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--> 00:01.128\n嗯。\n\n00:04.491 --> 00:06.691\n今天讲一讲慢性鼻窦炎。\n\n00:09.586 --> 00:11.135\n分几个部分讲啊，\n\n00:11.135 --> 00:13.135\n一个是慢性鼻窦炎的概述，\n\n00:13.385 --> 00:15.036\n慢性鼻窦炎的症状，\n\n00:15.286 --> 00:19.535\n慢性鼻窦炎的诱发因素和慢性鼻窦炎治疗方法，\n\n00:20.236 --> 00:22.486\n和慢性鼻窦炎的诊断检查，\n\n00:22.486 --> 00:24.736\n以及它的预防及生活护理。\n\n00:26.899 --> 00:28.500\n首先讲一讲慢性鼻窦炎，\n\n00:28.500 --> 00:30.450\n概述它的病因及定义。\n\n00:31.620 --> 00:36.520\n慢性鼻窦炎我们通常是指鼻窦黏膜的慢性炎症，\n\n00:36.869 --> 00:39.220\n通常持续12周以上，\n\n00:39.220 --> 00:40.819\n症状反复发作，\n\n00:42.020 --> 00:47.319\n细菌、病毒或者真菌感染是慢性鼻窦炎的主要病因之一。\n\n00:48.462 --> 00:50.861\n常常导致鼻窦粘膜发炎。\n\n00:54.473 --> 00:56.223\n解剖一个结构异常。\n\n00:57.373 --> 01:01.173\n鼻腔或者鼻窦的鼻解剖结构异常。\n\n01:01.323 --> 01:01.722\n如。\n\n01:04.035 --> 01:06.635\n鼻中隔偏曲可阻碍鼻窦引流，\n\n01:06.635 --> 01:08.334\n诱发慢性鼻窦炎。\n\n01:10.428 --> 01:11.877\n免疫系统的问题，\n\n01:11.877 --> 01:17.877\n免疫系统功能障碍或过敏反应也可能导致慢性鼻窦炎的发生。\n\n01:21.166 --> 01:27.666\n慢性鼻窦炎的症状一、持续性鼻塞慢性鼻窦炎患者常伴有持续性的鼻塞，\n\n01:28.466 --> 01:30.015\n影响正常呼吸，\n\n01:30.015 --> 01:33.515\n尤其是在早晨起床时症状更为明显。\n\n01:35.335 --> 01:37.685\n二、面部疼痛或者压力感，\n\n01:38.435 --> 01:43.536\n鼻窦区域的疼痛或者压力感是慢性鼻窦炎的典型症状，\n\n01:44.085 --> 01:46.935\n可能伴随头痛和牙齿痛。\n\n01:51.380 --> 01:56.581\n3鼻涕和痰液增多患者会经历鼻涕和痰液的增多，\n\n01:57.030 --> 01:59.731\n颜色可能会黄绿色且白，\n\n01:59.780 --> 02:02.380\n常伴有后鼻滴流现象。\n\n02:04.866 --> 02:05.416\n后鼻涕六，\n\n02:05.416 --> 02:06.641\n就是鼻涕倒流啊，\n\n02:06.641 --> 02:07.516\n经口突出，\n\n02:07.616 --> 02:08.016\n嗯。\n\n02:09.733 --> 02:09.932\n当然，\n\n02:09.932 --> 02:11.033\n有些病人抽不出，\n\n02:11.033 --> 02:15.483\n就觉得这个浓鼻涕它积聚在鼻咽部非常难受。\n\n02:16.632 --> 02:17.257\n四呢，\n\n02:17.257 --> 02:19.182\n是嗅觉的减退或者丧失。\n\n02:19.882 --> 02:21.483\n由于鼻腔内的炎症，\n\n02:21.533 --> 02:25.582\n慢性鼻窦炎患者常常会感到嗅觉性减退，\n\n02:26.182 --> 02:29.733\n严重时甚至完全丧失这个嗅觉。\n\n02:36.664 --> 02:39.865\n病程特点第一是症状反复发作。