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--> 00:06.297\n各位老师大家好，\n\n00:06.297 --> 00:09.197\n我今天分享的题目是支气管哮喘的科普。\n\n00:10.864 --> 00:13.088\n首先从几个方面进行一个分享。\n\n00:13.807 --> 00:14.607\n一个是病因，\n\n00:14.607 --> 00:15.456\n第二个是症状，\n\n00:15.456 --> 00:16.357\n第三个是诊断，\n\n00:16.357 --> 00:17.431\n第四个是治疗，\n\n00:17.431 --> 00:18.757\n第五个是预防。\n\n00:20.905 --> 00:22.379\n首先从病因，\n\n00:22.379 --> 00:24.254\n病因首先呢。\n\n00:24.930 --> 00:25.379\n遗传因素，\n\n00:25.379 --> 00:26.229\n遗传因素呢，\n\n00:26.329 --> 00:28.229\n有家族聚集性，\n\n00:28.229 --> 00:30.930\n家族聚集性在支气管哮喘中特别明显，\n\n00:31.180 --> 00:33.830\n如某些家族中多代人均患有哮喘病史，\n\n00:33.830 --> 00:35.479\n并且发病年龄相近，\n\n00:35.479 --> 00:36.330\n症状相似，\n\n00:36.479 --> 00:38.580\n这往往与遗传因素密切相关，\n\n00:38.680 --> 00:41.180\n表明支气管哮喘具有家族遗传性。\n\n00:42.293 --> 00:43.944\n多基因的遗传病。\n\n00:43.944 --> 00:45.719\n多基因遗传病如糖尿病。\n\n00:46.826 --> 00:50.652\n其发病受多个基因的变异及环境因素的影响共同决定，\n\n00:50.652 --> 00:52.777\n表现出家族家族聚集性。\n\n00:53.076 --> 00:53.676\n此外，\n\n00:53.676 --> 00:55.926\n支气管哮喘也受多个基因。\n\n00:57.206 --> 00:59.605\n遗传与环境因素的相互作用。\n\n00:59.605 --> 01:01.555\n患者通常表现有家族病史。\n\n01:02.965 --> 01:06.040\n子女子女患病的风险子女患病风险，\n\n01:06.040 --> 01:07.114\n特别是支气管哮喘，\n\n01:07.114 --> 01:09.114\n往往与遗传因素密切相关，\n\n01:09.114 --> 01:10.364\n如父母中有，\n\n01:10.364 --> 01:11.915\n若有一方患有支气管哮喘，\n\n01:11.915 --> 01:13.815\n子女患病的几几率就会增加。\n\n01:13.815 --> 01:15.915\n这是因为支气管哮喘具有遗传倾向，\n\n01:16.165 --> 01:18.665\n使得子女在特定的环境中更容易发病。\n\n01:20.362 --> 01:21.087\n环境因素呢，\n\n01:21.087 --> 01:23.938\n主要是包括一个是气候变化影响。\n\n01:23.938 --> 01:26.987\n气候变化导致极端天气频发，\n\n01:27.188 --> 01:29.612\n如气温骤变或空气污染增加，\n\n01:29.612 --> 01:31.337\n这些都是重要的环境因素。\n\n01:31.388 --> 01:33.237\n对于支气管哮喘患者而言，\n\n01:33.237 --> 01:38.038\n这种变这种环境变化可能会诱发或加或加剧哮喘的症状。\n\n01:38.735 --> 01:42.084\n影响呼吸健康病毒感染的因素。\n\n01:42.084 --> 01:43.535\n病毒感染如流如。\n\n01:44.860 --> 01:48.760\n流感病毒、呼吸道合胞病毒等可诱发或加剧支气管哮喘，\n\n01:48.760 --> 01:49.610\n污染环境。\n\n01:50.817 --> 01:51.891\n气候变化等因素，\n\n01:51.891 --> 01:56.116\n也可导致协同病毒共同影响支气管哮喘患者的一个健康，\n\n01:56.366 --> 01:58.717\n导致症状发作或恶化。\n\n01:58.866 --> 02:00.166\n吸入病原，\n\n02:00.166 --> 02:02.116\n吸入性的病原广泛存在，\n\n02:02.116 --> 02:04.067\n如花粉、尘螨。