{"nowTime30":1777586324484,"lyBarModerator":null,"metaSearch":{"description":"近日，山东省淄博市第一医院女护士吴红在指导老人做检查时，因声音动作“夸张”地引导帮助老人而走红网络。昨天，吴红在接受北京青年报记者采访时称，视频是自己给老人做肺功能检查时，有患者家属偷偷拍下来传到网上的。因为老人的听力和理解能力相对较差，才自创了“浮夸”动作。“有人说我这样做，像个小丑一样。为了老人","keywords":"为帮老人检查准确 护士检查动作夸张_洞医","title":"为帮老人检查准确 护士检查动作夸张_洞医","channels":null},"identificate":{"id":"0300b4bddfaf11e6a61c00163e04584d","isDel":0,"createAt":1484985344390,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","realName":"赵玉","certifiedStatus":2,"phone":"111111111111","email":"2276635444@qq.com","hospitalId":"31c19c1b453011e69d4700163e005165","departmentId":"2000","illName":"","illId":"793a72a2bb5f11e6a61c00163e04584d","cardType":1,"cardImg":"http://01luntan.com/ly_img/1484985951761.jpg","idCardImg":"","identityType":2,"stop":0,"departmentName":"儿科","hospitalName":null},"canEdit":null,"adList":[],"lyBar":{"id":"1289","isDel":0,"createAt":1483430643152,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"肺纤维化","type":102,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":null,"cityId":null,"illId":"6b807883bb5f11e6a61c00163e04584d","hospitalId":null,"keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"channels\":{\"病友社区\":{\"description\":\"为您提供:肺纤维化论坛_病友交流平台_病友论坛等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"肺纤维化论坛_病友交流平台_病友论坛\",\"title\":\"肺纤维化论坛_病友交流平台_病友论坛\"},\"治疗\":{\"description\":\"为您提供:肺纤维化怎么治疗_肺纤维化治疗方法_肺纤维化最佳治疗方法等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"肺纤维化怎么治疗_肺纤维化治疗方法_肺纤维化最佳治疗方法\",\"title\":\"肺纤维化怎么治疗_肺纤维化治疗方法_肺纤维化最佳治疗方法\"},\"症状\":{\"description\":\"为您提供:肺纤维化的初期症状_肺纤维化晚期的症状_肺纤维化症状等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"肺纤维化的初期症状_肺纤维化晚期的症状_肺纤维化症状\",\"title\":\"肺纤维化的初期症状_肺纤维化晚期的症状_肺纤维化症状\"},\"并发症\":{\"description\":\"为您提供:肺纤维化并发症是什么_肺部纤维化的危害等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"肺纤维化并发症是什么_肺部纤维化的危害\",\"title\":\"肺纤维化并发症是什么_肺部纤维化的危害\"},\"饮食\":{\"description\":\"为您提供:肺纤维化饮食注意事项_肺纤维化吃什么食物好_肺纤维化的食疗等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"肺纤维化饮食注意事项_肺纤维化吃什么食物好_肺纤维化的食疗\",\"title\":\"肺纤维化饮食注意事项_肺纤维化吃什么食物好_肺纤维化的食疗\"},\"病因\":{\"description\":\"为您提供:肺纤维化的原因_肺纤维化是怎么引起的_肺纤维化病因有哪些等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"肺纤维化的原因_肺纤维化是怎么引起的_肺纤维化病因有哪些\",\"title\":\"肺纤维化的原因_肺纤维化是怎么引起的_肺纤维化病因有哪些\"},\"病友求助\":{\"description\":\"为您提供:肺部纤维化能活多久_肺部纤维化能治好吗_肺纤维化可以活几年等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"肺部纤维化能活多久_肺部纤维化能治好吗_肺纤维化可以活几年\",\"title\":\"肺部纤维化能活多久_肺部纤维化能治好吗_肺纤维化可以活几年\"},\"预防\":{\"description\":\"为您提供:怎么预防肺部纤维化_如何防止肺纤维化_肺纤维化预防措施等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"怎么预防肺部纤维化_如何防止肺纤维化_肺纤维化预防措施\",\"title\":\"怎么预防肺部纤维化_如何防止肺纤维化_肺纤维化预防措施\"}},\"description\":\"为您提供:肺纤维化的症状表现_肺纤维化如何治疗_老人肺纤维化能活多久_肺纤维化病友的治疗经验等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"肺纤维化的症状表现_肺纤维化如何治疗_老人肺纤维化能活多久\",\"title\":\"肺纤维化的症状表现_肺纤维化如何治疗_老人肺纤维化能活多久\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"1750","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"肺纤维化的日常护理和预防方法","content":"<p style=\"text-align: center;\"><img