[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fpUZ_1YPLpNoMrgJPjbwvESv5jB208ZjF1HYWUOsF1GQ":8,"$fwBDnCpggBzDkoiGnoUscWOIFPepKNPRzP6KNsecrAAg":60,"$fiTC0l2Ylbxoq52hAOAdHjWkotZzIxhGvp0FtNQfv2pk":61,"$f26n-13godb5d8fGdwaQJe5dULMXKieSy9S-6tsXboRg":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},9941,871751,[],"https://ystcdn.venuertc.com/venue/app/34075/2026-06-23/b6e47173-dfd2-46ad-a111-167ba110f8d0.png","洪骏",0,"各类疾病治疗","上海市徐汇区长桥街道社区卫生服务中心","全科医疗","副主任医师",6,"睡眠呼吸障碍科普","","https://cdn.yishi-tong.com/console/3/YMbkyJTmJGalbBDUhM2gM_DKx-HBO9X2.png",1,"WEBVTT\n\n00:01.914 --> 00:02.565\n我出来，\n\n00:02.615 --> 00:03.664\n大家中午好。\n\n00:04.573 --> 00:04.798\n嗯，\n\n00:04.798 --> 00:07.073\n今天我给大家讲的题目是那个。\n\n00:07.993 --> 00:08.642\n健康睡眠，\n\n00:08.642 --> 00:09.593\n顺畅呼吸。\n\n00:13.472 --> 00:14.173\n我们说呢，\n\n00:14.173 --> 00:16.523\n分以下几个方面来讲啊，\n\n00:16.622 --> 00:18.673\n一个是睡眠的重要性。\n\n00:19.892 --> 00:20.818\n第二个是什么，\n\n00:20.818 --> 00:22.193\n是一个睡眠呼吸上。\n\n00:24.010 --> 00:24.260\n三呢，\n\n00:24.260 --> 00:26.159\n一个是呼吸调节异常机制。\n\n00:27.882 --> 00:28.232\n第四呢，\n\n00:28.232 --> 00:31.832\n是睡眠呼吸障碍与呼吸调节异常的关系。\n\n00:33.915 --> 00:37.665\n第二个是这个后期睡眠障碍对健康的影响。\n\n00:39.432 --> 00:43.233\n运动员是如何应对与预防血凝障碍？\n\n00:46.132 --> 00:48.833\n现在就是一个相关疾病的识别诊断。\n\n00:49.610 --> 00:49.860\n对。\n\n00:53.474 --> 00:53.599\n好，\n\n00:53.599 --> 00:55.525\n首先我们讲讲什么是睡眠的重要性。\n\n00:57.741 --> 00:58.241\n下面呢，\n\n00:58.691 --> 01:01.241\n让我们体现出以下几个产品功能啊。\n\n01:02.153 --> 01:02.604\n一个呢，\n\n01:02.604 --> 01:06.603\n它能够帮助我们大脑恢复和巩固相对的记忆。\n\n01:08.383 --> 01:09.182\n在睡眠期间呢，\n\n01:09.282 --> 01:11.133\n大脑清理代谢废物。\n\n01:12.011 --> 01:12.861\n恐怖记忆。\n\n01:13.557 --> 01:15.008\n提升我们的认知能力。\n\n01:16.563 --> 01:17.180\n同时，\n\n01:17.180 --> 01:18.563\n在深睡眠阶段。\n\n01:19.533 --> 01:21.333\n大脑神经元的连接增强。\n\n01:22.396 --> 01:24.195\n并优化信息储存。\n\n01:26.613 --> 01:26.888\n第二，\n\n01:26.888 --> 01:30.814\n睡眠能够帮助我们身体进行修复与免疫调节。\n\n01:32.652 --> 01:33.402\n到我们睡眠时呢，\n\n01:33.402 --> 01:34.953\n身体修复受损组织。