[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fHvYlf8-rZ8x5MvliDIU3d6T7DOQps12hVGpMecfqtdw":8,"$f3Ie-mbw_mVO6R4PsAhca_E3gWkGmRSHBOUaV-JEFx3A":60,"$fn0vbDC-ek6S5opPRdqs6sV7V5BZuOOkyrB2KgxDdO3I":61,"$fZyhAbXqsE2vyEHk3Afr5h_IgGPUf0sSMAlHCBleLvRg":65},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":59},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"roleType":17,"adept":18,"hospital":19,"department":20,"postsTitle":21,"materialTotal":17,"videoTotal":22,"isConcern":7,"title":23,"coverVertical":24,"coverAcross":25,"directionMarker":26,"description":27,"vid":28,"time":29,"mediaType":26,"views":30,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":31,"seoTitle":32,"seoKeywords":33,"seoDescription":34,"shelvesTime":35,"menus":36,"menuId":38,"type":55,"quality":56,"commentCount":17,"isComment":26,"deviceType":57,"url":58},9922,871563,[],"https://cdn.yishi-tong.com/console/store-unknown/uF7OMd0P_hB1LaAPsAH23kXFsYY6stA4.png","郑德松",0,"各类疾病急救","上海市浦东新区浦南医院","急诊科","主治医师",5,"咳嗽变异性哮喘","","https://cdn.yishi-tong.com/console/3/i7ci8qjPtQ00tw0FKFprKHxulZl_-iBj.png",1,"WEBVTT\n\n00:00.465 --> 00:02.515\n咳嗽、变异性哮喘。\n\n00:11.751 --> 00:13.451\n首先目录一，\n\n00:13.751 --> 00:16.701\n什么是咳嗽变异性哮喘？\n\n00:17.545 --> 00:18.695\n二发病机制。\n\n00:19.993 --> 00:22.743\n三讲一下诊断跟鉴别诊断，\n\n00:23.143 --> 00:25.694\n第四讲一下治疗跟管理。\n\n00:26.757 --> 00:27.156\n第五，\n\n00:27.406 --> 00:29.306\n讲一下预后与展望。\n\n00:30.597 --> 00:30.947\n首先，\n\n00:30.947 --> 00:33.196\n什么是咳嗽变异性哮喘？\n\n00:35.062 --> 00:38.162\n我们来揭开咳嗽变异、哮喘的神秘面纱。\n\n00:39.888 --> 00:42.188\n咳嗽变异性哮喘的定义？\n\n00:43.439 --> 00:47.540\n咳嗽变异哮喘是哮喘的一种特殊形式。\n\n00:48.811 --> 00:51.210\n它是以持续咳嗽为主要症状，\n\n00:51.710 --> 00:55.361\n不伴有明显哮喘或者呼吸急促，\n\n00:55.710 --> 00:57.011\n容易被误诊。\n\n00:58.894 --> 01:01.694\n症状主要集中在咳嗽。\n\n01:03.206 --> 01:05.755\n认识这一独特的哮喘类型。\n\n01:07.030 --> 01:10.081\n咳嗽通常由气道炎症引起，\n\n01:10.231 --> 01:13.581\n气道炎症是导致气道高反应性，\n\n01:14.030 --> 01:20.081\n使患者在接触到刺激性刺激物时咳嗽加剧。\n\n01:22.630 --> 01:25.831\n可以通过详细的病史与演。\n\n01:27.904 --> 01:29.129\n来询问诊断，\n\n01:29.129 --> 01:30.904\n排除其他原因。