\n\n02:05.279 --> 02:09.679\n动物皮屑在环境因素如大气污染、汽车尾气的排放下，\n\n02:09.979 --> 02:12.880\n这些病原可能会增加过敏性疾病的发病率。\n\n02:12.880 --> 02:17.529\n如支气管哮喘患者吸入后会迅速增迅速产生过敏反应。\n\n02:19.960 --> 02:20.386\n症状。\n\n02:22.511 --> 02:23.912\n典型症状，\n\n02:24.712 --> 02:30.412\n喘息与呼吸困难喘息与呼吸困难在支气管哮喘中表现尤为明显，\n\n02:30.412 --> 02:33.212\n患者可能感到胸闷、气急。\n\n02:33.412 --> 02:35.011\n呼吸性呼吸，\n\n02:35.011 --> 02:38.662\n呼吸性呼气性呼吸困难尤为尤为突出。\n\n02:38.811 --> 02:39.761\n端坐呼吸，\n\n02:39.962 --> 02:41.011\n双手前撑，\n\n02:41.011 --> 02:42.186\n张口抬肩，\n\n02:42.186 --> 02:43.162\n无法平卧喘，\n\n02:43.162 --> 02:44.162\n喘息明显，\n\n02:44.712 --> 02:47.111\n咳嗽并咳出脓性黏痰。\n\n02:48.044 --> 02:49.345\n清晨或夜间加重。\n\n02:50.712 --> 02:51.738\n夜间和清晨时分，\n\n02:51.738 --> 02:54.462\n部分患者可能会感到呼吸更为困难，\n\n02:54.662 --> 02:55.988\n如夜间突然醒来，\n\n02:55.988 --> 02:57.763\n感觉到胸闷气短，\n\n02:57.962 --> 02:58.912\n无法平卧，\n\n02:59.063 --> 03:00.013\n伴有哮鸣，\n\n03:00.263 --> 03:03.813\n这种这种哮喘症状在此症状加重的典型表现。\n\n03:06.014 --> 03:06.990\n胸闷和咳嗽。\n\n03:07.339 --> 03:10.865\n胸闷和咳嗽一直是呼吸系统常见的问题表现。\n\n03:10.865 --> 03:13.753\n比如一个支气管哮喘患者在接触过敏源后，\n\n03:13.753 --> 03:17.589\n会感到胸口像被重物压住一样憋闷，\n\n03:17.789 --> 03:20.089\n并随着时间持续性的干咳，\n\n03:20.190 --> 03:21.889\n这是疾病的典型表现。\n\n03:24.942 --> 03:26.292\n其他症状，\n\n03:26.292 --> 03:28.042\n比如说夜间和清晨加剧，\n\n03:28.042 --> 03:29.292\n夜间和清晨时分，\n\n03:29.393 --> 03:32.143\n哮喘患者可能会经历症状加重的情况，\n\n03:32.143 --> 03:33.692\n如咳嗽加剧，\n\n03:33.742 --> 03:35.843\n呼吸困难变得更为明显，\n\n03:35.893 --> 03:38.692\n这些症状可能会伴随着喘息声、胸闷感，\n\n03:38.792 --> 03:39.593\n影响睡眠，\n\n03:39.593 --> 03:41.242\n是支气管哮喘典型表现。\n\n03:42.162 --> 03:44.236\n咳嗽、变异性哮喘、四。\n\n03:45.005 --> 03:48.154\n4岁的念念每次受凉或运动后都会干咳，\n\n03:48.354 --> 03:50.580\n症状持续一年多后被诊断为咳嗽，\n\n03:50.580 --> 03:51.255\n病因哮喘。\n\n03:52.401 --> 03:54.901\n他在夜间和运动后咳嗽加剧，\n\n03:54.951 --> 03:55.852\n伴有胸闷，\n\n03:55.901 --> 03:56.901\n但无喘息，\n\n03:57.151 --> 03:59.751\n需通过规范的治疗控制病情。\n\n04:03.970 --> 04:04.695\n前驱症状。\n\n04:06.309 --> 04:07.434\n鼻塞、喷嚏等表现。\n\n04:07.434 --> 04:08.485\n鼻塞、喷嚏等。\n\n04:09.376 --> 04:13.427\n表现表现常见于感冒初期及前驱症状阶段，\n\n04:13.477 --> 04:15.852\n患者可能会感到鼻腔堵塞，\n\n04:15.852 --> 04:16.377\n不通气，\n\n04:16.427 --> 04:17.627\n频繁打喷嚏。