\n\n02:41.322 --> 02:45.322\n慢性鼻窦炎患者常经历周期性的，\n\n02:45.322 --> 02:46.772\n患者症状加重，\n\n02:46.822 --> 02:48.322\n如鼻塞、流涕，\n\n02:49.222 --> 02:50.246\n反复发作，\n\n02:50.246 --> 02:51.572\n影响生活质量。\n\n02:55.380 --> 02:56.729\n2、长期性炎症，\n\n02:57.130 --> 03:02.529\n该病通常表现为长期的鼻腔和鼻窦粘膜炎症。\n\n03:03.781 --> 03:06.432\n可能持续数月或者数年。\n\n03:08.781 --> 03:10.731\n三、潜在并发症。\n\n03:12.914 --> 03:16.414\n慢性鼻窦炎可能引发眼部感染。\n\n03:17.255 --> 03:18.705\n鼻息肉等并发症。\n\n03:19.598 --> 03:21.699\n需要长期的观察和治疗。\n\n03:31.604 --> 03:33.003\n慢性鼻窦炎的症状。\n\n03:49.279 --> 03:49.979\n局部症状，\n\n03:49.979 --> 03:50.628\n鼻塞。\n\n03:52.035 --> 03:55.485\n慢性鼻窦炎患者常伴有持续性鼻塞。\n\n03:56.621 --> 03:59.671\n鼻腔内的粘膜肿胀导致呼吸不畅。\n\n04:02.895 --> 04:04.796\n面部疼痛或者压力感。\n\n04:06.537 --> 04:08.037\n鼻窦区域的患者，\n\n04:08.186 --> 04:11.486\n炎症可以引起面部的疼痛或胀感。\n\n04:12.768 --> 04:15.619\n尤其是在鼻窦周围区域更为明显。\n\n04:21.149 --> 04:24.000\n由于鼻腔内的炎症和分泌物增多。\n\n04:27.500 --> 04:28.649\n集聚在秀区。\n\n04:30.187 --> 04:35.537\n那么慢性鼻窦炎患者就常伴有嗅觉减退或者丧失。\n\n04:38.718 --> 04:38.919\n哎。\n\n04:45.412 --> 04:45.662\n嗯。\n\n04:47.066 --> 04:49.115\n鼻窦炎也会有一定的全身症状，\n\n04:49.615 --> 04:52.915\n慢性鼻窦炎常常感到持续的疲劳。\n\n04:57.285 --> 04:59.584\n即使休息充足也难以缓解，\n\n04:59.984 --> 05:03.535\n影响日常的生活和工作效率。\n\n05:06.575 --> 05:08.575\n头痛或者面部的疼痛。\n\n05:08.726 --> 05:10.575\n由于鼻窦的压力增加，\n\n05:11.276 --> 05:15.276\n患者可能会经历持续的头痛或者面部头痛，\n\n05:15.425 --> 05:17.075\n尤其是在鼻窦区。\n\n05:20.902 --> 05:22.451\n三、睡眠指障碍，\n\n05:23.201 --> 05:27.951\n鼻塞和呼吸困难可能导致患者睡眠的质量下降，\n\n05:28.552 --> 05:33.552\n出现打鼾、睡眠中断或者睡眠呼吸暂停等症状。\n\n05:35.136 --> 05:35.486\n嗯。\n\n05:46.408 --> 05:49.308\n以后低落一持续性的咳嗽。\n\n05:50.244 --> 05:54.695\n慢性鼻窦炎患者常因鼻后滴漏导致的。\n\n05:56.045 --> 05:58.645\n喉咙刺激引起持续性的咳嗽，\n\n05:59.246 --> 06:01.545\n尤其是在夜间会加剧。\n\n06:03.589 --> 06:10.690\n鼻后滴漏会使患者的睡觉时有分泌物从鼻腔后部流入喉。\n\n06:12.528 --> 06:13.178\n引起肌，\n\n06:13.377 --> 06:15.778\n引起不适和咽部的异物感。\n\n06:17.880 --> 06:18.179\n嗯。\n\n06:20.578 --> 06:20.953\n患者，\n\n06:20.953 --> 06:23.053\n为了清除喉咙中的分泌物，\n\n06:23.053 --> 06:24.428\n被频繁的清扫。\n\n06:26.597 --> 06:30.298\n从而影响生活、日常生活和社交的活动。