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--> 00:01.881\n好。\n\n00:04.814 --> 00:08.263\n各位专家、各位同道晚上好，\n\n00:08.364 --> 00:12.064\n今天很有幸能和大家一起讨论这个题目。\n\n00:13.059 --> 00:15.659\n慢阻肺预后护理指南。\n\n00:16.593 --> 00:19.443\n提升生活质量的关键。\n\n00:37.679 --> 00:40.229\n本次内容主要分三个方面，\n\n00:40.778 --> 00:43.778\n一个是慢阻肺的基础知识，\n\n00:43.979 --> 00:46.778\n第二是慢阻肺的护理策略。\n\n00:47.724 --> 00:51.375\n第三是慢阻肺的预防与康复三个板块。\n\n00:52.789 --> 00:55.638\n第一个板块是慢阻肺的基础知识，\n\n00:56.039 --> 00:59.988\n了解慢阻肺及其影响慢阻肺的概述。\n\n01:01.067 --> 01:02.016\n什么是满阻肺？\n\n01:03.863 --> 01:05.963\n慢阻肺的定义，\n\n01:06.164 --> 01:08.988\n慢阻肺疾病简称慢，\n\n01:08.988 --> 01:14.513\n慢性阻塞性疾病简称慢阻肺是一种慢性肺部疾病，\n\n01:14.513 --> 01:15.963\n它是影响呼吸的。\n\n01:16.763 --> 01:22.414\n主要症状包括呼吸困难、慢性咳嗽和咳痰逐渐加重。\n\n01:23.428 --> 01:28.127\n发病原因通常由长期吸烟、空气污染等引起，\n\n01:28.428 --> 01:30.377\n导致气道阻塞和炎症。\n\n01:32.643 --> 01:35.994\n全球影响慢阻肺是全球第三大死亡原因，\n\n01:36.244 --> 01:38.094\n严重影响公共健康。\n\n01:39.195 --> 01:42.695\n疾病分类分为轻、中、重度和极重度，\n\n01:42.746 --> 01:44.496\n需专业进行评估的。\n\n01:48.213 --> 01:52.064\n慢阻肺的诊断如何诊断慢阻肺？\n\n01:53.515 --> 01:54.865\n一个是病史采集，\n\n01:54.966 --> 01:59.816\n了解患者的吸烟史、职业暴露史及症状持续时间。\n\n02:00.731 --> 02:01.581\n影像学检查，\n\n02:01.780 --> 02:03.780\n胸部X光、CT扫描。\n\n02:04.931 --> 02:06.582\n找出其他的肺部疾病。\n\n02:07.818 --> 02:08.617\n肺功能测试，\n\n02:09.018 --> 02:16.167\n通过FUI与FVC比值评估气流受限程度是诊断的金标准。\n\n02:17.613 --> 02:18.563\n体格检查，\n\n02:18.714 --> 02:19.938\n听诊呼吸音，\n\n02:19.938 --> 02:21.313\n观察呼吸形态。\n\n02:22.248 --> 02:22.998\n辅助检查。\n\n02:24.210 --> 02:26.960\n实验室检查、血常规、血气分析等，\n\n02:26.960 --> 02:29.059\n评估患者整体健康状态。\n\n02:31.535 --> 02:32.585\n慢阻肺的治疗，\n\n02:33.085 --> 02:38.384\n慢阻肺主要的治疗方法主要是包括这五个，\n\n02:38.434 --> 02:40.785\n一是药物治疗。\n\n02:41.783 --> 02:42.783\n使用支气管。\n\n02:45.121 --> 02:45.671\n扩张剂。\n\n02:46.578 --> 02:49.802\n吸入性的类固醇类药物缓解症状。\n\n02:49.802 --> 02:50.427\n氧疗，\n\n02:50.927 --> 02:56.027\n长期的氧疗可改善严重的低氧血症的患者的生存率。\n\n02:56.791 --> 02:57.940\n再就是康复治疗。