title=\"1486393436363.jpg\" src=\"http://01luntan.com/ly_img/uimgs/1486393436363.jpg\" alt=\"u=2844100754,3884520660&amp;fm=23&amp;gp=0.jpg\" /></p>\n<p style=\"padding: 0px; margin-top: 0px; margin-bottom: 0px; color: #555555; font-family: Simsun; font-size: 14px; line-height: 24px; white-space: normal; background-color: #ffffff;\">　&nbsp;<span style=\"font-size: 12pt; line-height: 200%; font-family: 宋体;\">肺纤维化的日常护理方法是什么</span><span lang=\"EN-US\" style=\"font-family: 'Helvetica Neue', Helvetica, 'Microsoft Yahei', Arial, sans-serif; font-size: 12pt; line-height: 200%;\">?</span><span style=\"font-size: 12pt; line-height: 200%; font-family: 宋体;\">肺纤维化的预防方法是什么</span><span lang=\"EN-US\" style=\"font-family: 'Helvetica Neue', Helvetica, 'Microsoft Yahei', Arial, sans-serif; font-size: 12pt; line-height: 200%;\">?</span><span style=\"font-size: 12pt; line-height: 200%; font-family: 宋体;\">控制肺纤维化有治标和治本两种方法，治标就是消炎止咳化痰阻止纤维化表面进程，治本的方法则是找到纤维化的具体原因再对症下药实现阻止的目的。马上跟随医通无忧网来详细了解一下吧</span><span lang=\"EN-US\" style=\"font-family: 'Helvetica Neue', Helvetica, 'Microsoft Yahei', Arial, sans-serif; font-size: 12pt; line-height: 200%;\">!</span></p>\n<p style=\"padding: 0px; margin-top: 0px; margin-bottom: 0px; color: #555555; font-family: Simsun; font-size: 14px; line-height: 24px; white-space: normal; background-color: #ffffff;\">&nbsp;</p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　一、肺纤维化的日常护理</span></strong></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><strong><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></strong><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　</span></strong><strong><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">1</span></strong><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">、要了解病患者的基本情况</span></strong></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　例如病的种类、病的阶段、病的原因、病的发展变化规律等等，根据这些基础信息来决定照顾病患的基本方案。这样制定出来的方案才是符合客观并能配合治疗方案的。肺纤维化属于呼吸类疾病，产生的原因有多种。可能由于病毒性的感染，也可能由于工作环境和工作性质造成，例如煤炭工人。肺纤维化内在的原因是由于非间质性的炎症。这个病有早期、中期、中后期、晚期等阶段，阶段越往后发展，肺的功能越弱，患者呼吸越来越困难，也越来越容易受感染。肺纤维化一般有急性的纤维化以及特发性的纤维化。</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　</span></strong><strong><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">2</span></strong><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">、选择一个好的康复环境</span></strong></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　要求周围没有噪音，没有粉末灰尘的，而且绿化程度高，最好要空气质量好。房间要相对宽敞，通风效果好，里面物品摆放简单且清洁。要避开人流量大的地方，以免引发再次感染。周围不能有花粉类的植物，空气中花粉含量过高被吸入人体后容易引起炎症。</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　</span></strong><strong><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">3</span></strong><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">、提供一个好的饮食清单</span></strong></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　避免吃冷的东西，避免吃辛味辣味以及重口味的东西。也要避免吃火气的东西，防止扁桃体发炎而传至肺部感染和发炎。多吃高蛋白食物增加营养增加抵抗力。多吃清淡口味的食物。</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　</span></strong><strong><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">4</span></strong><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">、促成一个好的生活习惯</span></strong></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　形成一个好的作息时间规律，按时休息，按时检测身体的温度，按时用药，按时锻炼和运动。