WEBVTT00:00:03.280 --> 00:00:05.660各位同道同仁下午好00:00:05.720 --> 00:00:06.080呃00:00:06.080 --> 00:00:10.140我今天讲课的题目是慢性咳嗽解析00:00:10.360 --> 00:00:12.880呃我是浦南医院耳鼻咽喉科的00:00:12.880 --> 00:00:14.220黄心炎医生00:00:14.800 --> 00:00:15.240呃00:00:15.240 --> 00:00:19.220下面我从以下几个方面来讲我这个00:00:19.760 --> 00:00:21.800呃可见呃00:00:21.800 --> 00:00:24.380首先是疾病概数00:00:25.240 --> 00:00:26.500定义分类00:00:27.560 --> 00:00:30.440呃慢性咳嗽的定义00:00:30.440 --> 00:00:31.160慢性咳嗽00:00:31.160 --> 00:00:34.080是指持续时间超过八周的咳嗽00:00:34.080 --> 00:00:36.500是一种常见的呼吸道症状00:00:36.800 --> 00:00:38.700它不同于急性咳嗽00:00:38.960 --> 00:00:41.640后者通常是由感染引起的00:00:41.640 --> 00:00:43.980应在几周内自行缓解00:00:44.240 --> 00:00:46.460常见类型与原因00:00:46.520 --> 00:00:50.580慢性咳嗽是可以根据咳嗽的性质00:00:50.920 --> 00:00:54.500呃干咳或湿咳和咳嗽的原因00:00:54.520 --> 00:00:58.140如感染炎症肿瘤等进行分类00:00:58.200 --> 00:01:01.540常见的原因包括慢性阻塞性肺病00:01:01.600 --> 00:01:03.740哮喘胃食管反流00:01:03.760 --> 00:01:05.540鼻后滴漏综合征00:01:05.960 --> 00:01:07.660疾病的发展趋势00:01:08.120 --> 00:01:09.960随着环境污染的加剧00:01:09.960 --> 00:01:12.260和老龄化社会的到来00:01:12.280 --> 00:01:15.700慢性咳嗽的发病率呈上升趋势00:01:15.880 --> 00:01:18.600此外不健康的生活习惯00:01:18.600 --> 00:01:20.800如吸烟和过度饮酒00:01:20.800 --> 00:01:23.180也增加了慢性咳嗽的风险00:01:23.760 --> 00:01:25.340患者人群特点00:01:25.360 --> 00:01:27.980慢性咳嗽的患者人群广泛00:01:28.040 --> 00:01:30.900包括儿童成年人和老年人00:01:31.000 --> 00:01:34.840其中吸烟者有慢性呼吸道疾病00:01:34.840 --> 00:01:37.500使得人群更易受到影响00:01:38.400 --> 00:01:39.660临床表现00:01:40.160 --> 00:01:41.180常见症状00:01:41.280 --> 00:01:43.160慢性咳嗽的常见症状00:01:43.160 --> 00:01:45.100包括持续性咳嗽00:01:45.200 --> 00:01:47.940喉咙痛胸痛和呼吸困难00:01:48.080 --> 00:01:48.920这些症状00:01:48.920 --> 00:01:51.240可能会影响患者的日常活动00:01:51.240 --> 00:01:52.580和工作效率00:01:53.720 --> 00:01:56.840伴随症状除了咳嗽之外00:01:56.840 --> 00:02:01.100慢性咳嗽可能伴随有其他症状00:02:01.120 --> 00:02:05.680如咳痰声音嘶哑鼻塞和喘息00:02:05.680 --> 00:02:08.940这些症状有助于医生进行病因诊断00:02:09.640 --> 00:02:10.940症状变化规律00:02:11.080 --> 00:02:12.720慢性咳嗽的症状00:02:12.720 --> 00:02:15.540可能会随着时间的推移而变化00:02:15.640 --> 00:02:17.800如季节性加剧00:02:17.800 --> 