\n\n03:00.429 --> 03:02.729\n包括呼吸训练和体能训练，\n\n03:03.128 --> 03:04.979\n提高患者的活动能力，\n\n03:04.979 --> 03:09.328\n手术治疗、肺减容术和肺移植术，\n\n03:09.328 --> 03:10.828\n适用肌中度的患者，\n\n03:11.179 --> 03:12.179\n营养支持，\n\n03:12.229 --> 03:14.628\n提供高蛋白、高热量饮食。\n\n03:15.597 --> 03:16.796\n增强患者的体质。\n\n03:18.054 --> 03:18.453\n是。\n\n03:20.628 --> 03:21.578\n慢阻肺的预后。\n\n03:22.552 --> 03:25.401\n慢阻肺的预后包括病情的进展，\n\n03:25.852 --> 03:27.076\n若未及时治疗，\n\n03:27.076 --> 03:28.651\n病情可能逐渐恶化，\n\n03:28.651 --> 03:29.701\n影响生活。\n\n03:30.520 --> 03:31.169\n生活质量，\n\n03:31.619 --> 03:36.970\n有效护理可显著提高患者的生活质量和自理能力。\n\n03:37.768 --> 03:38.218\n生存率，\n\n03:38.218 --> 03:42.069\n积极治疗和护理可延长患者的生存时间。\n\n03:42.518 --> 03:43.669\n并发症风险，\n\n03:43.718 --> 03:44.843\n预防并发症，\n\n03:44.843 --> 03:48.268\n如呼吸衰竭、心力衰竭等至关重要。\n\n03:48.960 --> 03:49.610\n心理影响，\n\n03:49.610 --> 03:52.660\n长期的疾病可能导致焦虑和抑郁。\n\n03:53.434 --> 03:54.684\n去心理治疗。\n\n03:58.147 --> 04:04.647\n慢阻肺的护理策略主要是提高患者的生活质量和护理方法。\n\n04:06.520 --> 04:07.220\n护理，\n\n04:07.820 --> 04:09.294\n饮食方面的护理，\n\n04:09.294 --> 04:10.770\n营养支持的重要性，\n\n04:11.520 --> 04:13.220\n像高纤维饮食。\n\n04:14.460 --> 04:14.759\n食物，\n\n04:14.759 --> 04:16.609\n促进消化健康，\n\n04:16.609 --> 04:17.660\n预防便秘，\n\n04:18.109 --> 04:19.510\n改善整体健康。\n\n04:19.510 --> 04:20.459\n多喝水，\n\n04:20.459 --> 04:22.510\n保持充足的水分摄入，\n\n04:22.809 --> 04:24.309\n有助于稀释痰液。\n\n04:24.709 --> 04:25.859\n高蛋白饮食，\n\n04:25.910 --> 04:27.385\n增加蛋白的摄入，\n\n04:27.385 --> 04:29.260\n有助于增强肌肉力量。\n\n04:29.988 --> 04:30.838\n和免疫力。\n\n04:31.657 --> 04:32.708\n限制盐分。\n\n04:33.838 --> 04:35.338\n控制盐分的摄入。\n\n04:36.277 --> 04:38.427\n预防水肿和高高血压，\n\n04:39.326 --> 04:41.127\n营养咨询，\n\n04:41.326 --> 04:42.427\n咨询营养师，\n\n04:43.127 --> 04:46.076\n制定一个个个性化的饮食计划，\n\n04:46.326 --> 04:47.826\n满足患者的需求。\n\n04:51.019 --> 04:51.169\n嗯，\n\n04:51.169 --> 04:52.218\n呼吸训练。\n\n04:55.082 --> 04:58.582\n改善呼吸功能的训练方法。\n\n04:59.424 --> 05:01.674\n通过腹式呼吸增加肺活量，\n\n05:01.924 --> 05:03.623\n改善呼吸的效率。\n\n05:03.924 --> 05:04.973\n锁唇呼吸，\n\n05:05.324 --> 05:07.023\n控制呼气流速，\n\n05:07.023 --> 05:08.273\n减少呼吸急促，\n\n05:08.273 --> 05:09.424\n提高舒适度。