WEBVTT00:00:05.760 --> 00:00:07.080今天呢我们来讲一下00:00:07.080 --> 00:00:10.220关于急性上呼吸道感染的这么一个00:00:11.480 --> 00:00:12.280个体00:00:13.520 --> 00:00:15.000呃我主要分几部分讲00:00:15.000 --> 00:00:16.060一个是00:00:16.440 --> 00:00:18.940急性上呼吸道感染的代谢危害00:00:19.200 --> 00:00:21.420第二个就是诊断方法与禁闭诊断00:00:21.560 --> 00:00:21.920第三个00:00:21.920 --> 00:00:23.960就是治疗方法与药物选择禁用00:00:23.960 --> 00:00:26.160第四个方法是护理措施与抗污剂00:00:26.160 --> 00:00:27.260这个管理方案00:00:28.000 --> 00:00:28.880呃第五个00:00:28.880 --> 00:00:29.120就是00:00:29.120 --> 00:00:32.060预防策略与健康教育的一个推广00:00:33.560 --> 00:00:34.800啊我们先讲第一部分00:00:34.800 --> 00:00:36.400关于急性上呼吸道感染的00:00:36.400 --> 00:00:38.020概述与危害00:00:38.640 --> 00:00:40.480呃我们先看一下电影00:00:40.480 --> 00:00:41.400急性上呼吸道感染00:00:41.400 --> 00:00:42.400是指鼻腔00:00:42.400 --> 00:00:45.280咽部或者喉部急性炎症的总称00:00:45.280 --> 00:00:47.500是呼吸道最常见的传染病之一00:00:51.880 --> 00:00:52.560发病原因呢00:00:52.560 --> 00:00:55.640主要是由病毒细菌等呃00:00:55.640 --> 00:00:56.840病原体感染引起00:00:56.840 --> 00:00:58.720其中病毒感染最为常见00:00:58.720 --> 00:00:59.480如b病毒00:00:59.480 --> 00:01:00.460冠状病毒00:01:00.920 --> 00:01:03.060新病毒核爆病毒等等00:01:03.960 --> 00:01:06.880但还有一个是除了病毒细菌呢00:01:06.880 --> 00:01:08.180还有一个是志愿体00:01:09.400 --> 00:01:10.900临床表现与分型00:01:11.280 --> 00:01:12.540临床表现呢00:01:12.960 --> 00:01:15.200呃急性上呼吸道主要是表现为00:01:15.200 --> 00:01:16.120一个是鼻塞00:01:16.120 --> 00:01:17.320流涕顶痛00:01:17.320 --> 00:01:18.800咳嗽发热00:01:18.800 --> 00:01:22.120头痛乏力等等啊00:01:22.120 --> 00:01:22.600风险呢00:01:22.600 --> 00:01:25.040根据临床表现和病案的不同00:01:25.040 --> 00:01:26.500可分为普通感冒00:01:26.560 --> 00:01:28.160急性病毒性咽炎和喉炎00:01:28.160 --> 00:01:29.620急性疱疹性咽颊炎00:01:31.520 --> 00:01:33.900等等还有当然还有那个00:01:35.400 --> 00:01:38.240对流行性比较就传染性比较强大00:01:38.240 --> 00:01:40.100还有那个新型冠状病毒00:01:40.360 --> 00:01:41.240还有一个是感染00:01:41.240 --> 00:01:43.760还有一个是这个呃00:01:43.760 --> 00:01:46.980流行性感冒就是甲流乙流等等00:01:47.880 --> 00:01:49.240传播途径和预防措施00:01:49.240 --> 00:01:50.980传播途径呢主要是00:01:52.440 --> 00:01:54.420遇到感染主要通过肺沫传播00:01:55.040 --> 00:01:56.980如咳嗽打喷嚏等等00:01:57.880 --> 00:01:58.740还有呢00:01:58.960 --> 00:02:01.060通过密切接触呢也可以传播00:02:02.400 --> 