\n\n01:35.822 --> 01:36.873\n促进细胞的增生。\n\n01:38.433 --> 01:40.433\n同时免疫系统在睡眠中增强，\n\n01:40.984 --> 01:42.283\n抵御疾病的入侵。\n\n01:44.722 --> 01:46.972\n是睡眠不足给我们带来一些以下的危害。\n\n01:47.786 --> 01:48.111\n第一个呢，\n\n01:48.111 --> 01:49.136\n它会导致疲劳。\n\n01:50.184 --> 01:51.135\n注意力不集中，\n\n01:51.635 --> 01:52.934\n影响日常生活。\n\n01:54.775 --> 01:55.150\n同时呢，\n\n01:55.150 --> 01:56.250\n长期睡眠不足呢，\n\n01:56.250 --> 01:57.675\n还会引发一些慢性病。\n\n01:58.514 --> 02:00.764\n如心血管疾病、糖尿病。\n\n02:03.056 --> 02:05.707\n那我们下面讲讲什么是睡眠呼吸障碍？\n\n02:08.035 --> 02:08.434\n怎么说？\n\n02:09.188 --> 02:10.214\n睡眠呼吸障碍，\n\n02:10.214 --> 02:13.389\n它可以根据这个呼吸暂停分为以下几个类型。\n\n02:14.595 --> 02:14.796\n一。\n\n02:15.585 --> 02:17.384\n阻塞性的睡眠呼吸暂停。\n\n02:18.824 --> 02:19.298\n它是指呢，\n\n02:19.298 --> 02:20.149\n在睡眠中呢，\n\n02:20.149 --> 02:22.473\n气道堵塞导致呼吸暂停。\n\n02:23.854 --> 02:27.455\n往往常见于一些肥胖的或者是鼻腔狭窄的人群。\n\n02:29.276 --> 02:29.677\n第二个呢，\n\n02:29.677 --> 02:32.526\n是中枢性的睡眠呼吸暂停。\n\n02:34.531 --> 02:36.430\n中枢性的睡眠呼吸暂停呢，\n\n02:36.580 --> 02:41.231\n是大脑呼吸中枢信号异常所导致的一个呼吸暂停。\n\n02:42.869 --> 02:46.770\n它往往常见于一些患有神经系统疾病的病人。\n\n02:48.643 --> 02:49.218\n第三个呢，\n\n02:49.218 --> 02:51.742\n就是一个混合型的呼吸，\n\n02:51.792 --> 02:52.942\n睡眠呼吸暂停。\n\n02:54.419 --> 02:57.018\n你们说什么是混合型的睡眠回家？\n\n02:58.141 --> 02:59.065\n从字面上来看，\n\n02:59.065 --> 03:02.041\n它就是一个阻塞性的睡眠呼吸暂停，\n\n03:02.490 --> 03:05.891\n合并同时存在中枢性的睡眠呼吸暂停。\n\n03:06.929 --> 03:10.554\n所以我们在治疗这种类型的睡眠会暂停时呢，\n\n03:10.554 --> 03:12.479\n需要综合考虑两种机制。\n\n03:15.772 --> 03:20.272\n那比如说睡眠呼吸暂停或者说睡眠呼吸障碍会引起哪些症状呢？\n\n03:21.460 --> 03:23.511\n第一个是夜间的症状。\n\n03:24.457 --> 03:27.356\n有时候患者会夜间表现为一个打鼾。\n\n03:28.712 --> 03:29.111\n憋气。\n\n03:30.740 --> 03:31.589\n频繁的翻身。\n\n03:32.662 --> 03:34.511\n影响了他的生活睡眠质量。\n\n03:36.119 --> 03:36.470\n同时呢，\n\n03:36.470 --> 03:37.419\n在夜间呢，\n\n03:37.419 --> 03:39.270\n会产生一个多次的觉醒。\n\n03:40.229 --> 03:42.330\n导致碎片碎片化。\n\n03:44.354 --> 03:45.679\n由于夜间症状的时候，\n\n03:45.679 --> 03:47.203\n通常导致一些白天的症状。