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--> 00:01.710\n嗯，\n\n00:01.710 --> 00:02.811\n大家好，\n\n00:02.811 --> 00:03.411\n今天呢，\n\n00:03.411 --> 00:08.836\n我们大家一起学习一下关于慢性阻塞性肺病的。\n\n00:09.567 --> 00:16.017\n一些知识主下主要要想讲一讲的就是一个是什么是慢阻肺它的。\n\n00:17.190 --> 00:17.540\n有因。\n\n00:18.829 --> 00:19.030\n嗯，\n\n00:19.229 --> 00:20.979\n它的临床症状。\n\n00:21.892 --> 00:22.566\n第二个呢，\n\n00:22.566 --> 00:26.816\n我们要讲讲慢阻肺的日常护理要点。\n\n00:27.702 --> 00:29.052\n我们应该怎么样？\n\n00:30.004 --> 00:33.904\n不让慢阻肺继续加深加重，\n\n00:34.354 --> 00:36.255\n还有就是不让慢阻肺，\n\n00:36.505 --> 00:36.904\n嗯，\n\n00:37.055 --> 00:40.255\n就是反复的发作啊。\n\n00:42.316 --> 00:42.465\n嗯，\n\n00:42.465 --> 00:43.041\n最后呢，\n\n00:43.041 --> 00:43.816\n还要讲一讲，\n\n00:43.816 --> 00:47.566\n就是慢阻肺急性发作的时候的应急处理。\n\n00:48.623 --> 00:48.823\n嗯，\n\n00:49.073 --> 00:52.073\n我们先说一说什么是满足费。\n\n00:58.506 --> 00:58.757\n嗯，\n\n00:58.957 --> 01:01.356\n慢慢性阻塞性肺病。\n\n01:02.334 --> 01:04.485\n简称慢阻肺啊，\n\n01:04.485 --> 01:08.334\n是一种常见的可预防和治疗的疾病。\n\n01:08.485 --> 01:13.885\n其特征是持续存在的呼吸系统症状和气流受限，\n\n01:14.235 --> 01:19.160\n通常以显著暴露于有害颗粒或气体，\n\n01:19.160 --> 01:22.885\n相关肺组织异常及气道炎症。\n\n01:23.707 --> 01:26.406\n在其中起到重要的作用，\n\n01:26.806 --> 01:27.181\n嗯，\n\n01:27.181 --> 01:31.507\n它的疾病特点是气流受阻，\n\n01:31.806 --> 01:34.457\n常表现为呼吸困难。\n\n01:35.222 --> 01:35.373\n嗯，\n\n01:35.373 --> 01:36.972\n它的主要症状呢，\n\n01:36.972 --> 01:39.222\n包括慢性的咳嗽啊。\n\n01:41.116 --> 01:47.067\n咳痰通常通常是初期的时候咳嗽呈间歇性的，\n\n01:47.067 --> 01:48.217\n早晨较重，\n\n01:48.366 --> 01:51.266\n以后早晚或者整日均有咳嗽，\n\n01:51.416 --> 01:53.766\n但夜间咳嗽并不显著。\n\n01:56.416 --> 01:57.066\n咳嗽后呢，\n\n01:57.066 --> 02:01.066\n通常咳出少量的灰白色粘液痰，\n\n02:01.265 --> 02:03.466\n部分患者在清晨较多，\n\n02:03.615 --> 02:04.966\n合并感染时呢，\n\n02:04.966 --> 02:06.015\n痰量增多，\n\n02:06.216 --> 02:07.615\n可有黄脓痰。\n\n02:09.089 --> 02:12.188\n还有一个症状就是气短或者呼吸困难，\n\n02:12.339 --> 02:15.188\n这是慢阻肺的标志性的症状。\n\n02:15.339 --> 02:17.639\n早期仅在体力活动时。\n\n02:18.541 --> 02:20.740\n比较活动时出现就是，\n\n02:21.341 --> 02:22.891\n但是休息以后呢，\n\n02:22.990 --> 02:25.940\n可以呼吸困难会有缓解，\n\n02:26.041 --> 02:27.440\n但。