\n\n01:32.434 --> 01:35.885\n常见误诊为支气管炎或者感冒。\n\n01:35.885 --> 01:38.934\n由于缺乏典型的哮喘症状。\n\n01:39.752 --> 01:43.553\n常被误诊为普通的支气管炎或者感冒。\n\n01:47.311 --> 01:51.012\n咳嗽变异、哮喘影响患者的生活质量，\n\n01:51.211 --> 01:53.912\n全球发病率逐年增加。\n\n01:56.489 --> 01:58.464\n随着环境污染的加重，\n\n01:58.464 --> 02:03.639\n咳嗽变异性哮喘的发病率在全球范围内呈上升趋势。\n\n02:06.216 --> 02:10.966\n症状表现是识别咳嗽变异性哮喘的关键特征。\n\n02:14.289 --> 02:16.289\n持续咳嗽要超过8周。\n\n02:17.430 --> 02:21.781\n患者通常在夜间或者清晨出现持续干咳，\n\n02:21.781 --> 02:24.531\n影响睡眠和日常生活。\n\n02:27.569 --> 02:30.319\n没有喘息或者呼吸急促，\n\n02:30.518 --> 02:32.968\n咳嗽在运动后加剧。\n\n02:35.751 --> 02:37.477\n与传统的哮喘不同，\n\n02:37.477 --> 02:41.751\n咳嗽变异哮喘患者不表现出明显的哮喘。\n\n02:42.505 --> 02:44.955\n喘息或者呼吸急促。\n\n02:46.054 --> 02:50.104\n运动诱发的咳嗽是咳嗽变异哮喘的特征之一，\n\n02:50.104 --> 02:53.654\n患者在活动后咳嗽更加明显。\n\n02:59.936 --> 03:01.535\n接触过敏原以后，\n\n03:01.735 --> 03:03.186\n症状会加重，\n\n03:03.686 --> 03:07.235\n过敏源如花粉、尘螨可以加重咳嗽，\n\n03:07.585 --> 03:10.936\n患者需要避免接触这些刺激物。\n\n03:12.052 --> 03:13.501\n而且有季节性发作，\n\n03:13.552 --> 03:17.651\n咳嗽症状可能在特定的季节加重，\n\n03:17.651 --> 03:20.701\n尤其是在春秋季节交替时，\n\n03:21.401 --> 03:26.151\n部分患者可能会感到轻微的胸闷或者胸部不适。\n\n03:27.156 --> 03:30.406\n但不如典典型的哮喘明显。\n\n03:32.723 --> 03:34.798\n夜间咳嗽频繁发作，\n\n03:34.798 --> 03:36.923\n导致患者睡眠质量下降，\n\n03:36.923 --> 03:38.473\n白天精神不振。\n\n03:41.755 --> 03:42.856\n还有咳嗽变异。\n\n03:42.856 --> 03:44.606\n哮喘的流行病学。\n\n03:46.352 --> 03:50.203\n环境污染和气候变化是导致咳嗽性变异。\n\n03:50.203 --> 03:52.852\n哮喘的发病率逐年增加，\n\n03:53.402 --> 03:56.152\n全球范围内的发病率上升。\n\n03:57.742 --> 03:58.417\n研究显示，\n\n03:58.417 --> 04:02.393\n儿童和青少年是咳嗽变异哮喘的高发群体。\n\n04:04.707 --> 04:07.207\n城市地区发病率高于农村，\n\n04:07.557 --> 04:10.557\n女性患者的比例略高于男性。\n\n04:11.606 --> 04:13.906\n寒冷季节的发病率增加。\n\n04:15.134 --> 04:17.135\n亚洲地区发病率较高，\n\n04:17.234 --> 04:20.934\n遗传因素可能会导致增加患者风险，\n\n04:21.084 --> 04:23.385\n患者增加患病的风险。\n\n04:24.342 --> 04:27.941\n早期诊断和干预可以改善预后。\n\n04:31.561 --> 04:34.061\n咳嗽变异性哮喘的发病机制。\n\n04:37.361 --> 04:44.011\n咳嗽变异性哮喘的核心机制一、气道炎症导致气道高反应性。\n\n04:45.071 --> 04:48.071\n二、过敏原引发的免疫反应。\n\n04:48.321 --> 04:51.022\n3、炎症介质释放。\n\n04:51.671 --> 04:55.772\n4、细胞因子参与炎症过程。