要掌握运动的程度和分寸。要避免感冒发烧，对一个肺纤维化患者来说，这是致命的打击。小小的感冒可能会引发肺部出血和咳嗽咳血。要时刻关注温度的变化，根据温度高低来调节衣服的厚度。要控制洗澡洗刷的时间，以免感冒。一个肺纤维化患者最好能够保持一个深居简出的生活。</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　</span></strong><strong><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">5</span></strong><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">、给予患者最大的信心</span></strong></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　尽管很多人认为自身很坚强，但事实上世界上没有一个人是害怕死亡的。面临死亡，都会有一定的紧张和不安，都会在希望和崩溃之间摇摆。希望是求生的欲望，崩溃是对病情的恐惧和对未来的恐惧。所以无论开朗的还是不开朗的患者，保留一部分病情，尽量给予其更大的希望和信心都是必要的。切莫仅仅是某人性格比较乐观，便将所有严重病情如实托出。尽管肺纤维化发展到晚期非常严重也比较恐惧，但是还是有办法控制让其不再发展。控制好了，可以实现带病长寿。</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　</span></strong><strong><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">6</span></strong><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">、学会合理使用药物</span></strong></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　要搞清医生对于药物的安排，也要花时间去了解药物的性质和特点。药物与药物之间的相冲相克，药物与食物之间的影响。肺纤维化患者一般可以会吃富路施、强的松、百令胶囊等三种药物，其中百令胶囊是一味中成药，用以化解激素的副作用。强的松是一味激素，据一些患者用后的反映，只能慢慢地停。一下子停掉，反作用非常大。如何在为上述三种药为主要的西医治疗方法同时进行中药治疗是一个中药的课题。中医应该可以在止咳化痰方面想办法。</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　</span></strong><strong><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">7</span></strong><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">、掌握病情预防和控制的一般方法</span></strong></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　控制肺纤维化有治标和治本两种方法，治标就是消炎止咳化痰阻止纤维化表面进程，治本的方法则是找到纤维化的具体原因再对症下药实现阻止的目的。根据以上，在肺纤维化患者晚期可以采取增加本身正能量、改善饮食增强抵抗力、营造好的环境避免感染和感冒、合理使用某些药物避免咳嗽和发烧等方法来实现健康与肺纤维化共存，带病长寿的目的。</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　</span></strong><strong><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">8</span></strong><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">、作好充分的准备活动</span></strong></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　由于肺纤维化病人自身身体条件的特点决定了他们在运动时要作好充分的准备活动，为适应即将开始锻炼进行必要的准备。同时，在运动的开始阶段要遵循先慢后快的原则，切忌急于求成。</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　</span></strong><strong><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">9</span></strong><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">、选择合适的运动项目</span></strong></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　肺纤维化病人的体育运动可以多样化，所有体育项目中以游泳最为适合肺纤维化病人，其次分别为划船、打太极拳、练功十八法、体操、羽毛球、散步、骑自行车和慢跑等。病人通过参加一些轻松、娱乐性强的运动权比幕，在愉快的心境中达到锻炼身体的目的。但在运动时应避免争强好胜心理，不要勉强去做一些自己不能胜任的运动，这样对身体不利。</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span><a style=\"padding: 0px; margin: 0px; color: #555555; text-decoration: none;\" href=\"http://www.51etong.com/\"><img style=\"display: block; margin-left: auto; margin-right: auto;\" src=\"http://www.51etong.com/upload/images/2015122202.jpg\" alt=\"\" /></a></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　</span></strong><strong><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">10</span></strong><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">、避免在寒冷干燥的地方锻炼</span></strong></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　运动后由于呼吸次数增加，加重气道水分和热量的丢失，在寒冷干燥的地方尤其严重，可导致气道粘膜渗透压增加，气道内冷却诱发支气管痉挛，因此应尽量在温暖、湿润的环境中锻炼。