\n\n02:28.718 --> 02:30.143\n逐渐加重以后呢，\n\n02:30.143 --> 02:31.843\n就是病程加重以后呢，\n\n02:31.843 --> 02:33.069\n可以日常活动，\n\n02:33.268 --> 02:35.393\n甚至休息时也感到气短。\n\n02:35.393 --> 02:37.419\n这是一个比较重症的，\n\n02:37.419 --> 02:40.069\n就是一个一个一个，\n\n02:40.169 --> 02:41.619\n呼吸道的阻塞。\n\n02:42.500 --> 02:42.699\n嗯。\n\n02:44.057 --> 02:46.106\n严重的可有喘息和胸闷。\n\n02:48.363 --> 02:49.039\n部分患者，\n\n02:49.039 --> 02:51.738\n特别是重度患者或者急性加重时呢，\n\n02:51.738 --> 02:52.438\n可以出现。\n\n02:53.628 --> 02:53.979\n关系，\n\n02:54.429 --> 02:54.753\n嗯，\n\n02:54.753 --> 02:56.929\n它的发病原因呢，\n\n02:57.128 --> 02:57.503\n嗯，\n\n02:57.503 --> 03:00.128\n主要和吸烟空气污染，\n\n03:00.378 --> 03:00.779\n嗯。\n\n03:01.835 --> 03:02.035\n嗯。\n\n03:03.488 --> 03:03.839\n有关，\n\n03:04.339 --> 03:04.738\n嗯，\n\n03:05.238 --> 03:09.339\n还有就是职业的粉尘和化学物质的暴露感染。\n\n03:10.578 --> 03:11.378\n也是诱因，\n\n03:11.429 --> 03:13.679\n早期诊断和干预。\n\n03:13.679 --> 03:14.604\n如果戒烟啊，\n\n03:14.604 --> 03:16.029\n药物治疗、氧疗等呢，\n\n03:16.029 --> 03:18.679\n对感受预后至关重要。\n\n03:22.901 --> 03:23.852\n它有并发症，\n\n03:23.852 --> 03:27.602\n重症可以引起肺肺源性心脏病，\n\n03:28.052 --> 03:32.602\n那就会影响到心脏的一个血液动力学的改变，\n\n03:32.751 --> 03:33.701\n那是一个。\n\n03:35.261 --> 03:39.311\n可以是慢阻肺的中末期的症状。\n\n03:42.759 --> 03:44.210\n还有一个就是长期的，\n\n03:44.259 --> 03:44.660\n嗯，\n\n03:45.410 --> 03:46.110\n患者。\n\n03:47.264 --> 03:49.389\n他可能会出现焦虑啊，\n\n03:49.389 --> 03:51.214\n抑郁这些症状，\n\n03:51.214 --> 03:53.714\n所以我们在护理上中间呢。\n\n03:54.466 --> 03:55.466\n也要加以识别，\n\n03:55.466 --> 03:56.416\n必要时呢，\n\n03:56.516 --> 04:00.966\n焦虑抑郁都是可以给予药物来缓解症状。\n\n04:06.046 --> 04:08.496\n下面我们说一下他的家庭护理。\n\n04:09.375 --> 04:12.274\n慢阻肺的家庭护理非常的重要。\n\n04:12.425 --> 04:14.074\n因为有家庭的支持，\n\n04:14.574 --> 04:15.475\n对康复。\n\n04:17.303 --> 04:18.454\n有很大的作用。\n\n04:26.381 --> 04:29.680\n它对于日常就是对控制病情，\n\n04:29.680 --> 04:32.830\n提高生活质量至关重要啊。\n\n04:35.454 --> 04:36.704\n它可以减少。\n\n04:38.096 --> 04:38.645\n住院的。\n\n04:40.121 --> 04:43.321\n频率可以改善生活的舒适度，\n\n04:43.420 --> 04:45.096\n还可以家人的支持呢，\n\n04:45.096 --> 04:47.520\n有助于患者保持积极的心态。\n\n04:48.199 --> 04:48.523\n还有呢，\n\n04:48.523 --> 04:50.299\n就是可以稳定病情。\n\n04:51.377 --> 04:51.927\n预防，\n\n04:52.277 --> 04:52.627\n嗯，\n\n04:52.627 --> 04:54.877\n反复发作和急性发作。