00:02:21.740或因特定环境因素而加重00:02:21.880 --> 00:02:25.480了解这些变化规律有助于制定更有00:02:25.480 --> 00:02:26.820效的治疗方案00:02:27.360 --> 00:02:28.940患者生活质量00:02:29.360 --> 00:02:30.080慢性咳嗽00:02:30.080 --> 00:02:32.500不仅影响患者的身体健康00:02:32.640 --> 00:02:35.660还可能对生活质量造成显著影响00:02:35.960 --> 00:02:37.660包括睡眠障碍00:02:37.720 --> 00:02:40.700情绪问题和社交活动限制00:02:45.000 --> 00:02:47.900诊断方法询问病史00:02:48.360 --> 00:02:49.040体格检查00:02:49.040 --> 00:02:50.760可以帮助医生发现00:02:50.760 --> 00:02:52.700可能的呼吸道异常00:02:52.760 --> 00:02:56.460如肺部螺音哮鸣音或呼吸音减弱等00:02:56.600 --> 00:02:57.660鉴别诊断00:02:57.960 --> 00:03:01.300询问病史是诊断慢性咳嗽的第一步00:03:01.440 --> 00:03:05.560医生会详细询问咳嗽的起始时间00:03:05.560 --> 00:03:06.780持续时间00:03:07.360 --> 00:03:10.020咳嗽的性质以及伴随症状等00:03:10.200 --> 00:03:11.380体格检查00:03:11.560 --> 00:03:12.320鉴别诊断00:03:12.320 --> 00:03:12.600是00:03:12.600 --> 00:03:15.640排除其他可能引起慢性咳嗽的疾病00:03:15.640 --> 00:03:19.460的过程如心阴性咳嗽肿瘤等00:03:19.840 --> 00:03:21.540通过综合病史00:03:21.640 --> 00:03:24.700体格检查和辅助检查结果00:03:24.760 --> 00:03:27.220医生可以确定正确的诊断00:03:27.760 --> 00:03:28.860辅助检查00:03:29.040 --> 00:03:32.660辅助检查包括胸部x光ct扫描00:03:32.880 --> 00:03:36.380肺部功能测试和过敏原检测等00:03:36.400 --> 00:03:37.240这些检查00:03:37.240 --> 00:03:39.980有助于确定咳嗽的具体原因00:03:41.120 --> 00:03:45.620病因分析常见病因呼吸系统疾病00:03:45.800 --> 00:03:48.200慢性咳嗽最常见的病因是00:03:48.200 --> 00:03:49.620呼吸系统疾病00:03:49.920 --> 00:03:54.300包括慢性阻塞性肺疾病copd哮喘00:03:54.680 --> 00:03:55.980支气管扩张00:03:56.120 --> 00:03:57.300肺结核等00:03:57.560 --> 00:04:00.040这些疾病会导致气道炎症00:04:00.040 --> 00:04:03.020分泌物增多或气道阻塞00:04:03.120 --> 00:04:04.580从而引起咳嗽00:04:05.480 --> 00:04:08.880心血管疾病心血管系统疾病00:04:08.880 --> 00:04:11.640如高血压心脏病等00:04:11.640 --> 00:04:13.940也可能引起慢性咳嗽00:04:14.240 --> 00:04:17.700例如左心衰时肺循环压力增高00:04:17.840 --> 00:04:19.200可能导致肺水肿00:04:19.200 --> 00:04:20.580从而引起咳嗽00:04:20.880 --> 00:04:23.120药物副作用某些药物00:04:23.120 --> 00:04:27.100如血管紧张素转换酶抑制剂acei等00:04:27.520 --> 00:04:29.120可能会引起慢性咳嗽00:04:29.120 --> 00:04:31.060作为其副作用之一00:04:31.400 --> 00:04:32.240这种咳嗽00:04:32.240 --> 00:04:35.220通常在用药一段时间后出现00:04:35.400 --> 