</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　</span></strong><strong><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">11</span></strong><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">、切忌活动量过大</span></strong></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　在运动时如果运动量过大易使心肺负荷过大导致心率过快和肺过度通气，反而容易诱发肺纤维化或加重缺氧。如果以。已率的快慢来衡量肺纤维化病人的运动量是否合理，那么比较合适的标准是运动时的心率一般以本人最高心率的</span><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">60%~70%</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">为度。当病人对一定的运动量适应之后再逐渐增加活动量。</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　</span></strong><strong><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">12</span></strong><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">、急性发作期不宜运动</span></strong></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　在急性发作期病人体内已处于缺氧状态，此时再进行体育活动犹如&ldquo;雪上加霜&rdquo;，而积极治疗并充分体息是缓解缺氧的最好办法。因此，肺纤维化病人的体育锻炼主要在缓解期进行，只要肺纤维化不发作就应自始至终坚持每日运动。</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　</span></strong><strong><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">13</span></strong><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">、运动前预防性用药</span></strong></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　有严重运动性肺纤维化的病人应在运动前预防性用药，使用</span><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">5~10</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">分钟后再进行活动，这样可以避免大多数运动性肺纤维化发作。</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　二、肺纤维化的预防</span></strong></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><strong><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></strong><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　</span></strong><strong><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">1</span></strong><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">、拒绝吸烟</span></strong></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　虽还无明确证据表明吸烟和肺纤维化之间有直接关系，但长期吸烟导致肺功能的下降，诱发多种肺部疾病的发生，可能造成肺纤维化。</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　</span></strong><strong><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">2</span></strong><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">、家居环境</span></strong></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　虽然目前肺纤维化的发病原因还不很明确，但环境污染无疑是病人激增的一大重要原因。尤其是新装修好的房子，气味刺眼，需通风闲置</span><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">2</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">至</span><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">3</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">个月以上才能入住。</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　</span></strong><strong><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">3</span></strong><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">、不要忽视喘咳和感冒</span></strong></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　气喘是肺纤维化患者最主要的症状之一，这主要由缺氧引起。患者容易咳嗽，一般为干咳，早期无痰。这样的情况易被人认为是运动后的体力不支而被忽视。如果出现进行性的呼吸困难，喘憋加重，则应及时就诊。