\n\n03:48.214 --> 03:50.615\n白天由于睡眠不足或者睡眠障碍呢，\n\n03:50.764 --> 03:52.815\n会引起一个嗜睡。\n\n03:53.983 --> 03:54.432\n西腊。\n\n03:55.546 --> 03:56.397\n注意力不集中，\n\n03:56.947 --> 03:57.647\n从而呢，\n\n03:57.647 --> 03:58.897\n影响一个工作学习。\n\n04:01.115 --> 04:01.539\n同时呢，\n\n04:01.539 --> 04:03.914\n睡眠不足也会影响到一个情绪波动。\n\n04:04.695 --> 04:05.046\n易怒。\n\n04:06.470 --> 04:07.921\n影响人与人之间的人际关系。\n\n04:10.182 --> 04:12.132\n还有一些其他的相关症状。\n\n04:13.119 --> 04:14.819\n比方说头痛啊，\n\n04:15.319 --> 04:16.319\n口干啊，\n\n04:16.868 --> 04:17.868\n夜尿增多。\n\n04:19.540 --> 04:21.890\n同时还会有一些记忆力减退啊，\n\n04:22.240 --> 04:23.290\n反应迟钝啊。\n\n04:23.981 --> 04:25.631\n增加了一些事故的风险。\n\n04:28.308 --> 04:30.759\n那我们说睡眠会障有哪些预防人群呢？\n\n04:31.631 --> 04:32.080\n第一个呢，\n\n04:32.080 --> 04:33.631\n是一个肥胖的区域。\n\n04:34.921 --> 04:38.872\n我们说肥胖者的一些颈部脂肪容易堆积。\n\n04:40.098 --> 04:40.523\n扩大，\n\n04:40.523 --> 04:42.098\n引起一个气道狭窄。\n\n04:43.321 --> 04:43.545\n然后呢，\n\n04:43.545 --> 04:47.045\n就会引起这个气道狭窄堵塞引起的呼吸暂停，\n\n04:47.045 --> 04:50.321\n就是我们说前面说的阻塞性睡眠呼吸暂停。\n\n04:52.049 --> 04:55.598\n那么特别表现一些体重原指数高的病人。\n\n04:56.679 --> 04:57.454\n据研究发现呢，\n\n04:57.454 --> 04:59.579\n比如说体重组BMI每增加五。\n\n05:00.373 --> 05:04.373\n那么阻塞性的睡眠回障碍的风险就会增加10倍。\n\n05:07.002 --> 05:07.552\n第二种人群呢，\n\n05:07.552 --> 05:08.652\n就是老年人群。\n\n05:10.045 --> 05:10.644\n随着一些。\n\n05:11.789 --> 05:12.489\n年龄增长，\n\n05:12.489 --> 05:15.088\n我们一些病人的肌肉松弛。\n\n05:15.986 --> 05:16.386\n然后呢，\n\n05:16.386 --> 05:17.286\n气道塌陷。\n\n05:18.078 --> 05:19.778\n从而引起相关的风险增加。\n\n05:21.570 --> 05:21.920\n然后呢，\n\n05:22.070 --> 05:24.220\n病人的一些神经系统退化。\n\n05:25.074 --> 05:26.373\n呼吸调节功能下降。\n\n05:27.227 --> 05:29.578\n会引发一些重复性的睡眠会暂停。\n\n05:31.766 --> 05:33.766\n第三个说是男性人群。\n\n05:35.269 --> 05:36.669\n那么从男性的角度来讲，\n\n05:37.118 --> 05:37.919\n那个喉部啊，\n\n05:37.919 --> 05:38.669\n位置较低。\n\n05:39.678 --> 05:40.229\n气道呢，\n\n05:40.378 --> 05:41.678\n容易比较狭窄。\n\n05:42.691 --> 05:43.191\n更容易呢，\n\n05:43.191 --> 05:46.691\n罹患一些那个阻塞性的睡眠力暂停。\n\n05:48.519 --> 05:48.868\n同时，\n\n05:49.269 --> 05:50.669\n男性的吸收水平呢，\n\n05:50.669 --> 05:53.769\n也会影响气道的结构和呼吸调节。