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--> 00:01.936\n试试啊。\n\n00:04.537 --> 00:08.887\n今天给大家讲一下那个儿童急性扁桃体炎的一个治疗。\n\n00:10.425 --> 00:11.225\n从这几个方面，\n\n00:11.225 --> 00:12.074\n五个方面吧，\n\n00:12.074 --> 00:13.625\n一个是药物的治疗，\n\n00:13.875 --> 00:15.449\n第二个是手术的治疗，\n\n00:15.449 --> 00:17.049\n第三个是中医的治疗，\n\n00:17.049 --> 00:18.649\n第四个是家庭的护理，\n\n00:18.649 --> 00:20.375\n第五个是预防的一个措施。\n\n00:21.281 --> 00:22.556\n那么药物的治疗有什么呢？\n\n00:22.556 --> 00:24.232\n有抗生素的一个治疗，\n\n00:24.232 --> 00:25.982\n例如选择合适的抗生素。\n\n00:26.281 --> 00:28.832\n那么根据病原体的类型和儿童的年龄，\n\n00:28.832 --> 00:30.681\n选选择适当的抗生素，\n\n00:30.781 --> 00:32.532\n例如青霉素或者头孢。\n\n00:33.424 --> 00:36.875\n那么我们要同时要抗生素的剂量和疗程啊，\n\n00:36.875 --> 00:39.924\n要确保按照医嘱给予正确的剂量和疗程，\n\n00:40.174 --> 00:44.474\n避免因为剂量不足或者疗程过短而导致的一个治疗的失败。\n\n00:44.724 --> 00:45.150\n那么，\n\n00:45.150 --> 00:47.400\n第三点我们讲一下监测抗生素的副作用，\n\n00:47.400 --> 00:51.500\n密切观察儿童在使用抗生素期间可能出现的副作用，\n\n00:51.500 --> 00:52.450\n例如过敏啊，\n\n00:52.450 --> 00:53.974\n肠道菌群的失调呀，\n\n00:54.224 --> 00:54.650\n那么，\n\n00:54.650 --> 00:56.174\n抗病毒的药物有什么？\n\n00:56.174 --> 00:58.974\n有阿昔洛韦、利巴韦林、抗脑素。\n\n00:59.325 --> 00:59.674\n嗯，\n\n00:59.674 --> 01:01.474\n阿昔洛韦是一种抗病毒的药物，\n\n01:01.474 --> 01:03.775\n成团是由治疗单纯疱疹病毒引起。\n\n01:03.839 --> 01:05.039\n引起的急性扁桃体炎，\n\n01:05.338 --> 01:06.838\n那么利巴韦林的作用，\n\n01:06.838 --> 01:09.738\n利巴韦林是可以抑制病毒的RNA合成，\n\n01:09.939 --> 01:14.289\n适用于治疗由RA病毒例如流感病毒引起的扁桃体炎。\n\n01:14.789 --> 01:15.189\n嗯，\n\n01:15.338 --> 01:16.963\n干扰素的一个辅助作用，\n\n01:16.963 --> 01:19.914\n干扰素具有抗病毒和免疫调节的作用，\n\n01:19.914 --> 01:24.888\n可以用于辅助治疗儿童急性扁桃病毒性的一个扁桃体炎。\n\n01:25.972 --> 01:26.372\n那么，\n\n01:26.372 --> 01:27.522\n对症的治疗药物，\n\n01:27.722 --> 01:28.921\n一个是抗生素，\n\n01:28.921 --> 01:30.946\n一个是解热镇痛的药，\n\n01:30.946 --> 01:32.921\n一个是物的一个剂。\n\n01:33.071 --> 01:33.497\n那么，\n\n01:33.497 --> 01:35.997\n抗生素针对细菌感染引起的扁桃体炎，\n\n01:35.997 --> 01:37.696\n医生通常会开具抗生素，\n\n01:37.696 --> 01:38.671\n例如阿莫西林，\n\n01:38.921 --> 01:39.972\n以消除感染。\n\n01:39.972 --> 01:41.046\n解热镇痛的药。\n\n01:41.046 --> 01:43.472\n儿童出现发烧和疼痛的症状时候，\n\n01:43.472 --> 01:47.671\n可以用对乙酰氨基酚或者布洛芬等药物进行缓解。\n\n01:47.821 --> 01:48.296\n那么，\n\n01:48.296 --> 01:52.372\n局部的喷雾剂有含苯卡因的局部喷雾剂，\n\n01:53.571 --> 01:55.772\n可以减轻喉咙痛和不适，\n\n01:55.772 --> 01:56.321\n帮助。\n\n01:56.444 --> 01:57.345\n缓解一个症状，\n\n01:58.394 --> 02:03.644\n那么手术的治疗有扁桃体的切除术适应症，\n\n02:03.894 --> 02:08.595\n反复发作的扁桃体炎就是一年内反复发作超过7次的急性扁桃体炎。