\n\n04:18.467 --> 04:18.592\n嗯，\n\n04:18.592 --> 04:20.242\n并伴有流清鼻涕。\n\n04:20.242 --> 04:24.316\n这些症状有时也与支气管哮喘的触发因素相关，\n\n04:24.617 --> 04:27.266\n如接触过敏原后引发的过敏反应。\n\n04:31.704 --> 04:34.454\n哮喘支气管哮喘的一个诊断，\n\n04:34.454 --> 04:34.980\n首先呢，\n\n04:34.980 --> 04:36.329\n依据症状和体征。\n\n04:37.438 --> 04:38.563\n体征的辅助判断，\n\n04:38.664 --> 04:41.463\n体征辅助判断在医学诊断中尤为重要，\n\n04:41.713 --> 04:43.264\n如支气管哮喘的诊断中，\n\n04:43.264 --> 04:47.313\n医生可以通过观察呼患者的呼吸急促、哮鸣音等体征，\n\n04:47.364 --> 04:51.813\n结合咳嗽、胸闷的症状来判断患者是否有支气管哮喘。\n\n04:52.730 --> 04:53.730\n典型的症状判断，\n\n04:53.730 --> 04:58.680\n典型的症状判断如喘息、气急、胸闷或咳嗽等，\n\n04:58.781 --> 05:02.031\n这些症状通常在夜间和清晨加剧。\n\n05:02.281 --> 05:04.830\n症状依据症状体征，\n\n05:04.830 --> 05:08.830\n若患者反复发现这些症状并伴有哮鸣音，\n\n05:08.881 --> 05:10.980\n很可能与支气管哮喘。\n\n05:12.421 --> 05:14.321\n这是一种气道的慢性炎症性疾病。\n\n05:19.013 --> 05:21.113\n客观的检查支气管舒张试验，\n\n05:21.113 --> 05:23.238\n支气管舒张试验是一种肺功能检查，\n\n05:23.338 --> 05:25.687\n用于评估气道阻塞的可逆性。\n\n05:25.888 --> 05:30.338\n如患者吸入支气管舒张剂后FPUAY显著改善，\n\n05:30.388 --> 05:32.287\n如具体的值是大于12%，\n\n05:32.287 --> 05:33.937\n且绝对值增加百分之，\n\n05:34.037 --> 05:36.388\n且绝对值增加200ml，\n\n05:36.537 --> 05:37.613\n则为阳性，\n\n05:37.613 --> 05:39.338\n提示可能有支气管哮喘，\n\n05:39.338 --> 05:40.388\n反之则为阴性，\n\n05:40.437 --> 05:42.988\n但阴性的结果并不能完全排除哮喘。\n\n05:45.020 --> 05:48.496\n支气管激发试验支气管激发试验是一种重要的检查，\n\n05:48.596 --> 05:51.696\n一位慢性咳嗽患者经经多项检查。\n\n05:53.252 --> 05:54.226\n常规检查未发现，\n\n05:54.226 --> 05:58.152\n明确病因后通过支气管激发试验确诊为不典型哮喘。\n\n05:59.028 --> 06:01.678\n该实验通过予以刺激物观察气道反应，\n\n06:01.828 --> 06:05.278\n为支气管哮喘疾病提供了关键的诊断依据。\n\n06:10.938 --> 06:11.364\n质量。\n\n06:12.713 --> 06:13.863\n主要是包括一个是。\n\n06:14.967 --> 06:16.167\n支气管舒张剂的用途，\n\n06:16.217 --> 06:18.518\n支气管舒张剂是用于支气管哮喘。\n\n06:19.576 --> 06:20.802\n和慢性阻塞性疾病。\n\n06:20.802 --> 06:21.627\n通过舒张。\n\n06:25.217 --> 06:26.018\n支气管平滑肌，\n\n06:26.018 --> 06:30.817\n它能够有效的缓解喘息引起的哮喘的喘息、气促等症状。\n\n06:31.570 --> 06:34.369\n并能够改善慢性阻塞性肺疾病的通气状况。\n\n06:34.519 --> 06:41.070\n通常药物包括贝塔二受体激动剂、抗胆碱的药物、茶碱茶碱类的药物等等。