\n\n05:10.458 --> 05:13.183\n结合呼吸和肢体运动提高整体体能。\n\n05:13.183 --> 05:13.858\n呼吸操。\n\n05:14.825 --> 05:15.075\n氧疗，\n\n05:15.075 --> 05:17.500\n配合在氧疗下进行呼吸训练，\n\n05:17.500 --> 05:18.424\n增强疗效。\n\n05:19.727 --> 05:22.352\n再就是定期评估呼吸功能，\n\n05:22.352 --> 05:26.578\n调整呼吸的调整那个训练计划。\n\n05:30.165 --> 05:30.915\n药物管理。\n\n05:31.950 --> 05:33.500\n正确使用药物的方法，\n\n05:33.500 --> 05:34.725\n一是按时服用。\n\n05:34.725 --> 05:35.649\n严格按照。\n\n05:36.684 --> 05:37.385\n医嘱服药，\n\n05:37.635 --> 05:39.084\n确保药物的疗效。\n\n05:39.184 --> 05:40.234\n吸入技巧，\n\n05:40.684 --> 05:42.885\n上网增强了吸入器使用方法，\n\n05:42.885 --> 05:46.410\n确保药物有效达到肺部药物副作用，\n\n05:46.410 --> 05:47.635\n了解药物的副作用，\n\n05:47.635 --> 05:49.834\n及时报告医生药物的储存。\n\n05:50.630 --> 05:51.579\n正确储存药物，\n\n05:51.579 --> 05:53.179\n避免失效或变质。\n\n05:54.197 --> 05:55.023\n定期复诊，\n\n05:55.023 --> 05:55.798\n定期复诊，\n\n05:55.798 --> 05:58.747\n调整药物的积累和剂量和种类。\n\n06:00.924 --> 06:02.350\n心理健康的重要性，\n\n06:02.350 --> 06:04.924\n心理支持心理健康的重要性。\n\n06:05.759 --> 06:07.259\n一个是情绪管理。\n\n06:08.221 --> 06:09.871\n学习情绪管理的技巧，\n\n06:10.020 --> 06:11.871\n保持乐观积极的心态。\n\n06:12.864 --> 06:13.563\n家庭支持。\n\n06:13.563 --> 06:16.514\n家庭成员的支持和理解对患者至关重要。\n\n06:17.177 --> 06:17.877\n心理咨询，\n\n06:18.226 --> 06:19.851\n寻求专业心理咨询，\n\n06:19.851 --> 06:21.277\n缓解压力和焦虑。\n\n06:23.313 --> 06:24.114\n社交活动，\n\n06:24.264 --> 06:25.264\n社交活动，\n\n06:25.364 --> 06:26.539\n参加社交活动，\n\n06:26.539 --> 06:27.963\n保持社交的联系，\n\n06:28.414 --> 06:30.463\n减少孤独感兴趣爱好。\n\n06:31.401 --> 06:32.276\n培养兴趣爱好，\n\n06:32.276 --> 06:33.450\n丰富生活内容，\n\n06:33.501 --> 06:34.851\n提高生活质量。\n\n06:36.537 --> 06:38.287\n慢阻肺的预防与康复。\n\n06:39.670 --> 06:41.571\n预防疾病的进展，\n\n06:42.020 --> 06:43.621\n促进康复的措施。\n\n06:45.173 --> 06:46.072\n预防措施，\n\n06:46.423 --> 06:47.972\n一个是包括戒烟。\n\n06:49.023 --> 06:51.273\n戒烟是最有效的预防措施。\n\n06:53.062 --> 06:54.062\n可显著降低。\n\n06:56.385 --> 06:57.485\n发病的风险。\n\n06:58.359 --> 06:59.634\n避免感染，\n\n06:59.634 --> 07:00.959\n避免接触空气。