WEBVTT00:00:03.840 --> 00:00:04.640大家好00:00:05.400 --> 00:00:07.460今天我给大家讲一讲00:00:08.440 --> 00:00:10.500耳石症的治疗与预防00:00:14.360 --> 00:00:18.060按照耳石症的概数耳石症的定义00:00:18.320 --> 00:00:19.540耳石的组成00:00:20.280 --> 00:00:24.140耳石主要由碳酸钙小颗粒组成00:00:24.920 --> 00:00:27.720这颗粒耳朵内部的平衡斑上00:00:27.720 --> 00:00:28.940有序的排列00:00:29.360 --> 00:00:32.440帮助我们感知身体的姿势变化00:00:32.440 --> 00:00:33.700与平衡状态00:00:36.240 --> 00:00:37.260耳石的功能00:00:38.680 --> 00:00:41.660耳石在耳朵的内部起着关键作用00:00:41.840 --> 00:00:45.120能够帮助感知身体的姿势变化00:00:45.120 --> 00:00:46.380和运动方向00:00:46.880 --> 00:00:48.820维持平衡与稳定00:00:51.280 --> 00:00:52.820保持形成的原因00:00:54.440 --> 00:00:54.680那么00:00:54.680 --> 00:00:57.820耳石的形成主要由于头部的外伤00:00:58.400 --> 00:01:01.100自然的老化以及其他的诱因00:01:01.240 --> 00:01:04.000比如长时间的保持同一个姿势00:01:04.000 --> 00:01:04.920或者耳朵内00:01:04.920 --> 00:01:08.500耳朵内的疾病导致耳石的脱落00:01:08.520 --> 00:01:10.740并且漂浮在淋巴液中00:01:13.880 --> 00:01:17.860耳石的病因一头部外伤00:01:19.240 --> 00:01:21.580头部外伤可能会引起耳石脱落00:01:22.560 --> 00:01:25.140干扰平衡感受器的正常功能00:01:25.560 --> 00:01:27.220从而引发耳石症00:01:27.480 --> 00:01:29.540出现眩晕等不适症状00:01:30.640 --> 00:01:31.660自然老化00:01:32.480 --> 00:01:35.680自然老化是耳石症的重要诱因呃00:01:35.680 --> 00:01:37.040随着年龄的增长00:01:37.040 --> 00:01:40.060耳石的排列和功能可能受到影响00:01:40.400 --> 00:01:42.260导致耳石的脱落00:01:42.280 --> 00:01:43.980并且引发眩晕00:01:44.840 --> 00:01:46.300第三其他诱因00:01:47.520 --> 00:01:48.940耳石症的其他原因00:01:49.520 --> 00:01:51.660主要包括一个长期卧床00:01:52.000 --> 00:01:53.260耳部的手术00:01:53.480 --> 00:01:56.780内耳的感染以及某些药物的副作用00:01:57.000 --> 00:01:57.800这些因素00:01:57.800 --> 00:02:00.380均有可能导致耳石的异常移动00:02:00.600 --> 00:02:02.540引起一个眩晕的症状00:02:04.560 --> 00:02:05.740保持症的症状00:02:07.240 --> 00:02:10.340保持症的症状主要表现于一个眩晕00:02:11.320 --> 00:02:13.360眩晕呢主要通常是包括00:02:13.360 --> 00:02:15.260头部的一个失去平衡感00:02:15.920 --> 00:02:20.420周围环环境的旋转或者倾斜感00:02:20.640 --> 00:02:23.900以及伴随着恶心呕吐等不适症状00:02:24.280 --> 00:02:26.540让患者感到一个极度困扰00:02:28.440 --> 00:02:32.420眩晕的诱因眩晕的诱因主要包括00:02:32.600 --> 00:02:34.180快速的头部运动00:02:34.560 --> 00:02:35.860改变体位00:02:36.240 --> 00:02:39.060疲劳压力药物副作用等00:02:40.040 --> 00:02:41.040了解这些因素00:02:41.040 --> 00:02:44.160有助于患者更好地管理和预防眩晕00:02:44.160 --> 00:02:44.960发作00:02:47.920 --> 00:02:51.520眩晕持续的时间眩晕的持续时间呢00:02:51.520 --> 00:02:53.780一般通常在一分钟之内00:02:54.200 --> 00:02:56.260通常都是几秒钟啊00:02:57.440 --> 00:03:00.020发作时可能伴随剧烈的不适感00:03:01.360 --> 00:03:02.320了解其特点00:03:02.320 --> 00:03:04.040有助于及时的就医00:03:04.040 --> 00:03:06.780和采取相应的应对措施00:03:10.280 --> 00:03:11.100断流程00:03:13.480 --> 00:03:14.860患者查00:03:16.240 --> 00:03:19.760一眩晕的突发性眩晕00:03:19.760 --> 00:03:21.500通常会突然发生00:03:22.080 --> 00:03:24.160常常在头部快速运动00:03:24.160 --> 00:03:26.220或者改变姿势时引发00:03:26.680 --> 00:03:29.540让人感觉失去平衡或旋转00:03:30.000 --> 00:03:32.100意识的识别是关键00:03:34.440 --> 00:03:35.780你的持续时间00:03:36.600 --> 00:03:38.400持续时间通常在一分钟以内啊00:03:38.400 --> 00:03:40.340我们大部分人都是几秒钟00:03:40.640 --> 00:03:42.240如果超过这个时间00:03:42.240 --> 00:03:44.500或者伴随其他的症状00:03:44.720 --> 00:03:45.760请及时就医00:03:45.760 --> 00:03:47.580以确保健康安全00:03:50.880 --> 00:03:52.080r值症呢00:03:52.080 --> 00:03:53.980首选是r b喉科旧诊00:03:56.840 --> 00:03:58.340所说体位的检查00:04:00.800 --> 00:04:02.820heart pack实验啊00:04:02.880 --> 00:04:03.860它是一种00:04:05.320 --> 00:04:08.780特定的体位变换来诱发眩晕00:04:09.120 --> 00:04:13.040以帮助医生判断是否存在耳石症00:04:13.040 --> 00:04:15.660及其类型的重要检查方法00:04:17.000 --> 00:04:18.540二翻滚试验00:04:19.360 --> 00:04:20.280翻滚试验00:04:20.280 --> 00:04:24.300是一种特定的头部运动来诱发眩晕00:04:25.160 --> 00:04:28.760帮助医生来判断是否存在水平00:04:28.760 --> 00:04:30.380半规管的耳石症00:04:31.040 --> 00:04:33.420从而制定相应的治疗方案00:04:36.320 --> 00:04:38.420实验结果的解读00:04:39.920 --> 00:04:44.900通过hopec实验和翻滚试验的结果00:04:45.200 --> 00:04:47.460可以判断耳石症的类型00:04:47.640 --> 00:04:49.140及其严重程度00:04:49.720 --> 00:04:52.060从而制定相应的治疗方案00:04:52.600 --> 00:04:56.100帮助患者有效地缓解眩晕症状00:05:01.800 --> 00:05:02.980姿势的复位00:05:05.680 --> 00:05:08.800后半规管的耳式复位法嗯00:05:08.800 --> 00:05:10.860后半规管的耳式复位呢00:05:11.400 --> 00:05:13.740通过特定的头部运动00:05:14.080 --> 00:05:16.780将脱落的耳石呢重新定位00:05:17.000 --> 00:05:18.860帮助恢复平衡00:05:19.120 --> 00:05:20.740减轻眩晕症状00:05:21.120 --> 00:05:22.620促进患者的康复00:05:25.080 --> 00:05:25.960前半规管的00:05:25.960 --> 00:05:26.900耳式复位00:05:28.560 --> 00:05:30.820前半规管的耳式复位法呢00:05:31.000 --> 00:05:33.720通过垂直垂头的姿势00:05:33.720 --> 00:05:35.540调整耳时的位置00:05:35.760 --> 00:05:38.420有效的缓解偏于症状00:05:38.720 --> 00:05:40.460帮助患者恢复平衡00:05:40.560 --> 00:05:41.820减少不适感00:05:44.360 --> 00:05:46.660水平半规管的耳石复位法00:05:47.280 --> 00:05:49.240水平半规管耳石复位法00:05:49.240 --> 00:05:51.260通过特定的体位调整00:05:51.520 --> 00:05:54.420帮助耳石回归正常的位置00:05:54.800 --> 00:05:57.380有效缓解眩晕症状00:05:58.000 --> 00:05:59.540恢复身体的平衡00:06:02.200 --> 00:06:07.900三治疗方法呃复位的疗法00:06:10.560 --> 00:06:11.700apple手法00:06:12.400 --> 00:06:15.300是一种有效的耳石复位疗法00:06:16.680 --> 00:06:19.240通过特定的头部运动00:06:19.240 --> 00:06:21.860帮助耳石回归正常的位置00:06:22.400 --> 00:06:24.860从而缓解眩晕症状00:06:25.680 --> 00:06:27.060恢复平衡功能00:06:29.160 --> 00:06:32.340第二垂直垂头法00:06:34.200 --> 00:06:35.160垂直垂头法00:06:35.160 --> 00:06:37.740是一种有效的耳石复位技术00:06:38.320 --> 00:06:41.740能够通过特定的头部位置调整00:06:42.160 --> 00:06:45.260帮助重新定位脱落的耳石00:06:45.720 --> 00:06:46.980从而缓解眩晕00:06:47.560 --> 00:06:49.060帮助患者康复00:06:52.320 --> 00:06:53.580barbecue法00:06:55.200 --> 00:06:56.200barbecue法00:06:56.200 --> 00:06:59.100是一种有效的耳石复位技术00:07:00.000 --> 00:07:02.260通过特定的头部运动00:07:02.440 --> 00:07:07.100帮助将耳朵脱落的耳石重新定位00:07:07.760 --> 00:07:09.260缓解眩晕症状00:07:09.840 --> 00:07:12.980适合于水平半规管的耳石症患者00:07:17.720 --> 00:07:19.100自我的康复练习00:07:27.640 --> 00:07:29.820brant arafa00:07:31.120 --> 00:07:32.560brant arafa呢00:07:32.560 --> 00:07:35.780是一种简单有效的自我康复练习00:07:36.560 --> 00:07:40.220通过特定的头部和身体姿势的改变00:07:40.680 --> 00:07:43.540帮助患者缓解耳湿症引起的眩晕00:07:44.480 --> 00:07:47.100促进耳机的复位与恢复00:07:48.920 --> 00:07:50.340练习的注意事项00:07:51.360 --> 00:07:53.720在进行自我康复练习时00:07:53.720 --> 00:07:56.820务必要保持缓慢稳定的动作00:07:57.480 --> 00:08:00.500避免突然的转头或者起身00:08:00.640 --> 00:08:02.460以防加重眩晕症状00:08:03.480 --> 00:08:06.380并确保在安全的环境中进行练习00:08:09.360 --> 00:08:10.340药物的治疗00:08:11.640 --> 00:08:12.660眩晕的药物00:08:13.960 --> 00:08:15.360那么眩晕药物呢00:08:15.360 --> 00:08:17.160主要用于缓解耳湿疹00:08:17.160 --> 00:08:18.940引起的一个眩晕症状00:08:19.400 --> 00:08:22.540常见的有抗组胺类的药00:08:23.200 --> 00:08:25.060呃镇定剂啊00:08:25.520 --> 00:08:27.580帮助患者减轻不适00:08:27.680 --> 00:08:29.220恢复日常的生活00:08:30.880 --> 00:08:33.920辅助治疗啊辅助治疗呢00:08:33.920 --> 00:08:37.220包括适当的一个物理治疗啊00:08:37.959 --> 00:08:39.179心理的支持00:08:39.679 --> 00:08:40.979营养的调节00:08:41.479 --> 00:08:43.459帮助患者缓解症状00:08:43.919 --> 00:08:46.220提高患者的生活质量00:08:46.560 --> 00:08:49.020促进身心健康的全面恢复00:08:52.040 --> 00:08:54.480预防措施呃00:08:54.480 --> 00:08:56.180日常生活中的注意事项00:08:57.360 --> 00:09:01.300一避免剧烈的头部运动00:09:02.560 --> 00:09:05.220为了减少耳石症的发作风险00:09:06.000 --> 00:09:08.500尽量避免剧烈的头部运动00:09:09.400 --> 00:09:11.100保持动作的缓慢00:09:11.480 --> 00:09:15.340耳平稳以保护内耳的平衡系统00:09:15.840 --> 00:09:18.220降低眩晕发声的机会00:09:20.280 --> 00:09:24.580二保持良好的睡眠姿势00:09:26.320 --> 00:09:28.320保持良好的睡眠姿势呢00:09:28.320 --> 00:09:30.700有助于减轻牙齿的症状00:09:31.640 --> 00:09:35.220一般我们建议选择侧位或者仰卧位00:09:36.120 --> 00:09:38.300避免压迫颈部和头部00:09:39.000 --> 00:09:42.060确保颈椎和脊椎的一个自然弯曲00:09:42.640 --> 00:09:45.140以促进良好的血液循环00:09:45.480 --> 00:09:47.060和舒适的休息00:09:50.320 --> 00:09:53.100记得进行平衡训练00:09:55.320 --> 00:09:57.900定期的进行平衡训练呢00:09:58.000 --> 00:10:01.420可以有效的增强身体的协调能力00:10:01.440 --> 00:10:02.660和稳定性00:10:03.240 --> 00:10:05.700帮助预防耳石症的复发00:10:06.320 --> 00:10:09.940提升日常生活中的安全感和自信心00:10:13.120 --> 00:10:16.160复发风险的评估啊呃00:10:16.160 --> 00:10:18.620以定期检查的耳鼻喉科啊00:10:18.960 --> 00:10:21.420定期前往耳鼻喉科呢进行检查00:10:21.520 --> 00:10:24.660可以及时的发现耳石症的变化00:10:25.040 --> 00:10:27.900帮助医生评估复发风险00:10:28.560 --> 00:10:31.020确保您的健康和生活质量00:10:33.000 --> 00:10:36.140are了解自身的病情变化00:10:37.440 --> 00:10:40.140定期关注自身的眩晕症状变化00:10:40.440 --> 00:10:43.700及时的记录发作频率和诱因00:10:44.280 --> 00:10:47.480帮助医生更好地评估病情啊00:10:47.480 --> 00:10:49.860制定个性化的治疗方案00:10:54.800 --> 00:10:56.260心理知识与教育00:10:57.800 --> 00:11:00.180呃家庭支持的重要性00:11:01.840 --> 00:11:03.720家庭的支持和理解00:11:03.720 --> 00:11:06.340对于耳石症患者至关重要00:11:07.040 --> 00:11:07.400嗯00:11:07.400 --> 00:11:10.580它不仅能够缓解患者的心理压力00:11:10.840 --> 00:11:13.300还能够促进康复过程00:11:13.960 --> 00:11:17.040让患者在温暖的环境中00:11:17.040 --> 00:11:18.860更好地应对病情00:11:19.880 --> 00:11:23.060二了解耳石症的知识00:11:24.000 --> 00:11:25.520了解耳石症知识呢00:11:25.520 --> 00:11:28.020有助于患者识别症状00:11:28.480 --> 00:11:31.540掌握正确的自我检查方法00:11:32.120 --> 00:11:33.560并在医生指导下00:11:33.560 --> 00:11:36.340进行有效的治疗和预防00:11:37.080 --> 00:11:39.940提升提提升生活质量00:11:42.040 --> 00:11:43.860好今天讲课结束00:11:44.080 --> 00:11:45.820感谢大家的聆听