\n\n06:42.209 --> 06:43.234\n要使用这些药物呢，\n\n06:43.234 --> 06:45.158\n要注意患者有一些不良反应，\n\n06:45.509 --> 06:47.308\n比如说某些心脏病的患者，\n\n06:47.408 --> 06:49.759\n或者说某些一些肾功能不全的患者，\n\n06:49.808 --> 06:53.058\n要注意一些药物的代谢和药物对心脏的一个刺激。\n\n06:56.773 --> 06:57.847\n糖皮质激素的作用，\n\n06:57.898 --> 07:00.898\n糖皮质激素在药物治疗中的作用作用显著，\n\n07:00.898 --> 07:02.673\n如支气管哮喘治疗过程中啊，\n\n07:02.673 --> 07:04.947\n它能够减轻呼呼吸道炎症。\n\n07:06.079 --> 07:06.829\n降低反应性，\n\n07:06.928 --> 07:08.579\n有效的控制哮喘症状。\n\n07:08.729 --> 07:09.403\n同时呢，\n\n07:09.403 --> 07:13.329\n它具有强大的抗炎、免疫抑制和抗过敏作用，\n\n07:13.378 --> 07:14.729\n对多种疾病有效。\n\n07:17.061 --> 07:17.885\n其他药物。\n\n07:18.606 --> 07:20.157\n在探讨其他药物的功能时，\n\n07:20.157 --> 07:22.657\n可能提及某些药物的主要疗效外，\n\n07:22.756 --> 07:25.256\n还具有辅助治疗支气管哮喘的作用。\n\n07:25.506 --> 07:30.157\n如果比如说白山烯受体调节剂不仅能够缓解哮喘的症状，\n\n07:30.256 --> 07:32.207\n还能减少哮喘发作的频率。\n\n07:37.967 --> 07:40.166\n雾化治疗急性发作期，\n\n07:40.166 --> 07:43.092\n在急性发作期使用支气管哮喘的急性发作期，\n\n07:43.092 --> 07:46.316\n患者可能会出现严重的喘息、气急等症状，\n\n07:46.516 --> 07:47.291\n此时呢，\n\n07:47.291 --> 07:49.416\n采用雾化治疗是一种有效的手段，\n\n07:49.516 --> 07:53.941\n通过雾化吸入快速的快速起效的支气管扩张剂，\n\n07:53.941 --> 07:55.742\n可以迅速缓解支气管痉挛，\n\n07:55.742 --> 07:56.617\n减轻症状。\n\n08:01.019 --> 08:04.144\n免疫治疗增加变异原的耐受性，\n\n08:04.144 --> 08:06.968\n增加变异原的耐受性可以通过免疫治疗实现。\n\n08:07.743 --> 08:09.368\n比如对支气管哮喘的患者呢，\n\n08:09.368 --> 08:12.218\n进行一个过敏原的提取液皮下注射，\n\n08:12.218 --> 08:13.343\n逐步增加剂量，\n\n08:13.343 --> 08:14.269\n使患者呢，\n\n08:14.269 --> 08:16.944\n对这个过敏源脱敏。\n\n08:17.855 --> 08:19.829\n使患者逐渐适应并减少过敏反应，\n\n08:19.829 --> 08:20.480\n从而够，\n\n08:20.480 --> 08:21.704\n从而能够减少。\n\n08:22.747 --> 08:24.647\n哮喘的症状和哮喘的发作。\n\n08:29.003 --> 08:29.678\n手术治疗。\n\n08:30.472 --> 08:32.098\n对于一些难治性哮喘的患者，\n\n08:32.098 --> 08:33.697\n如果经过长期的药物治疗，\n\n08:33.697 --> 08:34.723\n仍然频繁发作，\n\n08:34.773 --> 08:35.872\n症状难以控制，\n\n08:35.973 --> 08:41.422\n可能会考虑手术治疗作为备选备选方案如支气管热形成术减少，\n\n08:41.422 --> 08:43.398\n气道平滑肌量减少，\n\n08:43.398 --> 08:46.172\n帮助气哮喘哮喘的发作，\n\n08:46.473 --> 08:49.072\n如支气管哮喘治疗的一种创新手段。\n\n08:54.336 --> 08:54.836\n和预防。\n\n08:57.440 --> 08:58.614\n避免过敏原呢，\n\n08:58.614 --> 09:00.690\n是支气管哮喘预防的一个重要措施。\n\n09:01.039 --> 09:02.390\n远离常见的变应源，\n\n09:02.440 --> 09:05.789\n远离常见的变应源是预防支气管哮喘的重要措施。