\n\n05:55.726 --> 05:58.527\n我后面再讲讲呼吸调节异常机制。\n\n06:00.712 --> 06:03.962\n我们说正常的呼吸调节机是有以下几个。\n\n06:04.648 --> 06:06.447\n一个是呼吸中枢的调控。\n\n06:07.312 --> 06:07.611\n第二呢，\n\n06:07.611 --> 06:09.161\n是化学班写作的。\n\n06:09.867 --> 06:11.816\n在那是个反馈调节机制。\n\n06:14.147 --> 06:15.122\n呼吸中枢的调控呢，\n\n06:15.122 --> 06:16.696\n是由于呼吸中枢呢，\n\n06:16.696 --> 06:17.647\n它位于盐水。\n\n06:18.584 --> 06:22.135\n它通过调节呼吸节律来进行对呼吸状态进行一个调控。\n\n06:23.346 --> 06:23.671\n同时呢，\n\n06:23.671 --> 06:27.446\n呼中枢通过神经信号控制呼吸机的运动。\n\n06:29.096 --> 06:29.196\n好，\n\n06:29.196 --> 06:30.596\n你说化学感应器呢？\n\n06:30.596 --> 06:34.946\n就是说它是感知血液中二氧化碳和氧气的浓度。\n\n06:36.263 --> 06:40.638\n受血液中二氧化碳浓度升高和相应的呼吸兴奋中枢，\n\n06:40.638 --> 06:45.213\n兴奋使得呼吸加深加快降低二氧化碳浓度。\n\n06:47.242 --> 06:48.266\n而反馈机制呢，\n\n06:48.266 --> 06:49.641\n就是说在呼吸过程中呢，\n\n06:49.691 --> 06:51.566\n肺部和气道感受器呢，\n\n06:51.566 --> 06:52.742\n反馈相应的信息。\n\n06:54.248 --> 06:55.049\n反馈进行呢，\n\n06:55.049 --> 06:56.648\n维持呼吸的平稳。\n\n06:57.618 --> 07:01.618\n避免病人出现一个过度的通气或者是呼吸的暂停。\n\n07:04.609 --> 07:06.760\n那我们讲讲呼吸调节异常有哪些表现？\n\n07:07.821 --> 07:09.871\n这第一个他绝对不正常。\n\n07:11.592 --> 07:14.893\n多吸性的呼吸是呼吸调节异常的表现之一。\n\n07:15.977 --> 07:18.328\n而它的首先会常常见，\n\n07:18.328 --> 07:19.928\n经常见一些病例衰竭。\n\n07:20.851 --> 07:22.101\n神经系统疾病的患者。\n\n07:23.563 --> 07:23.963\n同时呢，\n\n07:24.164 --> 07:27.713\n还会表现为一个呼吸中枢的敏感性异常。\n\n07:29.739 --> 07:31.914\n如果说患者的呼吸中枢过敏，\n\n07:31.914 --> 07:32.239\n敏感。\n\n07:33.015 --> 07:34.714\n它会导致一个过度通气。\n\n07:36.113 --> 07:37.412\n而如果患者呼吸中枢呢，\n\n07:37.412 --> 07:38.863\n又比较如果比较迟钝的话，\n\n07:38.863 --> 07:41.062\n它会导致一个呼吸暂停。\n\n07:42.890 --> 07:44.739\n相当于一个呼吸的功能障碍。\n\n07:45.937 --> 07:49.037\n我们说如果说呼吸肌疲劳或者无力，\n\n07:49.437 --> 07:51.088\n就会影响一个呼吸效率。\n\n07:52.600 --> 07:53.200\n而有时候呢，\n\n07:53.200 --> 07:57.149\n呼吸功能障碍常见于是神经肌肉疾病的患者。\n\n07:59.959 --> 08:02.459\n那睡眠对呼吸调有哪些影响呢？\n\n08:03.411 --> 08:03.861\n那么说，\n\n08:03.861 --> 08:04.511\n睡眠时呢，\n\n08:04.511 --> 08:06.611\n气道会肌肉放松。