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--> 00:01.774\n大家好，\n\n00:01.774 --> 00:05.974\n今天我们来说一下急性扁桃体炎的认识和防治。\n\n00:09.053 --> 00:09.178\n嗯，\n\n00:09.178 --> 00:11.953\n我将从下面几个方面开始阐述。\n\n00:13.381 --> 00:13.656\n首先，\n\n00:13.656 --> 00:15.031\n什么是扁桃体炎？\n\n00:15.531 --> 00:19.131\n急性的扁桃体炎是扁桃体急性的炎症，\n\n00:19.131 --> 00:21.681\n通常由细菌或病毒感染引起。\n\n00:22.031 --> 00:23.632\n该病起病急，\n\n00:23.632 --> 00:25.531\n常伴有发热、咽痛，\n\n00:25.531 --> 00:27.381\n病程在1.2周左右。\n\n00:28.375 --> 00:30.475\n大多数患者经过及时治疗，\n\n00:30.475 --> 00:32.675\n症状可在一周左右缓解。\n\n00:33.076 --> 00:36.226\n若治疗不及时或者说是不彻底，\n\n00:36.226 --> 00:39.675\n可能会转为慢性的扁桃体炎，\n\n00:39.675 --> 00:40.625\n反复发作。\n\n00:41.966 --> 00:46.416\n儿童和青少年是急性扁桃体炎的高发人群。\n\n00:46.416 --> 00:47.867\n冬春季节变化，\n\n00:47.867 --> 00:52.716\n大气、空气干燥是急性扁桃体炎的高发季节。\n\n00:55.415 --> 00:56.365\n扁桃体，\n\n00:56.615 --> 00:57.740\n它的作用，\n\n00:57.740 --> 00:59.264\n并且它在哪里呢？\n\n00:59.415 --> 00:59.990\n首先，\n\n00:59.990 --> 01:03.814\n扁桃体它是人体免疫系统的重要组成部分，\n\n01:03.814 --> 01:05.014\n能产生抗体。\n\n01:05.315 --> 01:08.864\n它可抵御进入口咽部的病原体，\n\n01:08.864 --> 01:10.864\n是呼吸道的第一道防线。\n\n01:11.936 --> 01:17.037\n扁桃体中的淋巴细胞可识别并清除入侵的病原体。\n\n01:18.001 --> 01:19.427\n在免疫反应过程中，\n\n01:19.427 --> 01:20.927\n扁桃体可肿大，\n\n01:20.927 --> 01:24.601\n是身体的一种保护机制。\n\n01:25.052 --> 01:29.351\n扁桃体的免疫功能对全身的免疫系统有重要影响，\n\n01:29.652 --> 01:34.376\n它可以与全身其他免疫器官相互协作，\n\n01:34.376 --> 01:36.652\n共同抵御病原体的入侵。\n\n01:38.401 --> 01:38.901\n扁桃体，\n\n01:38.901 --> 01:41.926\n它位于口咽部的两侧的淋巴组织，\n\n01:41.926 --> 01:44.301\n呈扁软圆形，\n\n01:44.901 --> 01:46.901\n其表面有隐窝可增，\n\n01:47.000 --> 01:49.500\n可增加病原体的接触面积。\n\n01:50.250 --> 01:56.500\n扁桃体体与咽部肌肉、软腭等组织紧密连接其位置，\n\n01:56.500 --> 02:01.050\n使其能有效的监测和防御进入口咽部的病原体。\n\n02:01.871 --> 02:02.271\n临床。\n\n02:04.222 --> 02:04.972\n临床意义，\n\n02:04.972 --> 02:07.397\n了解了扁桃体的位置，\n\n02:07.397 --> 02:10.171\n有助于临床的检查和诊断。\n\n02:10.522 --> 02:15.772\n扁桃体的肿大或炎症可能会影响咽部的功能和呼吸。\n\n02:18.164 --> 02:21.514\n急性扁桃体它常见的病因有哪些呢？\n\n02:21.615 --> 02:23.789\n首先是细菌性的病原体。