\n\n07:02.339 --> 07:02.790\n污染物，\n\n07:02.839 --> 07:04.089\n保护肺部健康。\n\n07:04.958 --> 07:05.733\n定期的体检，\n\n07:05.733 --> 07:07.458\n定期进行肺功能检查，\n\n07:07.507 --> 07:08.858\n高发现导致的。\n\n07:11.054 --> 07:11.429\n第四，\n\n07:11.429 --> 07:12.204\n接种疫苗，\n\n07:12.554 --> 07:15.329\n接种疫苗和接种流感疫苗、肺炎疫苗，\n\n07:15.329 --> 07:17.554\n减少流感的感染的风险。\n\n07:17.855 --> 07:20.204\n第五是健康生活方式，\n\n07:20.554 --> 07:22.355\n保持健康的生活方式。\n\n07:23.792 --> 07:26.592\n保证均衡的饮食和适度的运动。\n\n07:28.464 --> 07:29.214\n康复计划。\n\n07:31.165 --> 07:32.915\n制定个性化的康复计划，\n\n07:33.114 --> 07:34.464\n就是康复评估，\n\n07:34.815 --> 07:37.464\n进行全面的康复评估，\n\n07:37.815 --> 07:39.315\n了解患者的需求。\n\n07:40.380 --> 07:42.255\n再就是目标设定，\n\n07:42.255 --> 07:44.130\n设定合理的康复目标，\n\n07:44.480 --> 07:46.804\n逐步实现训练计划，\n\n07:46.804 --> 07:49.730\n制定个性化的训练计划，\n\n07:50.029 --> 07:51.529\n包括呼吸和运动。\n\n07:53.242 --> 07:54.291\n进度检测，\n\n07:54.291 --> 07:55.566\n定期的检测，\n\n07:56.166 --> 07:59.766\n康复进度保证计划实施，\n\n08:00.016 --> 08:01.016\n长期坚持，\n\n08:01.016 --> 08:02.766\n坚持长期的康复计划。\n\n08:03.734 --> 08:05.134\n保证良好的状态。\n\n08:08.247 --> 08:09.273\n家庭护理，\n\n08:09.273 --> 08:12.097\n家庭成员如何参与护理，\n\n08:12.398 --> 08:14.548\n日常照顾患者，\n\n08:14.747 --> 08:18.398\n协助患者进行日常生活，\n\n08:18.398 --> 08:19.548\n提高自理能力。\n\n08:19.697 --> 08:20.648\n药物治疗，\n\n08:20.898 --> 08:23.197\n帮助协助管理药物，\n\n08:23.548 --> 08:25.097\n确保按时服药。\n\n08:25.097 --> 08:27.597\n情感支持提供情感支持，\n\n08:27.597 --> 08:29.247\n增强患者的信心。\n\n08:29.597 --> 08:32.197\n环境调整调整家庭环境，\n\n08:32.197 --> 08:33.648\n确保安全和舒适。\n\n08:35.181 --> 08:35.830\n紧急应对，\n\n08:35.880 --> 08:37.931\n学习紧急应对措施，\n\n08:37.931 --> 08:39.531\n及时处理突发症状。\n\n08:40.421 --> 08:41.171\n社会支持。\n\n08:42.604 --> 08:44.328\n利用社会资源进行支持，\n\n08:44.328 --> 08:47.903\n向社会资源利用社会资源和康复中心和支持小组。\n\n08:48.731 --> 08:51.132\n医疗团队与医疗团队保持沟通，\n\n08:51.182 --> 08:52.382\n获取专业知识。\n\n08:53.421 --> 08:54.021\n政府政策，\n\n08:54.021 --> 08:55.497\n了解政府相关政策，\n\n08:55.497 --> 08:56.822\n获取福利和支持。\n\n08:57.833 --> 08:58.732\n志愿者的服务。\n\n08:59.861 --> 09:01.661\n参与这样的服务获得。