\n\n09:06.140 --> 09:06.890\n比如说，\n\n09:07.190 --> 09:08.515\n家中要保持清洁，\n\n09:08.515 --> 09:09.840\n避免尘螨滋生，\n\n09:10.039 --> 09:11.489\n外出时要佩戴口罩，\n\n09:11.739 --> 09:13.090\n减少花粉的吸入，\n\n09:13.289 --> 09:15.940\n还要避免食用海鲜等引起。\n\n09:16.968 --> 09:17.992\n很容易引发过敏，\n\n09:17.992 --> 09:19.567\n过敏的食物，\n\n09:19.617 --> 09:20.268\n同时呢，\n\n09:20.268 --> 09:21.543\n对于这些哮喘的患者呢，\n\n09:21.543 --> 09:22.218\n家中呢？\n\n09:23.158 --> 09:23.807\n应避免，\n\n09:24.057 --> 09:25.307\n如果对对，\n\n09:25.357 --> 09:29.057\n如如果如果是对宠物的一些尘螨或者皮屑过敏的话，\n\n09:29.057 --> 09:29.632\n应该家中呢，\n\n09:29.632 --> 09:31.533\n应该避免去养这些宠物，\n\n09:31.533 --> 09:32.908\n比如说猫狗等。\n\n09:36.586 --> 09:37.986\n增强体质，\n\n09:37.986 --> 09:39.211\n适度运动，\n\n09:39.211 --> 09:39.961\n适度的运动，\n\n09:39.961 --> 09:40.986\n如慢跑和瑜伽，\n\n09:40.986 --> 09:42.236\n不仅能够增强体质，\n\n09:42.336 --> 09:43.437\n改善心肺功能，\n\n09:43.486 --> 09:45.937\n同时能够有效的缓解支气管哮喘的症状。\n\n09:46.036 --> 09:47.336\n通过规律的锻炼，\n\n09:47.387 --> 09:49.711\n患者能够减少哮喘发作的频率，\n\n09:49.711 --> 09:50.986\n改善呼吸状况，\n\n09:51.036 --> 09:52.637\n享受更健康的生活。\n\n09:57.255 --> 09:57.981\n注意饮食，\n\n09:58.481 --> 09:59.356\n注意饮食呢，\n\n09:59.356 --> 10:01.431\n也是一个非常重要的一个预防措施，\n\n10:01.681 --> 10:02.281\n对于。\n\n10:03.237 --> 10:03.788\n对于避免。\n\n10:05.312 --> 10:06.012\n过敏食物，\n\n10:06.012 --> 10:08.262\n如常见的坚果、鱼虾，\n\n10:08.262 --> 10:09.387\n花生、芒果，\n\n10:09.387 --> 10:10.137\n菠萝等。\n\n10:10.137 --> 10:15.036\n特别支气管哮喘的患者应注意避免摄入可能引发过敏的食物，\n\n10:15.036 --> 10:18.562\n如牛奶、鸡蛋、大豆等高蛋白的饮品，\n\n10:18.661 --> 10:21.361\n以免过敏诱发哮喘。\n\n10:24.156 --> 10:25.257\n生活习惯，\n\n10:25.257 --> 10:27.731\n规律的生活习惯也是十分重要的啊。\n\n10:27.731 --> 10:29.031\n保持规律的生活作息，\n\n10:29.031 --> 10:30.281\n如每晚10点入睡，\n\n10:30.281 --> 10:31.331\n早上7点钟起床，\n\n10:31.382 --> 10:32.757\n有助于调整生活习惯，\n\n10:32.757 --> 10:34.081\n减少夜间哮喘的发作。\n\n10:35.596 --> 10:35.945\n同时呢，\n\n10:35.945 --> 10:38.445\n规律的生活作息能够增强患者的免疫力。\n\n10:39.518 --> 10:41.318\n降低支气管叫做哮喘，\n\n10:41.768 --> 10:43.669\n因作息紊乱而诱发的风险。\n\n10:45.416 --> 10:46.041\n环境控制，\n\n10:46.041 --> 10:48.440\n环境控制也是十分重要的。\n\n10:48.690 --> 10:52.440\n比如说要保持室内空气流通的要求，\n\n10:52.690 --> 10:53.890\n室内空气流通呢，\n\n10:53.890 --> 10:56.690\n对于预防支气管哮喘的发作至关重要。