\n\n02:23.789 --> 02:29.964\nA组贝塔溶血性链球菌是细菌性扁桃体炎的主要病原体，\n\n02:30.365 --> 02:32.964\n占15%.30%。\n\n02:33.214 --> 02:35.565\n该菌可产生多种毒素，\n\n02:35.565 --> 02:38.115\n引起咽部化脓性炎症。\n\n02:40.093 --> 02:44.692\n腺病毒、EB病毒、流感病毒等是常见的病原体，\n\n02:44.692 --> 02:46.117\n病毒性的病原体。\n\n02:46.317 --> 02:50.093\n病毒感染引起的扁桃体炎相对较轻，\n\n02:50.093 --> 02:51.468\n而且病程较长。\n\n02:52.440 --> 02:52.641\n嗯，\n\n02:52.990 --> 02:56.716\n葡萄球菌、肺炎链球菌也可引起扁桃体炎。\n\n02:56.716 --> 03:01.690\n部分患者可能有多种病原体混合感染引起的。\n\n03:03.962 --> 03:05.912\n它的诱发因素有哪些呢？\n\n03:05.912 --> 03:08.061\n首先就是免疫力的下降，\n\n03:08.361 --> 03:12.811\n病原体更是容易侵入扁桃体，\n\n03:12.811 --> 03:13.712\n引发炎症。\n\n03:13.912 --> 03:20.712\n比方说过度劳累、长期熬夜、患有慢性疾病都可以导致免疫力的下降。\n\n03:21.591 --> 03:23.141\n第二点就是环境的因素。\n\n03:23.141 --> 03:27.891\n受凉、空气污染、吸烟都可能会刺激咽部，\n\n03:27.891 --> 03:29.166\n引发扁桃体炎。\n\n03:29.166 --> 03:31.690\n长期处于干燥污染的环境中，\n\n03:31.891 --> 03:34.690\n扁桃体的防御功能会相对减弱。\n\n03:35.384 --> 03:36.759\n还有一些其他的原因，\n\n03:36.759 --> 03:38.559\n比方说鼻腔的疾病，\n\n03:38.559 --> 03:40.233\n如鼻炎、鼻窦炎，\n\n03:40.583 --> 03:42.934\n都可以影响咽部的环境，\n\n03:42.934 --> 03:46.733\n诱发扁桃体不良的饮食习惯。\n\n03:48.020 --> 03:52.070\n比方说长期食用辛辣刺激的食品也可以诱发。\n\n03:54.395 --> 03:54.470\n嗯，\n\n03:54.470 --> 03:58.246\n急性扁桃体炎有哪些典型的症状和体征呢？\n\n03:58.246 --> 04:01.770\n首先就是一些的局部症状，\n\n04:01.770 --> 04:04.171\n比方说咽痛和吞咽困难。\n\n04:04.171 --> 04:07.695\n剧烈的咽痛是扁桃体炎的主要症状。\n\n04:07.945 --> 04:09.845\n吞咽时疼痛加剧，\n\n04:09.845 --> 04:11.796\n疼痛可放射至耳部，\n\n04:11.996 --> 04:14.195\n导致患者食欲减退，\n\n04:14.195 --> 04:15.996\n甚至无法正常进食。\n\n04:16.446 --> 04:19.145\n然后就是扁桃体的红肿和渗出。\n\n04:21.415 --> 04:24.614\n还有还伴有声音的嘶哑和口臭。\n\n04:26.848 --> 04:30.049\n全身症状主要就是发热与寒战，\n\n04:30.049 --> 04:31.348\n患者出现高热，\n\n04:31.348 --> 04:33.498\n体温可以达到39°以上，\n\n04:33.498 --> 04:34.398\n伴有寒颤。\n\n04:34.748 --> 04:38.648\n发热是身体对病原体入侵的一种免疫反应。\n\n04:38.848 --> 04:40.949\n然后就是头痛和乏力，\n\n04:41.049 --> 04:44.549\n患者可出现头痛、全身乏力这些症状。\n\n04:45.684 --> 04:49.135\n这些症状都是由于炎症引起的全身不适，\n\n04:49.135 --> 04:50.584\n影响正常生活。