\n\n06:35.311 --> 06:35.661\n嗯。\n\n06:37.704 --> 06:39.454\n慢性鼻窦炎的诱发因素。\n\n06:42.100 --> 06:43.549\n感染因素往往是三个。\n\n06:45.625 --> 06:46.924\n一个是病毒性感染。\n\n06:46.924 --> 06:49.674\n常见的感冒病毒可引起鼻窦炎，\n\n06:49.674 --> 06:55.174\n如鼻病毒和冠状病毒导致鼻腔和鼻窦的粘膜炎症。\n\n06:57.968 --> 06:59.069\n细菌性感染，\n\n06:59.169 --> 07:03.618\n链球菌和葡萄球菌等细菌感染是慢性鼻窦炎的。\n\n07:04.601 --> 07:05.351\n常见原因，\n\n07:06.200 --> 07:09.851\n可以引起持续的鼻塞和脓性分泌物。\n\n07:13.158 --> 07:14.109\n真菌性感染，\n\n07:14.259 --> 07:15.859\n某些真菌种类，\n\n07:16.209 --> 07:18.209\n如曲霉菌和青霉菌。\n\n07:19.406 --> 07:23.805\n也可能在免疫力低下时引起鼻窦感染。\n\n07:25.313 --> 07:27.014\n导致慢性的鼻窦炎。\n\n07:39.083 --> 07:45.433\n鼻腔结构异常1、鼻中隔偏曲鼻中隔偏曲是指鼻中隔偏离中线，\n\n07:45.782 --> 07:47.733\n可导致鼻腔通气不畅，\n\n07:48.032 --> 07:50.233\n从而增加鼻窦炎的风险。\n\n07:52.533 --> 07:56.634\n鼻甲肥大是指鼻腔内的下鼻甲骨肥大，\n\n07:57.234 --> 07:58.634\n可能引起鼻塞。\n\n08:00.565 --> 08:02.765\n长期就可以诱缓慢性鼻窦炎。\n\n08:10.734 --> 08:11.084\n必须。\n\n08:12.523 --> 08:15.423\n鼻息肉是鼻腔内的良性肿瘤，\n\n08:16.122 --> 08:17.622\n可以阻塞鼻窦，\n\n08:17.622 --> 08:21.122\n影响要鼻窦的通气和引流，\n\n08:21.722 --> 08:23.972\n从而导致慢性的鼻窦炎。\n\n08:27.477 --> 08:28.828\n过敏及缓解因素。\n\n08:30.696 --> 08:31.795\n1、空气污染，\n\n08:31.895 --> 08:39.546\n空气中的污染物如PM2点5花粉等可引发过敏反应。\n\n08:41.581 --> 08:43.781\n从而加剧慢性鼻窦炎的症状。\n\n08:46.973 --> 08:47.922\n室内过敏源，\n\n08:47.922 --> 08:48.598\n尘螨，\n\n08:48.598 --> 08:54.273\n宠物皮屑的室内过敏源是慢性鼻窦炎常见的诱发因素，\n\n08:54.322 --> 08:56.172\n需注意家居清洁。\n\n08:58.249 --> 08:59.648\n所以建议患者在。\n\n09:00.635 --> 09:05.184\n冬天和夏天在开空调之间可以清理一下这个空气的滤网。\n\n09:06.184 --> 09:08.484\n一还有就是汽车的空调。\n\n09:09.466 --> 09:11.166\n也是清除一下滤网，\n\n09:11.616 --> 09:14.565\n这里面含有大量的尘雾、尘本，\n\n09:16.765 --> 09:19.015\n还有就是家里养狗养猫的。\n\n09:20.111 --> 09:20.411\n嗯。\n\n09:26.000 --> 09:26.950\n即气候变化。\n\n09:26.950 --> 09:31.200\n季节性气候变化可能导致鼻腔的黏膜敏感。\n\n09:32.963 --> 09:33.213\n是。\n\n09:38.995 --> 09:42.296\n季节性的气候变化可能导致鼻粘膜的敏感，\n\n09:42.546 --> 09:45.145\n增加慢性鼻窦炎发作的风险。\n\n09:46.382 --> 09:46.783\n嗯。