\n\n04:56.940 --> 04:59.640\n五、环境因素加剧炎症。\n\n04:59.790 --> 05:03.790\n六、遗传因素增加炎症风险。\n\n05:04.661 --> 05:08.061\n7免疫反应异常导致症状持续。\n\n05:08.928 --> 05:10.328\n8慢性炎道，\n\n05:10.877 --> 05:13.377\n慢性炎症影响气道结构。\n\n05:15.621 --> 05:16.346\n咳嗽变异，\n\n05:16.346 --> 05:18.170\n哮喘的神经因素。\n\n05:21.170 --> 05:23.619\n有迷走神经兴奋性增强。\n\n05:25.308 --> 05:30.359\n有中枢咳嗽、中枢的异常激活神经肽的作用。\n\n05:31.707 --> 05:33.756\n气道感觉神经的重塑，\n\n05:34.106 --> 05:35.957\n神经递质的失衡。\n\n05:37.226 --> 05:40.276\n自主神经系统功能紊乱、咳嗽、受到。\n\n05:41.410 --> 05:41.910\n受咳嗽，\n\n05:41.910 --> 05:43.609\n受体敏感性增加。\n\n05:46.471 --> 05:50.221\n遗传因素在咳嗽变异性哮喘中的作用。\n\n05:51.792 --> 05:55.192\n家族史增加患病风险，\n\n05:55.342 --> 06:01.393\n有哮喘或过敏史的家庭成员增加个体患病风险。\n\n06:03.605 --> 06:06.055\n特定基因变异会影响发病。\n\n06:06.205 --> 06:11.455\n研究发现某些某些基因变异与咳嗽变异、哮喘发病相关。\n\n06:12.545 --> 06:15.795\n遗传因素与环境因素相互作用，\n\n06:16.795 --> 06:22.144\n遗传易感性在特定环境因素下更容易导致发病。\n\n06:22.950 --> 06:25.751\n基因组研究提供新见解。\n\n06:28.768 --> 06:31.167\n遗传多样性影响疾病的表现，\n\n06:31.167 --> 06:33.667\n不同遗传背景导致咳嗽变异，\n\n06:33.667 --> 06:35.868\n哮喘症状表现差异。\n\n06:37.007 --> 06:40.657\n家族聚集性提示遗传影响。\n\n06:42.141 --> 06:45.092\n遗传易感性影响治疗反应，\n\n06:45.342 --> 06:48.342\n遗传因素也影响疾病的进展。\n\n06:50.794 --> 06:52.493\n诊断与鉴别诊断。\n\n06:53.390 --> 06:56.390\n确立咳嗽变异哮喘的诊断。\n\n06:59.032 --> 07:01.032\n首先持续咳嗽超过8周，\n\n07:01.032 --> 07:03.032\n夜间或清晨加重，\n\n07:03.481 --> 07:06.032\n排除其他原因引起的咳嗽。\n\n07:09.132 --> 07:09.458\n可以，\n\n07:09.458 --> 07:11.833\n1、做肺功能测试异常。\n\n07:11.882 --> 07:16.433\n2、对支气管扩张剂治疗反应良好。\n\n07:16.733 --> 07:19.483\n3、个人或家族过敏史。\n\n07:20.225 --> 07:23.274\n4体格检查为没有异常，\n\n07:23.774 --> 07:24.924\n明显的异常。\n\n07:25.903 --> 07:28.403\n5影像学检查没有明显的异常。\n\n07:29.429 --> 07:32.630\n6过敏史和环境因素评估。\n\n07:33.684 --> 07:38.084\n评估接触过敏源和环境因素对咳嗽的影响。\n\n07:40.256 --> 07:43.205\n区分咳嗽变异、哮喘与其他疾病。\n\n07:45.175 --> 07:48.526\n与普通感冒或支气管炎鉴别，\n\n07:48.825 --> 07:49.651\n咳嗽变异，\n\n07:49.651 --> 07:51.876\n哮喘的咳嗽持续时间更长，\n\n07:51.925 --> 07:54.175\n且没有明显的感染症状。\n\n07:54.925 --> 07:58.026\n与胃食管反流病间群。\n\n07:59.524 --> 08:03.024\n胃食管反流病引起的咳嗽常与进食有关，\n\n08:03.024 --> 08:04.325\n且伴有反酸。