\n\n04:51.135 --> 04:54.160\n然后就是淋巴肿大和压痛，\n\n04:54.160 --> 04:58.234\n颌下的淋巴肿经常肿大不准时，\n\n04:58.234 --> 04:58.984\n有压痛。\n\n05:00.549 --> 05:04.225\n淋巴结肿大是身体对炎症的一种反应，\n\n05:04.225 --> 05:05.350\n有助于诊断。\n\n05:05.649 --> 05:08.549\n我们一般如何诊断急性扁桃体炎的，\n\n05:08.549 --> 05:10.799\n首先就是临床检查，\n\n05:11.149 --> 05:13.100\n可以通过咽部的视诊，\n\n05:13.299 --> 05:14.700\n淋巴结的触诊，\n\n05:14.899 --> 05:16.725\n还有一些其他的检查，\n\n05:16.725 --> 05:19.500\n比方说检查口腔、鼻咽这些部位，\n\n05:19.500 --> 05:22.100\n排除其他疾病引起的咽痛，\n\n05:22.399 --> 05:24.924\n了解患者有无系统性的疾病，\n\n05:24.924 --> 05:27.299\n有助于全面的评估病情。\n\n05:28.421 --> 05:30.022\n然后就是实验室检查，\n\n05:30.022 --> 05:31.421\n比方说血常规，\n\n05:31.671 --> 05:33.272\n细菌感染的时候，\n\n05:33.372 --> 05:36.671\n血常规中的中性粒细胞比例会升高，\n\n05:36.671 --> 05:40.747\n而病毒感染的时候淋巴细胞比例会升高，\n\n05:40.747 --> 05:43.171\n有助于区分感染的类型。\n\n05:44.644 --> 05:47.269\n第二就是快速链球菌的检测，\n\n05:47.269 --> 05:53.444\n咽拭子快速链球菌的检测可在短时间内明确细菌感染，\n\n05:53.593 --> 05:57.343\n该检测对指导抗生素的使用有重要意义。\n\n05:57.493 --> 05:59.169\n还有一些其他的检测，\n\n05:59.169 --> 06:00.794\n比方说C反应蛋白，\n\n06:00.794 --> 06:02.843\nC反应蛋白升高。\n\n06:03.785 --> 06:04.934\n提示炎症反应，\n\n06:04.934 --> 06:08.484\n但不能区分到底是细菌感染还是病毒感染。\n\n06:11.067 --> 06:15.967\n后面就是如何区分是细菌性的感染还是病毒性的感染。\n\n06:15.967 --> 06:19.618\n细菌性的扁桃体炎它的临床症状主要有。\n\n06:20.610 --> 06:21.561\n胎脓脓，\n\n06:21.561 --> 06:23.010\n胎高热，\n\n06:23.260 --> 06:25.686\n咽痛的剧剧烈的咽痛，\n\n06:25.686 --> 06:27.510\n扁桃体的红肿明显，\n\n06:27.811 --> 06:30.911\n颌下的颌下的淋巴结肿大，\n\n06:31.360 --> 06:32.860\n触诊压痛明确。\n\n06:32.911 --> 06:35.010\n然后就是一个实验室的检测，\n\n06:35.010 --> 06:37.260\n快速链球菌检测阳性。\n\n06:38.785 --> 06:43.385\n或者血常规中中性粒细胞比例升高，\n\n06:43.385 --> 06:44.635\nCPR明显升高，\n\n06:44.885 --> 06:48.635\n提示细菌感染引起的炎症反应。\n\n06:49.441 --> 06:50.041\n治疗原则，\n\n06:50.041 --> 06:53.092\n细菌性的扁桃体炎需要使用抗生素的治疗，\n\n06:53.092 --> 06:58.691\n比方说青霉素足疗程的使用抗生素可有效清除病原体，\n\n06:58.992 --> 07:00.191\n防止并发症。\n\n07:00.391 --> 07:02.516\n而病毒性的扁桃体炎，\n\n07:02.516 --> 07:04.492\n它的临床症状常伴有。