\n\n02:08.744 --> 02:11.445\n手术切除是一个有效的一个治疗选择。\n\n02:11.895 --> 02:12.369\n那么，\n\n02:12.369 --> 02:15.195\n扁桃体肿大导致的呼吸困难啊，\n\n02:15.244 --> 02:21.669\n当扁桃体肿大引起的呼吸睡眠呼吸暂停或者持续的呼吸问题的时候，\n\n02:21.669 --> 02:23.294\n就需要手术来切除了。\n\n02:23.544 --> 02:23.945\n那么，\n\n02:23.945 --> 02:25.895\n慢性扁桃体炎伴有并发症。\n\n02:26.449 --> 02:27.149\n慢性扁桃体炎，\n\n02:27.149 --> 02:28.748\n如果有例如嘛，\n\n02:28.748 --> 02:30.873\n扁桃体周围脓肿这些的并发症，\n\n02:30.873 --> 02:33.748\n手术切除是一个推荐的一个首选治疗。\n\n02:34.248 --> 02:35.798\n那么手术的其他指征，\n\n02:35.798 --> 02:37.998\n例如反复发作的扁桃体炎，\n\n02:37.998 --> 02:39.998\n对于一年内多次发作的扁桃体炎，\n\n02:39.998 --> 02:42.348\n手术切除可以减少它复发的风险，\n\n02:42.699 --> 02:44.598\n改善儿童生活的质量。\n\n02:44.848 --> 02:45.248\n那么，\n\n02:45.248 --> 02:46.399\n扁桃体周围的脓肿，\n\n02:46.399 --> 02:47.949\n当扁桃体周围形成脓肿，\n\n02:47.949 --> 02:49.298\n药物治疗没有效的时候，\n\n02:49.298 --> 02:51.848\n手术切除可以作为紧急治疗的一个手段，\n\n02:52.248 --> 02:54.699\n还有一个就是影响呼吸或者吞咽，\n\n02:54.848 --> 02:56.248\n扁桃体大肥大。\n\n02:56.479 --> 02:57.979\n导致呼吸困难或吞咽障碍，\n\n02:57.979 --> 03:00.330\n手术切除可以缓解这些症状。\n\n03:01.242 --> 03:01.617\n那么，\n\n03:01.617 --> 03:07.242\n中医的治疗有中药的使用有辨证施治的原则。\n\n03:07.242 --> 03:09.417\n根据儿童的体质和病情，\n\n03:09.417 --> 03:11.242\n选择合适的中药配配方，\n\n03:11.492 --> 03:14.466\n比如金银花、连翘等解热镇痛的啊，\n\n03:14.466 --> 03:15.891\n清热解毒的药物啊。\n\n03:15.992 --> 03:16.492\n那么，\n\n03:16.492 --> 03:19.292\n中药的外敷有中药外敷于颈部，\n\n03:19.542 --> 03:22.992\n比如使用板蓝根、大黄解除扁桃体的肿痛。\n\n03:23.192 --> 03:23.667\n那么，\n\n03:23.667 --> 03:24.542\n中药的汤剂，\n\n03:24.591 --> 03:26.792\n比如通过煎煮中药汤剂，\n\n03:26.792 --> 03:30.067\n黄连解毒汤来调节儿童的一个内环境，\n\n03:30.067 --> 03:31.442\n减轻一个炎症的反应。\n\n03:31.486 --> 03:33.736\n反应中西医结合治疗，\n\n03:33.736 --> 03:36.011\n那么就是一个抗生素的合理应用啊，\n\n03:36.011 --> 03:38.087\n在中医基础治疗基础上，\n\n03:38.386 --> 03:39.912\n合理的使用抗生素，\n\n03:39.912 --> 03:40.537\n控制感染，\n\n03:40.537 --> 03:41.287\n缩短病程。\n\n03:41.537 --> 03:41.962\n然后，\n\n03:41.962 --> 03:46.686\n中药的辅助抗炎中药具有解热清毒消肿止痛的中药，\n\n03:46.837 --> 03:48.561\n减轻扁桃体炎症的反应，\n\n03:48.561 --> 03:49.837\n增强免疫力的中药，\n\n03:49.936 --> 03:52.061\n配合使用增强儿童免疫力的中药，\n\n03:52.061 --> 03:53.212\n帮助身体抵抗病毒，\n\n03:53.212 --> 03:54.986\n预防扁桃体炎的一个复发。\n\n03:56.531 --> 03:56.781\n第四点，\n\n03:56.781 --> 03:58.031\n我们讲一下家庭的护理，\n\n03:58.682 --> 03:59.082\n嗯，\n\n04:00.082 --> 04:03.031\n休息和液体的摄入要保证充足的休息。