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--> 00:05.393\n今天讲慢性阻塞性肺疾病COPD。\n\n00:07.469 --> 00:07.594\n嗯，\n\n00:07.594 --> 00:09.395\n主要讲一下它的基本概念，\n\n00:09.395 --> 00:14.619\n发病机制、临床表现、诊断、鉴别诊断、治疗以及并发症，\n\n00:14.819 --> 00:16.870\n还有早期发现及预防。\n\n00:19.405 --> 00:21.930\nCOPD的基本概念和发病机制。\n\n00:22.767 --> 00:27.093\nCOPD的定义是一种定义，\n\n00:27.093 --> 00:32.568\nCOPD是一种常见的危害影健康影响生活的慢性疾病，\n\n00:32.717 --> 00:35.118\n是导致死亡的主要因素，\n\n00:35.667 --> 00:37.792\n并带来沉重的经济负担，\n\n00:37.792 --> 00:44.118\n也是健康中国2030行动中计划中重点防治的疾病。\n\n00:44.368 --> 00:48.542\n主要是因为气道和肺泡异常导致的，\n\n00:48.542 --> 00:52.868\n持续存在的气流受限和产生的相应症状。\n\n00:54.527 --> 00:57.126\n在我国40岁以上的人群中，\n\n00:57.126 --> 00:57.826\n慢性。\n\n00:58.752 --> 01:02.553\n慢阻肺的患病率已经上升至了14%，\n\n01:02.752 --> 01:05.352\n每年约有100万人死于此病，\n\n01:05.553 --> 01:07.902\n估算我国患病者近1亿。\n\n01:08.102 --> 01:10.953\n提高我国慢阻肺发病仍呈。\n\n01:11.801 --> 01:12.225\n提示，\n\n01:12.225 --> 01:15.950\n我国慢阻肺发病人呈高太。\n\n01:17.617 --> 01:27.267\n慢阻病慢阻肺的发病机制个体因素一、遗传因素慢阻肺和遗传有一定的关系，\n\n01:27.417 --> 01:30.468\n比如阿尔法一抗胰蛋白酶，\n\n01:30.667 --> 01:33.617\n这是肝脏合成的一种糖蛋白，\n\n01:33.917 --> 01:35.968\n它的缺乏和遗传有关。\n\n01:36.167 --> 01:41.867\n重度缺乏和不抽烟人群的肺气肿有关。\n\n01:42.766 --> 01:43.717\n年龄和性别，\n\n01:43.817 --> 01:46.317\n年龄是慢阻肺的危险因素，\n\n01:46.317 --> 01:47.342\n年龄越大，\n\n01:47.342 --> 01:48.817\n患病率越高，\n\n01:48.967 --> 01:53.467\n而女性对烟雾、烟草的危害更加敏感。\n\n01:53.916 --> 01:57.666\n肺生长发育在生长各个周期里，\n\n01:57.866 --> 02:01.592\n如胎儿期、婴幼儿期、青少年期，\n\n02:01.592 --> 02:06.067\n接触有害因素会影响肺的生长发育，\n\n02:06.166 --> 02:08.917\n而这些都是慢阻肺的危险因素。\n\n02:10.567 --> 02:16.268\n哮喘和气道高反应哮喘不仅可以和慢阻肺同时存在，\n\n02:16.317 --> 02:18.167\n也是慢阻肺发病的。\n\n02:19.296 --> 02:20.095\n危险因素。\n\n02:21.054 --> 02:22.203\n低体重指数，\n\n02:22.503 --> 02:25.154\n低体重指数指偏瘦人群，\n\n02:25.154 --> 02:28.003\n也与慢阻肺的发病有关，\n\n02:28.253 --> 02:29.828\n体重指数越低，\n\n02:29.828 --> 02:32.003\n慢阻肺的患病率越高。\n\n02:34.757 --> 02:35.856\n环境因素。\n\n02:36.940 --> 02:41.839\n1烟草吸烟是导致慢阻肺发病的重要外因。\n\n02:43.115 --> 02:50.065\n吸烟和被动吸烟者肺功能比不吸烟的人异常率高，\n\n02:50.315 --> 02:51.966\n死亡风险增加。