\n\n04:56.179 --> 05:00.679\n那我们在日常护理中需要注意些什么？\n\n05:02.584 --> 05:02.783\n那。\n\n05:03.971 --> 05:06.872\n第一个就是生活习惯的管理，\n\n05:06.872 --> 05:09.071\n吸烟与远离二手烟，\n\n05:09.321 --> 05:11.571\n吸烟是慢阻肺主要诱因，\n\n05:11.721 --> 05:13.122\n必须彻底戒烟，\n\n05:13.272 --> 05:14.096\n同时呢，\n\n05:14.096 --> 05:16.022\n避免在吸烟环境中。\n\n05:17.169 --> 05:19.569\n就是也就是避免二手烟，\n\n05:19.718 --> 05:20.118\n嗯。\n\n05:22.526 --> 05:24.476\n还要保持室内的空气流通，\n\n05:24.776 --> 05:26.425\n定期开窗通风，\n\n05:26.876 --> 05:29.376\n避免避免了室内空气污染。\n\n05:30.075 --> 05:30.550\n其实，\n\n05:30.550 --> 05:37.200\n慢阻肺的病人其实最好是不要去那个烹饪啊，\n\n05:37.200 --> 05:41.501\n油烟特别是油烟煎炸的这种烹饪，\n\n05:41.501 --> 05:45.026\n要避免这个油烟的刺激也会。\n\n05:46.541 --> 05:49.441\n诱发慢阻肺的发作，\n\n05:50.041 --> 05:54.191\n还有一个就是规律的规律的作息和适度的运动。\n\n05:54.291 --> 05:57.092\n要保证每天7.8个小时的睡眠，\n\n05:57.191 --> 05:58.191\n避免熬夜。\n\n05:58.541 --> 05:58.867\n哎，\n\n05:58.867 --> 06:02.391\n要根据自身情况选择低强度的运动，\n\n06:02.391 --> 06:03.992\n如散散步啊，\n\n06:03.992 --> 06:06.842\n太极拳时呼吸训练等等。\n\n06:07.825 --> 06:08.075\n这样呢，\n\n06:08.075 --> 06:09.424\n可以增加肺功能。\n\n06:10.300 --> 06:10.501\n嗯，\n\n06:10.800 --> 06:13.851\n还有一个很要紧的就是要。\n\n06:15.281 --> 06:16.080\n避免着凉，\n\n06:16.281 --> 06:18.855\n因为慢阻肺的患者，\n\n06:18.855 --> 06:24.605\n他的肺部的环境的抵抗力是支气管或者气管粘膜抵抗力，\n\n06:24.605 --> 06:25.906\n是和正常人相比，\n\n06:25.906 --> 06:27.430\n它是降低的，\n\n06:27.430 --> 06:28.930\n所以他着凉的时候，\n\n06:28.930 --> 06:30.680\n它有一个上呼吸的感染，\n\n06:30.680 --> 06:31.430\n然后会。\n\n06:32.554 --> 06:36.704\n炎就是会导致下呼吸道的感染，\n\n06:36.954 --> 06:38.997\n这是因为它本身的慢，\n\n06:38.997 --> 06:43.855\n阻肺的患者的他的支气管黏膜的抵抗力下降引起的，\n\n06:43.855 --> 06:45.454\n所以必须保暖，\n\n06:45.804 --> 06:46.204\n嗯。\n\n06:48.226 --> 06:50.526\n就是要避免剧烈的运动，\n\n06:50.526 --> 06:52.075\n我常和患者，\n\n06:52.126 --> 06:53.800\n就是慢阻肺的患者说，\n\n06:53.800 --> 06:59.425\n你一定记住要比别人多穿半件到一件衣服，\n\n06:59.526 --> 07:02.126\n其实就是让他们避免感冒着凉。\n\n07:03.423 --> 07:05.872\n然后我们要看一下呼吸道的护理啊。\n\n07:10.194 --> 07:13.544\n可以有效的咳嗽排痰，\n\n07:13.743 --> 07:15.019\n那么我们怎么办呢？\n\n07:15.019 --> 07:17.044\n就晨起睡前要多喝水，\n\n07:17.544 --> 07:20.993\n每天要喝1500.2000ml的水，\n\n07:21.093 --> 07:21.993\n还要稀释。