\n\n07:05.330 --> 07:09.230\n咳嗽、流涕、结膜炎这些上呼吸道感染的症状，\n\n07:09.430 --> 07:11.105\n咽痛相对较轻，\n\n07:11.105 --> 07:12.105\n病程较长，\n\n07:12.105 --> 07:13.480\n一般为自限性。\n\n07:14.317 --> 07:15.268\n实验室检查，\n\n07:15.268 --> 07:17.868\n快速链球菌的检测阴性，\n\n07:18.317 --> 07:21.467\n血常规中的淋巴细胞比例升高，\n\n07:21.467 --> 07:23.717\nCRP一般正常或轻度升高，\n\n07:23.967 --> 07:26.768\n提示病毒感染引起的炎症反应。\n\n07:26.967 --> 07:30.092\n它的治疗主要是以对症治疗为主，\n\n07:30.092 --> 07:31.567\n无需使用抗生素。\n\n07:32.192 --> 07:32.692\n多饮水，\n\n07:32.692 --> 07:33.342\n休息，\n\n07:33.643 --> 07:37.192\n使用退热止痛药物可缓解症状。\n\n07:40.139 --> 07:42.914\n急性咽炎可能出现的并发症，\n\n07:43.213 --> 07:45.364\n首先就是局部的并发症，\n\n07:45.864 --> 07:48.139\n一个是扁桃体的周围脓肿，\n\n07:48.139 --> 07:52.014\n扁桃体的炎症可扩散至周围的组织形成脓肿，\n\n07:52.213 --> 07:57.614\n患者可出现咽痛加剧、吞咽困难、张口受限这些症状。\n\n07:57.963 --> 07:59.338\n第二就是中耳炎，\n\n07:59.338 --> 08:03.463\n炎症可通过咽鼓管蔓延至中耳，\n\n08:03.463 --> 08:04.614\n引起中耳炎，\n\n08:04.864 --> 08:08.864\n患者可以出现耳痛、听力下降、耳鸣这些症状。\n\n08:09.446 --> 08:11.871\n三就是其他局部的并发症，\n\n08:11.871 --> 08:14.696\n还可能引起咽旁的脓肿、喉炎，\n\n08:15.045 --> 08:16.795\n对一些局部的并发症，\n\n08:16.795 --> 08:19.670\n这些并发症可加重患者的症状，\n\n08:19.670 --> 08:20.746\n影响生活。\n\n08:21.631 --> 08:23.131\n影响生活的质量，\n\n08:23.432 --> 08:25.582\n它有哪些全身的并发症呢？\n\n08:25.582 --> 08:27.832\n第一个就是急性肾小球的肾炎。\n\n08:27.832 --> 08:29.131\n链球菌感染后。\n\n08:30.009 --> 08:32.208\n可引起急性的肾小球肾炎，\n\n08:32.408 --> 08:36.258\n患者可出现血尿、蛋白尿、水肿这些症状。\n\n08:37.059 --> 08:38.359\n然后就是风湿热，\n\n08:38.359 --> 08:43.809\nA组白溶血性链球菌的感染后可以引起风湿热。\n\n08:44.616 --> 08:45.065\n中湿热，\n\n08:45.065 --> 08:48.466\n可累及心脏、关节、皮肤多个系统。\n\n08:49.614 --> 08:51.864\n还有一些其他全身的并发症，\n\n08:52.265 --> 08:56.739\n就是比方说败血症、心肌炎这一些严重的并发症，\n\n08:56.739 --> 08:58.739\n这些并发症可危及生命，\n\n08:58.739 --> 09:00.015\n需要高度重视。\n\n09:01.929 --> 09:02.104\n嗯，\n\n09:02.104 --> 09:03.979\n它的治疗原则和目标，\n\n09:03.979 --> 09:06.179\n首先我们说一下治疗的目标。\n\n09:06.179 --> 09:07.979\n第一就是消除感染，\n\n09:08.129 --> 09:11.453\n通过合理的使用抗生素或者对症治疗，\n\n09:11.453 --> 09:12.679\n清除病原体。