00:04:37.260停药后可缓解00:04:37.680 --> 00:04:39.560其他因素其他因素00:04:39.560 --> 00:04:43.200如胃食管反流过敏肿瘤等00:04:43.200 --> 00:04:44.440也可能导致慢00:04:44.440 --> 00:04:46.520性咳嗽胃食管反流时00:04:46.520 --> 00:04:48.340胃酸反流至食管00:04:48.600 --> 00:04:50.620刺激咳嗽反射中枢00:04:50.640 --> 00:04:52.180引起慢性咳嗽00:04:53.120 --> 00:04:56.160发病机制神经反射机制00:04:56.160 --> 00:04:58.920慢性咳嗽的发病之一呃00:04:58.920 --> 00:05:00.360是神经反射机制00:05:00.360 --> 00:05:02.380当气道受到刺激时00:05:02.960 --> 00:05:04.760移走神经等传入神经00:05:04.760 --> 00:05:08.260会将信号传递到大脑的咳嗽中枢00:05:08.280 --> 00:05:09.820引发咳嗽反射00:05:10.080 --> 00:05:11.180炎症反应00:05:11.200 --> 00:05:11.840炎症反应00:05:11.840 --> 00:05:14.860也是慢性咳嗽的一个重要发病机制00:05:14.920 --> 00:05:19.160气道炎症会导致组织受伤和刺激00:05:19.160 --> 00:05:20.740产生咳嗽介质00:05:21.160 --> 00:05:23.080如主氨前列腺素等00:05:23.080 --> 00:05:24.500从而引起咳嗽00:05:24.760 --> 00:05:26.180免疫功能异常00:05:26.320 --> 00:05:29.220免疫功能异常可能导致慢性咳嗽00:05:29.240 --> 00:05:31.580如某些自身免疫性疾病00:05:31.600 --> 00:05:33.700免疫系统异常激活00:05:33.760 --> 00:05:35.980导致气道炎症和损伤00:05:36.040 --> 00:05:37.500引起慢性咳嗽00:05:37.640 --> 00:05:38.760遗传因素00:05:38.760 --> 00:05:41.040遗传因素在慢性咳嗽的发病中00:05:41.040 --> 00:05:42.580也可能起到作用00:05:42.760 --> 00:05:44.820例如某些遗传性疾病00:05:44.920 --> 00:05:46.600如囊性纤维化00:05:46.600 --> 00:05:48.900会影响气道的正常功能00:05:48.960 --> 00:05:50.460导致慢性咳嗽00:05:51.320 --> 00:05:53.900影响因素生活习惯00:05:54.040 --> 00:05:54.800心理因素00:05:54.800 --> 00:05:56.620如焦虑压力等00:05:57.400 --> 00:05:59.420也可能导致慢性咳嗽00:05:59.480 --> 00:06:02.040心理因素可以通过神经内分泌00:06:02.040 --> 00:06:03.140免疫网络00:06:03.320 --> 00:06:05.020影响气道的反应性00:06:05.080 --> 00:06:06.820引起或加重咳嗽00:06:07.200 --> 00:06:09.240心理因素生活习惯00:06:09.240 --> 00:06:13.420如吸烟饮酒等不良习惯会刺激气道00:06:13.520 --> 00:06:15.580加重慢性咳嗽的症状00:06:15.640 --> 00:06:16.440此外00:06:17.040 --> 00:06:17.880缺乏锻炼00:06:17.880 --> 00:06:22.380饮食过当也可能影响咳嗽的发作00:06:22.720 --> 00:06:23.860环境因素00:06:24.080 --> 00:06:25.160社会经济因素00:06:25.160 --> 00:06:27.840如经济条件医疗资源等00:06:27.840 --> 00:06:31.460也会影响慢性咳嗽的发病和管理00:06:31.480 --> 00:06:32.480经济条件差00:06:32.480 --> 