\n\n09:52.187 --> 09:53.338\n慢性鼻窦炎的治疗，\n\n09:53.588 --> 09:54.487\n药物治疗。\n\n09:56.028 --> 09:57.078\n使用抗生素。\n\n09:58.250 --> 10:01.500\n抗生素用于治疗细菌感染引起的慢性鼻窦炎，\n\n10:01.551 --> 10:05.250\n可能有效的减轻炎症和控制感染。\n\n10:05.801 --> 10:15.700\n我们临床上常用的药物有头孢红霉素、克拉霉素、克林霉素。\n\n10:18.109 --> 10:18.658\n烘焙素，\n\n10:19.859 --> 10:27.658\n而糖与鼻用的皮质类固醇喷雾是可以减少鼻腔内的炎症和肿胀，\n\n10:28.309 --> 10:31.559\n从而缓解慢慢性鼻窦炎的症状。\n\n10:33.762 --> 10:33.961\n嗯。\n\n10:35.585 --> 10:37.685\n抗组胺药物和脱敏治疗。\n\n10:38.036 --> 10:42.135\n抗组胺药有助于缓解过敏性鼻窦炎的症状。\n\n10:43.234 --> 10:47.734\n脱敏治疗则针对特定的过敏原进行长期管理，\n\n10:47.734 --> 10:50.484\n比如说现在比较常见的有创体，\n\n10:51.133 --> 10:54.434\n一般是对尘螨或者乌尘螨极度过敏的患者，\n\n10:54.434 --> 11:00.633\n可以用舌下的碘或者注射2.3年效果还行。\n\n11:07.892 --> 11:09.392\n免疫及中医治疗。\n\n11:11.161 --> 11:13.461\n免疫疗法是通过注射过敏原，\n\n11:13.461 --> 11:17.211\n注射不提高患者对于特定过敏原耐受性，\n\n11:17.861 --> 11:20.961\n减少慢性患者的鼻窦炎的发展。\n\n11:22.492 --> 11:23.893\n二是中医治疗。\n\n11:26.502 --> 11:33.552\n采用具有清淤解清热解毒、止宣肺通窍的滴丸的中药方剂。\n\n11:34.911 --> 11:35.911\n如苍耳子者，\n\n11:35.911 --> 11:37.810\n缓解鼻塞流涕的之。\n\n11:45.317 --> 11:46.418\n还可以通过针灸，\n\n11:46.518 --> 11:49.268\n通过针灸来刺激特定的穴位，\n\n11:49.567 --> 11:51.117\n调节身体机能，\n\n11:51.668 --> 11:55.218\n从而改善鼻窦炎患者的局部血液。\n\n11:56.518 --> 11:58.867\n循环和免疫功能。\n\n12:17.349 --> 12:18.299\nP的PT检查。\n\n12:24.273 --> 12:27.523\n鼻的病理检查是通过细长的镜头深入鼻腔，\n\n12:28.223 --> 12:32.023\n患者医生可以直接观察鼻腔和鼻窦内的情况。\n\n12:34.645 --> 12:38.645\n鼻内镜检查可以发现CT扫描无法显示的细微病变，\n\n12:39.046 --> 12:42.145\n提高慢性鼻窦炎的确诊率。\n\n12:42.739 --> 12:43.090\n嗯。\n\n13:02.825 --> 13:04.426\n鼻内镜的诊诊断优势。\n\n13:06.861 --> 13:10.562\n该检查能发现CT扫描无法显示的细微病变，\n\n13:10.562 --> 13:13.161\n从而提高慢性鼻窦炎的确诊率。\n\n13:14.486 --> 13:14.812\n但是，\n\n13:14.812 --> 13:19.486\n鼻内镜检查可能是患者感到轻微的不适或者鼻部疼痛。\n\n13:20.500 --> 13:22.051\n但通常无需麻醉。\n\n13:22.101 --> 13:24.101\n检查过程较为快速。\n\n13:26.541 --> 13:28.242\n鼻涕、鼻窦的CT检查。\n\n13:29.377 --> 13:34.778\n检查患过程是患者在进行鼻窦CT扫描时需保持静止。\n\n13:36.416 --> 13:38.617\n机器将围绕头部旋转。