\n\n09:13.440 --> 09:16.590\n消除感染是治疗急性扁桃体炎的关键，\n\n09:16.940 --> 09:18.640\n然后就是缓解症状，\n\n09:18.640 --> 09:25.289\n使用退热止痛的药物含素液对一些缓解患者的局部不适症状，\n\n09:25.440 --> 09:28.590\n缓解症状可以改善患者的生活质量，\n\n09:28.890 --> 09:30.590\n促进康复。\n\n09:31.590 --> 09:33.190\n然后就是预防并发症，\n\n09:33.289 --> 09:36.640\n及时治疗可阻止炎症的扩散，\n\n09:36.890 --> 09:38.590\n预防并发症的发生。\n\n09:38.590 --> 09:42.539\n预防并发症是治疗急性扁桃体炎的重要目标。\n\n09:44.778 --> 09:47.578\n分层治疗细菌性的扁桃体炎，\n\n09:47.578 --> 09:52.877\n抗生素治疗是细菌性扁桃体炎的主要治疗手段。\n\n09:53.028 --> 09:54.728\n青霉素抗生素，\n\n09:54.728 --> 09:56.853\n青霉素类的抗生素是首选，\n\n09:56.853 --> 09:59.328\n过敏体质可改用大环内酯类。\n\n09:59.929 --> 10:02.755\n病毒性的扁桃体炎以对症治疗为主，\n\n10:02.755 --> 10:03.405\n多饮水，\n\n10:03.405 --> 10:04.104\n多休息，\n\n10:04.104 --> 10:07.280\n使用退热止痛药可缓解症状。\n\n10:07.630 --> 10:09.580\n还有一些其他治疗。\n\n10:12.330 --> 10:12.731\n对于。\n\n10:14.374 --> 10:19.374\n对于症状较重的患者可以使用雾化吸入一些辅助治疗，\n\n10:19.374 --> 10:22.073\n严重并发症需要及时处理。\n\n10:22.760 --> 10:24.559\n必要时住院治疗。\n\n10:25.059 --> 10:31.135\n它的用药方案第一就是针对细菌类的细菌性感染，\n\n10:31.135 --> 10:33.409\n首先就是青霉素的抗生素，\n\n10:33.710 --> 10:35.760\n对于青霉素过敏的患者，\n\n10:35.760 --> 10:40.010\n可以选用大环内内酯类的抗生素，\n\n10:40.409 --> 10:42.359\n抗菌机制与青霉素不同，\n\n10:42.359 --> 10:43.510\n但同样有效。\n\n10:43.710 --> 10:46.010\n还有一些其他类型的抗生素。\n\n10:46.309 --> 10:48.309\n对于耐药菌株的感染，\n\n10:48.309 --> 10:50.909\n可选用头孢菌素类的抗生素。\n\n10:51.590 --> 10:55.840\n但需要根据药敏试验合理选择抗生素。\n\n10:56.905 --> 10:57.030\n嗯，\n\n10:57.030 --> 10:58.979\n它的对症治疗有哪些呢？\n\n10:58.979 --> 11:01.155\n首先就是退热止痛药，\n\n11:01.405 --> 11:04.179\n比方说布洛芬、对乙酰氨基酚，\n\n11:04.179 --> 11:07.755\n这一些有效缓解发热或者咽痛症状。\n\n11:08.104 --> 11:11.030\n使用时需要注意剂量和用药的间隔，\n\n11:11.030 --> 11:11.955\n避免过量。\n\n11:12.205 --> 11:13.780\n然后就是局部用药，\n\n11:13.780 --> 11:16.429\n含漱液可清洁口腔，\n\n11:16.429 --> 11:18.255\n减轻咽部的不适。\n\n11:19.125 --> 11:21.875\n咽喉喷雾可直接作用于咽部，\n\n11:21.875 --> 11:22.825\n缓解炎症。\n\n11:23.125 --> 11:27.974\n其他对症治疗的药物可选用一些止咳药、抗组胺药，\n\n11:28.275 --> 11:32.525\n这些药物使用对症的药物可改善患者的症状，\n\n11:32.525 --> 11:33.924\n促进康复。\n\n11:35.455 --> 11:37.405\n用药有哪些注意事项呢？