\n\n09:02.914 --> 09:10.013\n心理和物理支持在线支持利用在线平台获取信息和交流经验。\n\n09:15.249 --> 09:19.374\n所有的这些在临床上都是极其重要的。\n\n09:20.965 --> 09:23.364\n在这里我讲一个病例啊。\n\n09:24.843 --> 09:27.744\n有一个COPD的，\n\n09:27.744 --> 09:29.744\n就是慢性阻塞性肺病的患者。\n\n09:30.515 --> 09:33.765\n因为年龄有七十一二岁吧。\n\n09:34.482 --> 09:36.432\n他是因为急性发作，\n\n09:36.583 --> 09:37.833\n到医院来抢救，\n\n09:37.833 --> 09:38.833\n上了呼吸机，\n\n09:39.232 --> 09:40.482\n在重症监护室，\n\n09:40.482 --> 09:42.083\n然后到达病房的。\n\n09:42.853 --> 09:43.552\n就是这么一个。\n\n09:44.687 --> 09:45.888\n严重的一个患者。\n\n09:46.765 --> 09:48.614\n到他进入那个缓解期以后，\n\n09:49.164 --> 09:52.015\n用了吸入性的糖皮质激素啊，\n\n09:52.015 --> 09:53.515\n三联的啊，\n\n09:53.715 --> 09:54.914\n三联的治疗，\n\n09:54.914 --> 09:56.565\n同时咳痰祛痰，\n\n09:56.565 --> 09:58.215\n然后回家进行康复。\n\n10:00.356 --> 10:01.406\n过了急性期以后，\n\n10:01.406 --> 10:04.255\n患者就情况很好，\n\n10:04.406 --> 10:08.380\n没再出现一些什么的复发。\n\n10:08.380 --> 10:09.755\n我给他总结了，\n\n10:10.156 --> 10:12.755\n第一个是他的那个回家以后，\n\n10:13.056 --> 10:14.705\n他的营养支持。\n\n10:15.609 --> 10:16.133\n回家以后，\n\n10:16.133 --> 10:19.609\n他的太太好像子女比较关心他。\n\n10:23.030 --> 10:25.679\n去掉了他一切的不良的生活习惯，\n\n10:26.030 --> 10:26.705\n你像戒，\n\n10:26.705 --> 10:28.479\n你像你像抽烟喝酒，\n\n10:28.580 --> 10:28.979\n哎。\n\n10:29.794 --> 10:31.494\n这个他太太管的挺严的，\n\n10:31.645 --> 10:32.044\n哎，\n\n10:32.544 --> 10:37.395\n这个把这些不好的习惯都给他去掉了。\n\n10:38.421 --> 10:45.145\n再一个就是那个给他买了那个一个小的家用的那个氧疗机，\n\n10:45.445 --> 10:46.495\n就是制氧机。\n\n10:49.357 --> 10:51.757\n这个用了制氧机以后吧。\n\n10:53.223 --> 10:55.622\n这个低氧就改正了，\n\n10:55.672 --> 11:04.172\n同时这个患者天生就会这个以前的时候就会打太极拳的。\n\n11:05.205 --> 11:06.005\n所以他那个，\n\n11:06.606 --> 11:07.656\n我和他说了，\n\n11:07.656 --> 11:08.856\n以后回家康复治疗，\n\n11:08.856 --> 11:11.656\n他说是会打太极拳啊，\n\n11:11.656 --> 11:12.656\n会练练气功，\n\n11:12.705 --> 11:14.356\n气功就是呼吸操啊。\n\n11:14.505 --> 11:14.955\n我说，\n\n11:14.955 --> 11:15.955\n继续坚持吧。\n\n11:16.698 --> 11:17.424\n然后回家以后，\n\n11:17.424 --> 11:19.299\n他这个继续坚持，\n\n11:19.448 --> 11:22.049\n并且他的儿女太太比较好。