\n\n08:07.338 --> 08:07.763\n蛋呢，\n\n08:07.763 --> 08:08.537\n更容易塌陷。\n\n08:10.118 --> 08:11.368\n而气道的塌陷呢，\n\n08:11.468 --> 08:13.169\n导致呼吸的阻力增加。\n\n08:14.040 --> 08:15.640\n容易引发呼吸暂停。\n\n08:17.285 --> 08:18.885\n而呼中枢在睡眠中变化，\n\n08:18.885 --> 08:22.285\n其实说在睡眠时它的中枢调节功能下降。\n\n08:23.154 --> 08:26.154\n它在睡眠中更容易引发呼吸障碍。\n\n08:28.854 --> 08:29.128\n下面呢，\n\n08:29.128 --> 08:33.054\n我们讲讲睡眠呼吸障碍与呼吸调节异常的关系。\n\n08:35.182 --> 08:35.333\n首先，\n\n08:35.333 --> 08:37.033\n他们存在的相互影响支持。\n\n08:38.817 --> 08:42.067\n睡眠呼吸障碍会导致呼吸调节异常。\n\n08:43.099 --> 08:44.325\n由于睡眠呼吸暂停，\n\n08:44.325 --> 08:45.299\n反复的觉醒。\n\n08:46.192 --> 08:48.093\n干扰了呼吸中枢的调节。\n\n08:49.393 --> 08:53.244\n而长期的睡眠呼吸暂停会导致呼吸中枢功能紊乱。\n\n08:54.726 --> 08:55.075\n第二。\n\n08:55.963 --> 08:58.663\n呼吸调节异常会加重睡眠呼吸障碍。\n\n09:00.047 --> 09:05.348\n呼吸中枢的敏感性异常常常会导致一个呼吸暂停的频率增加。\n\n09:06.835 --> 09:07.234\n同时呢，\n\n09:07.234 --> 09:08.284\n呼吸调节异常呢，\n\n09:08.284 --> 09:09.585\n会影响气道的通畅。\n\n09:10.346 --> 09:11.497\n加重呼吸暂停。\n\n09:13.658 --> 09:13.958\n但呢，\n\n09:13.958 --> 09:15.708\n他们共同病理生理机制呢，\n\n09:15.708 --> 09:17.533\n就是说神经系统呢，\n\n09:17.533 --> 09:20.109\n会影响呼吸中枢和气道结构。\n\n09:21.786 --> 09:23.012\n而心血管疾病呢，\n\n09:23.012 --> 09:25.586\n会影响呼吸调节和气道血流。\n\n09:28.081 --> 09:30.481\n那么我们会有哪些常见的临床表现呢？\n\n09:30.831 --> 09:33.831\n一个常见的是打鼾与呼吸暂停。\n\n09:35.625 --> 09:38.026\n打鼾是睡眠呼吸障碍的常见症状。\n\n09:39.541 --> 09:40.466\n打鼾的严重者呢，\n\n09:40.466 --> 09:41.942\n容易出现一个呼吸暂停。\n\n09:43.661 --> 09:46.260\n其次就是一个夜间的觉醒与呼吸困难。\n\n09:47.875 --> 09:49.125\n如果患者有呼吸障碍，\n\n09:49.224 --> 09:51.174\n那么还会夜间频繁的睡醒。\n\n09:52.197 --> 09:53.148\n影响睡眠质量。\n\n09:54.051 --> 09:56.700\n而由于呼吸困难所导致的流血呢？\n\n09:56.700 --> 09:58.851\n它反而会加重睡眠呼吸障碍。\n\n10:01.231 --> 10:01.531\n第三呢，\n\n10:01.531 --> 10:02.431\n我们说这些呢，\n\n10:02.431 --> 10:04.380\n它会影响你的白天的嗜睡与疲劳。\n\n10:05.906 --> 10:08.757\n白天的嗜睡是睡眠呼吸障碍的主要表现。\n\n10:09.106 --> 10:10.331\n由于夜间睡眠不好，\n\n10:10.331 --> 10:12.081\n所以造成白天注意力差，\n\n10:12.081 --> 10:13.007\n注意力不集中。\n\n10:13.710 --> 10:14.210\n电视费。