</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　</span></strong><strong><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">4</span></strong><strong><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">、饮用水</span></strong></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　常用的桶装水，在装水过程中容易带进空气中的杂菌，在温度、湿度都比较适宜的季节，如春夏，极易造成孢子、真菌等快速繁殖，而且目前许多饮水机的过滤装置不够先进，细菌可能通过饮用水入侵人体。因此，桶装水最好开封后</span><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">3</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">至</span><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">5</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">天就喝完，并且饮用前被煮沸过。</span></p>","barId":"1289","topicTypeId":null,"topicThemeId":"1036","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"2926","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"肺纤维化患者的饮食、生活及精神护理","content":"<p style=\"text-align:center\"><img src=\"http://01luntan.com/ly_img/uimgs/1486393173160.jpg\" title=\"1486393173160.jpg\" alt=\"2620_160311113623_1.jpg\"/></p><p><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　肺纤维化病情比较容易反复，迁延不愈，咳喘反复发作，痛苦不堪，给患者的正常生活造成很大困扰。该病的临床治疗有一定的难度，预防保健至关重要。现从以下几方面谈谈该病的家庭护理。&nbsp;</span><br/><span style=\"color:#ffffff\">中国论文网 http://www.xzbu.com/6/view-4913093.htm</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　饮食护理&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　少量多餐 指导患者进食优质蛋白、高热量、高维生素的饮食。例如蛋类、糙米、玉米面、荞麦面、水果和蔬菜等，可多给予木耳、紫菜、海带、蘑菇等。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　少吃辛辣、煎炸等刺激性油腻食品平时饮食以清淡为宜，尤其对于肥胖患者，脂肪供应量宜低。吃肉以瘦肉为宜，以达到祛痰湿与适当控制体重的目的。辛辣、煎炸等食品，易生痰，导致热助邪盛，邪热郁内而不达，久之可酿成疾热上犯于肺，加重病情。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　重度肺纤维化患者可予软食或半流食这样可以减轻呼吸急迫所引起的咀嚼和吞咽困难，既有利于消化吸收，又可防止食物反流。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　多饮水 重度肺纤维化患者因张口呼吸，出汗多、饮食少，常使患者失水，并使痰液黏稠不易咳出，因此及时补充水分、增加液体摄进量，对于纠正或防止失水，具有非常重要的意义。如患者不能饮食时，可用静脉补液，这样有利于稀释痰液。伴有心衰的患者饮水要适量。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　对某些已知会引起过敏、诱发咳喘的食物，应避免食用所谓“忌口”就是忌“发物”。“发物”一般是指食后能引起旧病复发或新病加重的食物。“发物”包括的范围很广，也是因人而异的。例如有些过敏体质者常因吃了鱼、虾、蟹等海鲜类的食品而诱发咳、喘加重。所以，肺纤维化患者应根据自己的实际情况，做好忌口。这样既可以避免由饮食不慎而导致咳喘加重，又可以防止因过于讲究忌口而影响机体对多种营养物质的吸收。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　忌烟酒、忌过咸食物 肺纤维化患者多数伴有气道高反应状态，烟、酒和过咸食物的刺激，容易引发支气管的反应，加重咳嗽、气喘等症状。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　生活护理&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　注重休息 尽量减少活动，注重休息，保证足够的睡眠时间。重度纤维化患者要长期卧床休息，定时翻身、拍背、按摩，促进痰液排出，预防褥疮、坠积性肺炎的形成。病情较轻的患者，可进行不同的锻炼，如太极拳、站桩、静功等。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　保持环境适宜 保持室内空气新鲜，温度保持在20～24℃，湿度在50%-65%为宜。病室内每天通风2次，每次约15-30分钟，避免各种异味刺激。每天行湿式打扫，并给予紫外线消毒照射。房间里不宜铺设地毯、地板膜，也不要放置花草。被褥、枕头不宜用羽毛或陈旧棉絮等易引起过敏的物品填充，而且要常晾晒、勤换洗。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　避免冷空气刺激呼吸道 注意保暖，避免受寒，预防感染。特别是冬春季节，气温变化剧烈要及时增减衣物，需佩戴口罩，避免冷空气直接刺激呼吸道，而引起刺激性咳嗽。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　远离外源性过敏原 诸如鸟类、动物（宠物或实验饲养者）、木材（红杉尘、软木加工），蔗糖加工、蘑菇养殖，奶酪、酿酒加工，发霉稻草暴露，某些水源（热水管道、空调、湿化器、桑拿浴）以及农业杀虫剂或除莠剂等。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　自我推拿 取手三里、迎香、华盖、膻中、肾俞等穴位，先顺时针方向轻轻按揉36周，再逆时针方向轻轻按揉36周，每日数次，常年不断。