\n\n11:25.075 --> 11:25.775\n按照我说的，\n\n11:25.775 --> 11:28.674\n高蛋白饮食给他给予给予了。\n\n11:30.890 --> 11:32.340\n低脂高蛋白。\n\n11:34.380 --> 11:36.481\n并且是那个高纤维。\n\n11:37.781 --> 11:38.830\n经过这个治疗，\n\n11:39.330 --> 11:40.531\n加上呼吸操，\n\n11:40.630 --> 11:43.880\n这个呼吸操就是他所说的所谓的气功啊，\n\n11:44.330 --> 11:46.481\n吸呼停，\n\n11:46.880 --> 11:49.531\n吸呼停就这样，\n\n11:49.731 --> 11:52.031\n其实很简单啊。\n\n11:52.330 --> 11:52.906\n同时，\n\n11:52.906 --> 11:54.531\n他还会打一点太极拳。\n\n11:55.403 --> 11:55.629\n军哥，\n\n11:55.629 --> 11:56.679\n这个锻炼也好，\n\n11:56.679 --> 11:58.403\n确实是起到很好的作用。\n\n11:59.242 --> 12:01.142\n同时它那个吸入的药。\n\n12:02.715 --> 12:04.164\n重新调整了，\n\n12:04.765 --> 12:09.364\n纠正了他以前吸入那个一些不良的一些方式。\n\n12:10.921 --> 12:13.971\n使修复药物用的更准确、更贴切。\n\n12:14.802 --> 12:19.203\n并且写那个疾病的每天的自我感觉的一些日记。\n\n12:20.085 --> 12:21.734\n这个病人天生的开朗的，\n\n12:21.934 --> 12:22.734\n他是一个。\n\n12:23.669 --> 12:25.044\n老的退伍军人，\n\n12:25.544 --> 12:29.844\n喜欢隔三差五的这些战友啊，\n\n12:29.844 --> 12:32.695\n同学聚在一起聊啊。\n\n12:34.776 --> 12:36.575\n并且他还会写毛笔字。\n\n12:37.762 --> 12:38.262\n会书法。\n\n12:39.146 --> 12:39.447\n所以说，\n\n12:39.447 --> 12:44.846\n生活质量确实有这些以后感觉到那个比较不错，\n\n12:44.947 --> 12:45.346\n嗯，\n\n12:45.396 --> 12:47.822\n家庭成员很好的那个，\n\n12:47.822 --> 12:49.697\n给予他一个关心，\n\n12:49.697 --> 12:51.747\n他爱护他一个支持。\n\n12:56.960 --> 12:58.359\n同时吧，\n\n12:58.659 --> 13:00.210\n他那个肺功能，\n\n13:00.260 --> 13:06.534\n我叫他每天吹那个一个风流速仪，\n\n13:06.534 --> 13:07.559\n一个简易的，\n\n13:07.859 --> 13:09.835\n或者是两三个月以后吧，\n\n13:09.835 --> 13:11.859\n你就做一个肺功能看一看。\n\n13:12.591 --> 13:15.265\n变成的按按按照我说的吧，\n\n13:15.265 --> 13:18.466\n严格的进行参与实施了，\n\n13:18.466 --> 13:20.940\n并且是都记了日记，\n\n13:21.341 --> 13:23.366\n并且是每年接种疫苗，\n\n13:23.366 --> 13:25.116\n一个是流感疫苗和肺炎疫苗，\n\n13:25.116 --> 13:26.140\n它都做到了。\n\n13:27.762 --> 13:28.161\n哎，\n\n13:28.812 --> 13:30.911\n这个病人康复的相当好。\n\n13:32.090 --> 13:35.840\n就像就出现一个就出现那么一次，\n\n13:35.890 --> 13:37.140\n因为急性发作。\n\n13:38.203 --> 13:38.853\n而来抢救。\n\n13:40.440 --> 13:43.289\n然后上过呼吸机以后再也没有。