\n\n02:52.811 --> 02:54.960\n燃料、烟雾以及空气污染。\n\n02:55.061 --> 02:57.110\n燃料产生的空气污染。\n\n02:58.929 --> 03:07.328\n颗粒物质如焚烧秸梗、垃圾和吸烟产生的有害气体具有协同作用，\n\n03:07.328 --> 03:10.029\n对支气管黏膜有刺激和毒性。\n\n03:10.229 --> 03:11.279\n空气污染时，\n\n03:11.279 --> 03:14.378\n慢阻肺的发病风险明显增加。\n\n03:15.565 --> 03:16.365\n职业粉尘，\n\n03:16.764 --> 03:24.940\n职业粉尘像二氧化硅、煤尘等浓度过大或接触接触时间过长，\n\n03:24.940 --> 03:27.264\n可导致慢阻肺的发生。\n\n03:28.115 --> 03:30.464\n感染和慢性支气管炎。\n\n03:30.464 --> 03:34.964\n呼吸道感染是慢阻肺发病和加剧的重要因素，\n\n03:35.164 --> 03:39.464\n常见儿童反复下呼吸道感染。\n\n03:40.854 --> 03:45.505\n成年后容易发生肺功能下降及呼吸道疾病的症状。\n\n03:48.505 --> 03:50.455\n慢阻肺的临床表现，\n\n03:51.156 --> 03:56.856\n慢阻肺主要症状是慢性咳嗽、咳痰和呼吸困难，\n\n03:57.255 --> 03:59.555\n早期可以无明显症状。\n\n03:59.606 --> 04:01.455\n如出现咳嗽、咳痰。\n\n04:03.699 --> 04:07.598\n然后再出现呼吸困难症状及演变。\n\n04:08.766 --> 04:10.065\n常见慢性咳嗽，\n\n04:10.766 --> 04:18.165\n还有常为白色黏痰、浆液痰急性加重时可为粘液脓痰，\n\n04:18.365 --> 04:19.716\n而且不易排出。\n\n04:20.066 --> 04:21.816\n气短或呼吸困难，\n\n04:21.966 --> 04:24.566\n活动后呼吸困难是慢阻肺的。\n\n04:25.984 --> 04:27.035\n标志性症状，\n\n04:27.385 --> 04:28.785\n胸闷和喘息。\n\n04:28.984 --> 04:32.334\n一些人会有明显的胸闷和喘息。\n\n04:33.984 --> 04:37.033\n慢阻肺的并发症表现右心衰，\n\n04:37.334 --> 04:41.709\n会有食欲不振、腹胀、下肢水肿等呼吸衰竭，\n\n04:41.709 --> 04:45.084\n多见于重症慢阻肺或者急性加重者。\n\n04:46.085 --> 04:51.335\n自发性气胸多表现为突然加重的呼吸困难、胸闷、胸痛，\n\n04:51.485 --> 04:54.085\n可伴有皮肤、口唇青紫。\n\n04:55.110 --> 04:58.561\n慢阻肺的体征早期可能不明显，\n\n04:58.561 --> 04:59.936\n随着疾病的进展，\n\n04:59.936 --> 05:03.110\n可以见一下典型的桶状胸，\n\n05:03.110 --> 05:05.161\n胸廓前后径增大。\n\n05:05.971 --> 05:07.421\n呼吸变得浅而快。\n\n05:08.976 --> 05:11.226\n慢阻肺的诊断和间的诊断。\n\n05:13.161 --> 05:13.411\n嗯。\n\n05:15.065 --> 05:26.190\n对有慢性咳嗽或咳痰、呼吸困难、反复下呼吸道感染病史或有慢阻肺因危险因素暴露的患者，\n\n05:26.190 --> 05:29.315\n临床考虑慢阻肺的诊断可能。\n\n05:30.061 --> 05:30.661\n诊断标准，\n\n05:30.661 --> 05:33.760\n慢阻肺的诊断主要依据是？\n\n05:34.938 --> 05:40.389\n危险因素暴露时症状、体征以及肺功能检查的临床资料，\n\n05:40.489 --> 05:43.639\n并排除引起类似症状的其他疾病，\n\n05:44.139 --> 05:50.239\n综合分析判定肺功能检查表现为持续性气流受限，\n\n05:50.539 --> 05:54.139\n是诊断慢阻肺的必要条件。