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　氧疗护理&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　遵医嘱给予氧气吸入 可根据不同的活动状态及血氧饱和度增减氧流量，以保证患者的氧气需要。原则是保证患者在吸氧状态下血氧饱和度&gt;94%。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　每日更换湿化瓶内的蒸馏水并消毒湿化瓶内蒸馏水量一般在1/2～2/3即可，但如果患者吸氧量较大，湿化瓶内蒸馏水水量应≤1/2，及时添加即可，因氧流量相对于较大时，水泡容易溅起，容易使蒸馏水进入吸氧管。而吸氧湿度较大时，会导致痰液增多，刺激咳嗽。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　密切观察血压及肢体末梢血液循环血压下降可能系压力过高或通气量大，指（趾）甲、口唇、耳垂颜色变化可提示缺氧的改善状况。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　精神调理&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　戒怒 首先，要学会用意识控制。其次，要会运用疏泄法，即把积聚、抑郁在心中的不良情绪，通过适当的方式宣达、发泄出去，以尽快恢复心理平衡。还可采用转移法，即通过一定的方法和措施改变人的思想焦点，或改变其周围环境，使其与不良刺激因素脱离接触，从情感纠葛中解脱出来，或转移到其他事物上去。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　保持精神愉快 要培养开朗的性格。协调好周围的人际关系。培养“知足常乐”的思想，培养幽默风趣感。</span></p>","barId":"1289","topicTypeId":null,"topicThemeId":"1035","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"8047","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"更为可怕的是肺纤维化引起的并发症  ","content":"<p style=\"line-height:200%\"><br/></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">我们都知道肺纤维化非常可怕，但如果得到正规专业的治疗是可以稳定病情的。现在关于肺纤维化的科普知识越来多了，很多人都能到相关网站得到信息，更专业化的去了解肺纤维化的一些情况。但是我还是要强调一些关于<strong>肺纤维化并发症</strong>的情况，希望人们能够从多角度去关爱自己。</span> &nbsp;</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"line-height: 200%; text-align: center;\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1511317728390.png\" title=\"更为可怕的是肺纤维化引起的并发症  \" alt=\"更为可怕的是肺纤维化引起的并发症  \" width=\"600\" height=\"372\"/></span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><br/></span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">首先，由于肺部损伤会加重肺部经络不通，也就导致肺的功能逐渐降低。如果一段时间没有得到有效控制病情，会继而引发肺心病，也就是我们所说的心衰。肺纤维化患者长期慢性缺氧而进行性肺运脉高压，引起合并右心室肥厚，有时可见左心衰这也跟患有缺血性心脏病有关系。如果发展到肺心病每一天都有生命危险。</span> &nbsp;</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">第二，我们都知道肺纤维化是一个自身免疫力低下造成的身体代谢不偿疾病，这不仅仅是一个肺部单纯性疾病，同时也会增加患肿瘤的机率。比如肺泡细胞癌、肺腺癌等，都是对人体致命性质的伤害。</span> &nbsp;</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">第三，肺纤维化患者的肺部功能减退，自身调节能力降低，加之西医常规治疗以糖皮质激素和免疫抑制剂等为主，治疗的同时也使肺部更加脆弱，从某种程度上也增加了肺部感染的机率。一旦发生大机种感染，可导致呼吸衰竭。后果可想而知。</span> &nbsp;&nbsp;</span></p><p style=\"line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">最后，是我们常说的自发性气胸，也是最常见的并发症。由于肺纤维化患者肺泡会高度膨胀，肺泡壁会变得非常脆弱而容易破裂，如果破裂面相互融合形成大面积肺大疱，只要是遇到患者感觉不适引发剧烈咳嗽时，会引起肺大疱破裂，形成自发性气胸，是另患者难以承受的。</span></p><p><br/></p>","barId":"1289","topicTypeId":null,"topicThemeId":"1034","readLevel":0,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":1},{"id":"3719","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"肺气肿，肺大泡，肺纤维化遇冷热空气或雾霾呼吸困难","content":"<p><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">肺气肿15年，最近愈发严重，在屋内行动都会喘。3天前做肺CT，结果是肺气肿，肺纤维化和肺大泡，请问大夫那个肺大泡是否是愈发严重的要因？是否可以把肺大泡弄破，把气体排出？这样是否会好转？</span></p>","barId":"1289","topicTypeId":null,"topicThemeId":"1033","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":1},{"id":"14013","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"30岁小伙没力气上二楼 医院检查后惊呆了！","content":"<p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">【</span>30岁小伙没力气上二楼 一查他的肺竟千疮百孔】最近，杭州市红十字会医院接诊了一位30岁的小伙子，其一直伴有咳嗽、胸闷，到了近日甚至连上到二楼的力气都没有了。