00:02:02.800预防呢00:02:02.800 --> 00:02:04.560主要是保持良好的卫生习惯00:02:04.560 --> 00:02:05.880勤洗手戴口罩00:02:05.880 --> 00:02:07.880避免去人群密集场所等00:02:07.880 --> 00:02:08.760加强锻炼00:02:08.760 --> 00:02:10.280增强身体免疫力00:02:10.280 --> 00:02:12.580避免接触呼吸道感染患者00:02:15.760 --> 00:02:17.380这危害及并发症00:02:18.560 --> 00:02:21.480危害方面主要是你知道就为了干了00:02:21.480 --> 00:02:23.160就是一直说打喷嚏00:02:23.160 --> 00:02:23.360可以00:02:23.360 --> 00:02:25.920影响患者一个正常的生活与工作00:02:25.920 --> 00:02:27.800啊严重则会引起并发症00:02:27.800 --> 00:02:30.940主要是些急性鼻窦炎中华炎00:02:32.160 --> 00:02:32.960支气管炎00:02:32.960 --> 00:02:33.840生殖炎及肺炎00:02:33.840 --> 00:02:34.760心肌炎等等00:02:34.760 --> 00:02:36.660这些严重的一些并发症00:02:40.240 --> 00:02:41.760我们再来看一下第二部分00:02:41.760 --> 00:02:45.240就诊断方法以及禁闭诊断00:02:45.240 --> 00:02:46.940主要一个是临床表现00:02:47.480 --> 00:02:49.960主要是一个是你说过00:02:49.960 --> 00:02:51.460主要是一个基因疾病00:02:51.880 --> 00:02:53.320如发热头痛00:02:53.320 --> 00:02:54.460鼻塞流涕00:02:54.520 --> 00:02:56.620咳嗽运动等等症状00:02:57.560 --> 00:02:59.900party呢一般可以看到阴部风穴00:03:00.040 --> 00:03:01.380或者扁桃体肿大00:03:01.480 --> 00:03:02.740颈部淋巴率肿大00:03:04.320 --> 00:03:05.720影响到支气管或者肺呢00:03:05.720 --> 00:03:08.400可以在肺部闻到有干湿落咽00:03:08.400 --> 00:03:10.680或者什么呃狼狈呼吸炎00:03:10.680 --> 00:03:11.620增粗等等00:03:12.920 --> 00:03:13.840流行病学史呢00:03:13.840 --> 00:03:18.360是一个是呃流呃00:03:18.360 --> 00:03:21.760比方说流感的话是流感呃流行季节00:03:21.760 --> 00:03:22.280还有一个呢00:03:22.280 --> 00:03:24.320就是一般的呼吸道感染00:03:24.320 --> 00:03:24.640比如说00:03:24.640 --> 00:03:26.800你跟呼吸道感染患者有过密切接触00:03:26.800 --> 00:03:30.580的因此的这个比较注意的00:03:31.880 --> 00:03:33.840实验室检查及影像学检查00:03:33.840 --> 00:03:35.880实验室检查主要是一个血常规00:03:35.880 --> 00:03:36.680血常规00:03:37.440 --> 00:03:38.240血常规00:03:38.680 --> 00:03:39.680如果细菌感染是00:03:39.680 --> 00:03:41.480白细胞激素是可以增高的00:03:41.480 --> 00:03:42.320如果病毒感染呢00:03:42.320 --> 00:03:44.900白细胞激素一般是增长或者偏低00:03:48.800 --> 00:03:49.920然后是病毒液检查00:03:49.920 --> 00:03:50.560病毒液检查00:03:50.560 --> 00:03:53.520像我们这个有核酸检查00:03:53.520 --> 00:03:54.640抗原检查等等00:03:54.640 --> 00:03:56.600就是甲硫乙硫00:03:56.600 --> 00:03:58.620还有种单体检查00:03:59.320 --> 00:04:00.200乳腺癌检查00:04:00.200 --> 00:04:01.820包括x型胸片00:04:02.000 --> 00:04:04.120ct等等有助于呃00:04:04.120 --> 00:04:07.580排除呃背淋淋的疾病00:04:11.280 --> 00:04:13.880具体一些近别诊断及误诊原因呢00:04:13.880 --> 00:04:15.780嗯一个是过敏性鼻炎00:04:15.800 --> 00:04:16.600嗯00:04:17.200 --> 00:04:19.760症状的跟上呼吸道传染是相似的00:04:19.760 --> 00:04:22.100但一般不有全身中毒性的症状00:04:23.080 --> 00:04:24.080因为过敏的可能00:04:24.080 --> 00:04:26.440外周血常规里面的可能嗜酸性细胞00:04:26.440 --> 00:04:28.180嗜酸性粒细胞会增多00:04:30.000 --> 00:04:33.320流行性感冒流行性感冒症状相似00:04:33.320 --> 00:04:35.800但流感病毒抗原检测阳性00:04:35.800 --> 00:04:36.980有流行趋势00:04:37.400 --> 00:04:39.700基因扁桃体炎基因扁桃体炎呢00:04:41.240 --> 00:04:42.560其实也可以归类为00:04:42.560 --> 00:04:44.460基因上呼吸道感染你们的00:04:46.040 --> 00:04:47.220一类型啊00:04:47.760 --> 00:04:50.520它主要是一个扁桃体体检00:04:50.520 --> 00:04:52.900体查可以扁桃体肿大明显00:04:53.000 --> 00:04:54.540比如伸缩物等等00:04:57.920 --> 00:04:59.400那我们再下看一看00:04:59.400 --> 00:05:03.620一些那个案例的分享与经营总结00:05:04.920 --> 00:05:06.480一个就是说啊00:05:06.480 --> 00:05:08.820患者因高热临床咳嗽就诊00:05:09.080 --> 00:05:10.700等到我去医生费勒讲勒00:05:12.600 --> 00:05:14.400那肯定是查了血常规00:05:14.400 --> 00:05:15.880查了血常规白细胞不高00:05:15.880 --> 00:05:17.200考虑病毒性感冒00:05:17.200 --> 00:05:18.880会抗病毒治疗00:05:18.880 --> 00:05:21.020及对症处理和症状缓解00:05:24.200 --> 00:05:24.920第二个案例呢00:05:24.920 --> 00:05:27.500就是一个是鼻塞流剂咳嗽增长00:05:28.800 --> 00:05:29.820血常规呢00:05:30.000 --> 00:05:31.040这里面有血啊00:05:31.040 --> 00:05:33.560血常规肯定是也是年龄细胞增高00:05:33.560 --> 00:05:35.360或者肌外有反复发作病时00:05:35.360 --> 00:05:38.060那肯定是考虑一个过敏性的鼻炎00:05:38.440 --> 00:05:38.800这个呢00:05:38.800 --> 00:05:41.600就主要给一个抗过敏治疗啊00:05:41.600 --> 00:05:44.640加上这个科比症等等00:05:44.640 --> 00:05:45.940症状可以明显改善00:05:46.480 --> 00:05:49.880所以对那个低性肠胃药感染是00:05:49.880 --> 00:05:52.740一个是详细雄瘟病史还有呢00:05:55.160 --> 00:05:57.480查体来结合00:05:57.480 --> 00:05:58.800这些是因素检查机00:05:58.800 --> 00:05:59.840隐身检查进行00:05:59.840 --> 00:06:00.900动作分子00:06:01.120 --> 00:06:02.040例如卫生00:06:02.040 --> 00:06:03.460主要是要有一些00:06:04.760 --> 00:06:08.200流行性流行性的什么旁人病00:06:08.200 --> 00:06:09.840例如新冠等等00:06:09.840 --> 00:06:11.880禁杯第二是在太极杯00:06:11.880 --> 00:06:15.300呃这个治疗测试00:06:17.720 --> 00:06:19.720在我们看第三本00:06:19.720 --> 00:06:22.580关于治疗方法与药物选择建议方面00:06:23.680 --> 00:06:24.400我们先看一下00:06:24.400 --> 00:06:26.780西药治疗的一些原则及药物选择00:06:27.280 --> 00:06:28.880我对呃首先一00:06:28.880 --> 00:06:31.320个是一些对症治疗00:06:31.320 --> 00:06:32.280比如包括解药00:06:32.280 --> 00:06:33.920镇痛药止咳00:06:33.920 --> 00:06:34.740抗过敏00:06:35.520 --> 00:06:37.000鼻内膜血管的收缩00:06:37.000 --> 00:06:38.180收缩剂等等00:06:38.680 --> 00:06:39.800啥物事要是核酸比例00:06:39.800 --> 00:06:42.620就有几个地方垃垓讲个要00:06:43.560 --> 00:06:44.940还有像迭个00:06:46.200 --> 00:06:47.560就说比例呒00:06:47.560 --> 00:06:48.320没相关的00:06:48.320 --> 00:06:49.620嗯什么a b a00:06:49.800 --> 00:06:53.040对对止咳化痰中就有一些这药水00:06:53.040 --> 00:06:54.740这种类也蛮多的00:06:55.080 --> 00:06:56.940就可以改善一下症状00:06:58.760 --> 00:07:01.800然后呢这是主要这个对症治疗00:07:01.800 --> 00:07:02.840一些病因治疗方面00:07:02.840 --> 00:07:04.700一个是主要这个抗斑的治疗00:07:04.960 --> 00:07:07.120嗯主要是一个针对细菌病毒等00:07:07.120 --> 00:07:09.480当然选用相应的碳菌00:07:09.480 --> 00:07:10.380看病毒药00:07:13.480 --> 00:07:14.560比如片霉素类00:07:14.560 --> 00:07:15.480头孢菌素类00:07:15.480 --> 00:07:18.620还有啊非绿铜类等等00:07:19.040 --> 00:07:20.380它病毒药呢00:07:21.880 --> 00:07:22.600也立白为例00:07:22.600 --> 00:07:23.720这种一般不大用00:07:23.720 --> 00:07:24.680因为病毒呢00:07:24.680 --> 00:07:27.160因为呃病毒感染00:07:27.160 --> 00:07:29.480大部分的病毒感染都有自信性00:07:29.480 --> 00:07:31.220一般不需要抗病毒治疗00:07:32.880 --> 00:07:35.020如果特别中症的呃00:07:35.200 --> 00:07:37.580可以考虑从抗病毒的药物的00:07:40.640 --> 00:07:41.040还有一个00:07:41.040 --> 00:07:43.000就是一个免疫增强剂的治疗00:07:43.000 --> 00:07:44.840主要是提高机体免疫力00:07:44.840 --> 00:07:45.900缩短病程00:07:48.560 --> 00:07:49.400啊维生素c00:07:49.400 --> 00:07:50.160免疫球蛋白00:07:50.160 --> 00:07:51.040对免疫球蛋白00:07:51.040 --> 00:07:51.520我们知道00:07:51.520 --> 00:07:55.000这以前这个新冠流行的时候啊00:07:55.000 --> 00:07:57.940免疫球蛋白还是买不到的00:07:58.520 --> 00:08:01.100可以增加患者的免疫力00:08:04.280 --> 00:08:06.900上面是些西药的一些治疗药物呃00:08:06.920 --> 00:08:10.400然后中药治疗方面的一些策略呃00:08:10.400 --> 00:08:14.160主要是一些性温解表的药物00:08:14.160 --> 00:08:15.680可以用于风寒感冒00:08:15.680 --> 00:08:18.240可选用麻丸汤或者龟子汤等方剂00:08:18.240 --> 00:08:19.980还有一个是心凉解表00:08:20.560 --> 00:08:22.180主要是用于风热感冒00:08:22.920 --> 