\n\n07:22.144 --> 07:22.718\n这样呢，\n\n07:22.718 --> 07:23.843\n可以稀释痰液。\n\n07:23.894 --> 07:24.843\n咳嗽时呢，\n\n07:24.843 --> 07:25.944\n身体要前倾，\n\n07:26.294 --> 07:28.093\n深吸之后用力咳嗽。\n\n07:28.093 --> 07:29.644\n若痰液粘稠呢，\n\n07:29.743 --> 07:33.819\n配合A拍背可以由下至上，\n\n07:33.819 --> 07:36.444\n由外向内轻拍背部，\n\n07:36.444 --> 07:37.794\n或者雾化吸肉。\n\n07:39.321 --> 07:39.571\n这样呢，\n\n07:39.571 --> 07:40.721\n可以有助于排痰。\n\n07:41.221 --> 07:42.622\n嗯，\n\n07:42.622 --> 07:48.622\n我常常跟那些那个长期卧床的那些慢阻肺的病人和他们家属说，\n\n07:48.772 --> 07:51.721\n一定要每天抽出时间来，\n\n07:52.071 --> 07:52.446\n嗯，\n\n07:52.446 --> 07:53.821\n给他们拍背。\n\n07:54.552 --> 07:55.252\n这样的话呢。\n\n07:56.605 --> 07:57.505\n就可以，\n\n07:57.855 --> 08:00.005\n让痰液顺利的排出，\n\n08:00.054 --> 08:03.554\n因为老长期躺着还有一个坠积性的问题，\n\n08:03.804 --> 08:08.255\n所以把痰液咳出就避免急性的发作，\n\n08:08.255 --> 08:08.654\n嗯。\n\n08:10.803 --> 08:11.178\n另外呢，\n\n08:11.178 --> 08:13.003\n就是一个呼吸功能的锻炼，\n\n08:13.204 --> 08:13.604\n嗯，\n\n08:13.753 --> 08:15.253\n那腹式呼吸。\n\n08:16.088 --> 08:18.312\n就是一个吸气时能腹部的隆起，\n\n08:18.312 --> 08:20.138\n呼气时能腹部的内收，\n\n08:20.287 --> 08:22.062\n用鼻鼻吸腹部，\n\n08:22.062 --> 08:23.488\n每分钟7.8次，\n\n08:23.488 --> 08:25.488\n每次10.15分钟。\n\n08:25.488 --> 08:29.537\n这是一个锻炼呼吸功能的一个方法。\n\n08:29.588 --> 08:31.287\n还有一个多重呼吸，\n\n08:31.287 --> 08:34.388\n就呼气时将口唇缩至吹口哨状，\n\n08:34.737 --> 08:37.687\n缓慢呼吸气息延长呼吸时间，\n\n08:37.737 --> 08:39.987\n减少肺内肺内的长。\n\n08:41.309 --> 08:41.960\n含气量，\n\n08:42.409 --> 08:42.809\n嗯。\n\n08:45.830 --> 08:48.681\n那饮食和营养支持至关重要。\n\n08:48.731 --> 08:50.830\n高蛋白、高纤维饮食。\n\n08:52.450 --> 08:59.799\n抑制慢阻肺的必要的饮食要多吃鸡蛋、瘦肉、鱼类、豆类、新鲜蔬菜等。\n\n08:59.849 --> 09:03.200\n因为慢性阻塞性肺病的患者，\n\n09:03.500 --> 09:10.099\n他每一次呼吸所要运用的就消耗的能量是我们正常人的。\n\n09:11.659 --> 09:12.559\n成倍的要增长，\n\n09:12.559 --> 09:14.335\n所以他们的消耗就更大，\n\n09:14.335 --> 09:18.559\n所以他们就必须更加的要有高蛋白的饮食，\n\n09:18.559 --> 09:20.760\n保证它的营养摄入，\n\n09:20.909 --> 09:22.859\n这样才不至于。\n\n09:23.604 --> 09:24.854\n让他们过分的消瘦，\n\n09:24.854 --> 09:28.429\n其实我们可以看到慢阻肺的患者都是非常的消瘦，\n\n09:28.429 --> 09:33.591\n那就是因为他消耗要比我们正常的人消耗要大。\n\n09:33.591 --> 09:35.129\n因为他们呼吸功能差，\n\n09:35.129 --> 09:40.554\n他们每一次的呼吸吸进去的氧气要比正常的人吸进的氧气要少。