\n\n08:05.221 --> 08:07.772\n与心源性咳嗽鉴别，\n\n08:07.772 --> 08:10.772\n心源性咳嗽常伴有心力衰竭症状，\n\n08:10.921 --> 08:12.721\n如夜间呼吸困难。\n\n08:13.071 --> 08:15.022\n与心理性咳嗽鉴别，\n\n08:15.022 --> 08:17.921\n心理性咳嗽常与情绪紧张有关，\n\n08:18.522 --> 08:20.622\n且缺乏器质性病变。\n\n08:21.522 --> 08:23.821\n可与过敏性鼻炎鉴别，\n\n08:23.821 --> 08:26.971\n过敏性鼻炎伴有鼻痒、流鼻涕，\n\n08:26.971 --> 08:30.321\n而咳嗽病、哮喘的主要表现为咳嗽。\n\n08:31.179 --> 08:33.780\n与慢性阻塞性肺疾病鉴别，\n\n08:33.880 --> 08:36.830\n慢阻肺见于吸烟者，\n\n08:36.830 --> 08:38.830\n伴有呼吸困难和喘息，\n\n08:39.630 --> 08:41.580\n与药物副作用相鉴别。\n\n08:41.580 --> 08:42.530\n某些药物。\n\n08:43.445 --> 08:48.296\n如a CER抑制剂可能会引起咳嗽。\n\n08:48.296 --> 08:50.395\n与职业性哮喘相鉴别。\n\n08:50.846 --> 08:54.895\n职业性哮喘与特定工作环境中的过敏原暴露有关。\n\n08:56.963 --> 08:59.612\n辅助检查有肺功能测试。\n\n09:00.956 --> 09:03.406\n过敏原检测、影像学检查。\n\n09:04.638 --> 09:09.038\n比如胸片、CT可以排除其他肺部疾病诱导痰分析，\n\n09:09.138 --> 09:12.888\n呼出呼出气一氧化氮接近。\n\n09:13.869 --> 09:17.419\n特定呼出一氧化氮水平可以评估气道炎症。\n\n09:18.250 --> 09:18.976\n血液检查，\n\n09:18.976 --> 09:23.051\n检查嗜酸性粒细胞计数和IGE水平。\n\n09:23.051 --> 09:24.700\n皮肤检测试验，\n\n09:24.950 --> 09:27.301\n检测皮肤对过敏原的反应。\n\n09:27.700 --> 09:30.301\n24小时食管PH监测，\n\n09:30.401 --> 09:32.625\n监测胃酸反流，\n\n09:32.625 --> 09:35.000\n以排除胃食管反流病。\n\n09:35.757 --> 09:36.906\n治疗与管理。\n\n09:38.997 --> 09:42.072\n咳嗽变异哮喘的药物治疗方案有，\n\n09:42.072 --> 09:44.797\n支气管扩张剂、糖皮质激素。\n\n09:45.856 --> 09:55.606\n白三烯受体拮抗剂、抗组胺药、抗过敏药、免疫调节剂、长效贝塔二受体激动剂、抗胆碱药。\n\n09:57.848 --> 09:59.249\n也有非药物治疗，\n\n09:59.249 --> 10:01.999\n辅助治疗咳嗽变异、哮喘的方法，\n\n10:02.148 --> 10:04.648\n避免过敏原心理支持。\n\n10:05.935 --> 10:11.085\n环境控制、运动管理、健康生活方式、饮食调理，\n\n10:11.685 --> 10:13.236\n定期监测病情，\n\n10:13.286 --> 10:14.786\n教育培训。\n\n10:17.544 --> 10:20.343\n咳嗽变异哮喘的长期管理策略。\n\n10:21.369 --> 10:22.718\n需要定期随访，\n\n10:23.169 --> 10:24.677\n定期就医检查，\n\n10:24.677 --> 10:26.268\n及时调整治疗方案。\n\n10:27.859 --> 10:29.309\n普及疾病知识，\n\n10:29.309 --> 10:31.408\n提高自我管理能力，\n\n10:31.658 --> 10:33.559\n过敏源管理和识别，\n\n10:33.559 --> 10:34.958\n避免接触过敏源，\n\n10:34.958 --> 10:35.859\n减少发作，\n\n10:36.609 --> 10:38.059\n关注心理健康，\n\n10:38.059 --> 10:40.908\n减少疾病带来的心理负担。