\n\n10:57.091 --> 10:57.491\n嗯，\n\n10:57.940 --> 11:00.190\n某某些比如说对尘螨过敏的患者，\n\n11:00.190 --> 11:02.091\n比如说对一些烟雾过敏的患者呢，\n\n11:02.091 --> 11:03.041\n烟尘过敏的患者呢，\n\n11:03.041 --> 11:05.440\n可以在家中安装一些新风系统，\n\n11:05.690 --> 11:08.390\n确保室内外空气进行有效的交换，\n\n11:08.690 --> 11:10.491\n减少室内过敏原的积聚，\n\n11:10.591 --> 11:12.216\n这属于环境控制的一环，\n\n11:12.216 --> 11:14.640\n有助于维护呼吸道健康。\n\n11:20.663 --> 11:21.338\n同时呢，\n\n11:21.437 --> 11:23.413\n对于这些支气管哮喘的患者呢，\n\n11:23.413 --> 11:24.812\n我们也要督促呢，\n\n11:24.812 --> 11:25.437\n患者呢。\n\n11:26.536 --> 11:28.336\n进行一个规律的用药啊，\n\n11:28.336 --> 11:28.986\n不可以呢，\n\n11:28.986 --> 11:32.062\n自行随便的停药或者改变药物的剂量，\n\n11:32.111 --> 11:34.887\n一定要遵医嘱进行一个药物药物的治疗，\n\n11:34.887 --> 11:37.012\n特别是一些吸入吸入性的药物。\n\n11:38.119 --> 11:39.570\n比如说我们的贝塔受体激动剂。\n\n11:40.973 --> 11:43.922\n吸入性的糖皮质激素、ICS等等。\n\n11:45.913 --> 11:46.913\n有些有些患者呢，\n\n11:46.913 --> 11:50.138\n可能会在这个哮喘的一个发作有明显好转的时候，\n\n11:50.138 --> 11:52.237\n就自行停用这些药物。\n\n11:52.237 --> 11:53.112\n这些药物呢，\n\n11:53.213 --> 11:54.538\n自行停用这些药物呢，\n\n11:54.538 --> 11:57.288\n可能会导致病情的一个反复，\n\n11:57.288 --> 11:58.788\n从而导致一个治疗的失败，\n\n11:58.788 --> 11:59.562\n甚至呢，\n\n11:59.612 --> 12:04.612\n可能需要更多的药物来来来来来够能够抑制这个哮喘的发作。\n\n12:06.494 --> 12:06.919\n同时呢，\n\n12:06.919 --> 12:09.419\n我们要值得注意要提醒患者呢。\n\n12:10.784 --> 12:12.484\n哮喘反复发作的一个危害性，\n\n12:12.635 --> 12:15.409\n一个哮喘反复发作的发发作的患者呢，\n\n12:15.409 --> 12:16.984\n会导致一个气道的炎症，\n\n12:17.034 --> 12:19.460\n慢性的炎症的持续存在，\n\n12:19.460 --> 12:21.135\n引起的这个气道的一个重塑。\n\n12:22.390 --> 12:22.739\n包括。\n\n12:23.778 --> 12:25.778\n包括排痰能力的受限啊，\n\n12:26.229 --> 12:29.078\n包括排痰排痰排痰能力的一个受限。\n\n12:30.187 --> 12:31.413\n呼吸功能的一个，\n\n12:31.612 --> 12:32.862\n肺功能的一个下降，\n\n12:32.913 --> 12:35.713\n包括心肺运动功能的一个下降，\n\n12:35.913 --> 12:36.963\n甚至会导致。\n\n12:38.145 --> 12:38.671\n心脏疾病，\n\n12:38.671 --> 12:45.120\n比如说肺心病、肺动脉高压、肺心心衰竭、心力衰竭等等。\n\n12:46.880 --> 12:48.106\n这些一旦出现，\n\n12:48.106 --> 12:49.356\n出现这些并发症呢，\n\n12:49.356 --> 12:54.031\n会对患者的一个生活状态和生活质量有一个极大的影响。\n\n12:55.455 --> 12:55.755\n同时呢，\n\n12:55.755 --> 12:57.205\n我们也要值得注意的是呢。