\n\n04:03.281 --> 04:06.682\n儿童在急性扁桃体炎期间需要充分的休息，\n\n04:06.682 --> 04:08.082\n避免过度的劳累，\n\n04:08.082 --> 04:09.481\n促进身体的恢复。\n\n04:09.781 --> 04:11.457\n然后要增加液体的摄入，\n\n04:11.457 --> 04:13.757\n鼓励儿童多喝水和其他流质的食物，\n\n04:13.757 --> 04:15.632\n例如汤、果汁啊，\n\n04:15.632 --> 04:17.207\n保持咽喉的湿润，\n\n04:17.207 --> 04:18.231\n缓解疼痛。\n\n04:18.582 --> 04:18.981\n那么，\n\n04:18.981 --> 04:22.082\n食物与饮料的选择避免一些刺激性的食物，\n\n04:22.082 --> 04:23.907\n急性扁桃体炎期间啊，\n\n04:23.907 --> 04:26.731\n避免辛辣、酸性或者过于油腻的食物。\n\n04:26.994 --> 04:28.570\n以免刺激你的咽喉，\n\n04:28.570 --> 04:29.644\n加重一个炎症，\n\n04:29.894 --> 04:31.970\n然后多喝温水和汤类，\n\n04:31.970 --> 04:33.394\n鼓励儿童多喝温水，\n\n04:33.744 --> 04:34.769\n还有清淡的汤，\n\n04:34.769 --> 04:36.269\n有助于保持喉咙的湿润，\n\n04:36.269 --> 04:37.394\n缓解疼痛和不适。\n\n04:37.644 --> 04:39.695\n然后选择一点容易消化的食物，\n\n04:39.695 --> 04:40.945\n例如粥啊、面条啊，\n\n04:40.945 --> 04:42.494\n缓解消化系统的负担，\n\n04:42.644 --> 04:44.345\n帮助身体的一个恢复。\n\n04:44.744 --> 04:46.945\n盐水的漱口和空气的加湿，\n\n04:47.045 --> 04:48.570\n盐水漱口有什么好处呢？\n\n04:48.570 --> 04:50.295\n就是可以减轻喉咙的痛，\n\n04:50.494 --> 04:55.144\n减少扁桃体的炎症是家庭护理中常见的一个辅助治疗方法。\n\n04:55.445 --> 04:55.845\n那么，\n\n04:55.845 --> 04:56.744\n空气加湿的。\n\n04:56.798 --> 04:58.997\n重要性就是保持室内的空气湿润，\n\n04:59.148 --> 05:01.398\n有助于缓解儿童的喉咙干燥，\n\n05:01.697 --> 05:03.472\n预防扁桃体炎的复发，\n\n05:03.472 --> 05:05.048\n提升一个舒适度。\n\n05:05.798 --> 05:06.697\n预防措施，\n\n05:07.247 --> 05:09.597\n预防措施从避免刺激物，\n\n05:09.597 --> 05:11.722\n例如减少空气的污染啊，\n\n05:11.722 --> 05:12.122\n接触，\n\n05:12.122 --> 05:17.222\n避免儿童长时间处于烟雾尘埃等空气污染环境中，\n\n05:17.222 --> 05:19.048\n减少扁桃体发炎的风险，\n\n05:19.298 --> 05:20.548\n控制室内的温度，\n\n05:20.548 --> 05:22.148\n保持室内适宜的温度，\n\n05:22.148 --> 05:23.847\n避免过于干燥或潮湿，\n\n05:24.148 --> 05:26.747\n有助于减少扁桃体受到的刺激。\n\n05:26.819 --> 05:27.618\n感染的机会，\n\n05:27.618 --> 05:29.319\n然后避免接触过敏源，\n\n05:29.519 --> 05:31.644\n识别并避免儿童已知的过敏，\n\n05:31.644 --> 05:34.069\n例如食物、花花粉等，\n\n05:34.069 --> 05:36.218\n预防扁桃体炎的发生。\n\n05:36.919 --> 05:37.368\n那么，\n\n05:37.368 --> 05:41.069\n环境的调整有从保持室内空气流通，\n\n05:41.169 --> 05:42.569\n定期的开窗通风，\n\n05:42.569 --> 05:44.718\n保持空气净化器啊，\n\n05:44.718 --> 05:48.368\n使用空气净化器减少室内的细菌和病簿的一个浓度啊，\n\n05:48.368 --> 05:49.519\n预防儿童的感染，\n\n05:49.769 --> 05:52.169\n然后避免接触烟雾和气体物，\n\n05:52.169 --> 05:53.169\n家长要戒烟，\n\n05:53.169 --> 05:55.218\n避免在儿童面前吸烟。\n\n05:55.368 --> 05:56.769\n减少儿童接触二。