\n\n05:54.588 --> 05:56.289\n吸入支气管。\n\n05:57.114 --> 05:58.065\n舒张剂和。\n\n06:00.566 --> 06:00.766\n嗯，\n\n06:00.916 --> 06:01.666\n你就是。\n\n06:02.834 --> 06:03.533\n这是不正。\n\n06:06.907 --> 06:11.032\n吸入吸入支气管舒张气后，\n\n06:11.032 --> 06:14.007\nFEVE比FVC\u003C70%，\n\n06:14.007 --> 06:16.907\n即可明确存在的，\n\n06:17.757 --> 06:21.757\n即可明确存在的持续性气流受限。\n\n06:22.662 --> 06:30.463\n鉴别诊断慢阻肺应与哮喘、支气管扩张症、充血性心力衰竭、肺结核、弥漫性。\n\n06:31.957 --> 06:34.682\n气支气管炎等疾病进行鉴别。\n\n06:34.682 --> 06:39.856\n应注意哮喘发生时气道重塑可能导致气流受限的，\n\n06:40.707 --> 06:44.907\n需要全面分析临床资料才能做出正确的判断。\n\n06:45.006 --> 06:45.532\n此外，\n\n06:45.532 --> 06:49.057\n还需明确慢阻肺和哮喘的两种疾病，\n\n06:49.057 --> 06:51.457\n并可能发生于同一患者。\n\n06:53.462 --> 06:53.861\n嗯。\n\n06:55.808 --> 06:57.458\n他的诊断使用肺功能，\n\n06:57.708 --> 07:06.058\n使用通通过使用肺功能仪器吸气呼气来检查肺部影像学检查脉。\n\n07:07.104 --> 07:09.053\n脉搏氧饱和度检查。\n\n07:10.802 --> 07:13.002\n动态动脉血气分析检查，\n\n07:13.201 --> 07:14.101\n心电图，\n\n07:14.152 --> 07:15.177\n超声心动图，\n\n07:15.177 --> 07:16.152\n还有血常规。\n\n07:18.587 --> 07:21.886\n慢阻肺还可能伴有哪些合并症？\n\n07:22.731 --> 07:27.707\n慢阻肺患者常伴有充缺血性心力衰竭。\n\n07:27.707 --> 07:30.481\n治疗心绞痛或心肌梗死用。\n\n07:33.040 --> 07:38.740\n高选择性贝塔一受体阻滞剂基本上是安全的心力衰竭。\n\n07:38.841 --> 07:43.341\n心力衰竭需要慢与慢阻肺急性加重相鉴别，\n\n07:43.591 --> 07:47.341\n而合并慢阻肺又是常导致心力衰竭的。\n\n07:47.946 --> 07:48.346\n原因，\n\n07:48.645 --> 07:49.645\n心房颤动，\n\n07:49.645 --> 07:53.596\n心房颤动与慢阻肺急性加重相互影响，\n\n07:53.596 --> 07:55.746\n需要与贝塔受体阻滞剂。\n\n07:56.645 --> 08:00.196\n需要运用贝塔受体阻滞剂应优先选。\n\n08:01.265 --> 08:05.115\n使用高选择性贝塔一受体阻滞剂高血压，\n\n08:05.216 --> 08:08.316\n高血压是最常见的慢阻肺合并症。\n\n08:09.502 --> 08:11.453\n对疾病进展具有重大影响。\n\n08:12.445 --> 08:13.144\n骨质疏松，\n\n08:13.144 --> 08:15.894\n骨质疏松是慢阻肺的主要合并症，\n\n08:16.045 --> 08:20.295\n这个疾病和肺气肿、低体重指数有关。\n\n08:21.973 --> 08:26.773\n避免在慢阻肺急性加重时反复使用全身激素，\n\n08:26.824 --> 08:30.523\n有助于降低发生骨质疏松的风险。\n\n08:31.221 --> 08:32.171\n抑郁和焦虑，\n\n08:32.320 --> 08:36.695\n焦虑和抑郁是慢阻肺的重要合并症，\n\n08:36.695 --> 08:39.270\n主要发生于年轻女性，\n\n08:39.320 --> 08:42.921\n吸烟以及合并心血管疾病的患者，\n\n08:43.870 --> 08:47.270\n肺康复可以一定程度改善此症状。