\n\n10:15.286 --> 10:15.585\n同时呢，\n\n10:15.585 --> 10:16.411\n呼吸调节异常呢，\n\n10:16.411 --> 10:17.536\n导致睡眠质量差，\n\n10:17.986 --> 10:19.835\n白天更疲劳。\n\n10:22.015 --> 10:27.065\n那么后面讲讲那后期睡眠障碍对这个健康的影响。\n\n10:28.885 --> 10:30.085\n我们从几个系统来讲啊。\n\n10:30.867 --> 10:32.267\n一个是心血失调。\n\n10:33.226 --> 10:39.476\n它会引起那个患者的高血压、冠心病、心律失常的风险增加。\n\n10:41.515 --> 10:43.039\n那么为什么会引起冠心病现象呢？\n\n10:43.039 --> 10:45.414\n因为长期缺氧导致心肌缺血。\n\n10:46.103 --> 10:46.302\n这。\n\n10:48.179 --> 10:49.078\n这样的患者呢，\n\n10:49.078 --> 10:51.379\n的冠心病发病率是正常的2.3倍。\n\n10:52.742 --> 10:53.166\n同时呢，\n\n10:53.166 --> 10:54.142\n睡眠呼吸暂停呢，\n\n10:54.142 --> 10:55.242\n导致一个心肌缺氧，\n\n10:55.642 --> 10:57.392\n引发一个患者心律失常。\n\n10:58.409 --> 10:58.984\n新市上呢，\n\n10:58.984 --> 11:00.659\n也会增加一个猝死风险。\n\n11:02.132 --> 11:02.481\n同时，\n\n11:02.481 --> 11:05.731\n睡眠会让反复的学习激活了交感神经。\n\n11:06.554 --> 11:07.229\n大神经兴奋呢，\n\n11:07.229 --> 11:08.854\n导致患者血压升高，\n\n11:09.254 --> 11:11.403\n更增加了心血管疾病的风险。\n\n11:14.072 --> 11:14.922\n后面我讲在。\n\n11:16.195 --> 11:17.171\n那么代谢同学呢，\n\n11:17.171 --> 11:20.745\n它会引起肥胖、糖尿病、脂质代谢。\n\n11:22.200 --> 11:23.599\n因为睡眠呼吸障碍，\n\n11:23.599 --> 11:25.750\n它会导致患者的一个代谢紊乱。\n\n11:26.481 --> 11:27.431\n加重肥胖。\n\n11:28.898 --> 11:29.323\n而肥胖呢，\n\n11:29.323 --> 11:31.499\n又进一步加重一个睡眠呼吸障碍，\n\n11:31.598 --> 11:33.148\n两者形成一个恶性循环。\n\n11:34.851 --> 11:35.125\n同时呢，\n\n11:35.125 --> 11:38.401\n它会影响一个胰岛素分泌和敏感性。\n\n11:39.596 --> 11:40.622\n这名呼吸上的患者，\n\n11:40.622 --> 11:42.096\n他糖尿病发病率啊，\n\n11:42.096 --> 11:43.146\n是正常的两倍。\n\n11:44.849 --> 11:45.174\n同时呢，\n\n11:45.174 --> 11:47.400\n还会影响一个脂质的代谢，\n\n11:47.799 --> 11:49.900\n增加血脂异常的风险。\n\n11:51.081 --> 11:52.781\n而脂质异常代谢呢，\n\n11:52.781 --> 11:55.731\n会增加相应的心血管视频的弹性。\n\n11:58.195 --> 11:59.195\n我们再讲神经系统。\n\n12:00.130 --> 12:01.104\n从神经上呢，\n\n12:01.104 --> 12:02.030\n它分为两方面，\n\n12:02.030 --> 12:03.630\n一个是认知功能障碍。\n\n12:04.323 --> 12:05.473\n一个是精神障碍。\n\n12:06.794 --> 12:07.468\n睡眠呼吸障碍呢，\n\n12:07.468 --> 12:08.943\n会影响大脑的功能。\n\n12:09.723 --> 12:11.874\n导致患者的认知功能下降。