\n\n13:44.406 --> 13:46.606\n现在在门诊上，\n\n13:47.005 --> 13:48.830\n定期的一两个月来，\n\n13:48.830 --> 13:51.705\n我门诊来开那个三联的吸入药物。\n\n13:52.416 --> 13:59.166\n并且是把他的那个自己的那个汇报一下他的那个康复日记的内容。\n\n14:01.197 --> 14:03.697\n汇报一下他的那个饮食啊，\n\n14:03.846 --> 14:05.846\n助理的这些各种各样的习惯。\n\n14:06.872 --> 14:09.473\n确实我通过这个他的那个这个病人吧，\n\n14:09.672 --> 14:13.598\n他自己的那个这个自我管理，\n\n14:13.598 --> 14:15.322\n加上我给他的一些指导。\n\n14:16.005 --> 14:16.080\n哎，\n\n14:16.080 --> 14:19.356\n他确实这个慢性阻塞性肺病吧，\n\n14:19.356 --> 14:21.106\n得到一个很好的控制，\n\n14:21.255 --> 14:23.156\n生活质量大大的增加，\n\n14:23.406 --> 14:25.705\n减少了他急性发作的次数。\n\n14:27.041 --> 14:27.440\n同时。\n\n14:28.281 --> 14:31.632\n这减轻了家庭的负担和家庭的社会的负担。\n\n14:32.632 --> 14:33.531\n与此同时，\n\n14:33.531 --> 14:35.481\n在他这个阶段还有一个病人。\n\n14:36.932 --> 14:37.283\n就好，\n\n14:37.283 --> 14:38.982\n当时来的时候比他轻，\n\n14:39.232 --> 14:41.507\n也是个老工人了。\n\n14:41.507 --> 14:43.283\n但是他性格比较孤僻，\n\n14:43.632 --> 14:46.107\n又是一个老老伴儿，\n\n14:46.107 --> 14:47.432\n没有的孤寡老人。\n\n14:48.229 --> 14:49.328\n儿女都不能在一起。\n\n14:49.479 --> 14:50.429\n所以说他。\n\n14:51.500 --> 14:51.651\n来，\n\n14:51.651 --> 14:52.551\n我叫他戒烟。\n\n14:54.590 --> 14:57.640\n他说是平生最喜欢的爱好就是抽烟，\n\n14:57.989 --> 14:59.789\n宁愿不吃饭也要抽烟。\n\n14:59.789 --> 15:01.289\n这首先这个慢阻肺，\n\n15:01.289 --> 15:03.364\n我们这个日常护理当中，\n\n15:03.364 --> 15:06.864\n这个不好的生活习惯就没这一条，\n\n15:06.864 --> 15:07.640\n就没达到。\n\n15:08.791 --> 15:09.242\n再一个。\n\n15:10.331 --> 15:11.831\n因为他是孤寡老人。\n\n15:13.330 --> 15:16.481\n这个情感肯定处于一个孤独的阶段，\n\n15:16.931 --> 15:18.630\n这个情感的孤独阶段，\n\n15:18.630 --> 15:20.481\n儿女也和他来往不多，\n\n15:20.481 --> 15:23.406\n所以心理方面这些焦虑啊，\n\n15:23.406 --> 15:27.481\n一些一些无中生有的一些生气啊，\n\n15:27.630 --> 15:28.431\n就有了。\n\n15:29.690 --> 15:31.739\n再就不爱参加社交活动。\n\n15:33.241 --> 15:33.841\n孤独感，\n\n15:33.940 --> 15:35.541\n这是性格决定的，\n\n15:35.541 --> 15:36.065\n所以说，\n\n15:36.065 --> 15:38.190\n他那个自己肯定有孤独感，\n\n15:38.440 --> 15:40.241\n又没什么业业余爱好。\n\n15:40.440 --> 15:41.541\n吃完饭以后，\n\n15:41.541 --> 15:42.241\n唯一的爱好，\n\n15:42.241 --> 15:43.541\n拿个小板凳一坐，\n\n15:43.690 --> 15:44.716\n抽上一支烟，\n\n15:44.716 --> 15:45.791\n赛过活神仙。