\n\n10:42.239 --> 10:42.989\n适当的运动，\n\n10:42.989 --> 10:43.840\n增加体质，\n\n10:44.239 --> 10:46.090\n但要避免诱发咳嗽。\n\n10:46.340 --> 10:47.640\n均衡饮食，\n\n10:47.890 --> 10:51.140\n避免可能加重症状的食物。\n\n10:51.590 --> 10:55.015\n严格遵循医嘱用药，\n\n10:55.015 --> 10:56.890\n确保治疗效果。\n\n10:57.554 --> 10:58.929\n改善生活环境，\n\n10:58.929 --> 10:59.504\n减少。\n\n11:00.578 --> 11:01.627\n过敏原暴露。\n\n11:03.577 --> 11:05.577\n治疗的欲望与展望，\n\n11:05.677 --> 11:06.877\n预后与展望。\n\n11:09.244 --> 11:10.393\n预后评估。\n\n11:11.890 --> 11:17.591\n及时的诊断和有效的治疗能够显著的改善患者的长期预后。\n\n11:18.883 --> 11:24.234\n约30%的咳嗽变异哮喘患者在未来可能发展为典型的哮喘。\n\n11:25.997 --> 11:27.273\n如果病情控制不当，\n\n11:27.273 --> 11:30.348\n可能会影响患者的日常活动和社交。\n\n11:30.648 --> 11:33.598\n定期监测病情变化，\n\n11:33.598 --> 11:35.747\n及时调整治疗计划，\n\n11:36.447 --> 11:38.398\n以确保最佳的疗效。\n\n11:40.031 --> 11:44.682\n不同的患者遗传背景和环境因素可能导致预后的差异，\n\n11:45.031 --> 11:50.182\n长期的环境控制措施也可能减少症状发病频率。\n\n11:52.166 --> 11:56.315\n同时存在其他疾病可以增加病情的复杂性，\n\n11:56.315 --> 11:57.265\n影响预后，\n\n11:57.666 --> 11:59.940\n提高患者自我管理能力，\n\n11:59.940 --> 12:02.116\n有助于改善长期预后。\n\n12:04.633 --> 12:15.734\n未来研究方向有基因治疗、新型药物开发、环境因素研究、早期诊断技术、个体化治疗方案、神经机制研究。\n\n12:17.474 --> 12:20.974\n免疫疗法的研究和大数据分析。\n\n12:25.268 --> 12:28.468\n总结咳嗽变异哮喘的重要信息。\n\n12:29.562 --> 12:29.812\n首先，\n\n12:29.812 --> 12:32.913\n咳嗽变异哮喘是一种特殊类型的哮喘，\n\n12:33.062 --> 12:35.612\n早期识别和干预是关键。\n\n12:36.351 --> 12:38.302\n多学多学科合作，\n\n12:38.302 --> 12:39.802\n提高管理效果。\n\n12:40.489 --> 12:41.239\n持续研究，\n\n12:41.239 --> 12:42.840\n推进治疗的进展，\n\n12:42.840 --> 12:45.090\n关注患者的整体健康。\n\n12:46.140 --> 12:48.390\n个体化治疗方案的重要性。\n\n12:49.521 --> 12:51.171\n提高公众认知度，\n\n12:51.221 --> 12:53.221\n加强国际合作研究。\n\n13:01.177 --> 13:03.427\n说起咳嗽变异、哮喘，\n\n13:03.877 --> 13:06.002\n很多人可能觉得陌生。\n\n13:06.002 --> 13:07.528\n但它其实是。\n\n13:08.926 --> 13:09.276\n咳嗽，\n\n13:09.276 --> 13:09.851\n哮喘，\n\n13:09.851 --> 13:11.776\n家族里面很狡猾的一员，\n\n13:11.926 --> 13:15.075\n不像那普通哮喘那样喘的厉害。\n\n13:16.041 --> 13:19.241\n他最主要的症状就是没完没了的咳嗽。\n\n13:20.333 --> 13:22.883\n而且一咳就是两个月以上，\n\n13:22.984 --> 13:26.984\n特别容易被当成普通感冒支气管炎治疗，\n\n13:27.883 --> 13:29.883\n结果越治越不好，\n\n13:29.934 --> 13:30.684\n不见好。