00:08:25.740或者凝鞘散或者三聚元等方剂00:08:26.240 --> 00:08:28.760然后呢就是一些清热解毒的药物00:08:28.760 --> 00:08:29.680主要用于淋痛00:08:29.680 --> 00:08:31.180咳嗽黄疸等症状00:08:32.920 --> 00:08:34.280有清热解毒口服液00:08:34.280 --> 00:08:35.900或者双黄连口服液等等00:08:38.080 --> 00:08:38.720中草药使00:08:38.720 --> 00:08:41.040用的话你要担心他一些副作用00:08:41.040 --> 00:08:41.960一个是剂量00:08:41.960 --> 00:08:42.760嗯00:08:43.440 --> 00:08:46.140避免过量的或者长期的使用00:08:46.360 --> 00:08:47.200还有一部分人呢00:08:47.200 --> 00:08:49.500也可能会对虫草产生过敏反00:08:51.040 --> 00:08:52.360还有一些呢00:08:52.360 --> 00:08:54.320就一些草药与中草药相互作用呢00:08:54.320 --> 00:08:58.560也可能会产生一些加重一些副作用00:08:58.560 --> 00:08:59.320应该避免00:08:59.320 --> 00:09:02.140呃应该注意这些方面的00:09:02.440 --> 00:09:04.620我们就是一些副反应产生00:09:08.800 --> 00:09:09.520来我们再讲一下00:09:09.520 --> 00:09:12.300关于生活方式及调整的一些建议00:09:12.320 --> 00:09:16.200第一个就是保持充足的休息和睡眠00:09:16.200 --> 00:09:17.500避免过度疲劳00:09:18.000 --> 00:09:19.120第二个呢就是多喝水00:09:19.120 --> 00:09:20.920保持室内空气流通和湿度00:09:20.920 --> 00:09:23.460避免接触刺激性气体和粉尘00:09:24.600 --> 00:09:27.680然后呢就是呃饮食方面来说00:09:27.680 --> 00:09:29.480应该是清淡容易消化的00:09:29.480 --> 00:09:30.680多吃蔬菜水果00:09:30.680 --> 00:09:33.100避免辛辣油腻等这些食物00:09:39.160 --> 00:09:41.320那么那我们看一下这个第四部分00:09:41.320 --> 00:09:42.520关于护理措施00:09:42.520 --> 00:09:45.020及康复器的一个管理方案00:09:49.240 --> 00:09:53.520常规的护理操作及要点一些介绍00:09:53.520 --> 00:09:56.360主要是一个针对住院患者来说00:09:56.360 --> 00:09:59.180呃一个就是保持呼吸道通畅00:10:00.440 --> 00:10:04.360及时清除鼻腔肌和部分分泌物00:10:04.360 --> 00:10:08.340骨里患者咳嗽反正也堵塞器官00:10:09.560 --> 00:10:11.720然后是一个体温的监测与处理00:10:11.720 --> 00:10:12.720定时测量体温00:10:12.720 --> 00:10:13.440发热时太久00:10:13.440 --> 00:10:15.000物理降温或者药物降温措施00:10:15.000 --> 00:10:16.220避免高热晕厥00:10:17.720 --> 00:10:18.520嗯00:10:18.800 --> 00:10:23.520然后呢休息与活动就是一个部分00:10:23.520 --> 00:10:24.820休息减少活动00:10:25.440 --> 00:10:27.820病房环境呢是保持空气流畅00:10:28.480 --> 00:10:30.860避免堆堆流空气00:10:31.480 --> 00:10:32.120堆流空气00:10:32.120 --> 00:10:34.540保持适宜的温度和湿度00:10:39.040 --> 00:10:39.880然后下面讲一下00:10:39.880 --> 00:10:42.200关于并发症预防的策略部署00:10:42.200 --> 00:10:44.200第一个就是密切观察病情变化00:10:44.200 --> 00:10:46.520及时发现并处理并发症的早期症状00:10:46.520 --> 