\n\n11:37.405 --> 11:39.880\n第一点就是避免滥用抗生素，\n\n11:40.130 --> 11:42.929\n抗生素的滥用可导致细菌耐药，\n\n11:42.929 --> 11:45.580\n增加治疗的难度。\n\n11:45.880 --> 11:49.979\n只有确诊为细菌性的扁桃体炎才使用抗生素。\n\n11:50.229 --> 11:52.554\n第二就是注意药物的不良反应，\n\n11:52.554 --> 11:55.979\n反应使用抗生素时需要注意过敏，\n\n11:56.229 --> 12:01.179\n过敏反应对症的药物也需要注意剂量和用药间隔，\n\n12:01.429 --> 12:02.880\n避免不良反应。\n\n12:04.200 --> 12:06.200\n第三点就是足疗程的用药，\n\n12:06.200 --> 12:12.250\n细菌性的扁桃体炎需要足疗程使用抗生素，\n\n12:12.601 --> 12:13.700\n防止复发。\n\n12:16.270 --> 12:18.645\n我们家庭护理和辅助治疗有哪些？\n\n12:18.645 --> 12:20.619\n首先就是生活上的建议，\n\n12:20.669 --> 12:21.445\n多饮水，\n\n12:21.445 --> 12:22.919\n用温盐水漱口，\n\n12:22.919 --> 12:23.945\n清淡饮食，\n\n12:23.945 --> 12:25.869\n避免辛辣刺激的食物。\n\n12:27.859 --> 12:29.184\n然后就是物理环节。\n\n12:29.184 --> 12:31.309\n我们可选用颈部的冷敷。\n\n12:32.638 --> 12:33.489\n加湿空气，\n\n12:33.489 --> 12:36.564\n还有一些使用蒸汽吸入，\n\n12:36.564 --> 12:39.138\n这一些方法缓解咽部的不适，\n\n12:39.489 --> 12:41.989\n但需要注意蒸汽的温度，\n\n12:41.989 --> 12:42.989\n避免烫伤。\n\n12:44.609 --> 12:44.809\n嗯，\n\n12:45.908 --> 12:49.158\n什么时候需要就医或者说是手术呢？\n\n12:49.258 --> 12:51.458\n一般性的就医指针，\n\n12:51.708 --> 12:53.958\n首先就是患者高热不退。\n\n12:54.943 --> 12:57.468\n患者的温度持续高于39°，\n\n12:57.468 --> 13:01.568\n经对症处理也没有缓解的高热不退，\n\n13:01.568 --> 13:03.393\n可能提示病情的加重，\n\n13:03.393 --> 13:04.744\n需要及时的就医。\n\n13:04.943 --> 13:05.919\n呼吸困难，\n\n13:05.919 --> 13:09.943\n咽部的炎症可可引引起呼吸困难，\n\n13:09.943 --> 13:11.343\n需要立即就医。\n\n13:11.544 --> 13:14.494\n呼吸困难可能是扁桃体周围的脓肿。\n\n13:15.229 --> 13:16.380\n扁桃体周围脓肿，\n\n13:16.380 --> 13:17.354\n这些并发症，\n\n13:17.354 --> 13:18.979\n然后就是无法进食，\n\n13:19.229 --> 13:20.229\n咽痛剧烈，\n\n13:20.229 --> 13:21.905\n导致患者无法进食，\n\n13:21.905 --> 13:23.479\n也需要及时就医。\n\n13:24.263 --> 13:24.864\n无法进食，\n\n13:24.864 --> 13:27.013\n可能会导致患者的营养不良，\n\n13:27.013 --> 13:28.564\n影响康复。\n\n13:28.914 --> 13:29.439\n然后，\n\n13:29.439 --> 13:32.414\n手术适应症就是患者反复发作，\n\n13:32.814 --> 13:34.963\n一年发作超过7次，\n\n13:35.263 --> 13:40.439\n或者连续3年中超过每年超过五次发作，\n\n13:40.439 --> 13:41.713\n可以考虑手术。