\n\n09:40.754 --> 09:43.679\n所以为了保证不缺氧，\n\n09:43.679 --> 09:45.629\n他们只能多呼吸，\n\n09:45.629 --> 09:47.203\n呼吸频率要增加，\n\n09:47.203 --> 09:50.004\n而且要动用呼吸机更。\n\n09:50.781 --> 09:53.481\n多更广的呼吸机来帮助他们呼吸，\n\n09:53.632 --> 09:57.231\n所以这样他们的消耗就比一般正常的人大，\n\n09:57.481 --> 09:58.882\n所以保证营养。\n\n09:59.836 --> 10:01.986\n对他们来说至关重要，\n\n10:02.036 --> 10:03.637\n我们可以少食多餐。\n\n10:05.606 --> 10:09.106\n也可以就是补充水分与点电解。\n\n10:12.460 --> 10:12.784\n然后呢，\n\n10:12.784 --> 10:15.984\n就是一个要一定要预防预防感染，\n\n10:15.984 --> 10:18.460\n就我们刚才已经说了一个就是。\n\n10:19.598 --> 10:22.374\n保暖还有一个就是疫苗的接种，\n\n10:22.523 --> 10:26.773\n接种每年的秋季要接种流感疫苗啊，\n\n10:26.773 --> 10:29.499\n每5年接接种肺炎球菌疫苗，\n\n10:29.499 --> 10:32.624\n那这样也可以降低呼吸道感染的风险。\n\n10:32.973 --> 10:36.749\n还有一个重要的就是要注意注意个人的卫生，\n\n10:36.749 --> 10:38.073\n季节更替时呢，\n\n10:38.073 --> 10:39.374\n要增减衣物，\n\n10:39.374 --> 10:40.174\n避免着凉，\n\n10:40.174 --> 10:41.023\n勤洗手，\n\n10:41.023 --> 10:43.023\n少去人群聚集的地方，\n\n10:43.023 --> 10:44.473\n外出要戴口罩。\n\n10:46.341 --> 10:48.117\n在家里如果有条件的话，\n\n10:48.117 --> 10:51.242\n可以有监测氧饱和度，\n\n10:51.392 --> 10:54.642\n可以记录咳嗽咳痰气短的程度与频率。\n\n10:54.791 --> 10:57.192\n频率如果，\n\n10:57.442 --> 11:00.416\n能够有那个测氧饱和度的机器，\n\n11:00.416 --> 11:01.416\n那就是最好的。\n\n11:01.416 --> 11:03.591\n那我们如果说，\n\n11:04.242 --> 11:08.716\n血氧指尖的血氧饱和度持续低于90%的话，\n\n11:08.716 --> 11:10.142\n那么就需要。\n\n11:10.867 --> 11:11.267\n学习。\n\n11:15.741 --> 11:19.541\n那我们所有护理的目标就是为了缓解症状，\n\n11:19.591 --> 11:21.440\n减轻咳嗽、气短症状，\n\n11:21.491 --> 11:23.390\n还有就是一个预防的发作。\n\n11:23.440 --> 11:24.341\n这是我们，\n\n11:24.940 --> 11:26.241\n这是我们的。\n\n11:28.440 --> 11:29.140\n出发点，\n\n11:29.440 --> 11:29.841\n嗯。\n\n11:32.075 --> 11:32.250\n当然，\n\n11:32.250 --> 11:33.226\n刚才已经说过了，\n\n11:33.226 --> 11:35.926\n就营造舒适的居家环境至关重要，\n\n11:35.926 --> 11:37.726\n要经常的开窗通风，\n\n11:37.875 --> 11:39.676\n保持室内空气新鲜，\n\n11:39.926 --> 11:42.375\n控制室室内湿度啊，\n\n11:42.476 --> 11:47.676\n保持适宜的湿度可以防止细菌的滋生啊，\n\n11:47.676 --> 11:51.075\n也要远离烟雾灰尘等刺激物。\n\n11:51.814 --> 11:54.539\n还有就是保持家具环节的干净，\n\n11:54.539 --> 11:55.314\n要整洁。