\n\n13:30.684 --> 13:34.833\n这种病的发病原因和普通的哮喘差不多。\n\n13:35.520 --> 13:37.469\n一方面和遗传有关，\n\n13:37.469 --> 13:41.570\n如果家里有哮喘、过敏性鼻炎的患者亲属，\n\n13:42.369 --> 13:45.469\n那得这个病的几率就会高一些。\n\n13:45.469 --> 13:46.520\n另一方面，\n\n13:46.520 --> 13:49.070\n环境因素也在推波助澜。\n\n13:50.056 --> 13:52.656\n比如春秋季花粉多，\n\n13:53.106 --> 13:54.556\n螨虫灰尘多，\n\n13:55.056 --> 13:56.606\n或者突然降温，\n\n13:56.606 --> 13:58.306\n闻到刺激性气味。\n\n13:59.176 --> 14:01.575\n甚至剧烈运动后都可能诱发，\n\n14:01.726 --> 14:02.976\n触发咳嗽。\n\n14:03.859 --> 14:05.708\n很多人都是在感冒以后，\n\n14:05.708 --> 14:06.908\n咳嗽迟迟不好，\n\n14:06.908 --> 14:08.908\n才发现是这个病在作怪。\n\n14:10.965 --> 14:13.364\n得了咳嗽变异性哮喘的人，\n\n14:13.614 --> 14:15.664\n最明显的就是干咳，\n\n14:15.664 --> 14:16.414\n没有痰。\n\n14:17.392 --> 14:19.591\n而且咳嗽特别挑时间。\n\n14:20.763 --> 14:26.164\n经常在晚上睡觉前、凌晨或者刚起床时发作。\n\n14:27.258 --> 14:31.758\n有的朋友一闻到油烟味、香水味就咳个不停，\n\n14:32.309 --> 14:33.958\n运动后也会加重。\n\n14:34.109 --> 14:35.734\n去医院检查，\n\n14:35.734 --> 14:39.708\n一般要做支气管激发试验或者舒张试验，\n\n14:40.008 --> 14:41.533\n要是结果呈阳性，\n\n14:41.533 --> 14:45.109\n再加上用哮喘药治疗后咳嗽明显好转，\n\n14:45.258 --> 14:46.658\n基本就能确诊。\n\n14:47.508 --> 14:50.458\n治疗上和普通的哮喘思路差不多。\n\n14:51.268 --> 14:53.343\n得用吸入性糖皮质激素，\n\n14:53.343 --> 14:57.617\n比如布地奈德搭配长效贝塔二受体激动剂，\n\n14:57.918 --> 14:59.518\n控制气道炎症。\n\n14:59.968 --> 15:02.992\n有的医生还会开白三烯调节剂，\n\n15:02.992 --> 15:04.518\n像孟鲁司特钠。\n\n15:05.375 --> 15:06.674\n帮助缓解症状，\n\n15:06.674 --> 15:11.474\n但要注意治疗可不是咳嗽一停就完事，\n\n15:11.625 --> 15:14.375\n通常需要坚持至少8周。\n\n15:15.556 --> 15:16.906\n不然很容易复发，\n\n15:16.955 --> 15:18.356\n如果放任不管，\n\n15:18.356 --> 15:23.380\n大概有1/3的患者会发生发展成为典型的哮喘，\n\n15:23.380 --> 15:27.306\n出现喘息、呼吸困难等更严重的症状。\n\n15:28.291 --> 15:29.815\n除了按时用药，\n\n15:29.815 --> 15:32.640\n日常生活也要格外注意。\n\n15:33.445 --> 15:35.296\n比如家里要勤打扫啊，\n\n15:35.296 --> 15:40.046\n减少螨虫灰尘花粉季出门戴口罩，\n\n15:40.546 --> 15:42.195\n尽量别养宠物，\n\n15:42.195 --> 15:42.995\n铺地毯。\n\n15:43.296 --> 15:44.296\n冷空气，\n\n15:45.395 --> 15:48.096\n冷空气天雾霾天少出门，\n\n15:48.096 --> 15:51.096\n定期去医院复查肺功能，\n\n15:51.596 --> 15:54.445\n根据恢复情况来调整用药。\n\n15:55.763 --> 15:56.213\n虽然。