00:06:35.020可能导致患者无法及时就医00:06:35.480 --> 00:06:37.060缺乏有效治疗00:06:37.560 --> 00:06:39.020社会经济因素00:06:39.680 --> 00:06:40.400环境因素00:06:40.400 --> 00:06:42.720如空气污染气候变化等00:06:42.720 --> 00:06:45.180也会影响慢性咳嗽的发病00:06:45.320 --> 00:06:48.280污染物如pm二点五二氧化硫等00:06:48.280 --> 00:06:49.860可刺激气道00:06:49.920 --> 00:06:51.740引起或加重咳嗽00:06:52.360 --> 00:06:55.060治疗方案药物治疗00:06:55.240 --> 00:06:56.440抗感染药物00:06:56.440 --> 00:06:57.400抗感染药物00:06:57.400 --> 00:07:00.580是治疗慢性咳嗽的重要手段00:07:00.800 --> 00:07:02.800主要用于控制由细菌00:07:02.800 --> 00:07:05.460病毒等病原体引起的感染00:07:05.760 --> 00:07:08.760常用的抗感染药物包括抗生素00:07:08.760 --> 00:07:09.980抗病毒药物00:07:10.120 --> 00:07:12.980抗生素如青霉素类头孢菌素类00:07:13.000 --> 00:07:16.020能够有效抑制细菌的生长和繁殖00:07:16.400 --> 00:07:19.260抗病毒药物如奥司他韦等00:07:19.320 --> 00:07:21.660则用于治疗病毒性感染00:07:21.680 --> 00:07:24.180在使用抗感染药物时00:07:24.200 --> 00:07:27.720需根据病原体的种类和药物敏感性00:07:27.720 --> 00:07:28.940进行选择00:07:29.040 --> 00:07:31.180以避免耐药性的00:07:32.080 --> 00:07:33.060镇咳药物00:07:33.080 --> 00:07:36.100镇咳药物主要用于缓解咳嗽症状00:07:36.120 --> 00:07:38.740使患者能够得到暂时的舒缓00:07:38.800 --> 00:07:40.760根据作用机制的不同00:07:40.760 --> 00:07:43.200镇咳药物分为中枢性镇咳药00:07:43.200 --> 00:07:45.140和外中性镇咳药00:07:45.320 --> 00:07:48.780中枢性镇咳药如可待因右美沙芬等00:07:48.880 --> 00:07:51.420通过作用于大脑咳嗽中枢00:07:51.440 --> 00:07:52.940抑制咳嗽反射00:07:53.080 --> 00:07:56.460外周性镇咳药如苯佐那敏等00:07:56.680 --> 00:07:59.420则通过减轻呼吸道黏膜刺激00:07:59.440 --> 00:08:00.580减少咳嗽00:08:00.920 --> 00:08:02.840但长期使用镇咳药物00:08:02.840 --> 00:08:06.040可能会导致依赖性和副作用00:08:06.040 --> 00:08:08.620因此应在医生指导下使用00:08:09.040 --> 00:08:10.140祛痰药物00:08:10.360 --> 00:08:11.600祛痰药物的作用00:08:11.600 --> 00:08:15.560是帮助患者排出呼吸道内黏膜黏液00:08:15.560 --> 00:08:16.360痰液00:08:17.680 --> 00:08:19.900简称减轻咳嗽症状00:08:20.040 --> 00:08:23.340常用的祛痰药物包括粘液溶解剂00:08:23.400 --> 00:08:26.580祛痰剂和恶心性祛痰剂00:08:27.000 --> 00:08:29.780粘液溶解剂如乙酰半胱氨酸00:08:29.840 --> 00:08:32.120能分解痰液中的粘蛋白00:08:32.120 --> 00:08:33.280使痰液变稀00:08:33.280 --> 00:08:34.420易于排出00:08:34.520 --> 00:08:36.540祛痰剂如氯化铵00:08:36.560 --> 00:08:38.360通过刺激胃粘膜00:08:38.360 --> 