\n\n13:39.645 --> 13:42.544\n捕捉鼻窦区域的详细图案。\n\n13:43.880 --> 13:47.781\nCT扫描能细清晰的显示鼻窦结构。\n\n13:48.658 --> 13:50.507\n帮助医生发现炎症。\n\n14:00.942 --> 14:01.843\nCT扫描呢，\n\n14:01.843 --> 14:04.367\n它能够清晰的显示鼻窦的结构，\n\n14:04.668 --> 14:07.367\n从而帮助医生发生发现炎症。\n\n14:08.193 --> 14:12.794\n息肉或肿瘤的病变对慢性鼻窦炎的诊断至关重要，\n\n14:13.393 --> 14:15.093\n它与X光相比，\n\n14:15.093 --> 14:18.193\nCT扫描能提供更详细的横截面图像，\n\n14:18.593 --> 14:21.744\n有助于更准确的、直观的来。\n\n14:23.461 --> 14:26.062\n评判鼻窦炎的严重程度和范围。\n\n14:39.312 --> 14:41.111\n鼻窦的预防及生活护理，\n\n14:42.262 --> 14:43.812\n避免接触过敏源，\n\n14:44.012 --> 14:46.012\n识别并远离过敏源，\n\n14:46.861 --> 14:48.812\n首先先了讲个人的过敏源，\n\n14:48.812 --> 14:50.036\n如尘螨、花粉等，\n\n14:50.036 --> 14:53.611\n从而采取措施减少接触，\n\n14:53.611 --> 14:56.062\n如用空气净化剂定期清洁。\n\n14:57.065 --> 14:59.340\n避免使用可能引起过敏的食物，\n\n14:59.340 --> 15:00.715\n如海鲜、牛奶等，\n\n15:00.715 --> 15:02.215\n保持均衡的饮食，\n\n15:02.215 --> 15:03.815\n增强身体的抵抗力。\n\n15:05.973 --> 15:07.098\n保持室内通风，\n\n15:07.098 --> 15:09.773\n使用防尘螨的床垫和枕头套。\n\n15:10.124 --> 15:11.223\n定期洗。\n\n15:21.046 --> 15:22.247\n改善市的突出。\n\n15:23.377 --> 15:25.877\n是用房屋目前买的床垫、枕头套。\n\n15:27.005 --> 15:27.205\n嗯。\n\n15:36.486 --> 15:38.161\n保持室内的空气湿润，\n\n15:38.161 --> 15:40.036\n且服一洗衣服。\n\n15:40.036 --> 15:40.585\n加里。\n\n15:52.335 --> 15:52.585\n使用，\n\n15:52.585 --> 15:55.286\n在干燥的季节使用加湿器，\n\n15:55.286 --> 15:57.585\n它可以有效的增加室内的温度，\n\n15:58.385 --> 15:59.810\n减少鼻腔干燥，\n\n15:59.810 --> 16:03.036\n预防晚性鼻窦炎发发作。\n\n16:04.286 --> 16:05.935\n保持室内的空气流通，\n\n16:05.935 --> 16:08.185\n定期改作。\n\n16:12.510 --> 16:12.809\n然后，\n\n16:12.809 --> 16:16.710\n室内的植物在室内要放置一些能够释放水分的植物，\n\n16:16.710 --> 16:18.010\n如吊兰、绿萝等，\n\n16:18.309 --> 16:20.434\n可以自然增加室内的温度，\n\n16:20.434 --> 16:21.809\n改善空气质量。\n\n16:24.776 --> 16:27.000\n最后就是要增强体质与注意卫生，\n\n16:27.000 --> 16:28.075\n增加免疫力，\n\n16:28.325 --> 16:30.075\n减少鼻窦炎的反复。\n\n","v0d47cg10004d75jraaljhtdar7lblmg",995,752,"2026-03-31 00:00:20","2026-06-11 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