\n\n12:57.861 --> 12:58.661\n在这些肺，\n\n12:58.812 --> 13:00.486\n在这些哮喘的患者中呢，\n\n13:00.486 --> 13:01.161\n我们也要。\n\n13:02.117 --> 13:05.168\n那个要要及时的避免一个呼吸道感染，\n\n13:05.367 --> 13:06.968\n比如说我们在流感季节，\n\n13:07.218 --> 13:08.518\n包括我们的。\n\n13:09.750 --> 13:13.551\n要要要可以可以可以可以可以去打一些流感疫苗，\n\n13:13.801 --> 13:15.226\n同时呢，\n\n13:15.226 --> 13:16.875\n在流感季节高发的时候呢，\n\n13:16.875 --> 13:19.051\n避免去一些比如说地铁呀，\n\n13:19.051 --> 13:22.750\n或者说菜场等一些人人流量比较大的一个场所，\n\n13:22.750 --> 13:25.151\n或者说一个比较封闭的一个场所。\n\n13:26.351 --> 13:31.151\n减轻了这个这个这个这个这个这个疾病的感染。\n\n13:32.262 --> 13:32.661\n同时呢，\n\n13:32.661 --> 13:34.637\n对于这些支气管哮喘的患者呢，\n\n13:34.637 --> 13:36.111\n一旦有这种呼吸道感染呢，\n\n13:36.111 --> 13:37.812\n要及时的就医。\n\n13:38.211 --> 13:39.812\n因为这些支气管哮喘的患者呢，\n\n13:39.812 --> 13:41.711\n常由于一个长期的气道炎症呀，\n\n13:41.711 --> 13:42.387\n包括等等，\n\n13:42.387 --> 13:45.137\n可能会导致一个气道防御的下降，\n\n13:45.137 --> 13:50.312\n容易引起比如说肺炎或者说重症肺炎等一些比较严重的疾病，\n\n13:50.312 --> 13:51.262\n疾病的情况下，\n\n13:51.611 --> 13:52.161\n所以呢，\n\n13:52.161 --> 13:53.012\n要及时的就医，\n\n13:53.161 --> 13:56.262\n采取一个规范化的、合理的一个诊疗。\n\n13:57.513 --> 14:00.689\n避免避免避免这个呼吸道系统疾病的加重，\n\n14:00.689 --> 14:01.364\n同时呢，\n\n14:01.564 --> 14:03.463\n也避免这个哮喘的一个。\n\n14:04.767 --> 14:05.567\n诱发和加重。\n\n14:07.841 --> 14:08.341\n同时呢，\n\n14:08.341 --> 14:09.291\n对于这些患者呢，\n\n14:09.291 --> 14:09.765\n我们。\n\n14:10.640 --> 14:11.015\n我们也要，\n\n14:11.015 --> 14:13.690\n我们也要让他们定期去医院随访，\n\n14:13.841 --> 14:14.466\n一个呢，\n\n14:14.466 --> 14:16.940\n是监测患者的药物是否使用规范。\n\n14:18.145 --> 14:18.645\n第二个呢，\n\n14:18.695 --> 14:21.296\n患者药物是否是否是否使用充分，\n\n14:21.846 --> 14:22.195\n嗯，\n\n14:22.195 --> 14:22.846\n同时呢，\n\n14:22.846 --> 14:24.395\n要评估患者的肺功能，\n\n14:24.645 --> 14:25.046\n嗯。\n\n14:26.382 --> 14:29.932\n看看看看对患者的肺功能影响影响影响的区别。\n\n14:30.874 --> 14:33.299\n对肺功能下降有没有影响患者肺功能的一个下降？\n\n14:34.401 --> 14:35.052\n同时呢，\n\n14:35.052 --> 14:37.002\n也要也要在也要在随访的过程中呢，\n\n14:37.002 --> 14:37.677\n不断的。\n\n14:38.510 --> 14:40.786\n调整患者的一个药物的药物的使用，\n\n14:40.786 --> 14:44.486\n特别是细微性药物的一个剂量和使用的频次等等。\n\n14:47.281 --> 14:49.731\n如果能够达到规规范的一个控制呢，\n\n14:49.731 --> 14:51.630\n哮喘的患者呢，\n\n14:51.630 --> 14:55.856\n还是能够取得不错的一还是还是对生活的影响不是特别大，\n\n14:55.856 --> 14:56.580\n能够。