\n\n08:48.052 --> 08:48.452\n肺癌，\n\n08:48.601 --> 08:52.452\n具有肺气肿和气流受限的肺癌。\n\n08:53.346 --> 08:54.247\n风险最大。\n\n08:55.846 --> 08:59.096\n而高龄和大量吸烟风险更大。\n\n08:59.245 --> 09:02.245\n对于慢阻肺患者，\n\n09:02.245 --> 09:04.995\n预防肺癌最好的措施是戒烟。\n\n09:05.395 --> 09:10.445\n低剂量胸部CT筛查有助于早期发现，\n\n09:10.546 --> 09:12.395\n及时发现肺癌。\n\n09:14.101 --> 09:15.651\n代谢综合征和糖尿病，\n\n09:16.051 --> 09:20.551\n慢阻肺患者常合并代谢综合征和糖尿病，\n\n09:20.601 --> 09:23.351\n而后者可能是影响糖尿病，\n\n09:23.750 --> 09:27.101\n而后者可能影响慢阻肺的预后。\n\n09:27.351 --> 09:28.901\n胃食管反流病。\n\n09:30.609 --> 09:32.809\n是慢阻肺的。\n\n09:34.119 --> 09:36.744\n急性加重的独立危险因素，\n\n09:36.744 --> 09:41.619\n质子泵抑制剂常用于胃食管反流病的治疗。\n\n09:41.619 --> 09:48.169\n有研究显示质子泵抑制剂可降低急性期，\n\n09:48.568 --> 09:50.619\n可降低急性加重的风险。\n\n09:51.340 --> 09:53.690\n阻塞性睡眠呼吸暂停症，\n\n09:54.190 --> 09:59.765\n慢阻肺合并SOA的患病率是20%.55%，\n\n09:59.765 --> 10:05.953\n中重度慢阻肺患者SOA患病率高达65.9%，\n\n10:05.953 --> 10:07.890\n二者同时存在时。\n\n10:09.010 --> 10:11.010\n称为重叠综合症。\n\n10:12.080 --> 10:12.531\n患者。\n\n10:13.400 --> 10:16.450\nOSA作为慢阻肺的并发症之一，\n\n10:16.450 --> 10:23.250\n对慢阻肺的病理变化、气道和全身炎症均等均有不利影响。\n\n10:24.854 --> 10:27.554\n治疗和控制急性加重期。\n\n10:28.872 --> 10:32.098\n急性加重期是指症状急性恶化，\n\n10:32.098 --> 10:33.473\n出现呼吸困难。\n\n10:34.104 --> 10:34.554\n加重，\n\n10:34.554 --> 10:37.754\n伴有气喘、胸闷、咳嗽加剧，\n\n10:38.354 --> 10:41.854\n痰液色量、粘度改变以及发热。\n\n10:45.327 --> 10:49.077\n慢阻肺急性发作发作期的治疗包括，\n\n10:49.177 --> 10:55.026\n1、使用支气管舒张剂用于改善临床症状和肺功能，\n\n10:55.276 --> 10:57.476\n二、看抗感染治疗，\n\n10:57.577 --> 11:01.776\n细菌感染是慢阻肺急性加重的最常见原因，\n\n11:02.177 --> 11:07.677\n如有吸气、呼吸困难加重、痰量增加和脓痰这三个症状，\n\n11:08.327 --> 11:10.077\n需要使用抗生素。\n\n11:10.377 --> 11:15.427\n其中脓性痰是判断下呼吸道细菌感染最敏感。\n\n11:15.463 --> 11:18.914\n指标CRP也是细菌感染的指标。\n\n11:19.713 --> 11:21.864\n3、使用糖皮质激素。\n\n11:21.963 --> 11:23.164\n4、吸氧。\n\n11:26.049 --> 11:28.900\n如果是慢阻肺处于稳定期的话，\n\n11:29.049 --> 11:34.250\n根据每年急性加重的次数以及患者平时治疗评分，\n\n11:34.450 --> 11:36.650\n分为ABCD四组，\n\n11:36.900 --> 11:40.799\n根据不同组别选择不同的药物进行治疗。\n\n11:40.950 --> 11:46.500\n处于急性发作期需加用抗生素治疗以及其他对症治疗。