\n\n11:58.085 --> 11:58.984\n刚才已经说过了，\n\n11:58.984 --> 12:00.085\n高蛋白的饮食，\n\n12:00.085 --> 12:01.309\n多摄入维生素，\n\n12:01.309 --> 12:02.909\n保持水分充足，\n\n12:02.909 --> 12:04.835\n避免刺激性食物等等，\n\n12:04.885 --> 12:09.684\n当然还有一个就是要正确的使用药物啊。\n\n12:12.880 --> 12:14.880\n他要按医嘱规律的用药，\n\n12:14.979 --> 12:16.030\n确保疗效。\n\n12:16.380 --> 12:16.780\n嗯，\n\n12:17.179 --> 12:21.580\n还有就是要了解熟悉所用药物的作用和副作用。\n\n12:22.456 --> 12:23.257\n定期的复诊，\n\n12:23.406 --> 12:25.206\n注意药物的储存。\n\n12:25.356 --> 12:26.307\n其实，\n\n12:26.706 --> 12:27.106\n嗯，\n\n12:27.757 --> 12:30.481\n慢性慢阻肺的药物是很多的。\n\n12:30.481 --> 12:32.757\n它有一个是抗炎的药物，\n\n12:32.757 --> 12:34.731\n一个是止咳平喘的药物，\n\n12:34.731 --> 12:36.731\n一个化痰的药物啊，\n\n12:36.731 --> 12:41.606\n还有一个就是降低气道敏感性的药物，\n\n12:41.606 --> 12:43.206\n支气管扩张的药物。\n\n12:43.257 --> 12:45.081\n但如果是他急病发作，\n\n12:45.081 --> 12:46.807\n那么有专门的急性。\n\n12:47.622 --> 12:48.296\n治疗的药物，\n\n12:48.296 --> 12:52.322\n它糖皮质激素是最最最最重要的药物，\n\n12:52.322 --> 12:54.822\n是治疗他急性期发作的时候。\n\n12:55.607 --> 13:01.208\n还先还是回到我们刚才说的那个家庭护理的上面来说一个，\n\n13:01.307 --> 13:02.408\n刚才也说过了，\n\n13:02.408 --> 13:03.432\n一个呼吸的训练，\n\n13:03.432 --> 13:06.357\n一个有氧的运动康复训练等等。\n\n13:07.619 --> 13:09.268\n还有就是一定要量力而行，\n\n13:09.268 --> 13:10.044\n刚才说的，\n\n13:10.044 --> 13:13.218\n不要做超过自己能力范围的运动，\n\n13:13.369 --> 13:13.768\n嗯。\n\n13:16.815 --> 13:17.591\n后面最后呢，\n\n13:17.591 --> 13:19.866\n我们要说说应急的处理与预防。\n\n13:21.155 --> 13:26.354\n那首先我们要先要识别它是怎么个畸形发作，\n\n13:26.655 --> 13:27.554\n急性发作。\n\n13:27.554 --> 13:29.854\n你要识别急性加重的信号。\n\n13:30.005 --> 13:31.804\n那么常见的表现呢，\n\n13:31.854 --> 13:32.929\n咳嗽加剧，\n\n13:32.929 --> 13:34.054\n痰量增多，\n\n13:34.505 --> 13:37.854\n脓性呼吸困难明显加重，\n\n13:38.005 --> 13:40.304\n嘴唇或紫绀发干，\n\n13:40.604 --> 13:41.905\n鼻涕模糊等，\n\n13:42.005 --> 13:46.780\n这个是已经是很很严重的很严重的表现了，\n\n13:46.780 --> 13:47.205\n就是。\n\n13:47.872 --> 13:48.271\n还有。\n\n13:50.500 --> 13:50.651\n然后，\n\n13:50.651 --> 13:52.051\n那我们应该怎么样呢？\n\n13:52.401 --> 13:53.200\n第一呢，\n\n13:53.301 --> 13:54.950\n家属要保持冷静，\n\n13:55.101 --> 13:56.801\n要及时安慰患者，\n\n13:56.801 --> 13:58.950\n避免情绪紧张。\n\n13:59.101 --> 13:59.500\n嗯，\n\n14:00.000 --> 14:01.176\n使用急性药物，\n\n14:01.176 --> 14:02.625\n那我们有支气管扩张剂，\n\n14:02.625 --> 14:07.151\n有有有吸的有喷的那这个应该随时带在身上，\n\n14:07.401 --> 14:08.250\n就是这样，\n\n14:08.301 --> 14:09.301\n如果说。