00:08:41.260反射性的促进呼吸道腺体分泌00:08:41.320 --> 00:08:42.940增加痰液排出00:08:43.760 --> 00:08:47.180恶心性祛痰剂如桔梗00:08:47.320 --> 00:08:48.880通过刺激咽喉部00:08:48.880 --> 00:08:50.440引起轻微恶心00:08:50.440 --> 00:08:52.020促进痰液排出00:08:52.240 --> 00:08:53.320其他药物治疗00:08:53.320 --> 00:08:56.260包括抗敏感抗过敏药物00:08:56.280 --> 00:08:57.460激素类药物00:08:57.480 --> 00:09:01.620抗过敏药物如非镇静性抗组胺药00:09:01.760 --> 00:09:04.440用于治疗因过敏反应引起00:09:04.440 --> 00:09:05.780的慢性咳嗽00:09:05.880 --> 00:09:06.920激素类药物00:09:06.920 --> 00:09:08.260如普尼松等00:09:08.320 --> 00:09:11.480具有抗炎免疫抑制的作用00:09:11.480 --> 00:09:14.560可用于治疗某些炎症性咳嗽00:09:14.560 --> 00:09:17.300但鸡参类药物长期使用00:09:17.320 --> 00:09:19.180可能会产生副作用00:09:19.400 --> 00:09:21.780如骨质疏松血糖升高等00:09:21.960 --> 00:09:24.740因此需在医生指导下使用00:09:25.160 --> 00:09:26.500非药物治疗00:09:28.480 --> 00:09:29.280呼吸操00:09:30.040 --> 00:09:34.200呼吸操是一种通过特定呼吸动作00:09:34.200 --> 00:09:36.880锻炼呼吸肌肉呃00:09:36.880 --> 00:09:39.020改善呼吸功能的方法00:09:39.040 --> 00:09:43.300它可以帮助患者增强呼吸肌力量00:09:43.720 --> 00:09:45.640提高肺活量00:09:45.640 --> 00:09:47.220减轻咳嗽症状00:09:47.440 --> 00:09:53.680常见的呼吸操包括呃腹式呼吸00:09:53.680 --> 00:09:55.100胸式呼吸等00:09:55.360 --> 00:09:57.200患者可以在专业指导下00:09:57.200 --> 00:09:58.940进行呼吸操练习00:09:58.960 --> 00:10:02.100以达到改善呼吸状况的目的00:10:03.600 --> 00:10:04.700西氧疗法00:10:06.000 --> 00:10:07.800中医治疗慢性咳嗽00:10:07.800 --> 00:10:10.100主要通过中药针灸00:10:10.240 --> 00:10:12.060拔罐等手段00:10:12.720 --> 00:10:16.860中药治疗根据患者体质和病情00:10:17.320 --> 00:10:18.420辨证论治00:10:19.840 --> 00:10:22.340调整体内阴阳平衡00:10:22.880 --> 00:10:24.440改善咳嗽症状00:10:24.440 --> 00:10:28.340针灸和拔罐则通过刺激00:10:30.080 --> 00:10:35.420则通过刺激特定穴位调节气血00:10:35.800 --> 00:10:37.060缓解咳嗽00:10:37.240 --> 00:10:38.120中医治疗00:10:38.120 --> 00:10:41.460需在专业中医师的指导下进行00:10:41.520 --> 00:10:43.460以确保治疗效果00:10:45.800 --> 00:10:46.620呃00:10:47.880 --> 00:10:52.380吸氧疗法是通过吸入高浓度氧气00:10:53.960 --> 00:10:55.940提高血氧饱和度00:10:56.000 --> 00:10:59.980改善组织缺氧状态的一种治疗方法00:11:00.640 --> 00:11:03.540对于慢性咳嗽患者00:11:05.360 --> 00:11:08.420吸氧疗法可以缓解呼吸困难00:11:10.720 --> 00:11:13.780呃改善生活质量00:11:16.400 --> 