\n\n11:51.807 --> 11:53.481\n非药物是干预，\n\n11:53.481 --> 11:56.656\n是治疗稳定期慢阻肺的重要手段，\n\n11:56.956 --> 11:59.206\n与药物起到协同作用，\n\n11:59.406 --> 12:06.007\n包括患者的管理、呼吸健康、家庭养疗、家庭无创通气疫苗等。\n\n12:06.807 --> 12:09.981\n呼吸健康治疗在医生指导下，\n\n12:09.981 --> 12:16.507\n可在医院或者家中开展个体化训练和运动锻炼教育等，\n\n12:16.606 --> 12:22.057\n对改善心理生理状况和促进长期保持健康。\n\n12:22.112 --> 12:23.812\n康行为具有积极作用。\n\n12:24.552 --> 12:28.752\n心血管疾病和严重精神疾病慎用。\n\n12:29.703 --> 12:36.052\n呼吸训练主要包括缩唇呼吸、腹式呼吸和呼吸肌耐力训练。\n\n12:36.783 --> 12:41.482\n2慢阻肺患者通常存在营养不良和心理障碍，\n\n12:41.732 --> 12:46.482\n可通过营养干预改善营养状况，\n\n12:46.533 --> 12:48.333\n总体重运动能力，\n\n12:48.432 --> 12:52.632\n通过心理干预和护理改善患者焦虑、抑郁状态，\n\n12:52.783 --> 12:54.333\n并可改善预后。\n\n12:55.588 --> 12:56.638\n三氧疗。\n\n12:57.976 --> 13:02.625\n慢性呼吸衰竭患者进行长期氧疗可提高生存率，\n\n13:02.825 --> 13:08.825\n对改善血液循环和运动能力、肺能力和精神状态都有好处。\n\n13:09.674 --> 13:15.424\n一般经导管吸入氧流量在1.2L/min每小时，\n\n13:15.424 --> 13:17.275\n每天不低于15小时。\n\n13:18.140 --> 13:19.640\n四、家庭无创通气，\n\n13:19.890 --> 13:22.590\n近期大量研究时证实，\n\n13:22.789 --> 13:26.090\n家庭无创通气可以改善症状，\n\n13:26.140 --> 13:27.590\n降低病死率，\n\n13:27.590 --> 13:31.789\n尤其适合用于阻塞性睡眠障碍的患者。\n\n13:32.273 --> 13:35.822\n五疫苗接种是预防感染的有效手段，\n\n13:36.422 --> 13:36.822\n嗯。\n\n13:38.767 --> 13:40.966\n疫苗包括流行性感冒疫苗。\n\n13:41.877 --> 13:45.828\n22323价肺炎疫苗。\n\n13:47.296 --> 13:48.971\n在慢阻肺中，\n\n13:48.971 --> 13:52.120\n尤其是年龄大于65岁的患者，\n\n13:52.120 --> 13:54.245\n推荐每年接种流感疫苗，\n\n13:54.445 --> 13:58.195\n每5年接种肺炎链、肺炎球菌疫苗。\n\n13:59.849 --> 14:01.150\n百百破疫苗，\n\n14:01.400 --> 14:05.400\n对于从未接种过白百破疫苗的慢阻肺患者，\n\n14:05.400 --> 14:07.000\n建议不接种。\n\n14:10.356 --> 14:15.706\n慢阻肺患者的家庭肺康复康复治疗在医生的指导下，\n\n14:15.706 --> 14:20.182\n在医院、社区和居家场所内开展，\n\n14:20.182 --> 14:23.882\n进行个体化训练和运动锻炼，\n\n14:23.882 --> 14:25.507\n教育呼吸机，\n\n14:25.956 --> 14:28.807\n呼吸机功能下降是导致慢阻肺。\n\n14:29.465 --> 14:31.765\n患者气促的常见原因之一，\n\n14:32.364 --> 14:37.965\n呼吸训练包括缩成呼吸、腹式呼吸、呼吸肌耐力训练。\n\n14:40.557 --> 14:43.007\n早期发现及预防。\n\n14:48.159 --> 14:50.460\n如何预防慢阻肺急性加重，\n\n14:50.659 --> 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