\n\n15:57.455 --> 15:58.455\n虽然用这个，\n\n15:58.705 --> 16:01.030\n虽然这个病没有彻底根治，\n\n16:01.030 --> 16:02.604\n但只要规范治疗，\n\n16:02.604 --> 16:03.380\n做好预防，\n\n16:03.380 --> 16:05.505\n就能正常人一样生活，\n\n16:05.655 --> 16:07.405\n不用总被咳嗽纠缠。\n\n16:10.651 --> 16:10.950\n嗯。\n\n","v0347cg10004d60r7pqljht3tpa4ck0g",978,671,"2026-01-24 21:15:34","咳嗽变异性哮喘的症状、诊断与治疗 | 专业科普指南  ","咳嗽变异性哮喘,慢性咳嗽原因,哮喘症状,咳嗽变异性哮喘治疗,哮喘诊断方法  ","咳嗽变异性哮喘是一种以慢性咳嗽为主要表现的哮喘类型。本文详解其症状特征、诊断标准及治疗方案，帮助区分普通咳嗽与哮喘，提供科学应对建议。","2026-02-25 17:30:00",[37],{"menuId":38,"menuName":39,"parentId":17,"orderNum":40,"path":41,"component":42,"isFrame":43,"isCache":44,"menuType":45,"visible":26,"status":17,"createDept":6,"remark":24,"createTime":46,"children":47,"columnImage":48,"columnLogo":49,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"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 10:31:58",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:40/0d7fcb56-3dc4-4dcb-99ca-a5d5c438378e.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:43/958efac7-dd02-4681-b8fd-0dd84b1bbf42.png","健康科普视频大全,了解你的健康生活","健康科普视频, 戒烟视频, 饮食健康视频, 胸痛科普, 用药知识, 职业健康视频, 贫血科普, 眼健康视频","精选健康科普视频,涵盖戒烟、胸痛、饮食、用药与职业健康等多个主题,让你轻松获取科学健康知识,提升生活质量。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:45/fa8fe113-deaa-4454-8105-d629769963dd.png","Video",2,"慢性病,过敏性疾病",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/871563/c02b5ff5-e4cb-473e-a94f-c23b23fa81e3.tmp?a=0&auth_key=1789030300-8c03ae1ee35245b39550a67b1f90efca-0-795dc9f235ac2474c0c6e406812e2403&br=510&bt=510&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=4&eid=v0347cg10004d60r7pqljht3tpa4ck0g&er=0&l=202608110635192FC30D83E307FB3EE358&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=am43czZrb3N1OTczNGY3M0ApM2Zkd3dtdDozZzMzajo2eWctYF5xcWduNC1hLS1kNDBzc2RoMW0wZWltbzMxLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":58,"message":6,"data":6,"success":59},{"code":9,"msg":10,"message":6,"data":62,"success":59},{"pageNo":26,"pageSize":63,"result":64,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":66,"success":59},{"authors":67,"appraiseDimensionScoresVos":68},[],[]]