\n\n05:56.807 --> 05:57.557\n可用的机会，\n\n05:57.807 --> 06:01.457\n同时避免使用刺激性的气味的清洁剂或者喷雾剂，\n\n06:01.657 --> 06:03.256\n然后保持适宜的湿度，\n\n06:03.256 --> 06:06.457\n使用加湿器或者除湿器维持室内适宜的湿度，\n\n06:06.557 --> 06:09.032\n避免空气过于干燥或者潮湿，\n\n06:09.032 --> 06:10.657\n减少扁桃体炎的发生。\n\n06:11.006 --> 06:12.256\n润喉糖的作用，\n\n06:12.307 --> 06:13.932\n选择合适的润喉糖吧，\n\n06:13.932 --> 06:16.307\n选择含有天然成分例如蜂蜜呀，\n\n06:16.307 --> 06:17.756\n柠檬的一个润喉糖，\n\n06:18.006 --> 06:19.707\n可以有效的缓解喉咙的不适，\n\n06:19.707 --> 06:20.657\n预防扁桃体炎。\n\n06:21.281 --> 06:23.680\n那么润喉糖的正确使用方法是含服，\n\n06:23.730 --> 06:25.531\n让它在口中慢慢的溶解。\n\n06:26.283 --> 06:29.234\n确保药物成分能够充分作用于咽喉部，\n\n06:29.433 --> 06:31.359\n避免过度的使用润喉糖。\n\n06:31.359 --> 06:33.334\n润喉糖虽然有助于缓解症状，\n\n06:33.334 --> 06:36.084\n但是过度的使用可能有依赖，\n\n06:36.084 --> 06:37.933\n而且根据医嘱适量的使用。\n\n06:38.384 --> 06:39.783\n那么我们再说说，\n\n06:39.783 --> 06:45.734\n就是它在儿童急性扁桃体炎的中医养护和治疗方案上面。\n\n06:46.084 --> 06:51.359\n那么我们说儿童急性扁桃体炎属于中医的什么喉儿乳儿范畴，\n\n06:51.359 --> 06:56.533\n多因外感风热、肺那个肺胃热盛等引起。\n\n06:56.587 --> 07:01.511\n以下是他的一些那个中医的一个养护和治疗方案，\n\n07:01.511 --> 07:05.212\n内服从辨证论治和中成药上面讲，\n\n07:05.212 --> 07:07.111\n中医讲究一个辨证施治，\n\n07:07.111 --> 07:09.786\n不同的症症型用药是不同的。\n\n07:10.087 --> 07:14.937\n外感风热症用银翘散加减疏清热利咽消肿，\n\n07:15.187 --> 07:20.261\n然后肺胃热盛者多采用清咽利膈汤加减，\n\n07:20.261 --> 07:23.087\n引起泻热解毒利咽消肿的作用。\n\n07:23.337 --> 07:26.187\n那么中成药可以根据病情选用一些中成药，\n\n07:26.187 --> 07:26.536\n例如。\n\n07:26.597 --> 07:31.298\n小儿咽扁颗粒具有清热利咽、解毒止痛的功效，\n\n07:31.447 --> 07:36.747\n还有适用于肺湿热引起的咽喉肿痛、咳嗽咳痰、咽炎。\n\n07:36.747 --> 07:40.222\n板蓝啊蓝芩口服液能清热解毒，\n\n07:40.222 --> 07:41.222\n利咽消肿，\n\n07:41.222 --> 07:42.597\n用于急性咽炎，\n\n07:42.947 --> 07:48.048\n还有肺胃湿热症所致的咽痛、咽干、咽部灼热的症状。\n\n07:48.798 --> 07:50.447\n那么外治疗法有什么？\n\n07:51.127 --> 07:53.727\n外治疗法有一个针灸的治疗，\n\n07:53.828 --> 07:54.227\n嗯，\n\n07:54.428 --> 07:58.953\n常用于穴位有少商三阳、泽内等。\n\n07:58.953 --> 08:02.578\n少商三阳可以点出以清泻肺热，\n\n08:02.578 --> 08:03.578\n利咽止痛，\n\n08:03.928 --> 08:06.453\n此则为肺经合穴啊，\n\n08:06.453 --> 08:08.502\n合谷为大肠经营穴，\n\n08:08.502 --> 08:10.377\n内庭为胃经主穴。\n\n08:10.528 --> 08:15.127\n针刺这些穴位都可以起到疏风清热消肿利咽的作用。\n\n08:15.178 --> 08:16.153\n一般一天一次，\n\n08:16.153 --> 08:18.227\n每次留针20.30分钟。\n\n08:18.528 --> 08:20.778\n还有可以穴位的一个贴敷啊。\n\n08:21.380 --> 08:22.730\n什么，\n\n08:22.980 --> 08:25.179\n用什么那个茱萸。