\n\n14:58.544 --> 14:59.818\n能够正常的进行一个生，\n\n14:59.818 --> 15:01.393\n进行一个工作和生活的。\n\n15:02.125 --> 15:02.426\n同时呢，\n\n15:02.426 --> 15:05.026\n我们也要提醒这些哮喘的患者呀，\n\n15:05.625 --> 15:08.651\n要可要常备一些急救的药物，\n\n15:08.651 --> 15:09.276\n比如说。\n\n15:10.508 --> 15:12.458\n吸入性的一个贝塔受体激动剂。\n\n15:14.341 --> 15:15.017\n避免呢，\n\n15:15.017 --> 15:15.466\n患者呢，\n\n15:15.466 --> 15:16.617\n在哮喘的，\n\n15:16.617 --> 15:19.367\n比如说大量的一次性大量的吸入这种过敏源，\n\n15:19.367 --> 15:20.442\n或者接触这种过敏源，\n\n15:20.742 --> 15:22.992\n可能会导致哮喘的一个急性发作，\n\n15:23.142 --> 15:24.492\n导致一个重症哮喘。\n\n15:25.703 --> 15:25.978\n甚至呢，\n\n15:25.978 --> 15:27.802\n对患者的生命构成一个威胁，\n\n15:27.903 --> 15:28.478\n所以呢，\n\n15:28.478 --> 15:29.953\n要对要对这些患者呢，\n\n15:30.103 --> 15:31.953\n要要进行教育，\n\n15:32.153 --> 15:34.453\n使用的是如果如果发现急性药物的时候，\n\n15:34.453 --> 15:36.153\n可以吸入一些药物进行一个缓解，\n\n15:36.552 --> 15:37.353\n避免呢，\n\n15:37.353 --> 15:38.478\n避避免患者呢，\n\n15:38.478 --> 15:39.853\n因为一个极度的一个。\n\n15:40.676 --> 15:41.926\n胸闷气促，\n\n15:41.926 --> 15:43.851\n气道的一个收缩炎症，\n\n15:43.851 --> 15:45.250\n炎症包括支气管痉，\n\n15:45.250 --> 15:46.825\n包括支气管的一个痉挛。\n\n15:47.997 --> 15:49.997\n导致的一个重一个一个严重的后果，\n\n15:50.398 --> 15:51.372\n比如说窒息啊，\n\n15:51.372 --> 15:51.872\n缺氧啊，\n\n15:51.872 --> 15:53.047\n甚至呼吸衰竭等等。\n\n15:54.513 --> 15:54.838\n同时呢，\n\n15:54.838 --> 15:56.388\n也要也要也要让这些患者呢，\n\n15:56.388 --> 15:59.364\n避免去一些比如说低低氧的地方，\n\n15:59.364 --> 16:01.263\n比如说西藏呀，\n\n16:01.263 --> 16:02.864\n或者这些地方。\n\n16:04.729 --> 16:07.905\n我如果在在过在在在在这个过程中呢，\n\n16:07.905 --> 16:09.780\n比如高海拔的运动啊，\n\n16:10.080 --> 16:11.429\n或者说一些山区，\n\n16:11.429 --> 16:15.104\n因为他们如果在这些地方比较容易接触过过敏源，\n\n16:15.104 --> 16:18.479\n特别是一些花粉和尘螨等花粉等一等。\n\n16:19.643 --> 16:20.442\n并且一旦发作，\n\n16:20.543 --> 16:22.393\n在这些地方转运是比较困难的。\n\n16:23.372 --> 16:23.572\n嗯。\n\n16:25.026 --> 16:25.151\n好，\n\n16:25.151 --> 16:25.625\n谢谢大家，\n\n16:25.625 --> 16:26.500\n今天的分享呢，\n\n16:26.500 --> 16:27.176\n到此结束。\n\n","v0247cg10004d60m3caljht20ck2al40",991,934,0,"2026-01-24 19:32:04"," 支气管哮喘科普：症状、病因、治疗与预防全解析  "," 支气管哮喘,哮喘症状,哮喘病因,哮喘治疗,哮喘预防,哮喘管理,呼吸疾病  "," 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