00:10:47.240如心肌炎00:10:47.240 --> 00:10:48.220中耳炎等00:10:48.440 --> 00:10:50.220第二个就是合理使用抗生素00:10:50.480 --> 00:10:51.800避免滥用抗生素00:10:51.800 --> 00:10:53.800严格掌握用药指针和疗程00:10:53.800 --> 00:10:55.340预防耐药菌的产生00:10:55.680 --> 00:10:57.300第三个就是预防性用药00:10:58.080 --> 00:10:59.880对于存在高危因素的患儿00:10:59.880 --> 00:11:01.760可以预防性的使用抗病毒药物00:11:01.760 --> 00:11:03.060和免疫增强剂00:11:04.760 --> 00:11:07.620主要的呃流感剂呃00:11:07.760 --> 00:11:10.500可以这个呃00:11:11.360 --> 00:11:13.460可以呃这个00:11:13.640 --> 00:11:15.700使用那个抗病毒药物00:11:18.280 --> 00:11:21.940呃在康复期的饮食期调整记忆00:11:22.720 --> 00:11:25.340主要是一个就是保持营养均衡00:11:28.120 --> 00:11:30.220提供丰富多样的食物00:11:30.600 --> 00:11:32.340保证患儿那个00:11:36.320 --> 00:11:38.820摄入足够的蛋白质维生素和矿物质00:11:42.120 --> 00:11:44.260第二个饮食呢就是容易清淡00:11:44.840 --> 00:11:45.740容易消化00:11:45.880 --> 00:11:49.080避免油腻辛辣刺激类食物00:11:49.080 --> 00:11:50.500避免胃肠道负担00:11:51.880 --> 00:11:53.900多食多食蔬菜水果00:11:54.800 --> 00:11:56.480增加膳食纤维的摄入00:11:56.480 --> 00:11:57.820促进肠道蠕动00:11:58.440 --> 00:11:59.460预防便秘00:11:59.720 --> 00:12:00.840合理安排餐饮00:12:00.840 --> 00:12:01.800少食多餐00:12:01.800 --> 00:12:03.180避免暴饮暴食00:12:03.480 --> 00:12:04.900保持饮食规律00:12:07.440 --> 00:12:09.600然后我们再讲一下心理干预00:12:09.600 --> 00:12:10.900在看我怎么做00:12:12.320 --> 00:12:14.300一个是缓解紧张情绪00:12:14.680 --> 00:12:15.820第二个就是说00:12:17.200 --> 00:12:18.000特别是小朋友00:12:18.000 --> 00:12:18.880可以通过游戏00:12:18.880 --> 00:12:21.520音乐等方式转移患者的注意力00:12:21.520 --> 00:12:23.660避免疼痛带来的恐惧和不安00:12:24.560 --> 00:12:25.580增强信心00:12:26.960 --> 00:12:28.660还能求家庭支持00:12:31.160 --> 00:12:31.720心理辅导00:12:31.720 --> 00:12:33.640对于出现心理障碍的一些小朋友呢00:12:33.640 --> 00:12:36.040可以及时进行专业的心理辅导00:12:36.040 --> 00:12:38.740帮助其恢复正常的那个心理状态00:12:41.640 --> 00:12:43.920呃第一步第五部分00:12:43.920 --> 00:12:47.100关于预防策略与健康教育的推广00:12:48.760 --> 00:12:49.880主要是一个就是00:12:49.880 --> 00:12:53.120一个疫苗的接种策略和效果00:12:53.120 --> 00:12:55.240评估一个疫苗接种策略00:12:55.240 --> 00:12:56.920制定科学的疫苗接种计划00:12:56.920 --> 00:13:00.600根据流行情况和疫苗特性00:13:00.600 --> 00:13:02.540确定接种时间和接种对象00:13:03.160 --> 00:13:05.200第二个就是疫苗种类的选择00:13:05.200 --> 00:13:06.600优先选择预防急性00:13:06.600 --> 