00:11:19.500新氧疗法通常在医院进行00:11:19.800 --> 00:11:23.980患者需报名医生的建议进行吸氧00:11:25.320 --> 00:11:26.540营养支持00:11:29.600 --> 00:11:30.440营养支持00:11:30.440 --> 00:11:32.760对于慢性咳嗽患者的康复00:11:32.760 --> 00:11:34.340具有重要意义00:11:35.360 --> 00:11:39.840合理的营养摄入可以增强患者体质00:11:39.840 --> 00:11:41.100提高免疫力00:11:41.320 --> 00:11:43.900帮助患者更好的抵抗疾病00:11:43.960 --> 00:11:48.700营养支持包括保证足够的蛋白质00:11:48.720 --> 00:11:50.860维生素和矿物质摄入00:11:50.920 --> 00:11:52.980如鱼肉蛋奶00:11:53.240 --> 00:11:56.060呃新鲜蔬菜和水果等00:11:56.200 --> 00:11:59.420患者应在专业营养师的指导下00:11:59.440 --> 00:12:01.940制定个性化的饮食计划00:12:02.120 --> 00:12:03.460并发症处理00:12:03.920 --> 00:12:04.720哮喘00:12:04.760 --> 00:12:08.200哮喘是慢性咳嗽常见的并发症之一00:12:08.200 --> 00:12:10.060表现为呼吸道痉挛00:12:11.120 --> 00:12:13.620炎症和粘液分泌增加00:12:13.800 --> 00:12:14.480治疗哮喘00:12:14.480 --> 00:12:17.220主要包括使用支气管扩张剂00:12:17.680 --> 00:12:20.020抗炎药物和免疫调节剂00:12:20.480 --> 00:12:21.080同时00:12:21.080 --> 00:12:24.540患者应避免接触过敏源和刺激物00:12:25.600 --> 00:12:29.540保持呃室内空气流通00:12:29.720 --> 00:12:31.940定期进行肺功能检查00:12:33.560 --> 00:12:34.460肺气肿00:12:34.480 --> 00:12:38.260肺气肿是慢性阻塞性肺疾病的一种00:12:38.360 --> 00:12:40.000表现为肺泡壁破坏00:12:40.000 --> 00:12:41.740肺组织弹性降低00:12:41.760 --> 00:12:42.640治疗肺气肿00:12:42.640 --> 00:12:44.480需要综合使用药物治疗00:12:44.480 --> 00:12:45.860和非药物治疗00:12:46.160 --> 00:12:48.260如吸氧疗法呼吸操等00:12:48.280 --> 00:12:49.360患者应戒烟00:12:49.360 --> 00:12:52.140避免有害气体和颗粒物的吸入00:12:52.160 --> 00:12:54.260定期进行肺功能评估00:12:55.280 --> 00:12:58.040肺心病是指由于肺部疾病引起的00:12:58.040 --> 00:12:59.700慢性心脏疾病00:13:00.240 --> 00:13:01.200治疗肺心病00:13:01.200 --> 00:13:04.580需要同时控制肺部疾病和心脏疾病00:13:04.680 --> 00:13:07.460如使用利尿剂血管扩张剂等00:13:07.840 --> 00:13:09.880患者应遵循医生的建议00:13:09.880 --> 00:13:11.480进行适当的运动00:13:11.480 --> 00:13:13.580保持良好的生活习惯00:13:13.680 --> 00:13:15.860定期进行心脏检查00:13:16.600 --> 00:13:19.540慢性咳嗽还可能引起其他并发症00:13:19.560 --> 00:13:22.260如肺炎慢性支气管炎等00:13:22.440 --> 00:13:23.680治疗这些并发症00:13:23.680 --> 00:13:26.980需要针对具体疾病进行相应的治疗00:13:27.320 --> 00:13:30.020抗感染治疗止咳祛痰00:13:30.280 --> 00:13:32.600患者应密切关注病情变化00:13:32.600 --> 