\n\n14:10.388 --> 14:13.913\n血氧饱和度小于90%，\n\n14:13.913 --> 14:15.487\n或者无法通过，\n\n14:15.487 --> 14:17.788\n那应该立即抢救。\n\n14:18.138 --> 14:19.588\n采取以下措施，\n\n14:19.588 --> 14:22.312\n一个是保持呼吸道的通畅，\n\n14:22.312 --> 14:24.013\n那处于舒适的体位，\n\n14:24.013 --> 14:26.338\n最好是半卧位或者坐位，\n\n14:26.487 --> 14:26.888\n嗯，\n\n14:27.237 --> 14:28.388\n解开领口。\n\n14:29.098 --> 14:32.747\n和腰带避免衣物束缚胸部，\n\n14:32.747 --> 14:34.247\n减少呼吸阻力。\n\n14:34.348 --> 14:36.497\n那疾病的药物刚才已经说过了，\n\n14:36.497 --> 14:38.348\n支气管扩张剂啊，\n\n14:38.348 --> 14:41.122\n可以按说明书吸入一到两分，\n\n14:41.122 --> 14:43.172\n间隔20分钟可以重复一次，\n\n14:43.172 --> 14:44.497\n最多可以3次。\n\n14:44.848 --> 14:48.648\n那如果一家里有备有激素的话，\n\n14:48.797 --> 14:49.197\n嗯，\n\n14:49.598 --> 14:53.273\n用托尼松和按医嘱临时加持一次，\n\n14:53.273 --> 14:54.297\n这是都是加。\n\n14:55.219 --> 14:57.669\n家庭的一个急救处理的方法，\n\n14:57.969 --> 15:00.820\n如果如果有家用制氧机的话，\n\n15:00.820 --> 15:03.070\n那是最好及时的吸氧，\n\n15:03.169 --> 15:04.919\n如果出现。\n\n15:07.520 --> 15:08.770\n在以上这些症，\n\n15:08.820 --> 15:11.494\n就是处理都都已经处理了，\n\n15:11.494 --> 15:14.844\n但是他症状还没有完全缓解的话，\n\n15:14.844 --> 15:16.869\n或者已经出现意识模糊，\n\n15:16.969 --> 15:19.344\n严重的胸痛、咯血等。\n\n15:19.344 --> 15:22.044\n那要打1120急救电话，\n\n15:22.044 --> 15:24.570\n马上送医院急救。\n\n15:26.804 --> 15:28.403\n那我们怎么来预防呢？\n\n15:28.653 --> 15:31.754\n那核心的预防就是避免的诱因。\n\n15:31.754 --> 15:32.903\n刚才已经说了，\n\n15:32.903 --> 15:34.004\n戒烟戒酒，\n\n15:34.054 --> 15:35.203\n定期检测。\n\n15:36.203 --> 15:36.278\n嗯，\n\n15:36.278 --> 15:38.104\n然后是预防感染啊，\n\n15:38.104 --> 15:40.203\n感冒定期检查肺功能，\n\n15:40.304 --> 15:41.754\n了解病情的变化，\n\n15:41.854 --> 15:43.254\n还有接种疫苗，\n\n15:43.254 --> 15:44.254\n接种疫苗，\n\n15:44.403 --> 15:45.278\n流感疫苗，\n\n15:45.278 --> 15:46.354\n肺炎疫苗等，\n\n15:46.554 --> 15:47.804\n还要注意保暖，\n\n15:47.804 --> 15:48.653\n注意保暖，\n\n15:48.804 --> 15:49.703\n避免感染，\n\n15:49.703 --> 15:51.379\n不要去人群聚集的地方，\n\n15:51.379 --> 15:53.953\n这是非常非常重要的啊。\n\n15:54.004 --> 15:57.528\n如果一直一直有慢性的缺氧症状，\n\n15:57.528 --> 16:00.804\n其实家禽如果能够有制氧机能够。\n\n16:01.405 --> 16:01.604\n嗯，\n\n16:02.005 --> 16:07.479\n间歇性的低流量的吸氧改善它的那个缺氧症状，\n\n16:07.479 --> 16:12.804\n这也是一个很好的避免它急性发作的一个措施啊。