\n\n12:13.401 --> 12:15.502\n而认知功能障碍的表现呢，\n\n12:15.502 --> 12:16.901\n又会一个记忆力减退。\n\n12:17.681 --> 12:18.431\n注意力不集中。\n\n12:21.041 --> 12:21.867\n精神上来讲呢，\n\n12:21.867 --> 12:22.841\n睡眠不障呢，\n\n12:22.841 --> 12:25.442\n它会导致一个患者的情绪波动。\n\n12:26.276 --> 12:28.077\n引发焦虑和抑郁。\n\n12:29.163 --> 12:30.088\n而焦虑和抑郁呢，\n\n12:30.088 --> 12:31.612\n又会影响患者生活质量，\n\n12:32.013 --> 12:33.913\n加重睡眠呼吸。\n\n12:33.913 --> 12:34.463\n这样。\n\n12:36.482 --> 12:38.632\n那么我们接下去如何应对预防呢？\n\n12:39.658 --> 12:39.908\n嗯，\n\n12:39.908 --> 12:41.008\n有以下几个方面，\n\n12:41.059 --> 12:42.083\n从第一，\n\n12:42.083 --> 12:43.309\n我们要调整生活方式。\n\n12:44.164 --> 12:45.364\n首先是体重管理。\n\n12:46.864 --> 12:51.263\n减肥是预防与治疗睡眠不障的重要措施。\n\n12:53.632 --> 12:55.031\n体重每减少10%。\n\n12:56.012 --> 12:57.961\n阻塞性睡眠障碍的症状呢，\n\n12:57.961 --> 12:59.361\n会减轻50%。\n\n13:01.348 --> 13:01.622\n第二呢，\n\n13:01.622 --> 13:02.547\n是戒烟戒酒。\n\n13:03.750 --> 13:04.450\n我们说吸烟呢，\n\n13:04.450 --> 13:05.750\n会导致气道的炎症。\n\n13:06.554 --> 13:07.755\n加重呼吸障碍。\n\n13:09.190 --> 13:09.715\n而酒精呢，\n\n13:09.715 --> 13:10.890\n它能够松弛肌肉，\n\n13:11.140 --> 13:13.840\n增加气道塌坍塌的风险。\n\n13:15.202 --> 13:16.702\n然后一个是睡眠调整。\n\n13:17.617 --> 13:18.517\n侧卧的睡眠呢，\n\n13:18.517 --> 13:20.267\n我们说可以调整气道的塌陷，\n\n13:20.617 --> 13:21.666\n减轻打鼾。\n\n13:22.810 --> 13:25.710\n所以说我们平时要避免仰卧位的睡眠，\n\n13:25.760 --> 13:26.911\n减少呼吸站。\n\n13:28.617 --> 13:29.143\n我们同时呢，\n\n13:29.143 --> 13:31.617\n还可以进行一个医疗干预。\n\n13:32.401 --> 13:37.302\n主要包括一个通过进仪器来进行一个持续的气道正压通气。\n\n13:38.705 --> 13:40.505\n而持续气道正压通气呢，\n\n13:40.505 --> 13:44.304\n它是治疗阻塞性睡眠障碍的一个黄金标准。\n\n13:45.148 --> 13:46.447\n它通过正压通气，\n\n13:46.447 --> 13:47.523\n保持气道通畅，\n\n13:47.523 --> 13:48.398\n改善呼吸。\n\n13:49.943 --> 13:52.593\n同时我们还可以使用一些口腔的矫治器。\n\n13:54.007 --> 13:58.356\n口腔矫治器适用一个轻、中度的阻塞性睡眠呼吸障碍的患者。\n\n13:59.132 --> 14:00.783\n它通过调节下颌的位置，\n\n14:00.783 --> 14:02.132\n保持气道的通畅。\n\n14:03.734 --> 14:04.934\n那我们可以使用药物治疗。\n\n14:05.706 --> 14:06.031\n但是呢，\n\n14:06.031 --> 14:08.356\n药物治疗主要是用于缓解这些症状，\n\n14:08.606 --> 14:09.856\n或者说治疗原发病。