00:13:08.220上呼吸道上的有效疫苗00:13:09.600 --> 00:13:10.840流感病毒疫苗00:13:10.840 --> 00:13:11.780对应疫苗00:13:13.000 --> 00:13:14.240等等你00:13:14.240 --> 00:13:15.720看这个效果评估方法00:13:15.720 --> 00:13:17.700通过疫苗接种覆盖率00:13:17.760 --> 00:13:20.000疫苗表保护率等指标00:13:20.000 --> 00:13:23.020评估疫苗接种的一个效果00:13:24.440 --> 00:13:24.760然后00:13:24.760 --> 00:13:28.660就是一个个人卫生习惯的培养方法00:13:28.800 --> 00:13:31.520而且呢也只是强调了一个勤洗手00:13:31.520 --> 00:13:32.160那我们就00:13:32.160 --> 00:13:35.460我们就强调一个起步吸收法00:13:37.840 --> 00:13:38.400教育工作00:13:38.400 --> 00:13:40.120养成勤吸收的习惯00:13:40.120 --> 00:13:42.400特别是接触呼吸道分泌后00:13:42.400 --> 00:13:43.700应该立即洗澡00:13:44.000 --> 00:13:46.520还有一个是讲究呼吸道的卫生00:13:46.520 --> 00:13:47.560咳嗽或打喷嚏00:13:47.560 --> 00:13:49.720用纸巾或肘部遮住口鼻00:13:49.720 --> 00:13:51.140避免肺沫传播00:13:51.920 --> 00:13:53.720还有一个就是避免接触患者00:13:53.720 --> 00:13:55.440应尽量与00:13:55.440 --> 00:13:57.280避免急性上呼吸道感染患者00:13:57.280 --> 00:13:57.920密切接触00:13:57.920 --> 00:13:59.820减少疾病传播的一个风险00:14:02.560 --> 00:14:04.900呃公共卫生公共场00:14:16.640 --> 00:14:17.760进行清洁和消毒00:14:17.760 --> 00:14:20.180减少病毒在环境中存活时间00:14:20.840 --> 00:14:22.280第三个就是口罩的佩戴00:14:22.280 --> 00:14:24.240在人员密集的场所建议佩戴口罩00:14:24.240 --> 00:14:26.500以减少飞沫传播的可能性00:14:29.320 --> 00:14:32.400然而的关于健康教育工作00:14:32.400 --> 00:14:34.920推广计划的一个是宣传渠道00:14:34.920 --> 00:14:36.400主要是通过电视广播00:14:36.400 --> 00:14:37.560网络等多种渠道00:14:37.560 --> 00:14:40.460普及电商呼吸道感染的预防知识00:14:40.920 --> 00:14:43.320教育内容的主要包括疾病的危害00:14:43.320 --> 00:14:46.260传播途径预防措施等方面的知识00:14:47.120 --> 00:14:49.080提高公众的健康意识00:14:49.080 --> 00:14:50.900和自我保护能力00:14:54.000 --> 00:14:56.340第三个就是针对目标人群00:14:56.560 --> 00:14:58.460重点主要是针对儿童00:14:58.480 --> 00:15:00.980老年人慢性病患者等易感人群00:15:01.200 --> 00:15:04.160那就是儿童老年人慢性病患者00:15:04.160 --> 00:15:06.400这些人呢就是说都免疫功能较低00:15:06.400 --> 00:15:09.220比如说一个是容易00:15:10.960 --> 00:15:11.880发生低热感染00:15:11.880 --> 00:15:12.840然后发生感染后呢00:15:12.840 --> 00:15:16.260还是容易呃导致一些并发症啊00:15:16.480 --> 00:15:17.440重症啊等等00:15:17.440 --> 00:15:18.800所以呢主要针对这些人呢00:15:18.800 --> 00:15:20.220开展一个健康教育的00:15:22.800 --> 00:15:26.520啊我的课题分享就到这里00:15:26.520 --> 00:15:27.540谢谢大家