\n\n08:26.901 --> 08:27.101\n嗯，\n\n08:27.501 --> 08:28.800\n吴茱萸研末，\n\n08:28.901 --> 08:30.450\n用醋调成糊状，\n\n08:30.550 --> 08:32.875\n敷于双侧的涌泉穴，\n\n08:32.875 --> 08:34.750\n每晚一次至4.6小时。\n\n08:34.901 --> 08:37.875\n涌泉穴为足少阴肾经穴位，\n\n08:37.875 --> 08:39.750\n通过刺激该穴位引火下行，\n\n08:39.750 --> 08:42.301\n可以减轻扁桃体炎引起的咽喉肿痛。\n\n08:42.700 --> 08:43.151\n那么，\n\n08:43.151 --> 08:49.276\n含漱的疗法就是用金银花、甘草、桔梗等中药煎水放凉后含漱。\n\n08:49.276 --> 08:51.051\n每次含漱的时间3.5分钟，\n\n08:51.351 --> 08:53.301\n然后每天可以进行5.6次，\n\n08:53.401 --> 08:54.901\n可以清洁口腔，\n\n08:55.051 --> 08:56.601\n减轻局部的炎症。\n\n08:57.138 --> 08:59.437\n缓解一个疼痛还可以雾化，\n\n08:59.538 --> 09:03.413\n雾化的话可以使用一些清热解毒利咽作用中的中药，\n\n09:03.413 --> 09:07.487\n例如双黄连粉针剂、鱼腥草注射液等，\n\n09:07.487 --> 09:10.388\n通过雾化装置将药物雾化成微小的颗粒，\n\n09:10.538 --> 09:12.038\n直接作用于咽喉部，\n\n09:12.038 --> 09:13.687\n使药物更好的发挥作用，\n\n09:13.687 --> 09:15.388\n缓解扁桃体炎的症状。\n\n09:17.807 --> 09:17.956\n那么，\n\n09:17.956 --> 09:19.081\n中医的养护方案，\n\n09:19.081 --> 09:20.031\n生活起居方面，\n\n09:20.031 --> 09:22.406\n环境适宜就是保持室内空气流通。\n\n09:22.406 --> 09:24.656\n温度一般在22.24°左右，\n\n09:24.807 --> 09:27.231\n湿度控制在五十百分之50.60。\n\n09:27.231 --> 09:30.757\n避免过于干燥或者潮湿的环境刺激你的咽喉，\n\n09:30.956 --> 09:33.757\n让孩孩子要保证充足充足的睡眠，\n\n09:33.757 --> 09:35.206\n适当的进行户外活动，\n\n09:35.307 --> 09:36.331\n增强体质，\n\n09:36.331 --> 09:38.820\n避免剧烈运动后出汗受风。\n\n09:38.820 --> 09:39.831\n口腔卫生，\n\n09:39.831 --> 09:42.406\n督促孩子养成良好的口腔卫生习惯，\n\n09:42.557 --> 09:44.057\n饭后及时的漱口，\n\n09:44.206 --> 09:45.632\n早晚正确刷牙，\n\n09:45.632 --> 09:47.331\n减少口腔内细菌的滋生，\n\n09:47.331 --> 09:47.956\n防止。\n\n09:48.044 --> 09:51.068\n感染加重饮食调整饮食的原则啊，\n\n09:51.068 --> 09:52.119\n饮食要清淡一点，\n\n09:52.119 --> 09:52.919\n容易消化一点。\n\n09:52.919 --> 09:54.494\n多吃新鲜的蔬菜和水果，\n\n09:54.643 --> 09:55.393\n例如梨，\n\n09:55.443 --> 09:55.943\n西瓜，\n\n09:55.943 --> 09:56.343\n黄瓜，\n\n09:56.343 --> 09:56.893\n苦瓜等，\n\n09:56.893 --> 09:58.919\n这些食物都具有清热润肺，\n\n09:58.919 --> 10:00.294\n利咽生津的作用。\n\n10:00.393 --> 10:02.718\n避免食用辛辣油腻刺激性的食物，\n\n10:02.718 --> 10:04.468\n例如辣椒、油炸的食品，\n\n10:04.468 --> 10:05.119\n冷饮等，\n\n10:05.119 --> 10:06.794\n以防加重体内的热邪，\n\n10:07.193 --> 10:09.193\n导致病情反复或者加重。\n\n10:09.494 --> 10:13.744\n食疗方法就是制制备一些清热利咽作用的食疗法，\n\n10:13.744 --> 10:15.143\n例如百合绿豆汤，\n\n10:15.143 --> 10:16.943\n百合绿豆加水煮烂，\n\n10:17.093 --> 10:17.994\n适当的加。\n\n10:18.036 --> 10:18.637\n糖饮用，\n\n10:18.637 --> 10:21.312\n有清热解毒、滋阴润肺的功效。