喘可以合并过敏性的鼻炎、鼻窦炎、反流性的食管炎等疾病。\n\n14:50.682 --> 14:54.031\n对于生活质量可以产生严重的影响。\n\n14:55.174 --> 14:56.273\n影响的程度。\n\n14:57.374 --> 15:00.424\n合并症可以导致哮喘症状加重。\n\n15:01.219 --> 15:01.969\n治疗困难。\n\n15:03.859 --> 15:04.859\n难度的增加，\n\n15:04.859 --> 15:06.210\n生活质量的下降。\n\n15:07.366 --> 15:08.390\n应对策略啊，\n\n15:08.390 --> 15:10.015\n积极治疗合并症，\n\n15:10.416 --> 15:12.815\n调节哮喘的治疗方案，\n\n15:13.116 --> 15:15.466\n加强患者的教育和管理，\n\n15:15.616 --> 15:16.916\n提高生活质量。\n\n15:18.505 --> 15:18.979\n其次，\n\n15:18.979 --> 15:23.005\n我们对支气管哮喘患者要进行心理的治疗，\n\n15:23.054 --> 15:24.604\n心理的支持和关爱。\n\n15:26.205 --> 15:29.556\n因为心理因素也会导致支气管哮喘的加重。\n\n15:30.781 --> 15:31.182\n好了，\n\n15:31.182 --> 15:32.481\n谢谢大家分享。\n\n","v0247cg10004d73545aljhtc7fp498vg",942,803,"2026-03-25 00:00:21","2026-06-11 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