\n\n14:10.681 --> 14:10.906\n嗯，\n\n14:10.906 --> 14:11.255\n这个呢，\n\n14:11.255 --> 14:12.731\n需要在医生指导下进行。\n\n14:14.731 --> 14:15.031\n呼吸，\n\n14:15.080 --> 14:16.330\n进行呼吸训练。\n\n14:17.054 --> 14:21.203\n比方说深呼吸训练、腹式呼吸训练、呼吸节奏训练。\n\n14:22.135 --> 14:23.960\n通过这些训呼吸训练，\n\n14:23.960 --> 14:25.286\n一些气道手术啊，\n\n14:25.435 --> 14:26.710\n神经调节手术啊，\n\n14:26.710 --> 14:27.885\n以及其他手术等。\n\n14:30.031 --> 14:33.081\n我们说还有一些相关疾病的识别、诊断与治疗。\n\n14:34.028 --> 14:36.578\n怎么说阻阻塞性的睡眠呼吸暂停？\n\n14:37.484 --> 14:38.859\n还要包括一些症状，\n\n14:38.859 --> 14:41.335\n体征是打鼾、憋气便失水。\n\n14:42.357 --> 14:45.158\n了多导睡眠监测的是一个新标准。\n\n14:46.646 --> 14:46.747\n嗯，\n\n14:46.747 --> 14:49.296\n我们说可以用口腔脚气矫正，\n\n14:49.296 --> 14:52.197\n或者是持续震荡、气压增压来治疗。\n\n14:53.653 --> 14:55.802\n而中枢性的呼吸菌暂停呢，\n\n14:55.802 --> 14:57.078\n它也是一个夜间憋气，\n\n14:57.078 --> 14:58.502\n觉醒是其主要症状。\n\n14:59.802 --> 15:01.978\n包括一些诊断方法呢，\n\n15:01.978 --> 15:02.752\n是PS级，\n\n15:03.002 --> 15:05.328\n同时CP比如说持续七到肾下呢，\n\n15:05.328 --> 15:06.653\n可以是主要使用方法。\n\n15:09.510 --> 15:10.835\n今天我给大家讲的这些东西，\n\n15:10.835 --> 15:11.611\n谢谢大家。\n\n","v0247cg10004d60r9taljhtaq63hgdmg",915,887,"2026-01-24 21:25:04"," 睡眠呼吸障碍科普：症状、危害与治疗方法全解析  "," 睡眠呼吸障碍,打鼾,睡眠窒息症,OSA,睡眠呼吸暂停,睡眠质量,呼吸机治疗  "," 本文详细科普睡眠呼吸障碍的常见症状、健康危害及有效治疗方法，帮助您了解打鼾与睡眠窒息症的区别，并提供改善睡眠质量的实用建议，适合长期疲劳、夜间呼吸异常人群阅读。","2026-02-26 09:30:00",[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",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/871751/d5097008-71f6-44b5-9754-7b7cdbb8ca8d.tmp?a=0&auth_key=1789027095-bc9095f2508f4e789a5266a069128910-0-6fbd3768a36cee37cb61f6f320985b01&br=516&bt=516&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=4&eid=v0247cg10004d60r9taljhtaq63hgdmg&er=0&l=20260811054257E46807B6CBBF8E4F067D&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=amdrOWRrb3d1OTczNGY3M0ApcGo2dHdtZDwzZzMzajo1eWdqZDBucWdeNi1hLS1kNC9zc2RhZTNeZWlxbzMxLS5gMS06Yw%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},[],[]]