\n\n10:21.312 --> 10:22.187\n还有雪梨汁，\n\n10:22.336 --> 10:23.911\n将雪梨榨汁饮用，\n\n10:23.911 --> 10:25.086\n能清热润燥，\n\n10:25.086 --> 10:26.137\n生津利咽。\n\n10:27.870 --> 10:28.945\n情志的调节，\n\n10:28.945 --> 10:32.820\n儿童患病后可能会因身体的不适出现情绪的烦躁，\n\n10:32.820 --> 10:33.971\n哭闹的情况。\n\n10:34.221 --> 10:35.745\n家长要耐心的安抚，\n\n10:35.745 --> 10:37.120\n通过讲故事啊，\n\n10:37.120 --> 10:37.945\n做游戏啊，\n\n10:37.945 --> 10:40.020\n来转移小朋友的注意力，\n\n10:40.171 --> 10:41.570\n保持孩子的心情。\n\n10:42.572 --> 10:42.848\n舒畅，\n\n10:42.848 --> 10:45.322\n避免不良情绪影响了病情的恢复。\n\n10:46.215 --> 10:46.414\n那么，\n\n10:46.414 --> 10:52.114\n具体的中医治疗和养护方案应该在专业的中医师的指导下进行，\n\n10:52.114 --> 10:53.364\n确保安全有效。\n\n10:53.565 --> 10:57.039\n如果儿童急性扁桃体炎症状严重或者持续不缓解的话，\n\n10:57.039 --> 10:57.940\n要及时就医。\n\n10:57.940 --> 10:58.690\n嗯，\n\n10:58.690 --> 11:02.614\n必要的时候结合西医的一个治疗手段。\n\n11:04.875 --> 11:05.275\n那么，\n\n11:05.275 --> 11:07.075\n他的日常养护方案就是说，\n\n11:07.525 --> 11:09.174\n我们要保证充足的睡眠。\n\n11:09.325 --> 11:12.674\n每天儿童一般需要保证10.12小时的睡眠时间，\n\n11:12.674 --> 11:14.775\n有利于身体的恢复和增强能力。\n\n11:15.440 --> 11:16.116\n那么同时呢，\n\n11:16.116 --> 11:18.390\n注意合理的安排休息和活动时间，\n\n11:18.390 --> 11:19.390\n避免过度劳累。\n\n11:19.640 --> 11:20.765\n然后适当的运动，\n\n11:20.765 --> 11:21.866\n鼓励适当的运动，\n\n11:21.866 --> 11:23.541\n例如散步、慢跑、游泳、跳绳，\n\n11:23.890 --> 11:24.991\n每周三到五次，\n\n11:24.991 --> 11:26.241\n每次30分钟左右，\n\n11:26.241 --> 11:27.841\n来增强体质和免疫力。\n\n11:28.380 --> 11:30.681\n但是运动后及时擦干汗水，\n\n11:30.681 --> 11:31.580\n避免受凉。\n\n11:31.731 --> 11:34.880\n运动后不宜立即吹空调或者喝冷饮。\n\n11:35.681 --> 11:38.830\n然后口腔卫生养成良好的口腔卫生习惯，\n\n11:38.830 --> 11:40.531\n早晚使用软毛刷，\n\n11:40.981 --> 11:44.231\n然后正确的巴氏刷牙法刷牙，\n\n11:44.281 --> 11:47.431\n饭后用盐水或者清水漱口，\n\n11:47.531 --> 11:52.880\n及时口腔内的食物残渣清理和细菌减少口腔病原体的滋生，\n\n11:52.880 --> 11:53.981\n降低感染的风险。\n\n11:54.231 --> 11:55.481\n那么要注意保暖，\n\n11:55.481 --> 11:57.656\n根据天气的变化及时增减衣物，\n\n11:57.656 --> 11:58.580\n尤其是季节。\n\n11:58.642 --> 12:02.591\n交替时避免受凉感冒引发扁桃体炎的复发，\n\n12:02.841 --> 12:04.791\n夜间睡眠时盖好被子，\n\n12:04.841 --> 12:06.392\n防止脊背的受凉。\n\n12:06.392 --> 12:07.242\n饮食管理，\n\n12:07.242 --> 12:07.666\n饮食，\n\n12:07.666 --> 12:08.666\n我们刚才前面说过，\n\n12:08.666 --> 12:09.367\n清淡为主，\n\n12:09.367 --> 12:10.392\n容易消化为主，\n\n12:10.591 --> 12:12.291\n例如米粥、面条、馄饨，\n\n12:12.492 --> 12:13.892\n减轻胃肠的负担，\n\n12:13.892 --> 12:15.492\n也有利于咽部的恢复，\n\n12:15.791 --> 12:17.192\n然后营养的均衡，\n\n12:17.392 --> 12:20.841\n多摄入富含维生素、蛋白质的食物。