00:13:33.660及时就医00:13:33.720 --> 00:13:35.500避免病情恶化00:13:35.800 --> 00:13:37.220预防与护理00:13:37.640 --> 00:13:40.900预防措施健康生活方式00:13:41.400 --> 00:13:42.160环境因素00:13:42.160 --> 00:13:45.060是慢性咳嗽的重要诱因之一00:13:45.200 --> 00:13:47.040改善居住和工作环境00:13:47.040 --> 00:13:50.500减少烟雾灰尘和有害气体的吸入00:13:50.600 --> 00:13:53.340对于预防慢性咳嗽至关重要00:13:54.440 --> 00:13:57.920例如避免在烟雾较多的地方停留00:13:57.920 --> 00:14:01.740使用空气净化器保持室内空气流通00:14:01.760 --> 00:14:04.820更能有效降低咳嗽的发生率00:14:06.000 --> 00:14:07.180环境改善00:14:07.680 --> 00:14:08.540呃00:14:08.640 --> 00:14:12.380打疫苗可以有效的预防呼吸道感染00:14:12.720 --> 00:14:13.780定期体检00:14:14.480 --> 00:14:15.880健康的生活方式00:14:15.880 --> 00:14:18.460是预防慢性咳嗽的基础00:14:19.000 --> 00:14:22.040包括均衡饮食营养摄入00:14:22.040 --> 00:14:23.980避免刺激性食物00:14:24.560 --> 00:14:26.720呃同时增强体质00:14:26.720 --> 00:14:27.840提高免疫力00:14:27.840 --> 00:14:30.740有助于减少呼吸道感染00:14:35.680 --> 00:14:40.080呃护理要点呃包括症状观察00:14:40.080 --> 00:14:41.260饮食调整00:14:41.400 --> 00:14:43.780呃睡眠管理心理知识等00:14:43.920 --> 00:14:47.740家庭护理家庭养疗家庭呼吸操00:14:48.200 --> 00:14:49.860家庭用药指导00:14:50.360 --> 00:14:53.220呃家庭护理的技巧等等00:14:53.880 --> 00:14:56.680最新研究进展研究00:14:56.680 --> 00:14:59.340呃关于疾病机制的研究00:14:59.360 --> 00:15:00.320新药研发00:15:00.320 --> 00:15:01.880治疗方法创新00:15:01.880 --> 00:15:04.560国际合作与交流都取经00:15:04.560 --> 00:15:07.180取得了一定的研究成果00:15:07.640 --> 00:15:09.960主要研究方向包括基础研究00:15:09.960 --> 00:15:11.180临床研究00:15:11.280 --> 00:15:15.760转化医学和个性化的治疗发展趋势00:15:15.760 --> 00:15:19.360现在呃方向主要是智能医疗00:15:19.360 --> 00:15:21.620精准医疗互联网医疗00:15:21.800 --> 00:15:24.460呃还有医患合作00:15:25.600 --> 00:15:28.500患教患者教育与宣传00:15:29.160 --> 00:15:31.600呃对患者进行健康教育00:15:31.600 --> 00:15:33.540普及疾病知识00:15:33.640 --> 00:15:36.800呃进行自我管理心理支持与康复00:15:36.800 --> 00:15:40.480家庭护理指导宣传活动00:15:40.480 --> 00:15:44.400世界慢阻肺疾病日健康讲座00:15:44.400 --> 00:15:45.280社区宣传00:15:45.280 --> 00:15:46.780媒体宣传等00:15:46.960 --> 00:15:50.520合作与支持包括医患合作00:15:50.520 --> 00:15:51.640社会组织支持00:15:51.640 --> 00:15:53.080政府政策支持00:15:53.080 --> 00:15:55.000国际合作与交流00:15:55.000 --> 00:15:55.900谢谢大家