\n\n16:12.905 --> 16:17.130\n还有一个就是要关注患者的心理健康，\n\n16:17.130 --> 16:18.655\n就是如果作为家属，\n\n16:18.804 --> 16:21.405\n就是一定因为他呼吸困难，\n\n16:21.405 --> 16:24.005\n咳嗽喘息都会出现一个焦虑，\n\n16:24.205 --> 16:25.655\n从而导致抑郁。\n\n16:25.655 --> 16:26.280\n这样的话，\n\n16:26.280 --> 16:29.304\n如果患者会有轻生的想法，\n\n16:29.304 --> 16:30.755\n所以说家里的。\n\n16:31.406 --> 16:31.656\n嗯，\n\n16:31.807 --> 16:36.182\n家属的那个心理支持是非常重要的。\n\n16:36.182 --> 16:37.331\n那我们怎么做呢？\n\n16:37.331 --> 16:39.307\n就是一个要沟通交流，\n\n16:39.307 --> 16:40.781\n多与患者交流，\n\n16:40.781 --> 16:41.956\n要换位思考。\n\n16:42.156 --> 16:42.557\n嗯，\n\n16:43.206 --> 16:44.831\n了解他的症状，\n\n16:44.831 --> 16:46.206\n了解自己的需求。\n\n16:46.406 --> 16:46.981\n然后呢，\n\n16:46.981 --> 16:49.682\n还要鼓励他参与社交活动，\n\n16:49.682 --> 16:51.606\n增强增强自己。\n\n16:53.195 --> 16:54.120\n如果疾病。\n\n16:55.046 --> 16:55.747\n加重啊，\n\n16:55.747 --> 16:57.921\n或者反复发作，\n\n16:57.921 --> 16:59.396\n那就要及时就医。\n\n16:59.447 --> 17:02.546\n他也要及时寻求心理咨询啊，\n\n17:02.796 --> 17:07.296\n然后家庭营造要营造一个家庭的轻松的。\n\n17:08.041 --> 17:09.840\n一个家庭的氛围啊，\n\n17:10.240 --> 17:17.441\n那就听简单的讲一讲关于慢阻肺的一个一个家庭的一个护理预防等等。\n\n17:18.635 --> 17:19.609\n今天就讲到这里，\n\n17:19.609 --> 17:20.084\n谢谢。\n\n","v0d47cg10004d60mkfiljht780lel3v0",1040,619,"2026-01-24 19:45:33","慢阻肺的家庭护理指南 - 症状管理、日常护理与康复建议  ","慢阻肺家庭护理,慢阻肺症状管理,COPD居家护理,慢阻肺康复,呼吸疾病护理  ","本文提供慢阻肺（COPD）患者家庭护理的全面指南，包括症状缓解技巧、日常护理方法、饮食运动建议及紧急情况处理，帮助家属科学照护患者，提升生活质量。","2026-02-03 19:04:11",[37],{"menuId":38,"menuName":39,"parentId":21,"orderNum":40,"path":41,"component":42,"isFrame":43,"isCache":44,"menuType":45,"visible":26,"status":21,"createDept":6,"remark":24,"createTime":46,"children":47,"columnImage":48,"columnLogo":49,"uncheckedLogo":6,"checkedLogo":6,"isHot":21,"isHome":21,"forceLogin":21,"color":6,"seoTitle":50,"seoKeywords":51,"seoDescription":52,"contentNum":6,"promotionalPoster":53,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":54,"routerPath":41,"componentInfo":42},"1986622624134549505","科普视频",3,"video","/video.html","1","0","T","2025-11-07 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