\n\n12:22.301 --> 12:23.450\n维C能增强免疫力，\n\n12:23.601 --> 12:27.551\n多吃橙子、柠檬、草莓、猕猴桃、菠菜等蔬果。\n\n12:27.750 --> 12:30.026\n蛋白质是身体修复的重要原料，\n\n12:30.026 --> 12:35.000\n可以适当的食用瘦肉、鱼肉、豆类、豆和奶、蛋类类啊，\n\n12:35.200 --> 12:36.851\n避免刺激性的食物啊。\n\n12:36.851 --> 12:38.601\n严格避免食用辛辣，\n\n12:38.601 --> 12:45.000\n例如辣椒、花椒、芥末、油腻的炸鸡、油条、过烫的超过65°的过冷的食物，\n\n12:45.000 --> 12:48.051\n比如酒精、咖啡、碳酸氢钠啊，\n\n12:48.051 --> 12:49.000\n碳酸饮料等，\n\n12:49.101 --> 12:52.401\n这些食物和饮品都会刺激咽喉部的黏膜加重。\n\n12:52.554 --> 12:54.304\n不适的正常环境的维护，\n\n12:54.554 --> 12:55.405\n空气的流通，\n\n12:55.405 --> 12:57.054\n每天开窗通风2.3次，\n\n12:57.054 --> 12:58.655\n每次20.30分钟。\n\n12:58.854 --> 13:01.030\n保持室内的一个空气新鲜，\n\n13:01.030 --> 13:02.905\n降低室内的病原体的浓度。\n\n13:03.354 --> 13:05.280\n然后适宜的温湿度，\n\n13:05.280 --> 13:07.604\n将室内的温度控制在二十二二四度，\n\n13:07.604 --> 13:09.905\n相对于湿度保持在40.60。\n\n13:10.773 --> 13:11.698\n对于干燥的空气，\n\n13:11.698 --> 13:13.249\n会使咽喉部的黏膜干燥，\n\n13:13.249 --> 13:14.624\n降低它的防御功能，\n\n13:14.973 --> 13:18.674\n湿度过高则利于细菌与霉菌的滋生，\n\n13:19.023 --> 13:22.073\n可以使用加湿器或除湿器进行调节，\n\n13:23.973 --> 13:25.823\n减少过敏和刺激物，\n\n13:25.823 --> 13:27.374\n保持室内的清洁，\n\n13:27.374 --> 13:28.398\n定期打扫，\n\n13:28.398 --> 13:29.674\n减少灰尘尘螨，\n\n13:29.823 --> 13:31.273\n避免在室内吸烟，\n\n13:31.273 --> 13:33.124\n防止烟雾刺激咽喉。\n\n13:33.814 --> 13:35.588\n花粉的季节应该尽量减少外出，\n\n13:35.588 --> 13:37.314\n然后外出时佩戴口罩。\n\n13:37.664 --> 13:38.114\n那么，\n\n13:38.114 --> 13:40.064\n病情的监测与心理的关怀，\n\n13:40.064 --> 13:41.263\n密切观察病情，\n\n13:41.263 --> 13:42.513\n留意患者的体温，\n\n13:42.513 --> 13:43.939\n咽部咽痛的程度，\n\n13:43.939 --> 13:45.364\n吞咽困难的情况，\n\n13:45.664 --> 13:47.763\n扁桃体的红肿和化脓的情况。\n\n13:47.763 --> 13:48.914\n如果出现高热不退，\n\n13:48.914 --> 13:51.314\n体温超过38°五而且持续不退的话，\n\n13:51.463 --> 13:52.189\n呼吸困难，\n\n13:52.189 --> 13:55.463\n吞咽困难加剧而痛的症状及时要注意心理的关怀，\n\n13:55.963 --> 13:59.013\n急性扁桃体炎引起的不适可能影响患者的情绪，\n\n13:59.013 --> 14:00.963\n尤其是儿童容易出现烦躁。\n\n14:01.523 --> 14:02.372\n哭闹的情况，\n\n14:02.723 --> 14:05.398\n家长和护理人员应该耐心陪伴，\n\n14:05.398 --> 14:09.898\n通过聊天、听音乐、做游戏的方式缓解他的焦虑的情绪，\n\n14:09.898 --> 14:10.922\n保持心情通畅，\n\n14:10.922 --> 14:12.122\n利于病情的恢复。\n\n14:12.885 --> 14:13.185\n那么，\n\n14:13.185 --> 14:15.486\n急性扁桃体炎如果不按时治疗的话，\n\n14:15.486 --> 14:17.536\n会引发以下不良后果，\n\n14:17.536 --> 14:19.685\n局部的并发症是扁桃体周围脓肿，\n\n14:20.286 --> 14:24.335\n然后急性中耳炎、急性鼻窦炎。\n\n14:24.685 --> 14:28.736\n那么全身的并发症有风湿热、急性肾小球肾炎、败血症。