\n\n15:47.638 --> 15:49.138\n再就是他吃饭也很随意。\n\n15:51.465 --> 15:52.239\n也不是很好的，\n\n15:52.239 --> 15:54.215\n按照我说的那个去。\n\n15:55.505 --> 15:55.806\n这个。\n\n15:56.833 --> 15:59.283\n去去按照这个营养进行给予支持。\n\n16:00.825 --> 16:04.025\n对于那个流感疫苗和肺炎疫苗。\n\n16:05.064 --> 16:10.564\n他认为这样可以影响他身体当中的正常的那个免疫功能，\n\n16:10.814 --> 16:11.564\n拒绝打，\n\n16:11.963 --> 16:12.763\n怕上瘾。\n\n16:15.750 --> 16:18.375\n所以说他各方面都没有很好的依从性吧。\n\n16:19.153 --> 16:19.703\n这个病人。\n\n16:21.159 --> 16:24.809\n所以说他是我一个很不好的一个反面教材了，\n\n16:25.210 --> 16:28.909\n所以说经常因为急性发作在入院。\n\n16:29.815 --> 16:31.515\n但是他就自己管理不好自己。\n\n16:32.638 --> 16:33.888\n不过按照我说的这个，\n\n16:34.039 --> 16:35.814\n一是缺少家庭的温暖，\n\n16:35.814 --> 16:37.039\n情感的交流，\n\n16:37.388 --> 16:38.888\n不良习惯的接触，\n\n16:38.888 --> 16:40.189\n药物的有效的应用，\n\n16:40.189 --> 16:42.388\n所以他一直没有很好的得到控制。\n\n16:43.335 --> 16:44.661\n所以说这句话说回来，\n\n16:44.661 --> 16:48.085\n慢性阻塞性肺病的物理极其重要的。\n\n16:49.401 --> 16:49.752\n好。\n\n16:50.833 --> 16:52.507\n因为时间关系，\n\n16:53.007 --> 16:54.208\n内容就这些，\n\n16:54.458 --> 16:55.283\n谢谢大家，\n\n16:55.283 --> 16:56.158\n谢谢诸位。\n\n16:57.190 --> 16:57.890\n谢谢聆听。\n\n","v0347cg10004d60qv4aljht5uhgqgnd0",1022,697,"2026-01-24 21:06:04"," 慢阻肺预后护理指南 - 专业护理建议与康复方案  \n"," 慢阻肺护理, COPD预后管理, 慢阻肺康复指南, 肺病家庭护理, 慢阻肺症状缓解  \n"," 本指南提供慢阻肺（COPD）患者的预后护理建议，涵盖症状管理、康复训练、家庭护理技巧及生活调整策略，帮助改善患者生活质量和延缓病情进展。","2026-02-26 17:30:00",[38],{"menuId":39,"menuName":40,"parentId":17,"orderNum":41,"path":42,"component":43,"isFrame":44,"isCache":45,"menuType":46,"visible":27,"status":17,"createDept":6,"remark":25,"createTime":47,"children":48,"columnImage":49,"columnLogo":50,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":51,"seoKeywords":52,"seoDescription":53,"contentNum":6,"promotionalPoster":54,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":55,"routerPath":42,"componentInfo":43},"1986622624134549505","科普视频",3,"video","/video.html","1","0","T","2025-11-07 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