\n\n13:42.013 --> 13:44.314\n然后就是并发症的风险高。\n\n13:45.192 --> 13:45.393\n嗯，\n\n13:45.543 --> 13:48.968\n出现过扁桃体周围脓肿这些并发症，\n\n13:48.968 --> 13:50.242\n需要及时手术。\n\n13:51.161 --> 13:53.236\n还有就是扁桃体肥大，\n\n13:53.236 --> 13:55.986\n可以影响呼吸、吞咽这些功能，\n\n13:55.986 --> 13:57.562\n也可以考虑手术，\n\n13:57.762 --> 14:00.262\n这个手术可以改善患者的症状，\n\n14:00.461 --> 14:02.062\n提高生活质量。\n\n14:03.049 --> 14:05.299\n有哪些预防和生活措施呢？\n\n14:05.299 --> 14:07.249\n日常的预防就是勤洗手，\n\n14:07.249 --> 14:07.973\n戴口罩，\n\n14:07.973 --> 14:09.148\n增强免疫力。\n\n14:09.499 --> 14:11.223\n对于一些特殊人群，\n\n14:11.223 --> 14:13.499\n比方说儿童、老年人，\n\n14:13.749 --> 14:18.448\n或者说是哺乳孕妇这些人群。\n\n14:19.958 --> 14:22.033\n更应该注意要增强体质，\n\n14:22.033 --> 14:24.007\n保持良好的生活习惯，\n\n14:24.208 --> 14:25.257\n定期体检，\n\n14:25.257 --> 14:27.932\n及时发现或治疗慢性的疾病，\n\n14:27.932 --> 14:28.857\n减少发病。\n\n14:30.206 --> 14:31.981\n最后我们来总结一下，\n\n14:32.231 --> 14:34.331\n首先就是要重视预防。\n\n14:34.331 --> 14:36.231\n在日常生活中需要。\n\n14:37.111 --> 14:38.211\n又要重视预防，\n\n14:38.361 --> 14:39.562\n增强免疫力，\n\n14:39.562 --> 14:40.312\n勤洗手，\n\n14:40.312 --> 14:41.086\n戴口罩，\n\n14:41.086 --> 14:43.161\n保持良好的生活习惯。\n\n14:43.512 --> 14:45.062\n然后就是早诊断，\n\n14:45.062 --> 14:46.111\n规范治疗。\n\n14:48.133 --> 14:49.533\n还有就是定期检查。\n\n14:52.739 --> 14:52.940\n嗯。\n\n14:54.294 --> 14:57.494\n定期检查可以及时发现一些潜在的疾病。\n\n14:57.494 --> 14:58.244\n比方说。\n\n14:59.408 --> 15:00.658\n减少发病的次数，\n\n15:00.658 --> 15:02.458\n对于反复发作的患者，\n\n15:02.458 --> 15:04.107\n需要定期复查，\n\n15:04.507 --> 15:06.307\n必要时进行手术。\n\n15:06.507 --> 15:08.357\n而及时的诊断，\n\n15:08.357 --> 15:12.007\n规范的治疗是预防并发症的关键。\n\n15:12.307 --> 15:17.708\n细菌性需要一定需要足疗程的抗生素，\n\n15:17.708 --> 15:19.357\n病毒性的。\n\n15:20.799 --> 15:22.049\n四滥用药物。\n\n15:24.721 --> 15:25.322\n谢谢大家。\n\n","v0247cg10004d60rt62ljhte3avuns0g",928,1251,"2026-01-24 21:54:03"," 急性扁桃体炎的症状、治疗与预防方法全解析  "," 急性扁桃体炎,扁桃体炎症状,扁桃体炎治疗,扁桃体炎预防,喉咙痛原因  "," 本文详细介绍了急性扁桃体炎的常见症状、有效治疗方法及科学预防措施，帮助您快速识别疾病并采取正确应对策略，减少复发风险。","2026-02-23 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