\n\n14:29.377 --> 14:30.927\n那么先说一下局部的并发症，\n\n14:30.927 --> 14:31.976\n扁桃体周围脓肿，\n\n14:31.976 --> 14:34.651\n炎症向扁桃体周围组织扩散就会形成脓肿，\n\n14:34.651 --> 14:36.077\n表现为剧烈的疼痛，\n\n14:36.427 --> 14:39.127\n吞咽困难、发烧加手呼吸。\n\n14:40.497 --> 14:40.622\n那么，\n\n14:40.622 --> 14:44.072\n急性中耳炎由于咽鼓管、咽喉与扁桃体相连，\n\n14:44.072 --> 14:45.473\n炎症直蔓延至中耳，\n\n14:45.473 --> 14:47.598\n引起喉痛、耳鸣、听力下降的症状。\n\n14:47.848 --> 14:48.247\n那么，\n\n14:48.247 --> 14:50.072\n急性鼻窦炎炎症波及鼻窦，\n\n14:50.072 --> 14:52.898\n导致鼻腔流鼻涕、头痛的鼻窦炎症状。\n\n14:53.098 --> 14:56.497\n全身的并发症有风湿热、急性肾全性炎、败血症。\n\n14:56.497 --> 15:00.098\n风湿热引起发烧、流性关节疼痛、心脏炎、皮叉结节。\n\n15:00.721 --> 15:04.171\n环形红斑等症状严重的时候会影响心脏的功能，\n\n15:04.320 --> 15:05.971\n遗留风湿性心脏病。\n\n15:06.120 --> 15:06.546\n那么，\n\n15:06.546 --> 15:10.346\n急性肾球肾炎出现血尿、蛋白尿、水肿、高血压的表现，\n\n15:10.346 --> 15:12.770\n严重的说发展为肾衰败血症。\n\n15:12.770 --> 15:14.296\n细菌如果进入血液循环，\n\n15:14.296 --> 15:15.096\n就大量的繁殖，\n\n15:15.096 --> 15:18.270\n就会引起高烧、寒颤、皮肤瘀点、肝脾肿大。\n\n15:18.270 --> 15:20.171\n如果不及及时的救治啊，\n\n15:20.171 --> 15:21.120\n会危及生命的。\n\n15:21.752 --> 15:22.002\n此外，\n\n15:22.002 --> 15:25.077\n急性扁桃体炎、反复的不育还可能转为慢性扁桃体，\n\n15:25.077 --> 15:26.377\n导致扁桃体的肿大，\n\n15:26.377 --> 15:29.802\n咽部不适、异物感、刺激性咳嗽等症状长期存在，\n\n15:30.151 --> 15:31.502\n影响生活质量。\n\n15:32.200 --> 15:32.375\n那么，\n\n15:32.375 --> 15:35.000\n急性扁桃体炎家人之间是否会传染呢？\n\n15:35.000 --> 15:36.301\n它有一定的传染性，\n\n15:36.500 --> 15:39.125\n但是家人之间可能会相互传染。\n\n15:39.125 --> 15:45.151\n因为引起它的病原体主要是乙型溶血性链球菌、葡萄球菌、肺炎球菌等细菌，\n\n15:45.200 --> 15:49.000\n以及腺病毒、流感病毒、副流感病毒，\n\n15:49.401 --> 15:53.200\n这些病原体都可以通过飞沫一些途径传播，\n\n15:53.401 --> 15:55.000\n咳嗽、打喷嚏的时候，\n\n15:55.101 --> 15:57.375\n病原体的飞沫就会散布在空气中，\n\n15:57.375 --> 15:57.750\n加浓，\n\n15:57.750 --> 15:59.051\n吸入后就会被感染。\n\n15:59.200 --> 16:02.250\n还有共用的餐具、水杯、毛巾等也会导致病。\n\n16:02.611 --> 16:02.861\n传播，\n\n16:02.861 --> 16:05.111\n不过我并非接触了病毒就一定会发病，\n\n16:05.411 --> 16:08.111\n免疫力在其在其中起到重要的作用。\n\n16:08.161 --> 16:10.161\n免疫力比较强的家人就不会，\n\n16:10.161 --> 16:13.960\n儿童、老年人免疫力低下的就容易被感染上。\n\n16:16.296 --> 16:16.497\n嗯。\n\n16:22.822 --> 16:23.122\n嗯。\n\n","v0d47cg10004d60perqljht7vkgf7ci0",986,930,"2026-01-24 20:23:03","儿童急性扁桃体炎治疗指南：症状识别与科学应对方法  ","儿童急性扁桃体炎,扁桃体炎治疗,儿童喉咙痛,抗生素使用,退烧方法,家庭护理  ","本文提供儿童急性扁桃体炎的全面治疗方案，包括症状判断、抗生素使用原则、家庭护理技巧及预防措施，帮助家长科学应对孩子发热、咽痛等问题，避免并发症发生。","2026-02-26 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