一做CT才发现，他的肺已千疮百孔。原来，小伙子在杭州做石英石加工已五六年了，却从未采取过任何防护措施。主治医生提醒，参与此类工作期间周围会充斥着大量粉尘，工人一旦患病，将引发合并肿瘤等并发症，严重的甚至会造成生命危险，但尘肺病等职业病是可预防的，建议工作时戴好专用防尘口罩，做好相关保护措施。</span></p><p style=\"text-autospace:ideograph-numeric;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><img src=\"http://01luntan.com/ly_img/uimgs/1524880620494.jpg\" title=\"30岁小伙没力气上二楼 医院检查后惊呆了！\" alt=\"30岁小伙没力气上二楼 医院检查后惊呆了！\" width=\"600\" height=\"372\"/></p><p style=\"text-autospace:ideograph-numeric;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">对此有网友表示：</span></p><p style=\"text-autospace:ideograph-numeric;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">失足青年</span>-呜啦啦：袁立做的事情就是援助这种病人吧？</span></p><p style=\"text-autospace:ideograph-numeric;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">小花狐小怪兽：小伙心里明白，为了生存没办法，劳保国家缺乏监管，劳动者又能怎样</span></p><p style=\"text-autospace:ideograph-numeric;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">TCOne-：吓得我赶紧点根烟压压惊</span></p><p style=\"text-autospace:ideograph-numeric;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">跟随潮流：没得相关部门去管吗？</span></p><p style=\"text-autospace:ideograph-numeric;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">Groza7：支气管哮喘有的治么？？？</span></p><p><br/></p>","barId":"1289","topicTypeId":null,"topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":8},{"id":"2180","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"肺纤维化的典型症状是什么","content":"<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　肺纤维化的典型症状</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　肺纤维化是一种破坏性的肺部疾病。由于近些年吸烟、环境污染等危险因素的增加，肺纤维化的发病率也在逐年升高，而对于我们来说，一定要了解肺纤维化症状，以便能够及时发现病情及时治疗。</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　肺纤维化的典型症状有气急、干咳、咳痰、低氧血症、呼吸衰竭、湿啰音、紫绀、右心衰竭等等。湿啰音由于吸气时气体通过呼吸道内的分泌物如渗出液、痰液、血液、黏液和脓液等形成的水泡破裂所产生的声音，故又称水泡音。或认为由于小支气管壁因分泌物粘着而陷闭，当吸气时突然张开重新充气所产生的爆裂音。紫绀也称发绀，是指由于动脉血氧分压降低，氧合血红蛋白减少，还原血红蛋白增加且超过</span><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">50g/L</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">时，皮肤粘膜呈紫绀现紫兰色的现象。在皮肤较薄、色素较少，毛细血管网较丰富的循环末梢，如口唇、鼻尖、颊部、耳廓和牙床等处最易看到。</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　肺纤维化起病隐匿，进行性加重。表现为进行性气急，干咳少痰或少量白黏痰，晚期出现以低氧血症为主的呼吸衰竭。查体可见胸廓呼吸运动减弱，双肺可闻及细湿罗音或捻发音。有不同程度紫绀和杵状指。晚期可出现右心衰竭体征，右心衰竭主要表现为体循环淤血为主的综合征。右心衰竭主要是右心室搏出功能障碍，见于肺心病、三尖瓣或肺动脉瓣的疾病，并常继发于左心衰竭。此时心输出量减少，体循环淤血，静脉压增高，常伴有下肢水肿，严重时可发生全身性水肿。</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　建议患者出现不适症状尽快到正规医院就诊，以便查明原因后能够及时针对性的治疗，以免延误最佳治疗时机。</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>\n<p>&nbsp;</p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>","barId":"1289","topicTypeId":null,"topicThemeId":"1029","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"3448","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"药物治疗肺纤维化的研究进展","content":"<p style=\"text-align:center\"><img src=\"http://01luntan.com/ly_img/uimgs/1486392049041.jpg\" title=\"1486392049041.jpg\" alt=\"20130928113801-2014794721.jpg\"/></p><p><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　肺间质纤维化(简称肺纤维化，PF)是最常见的肺间质疾病，是以成纤维细胞(FB)增殖和大量细胞外基质(ECM)聚集为主要特征的病变。临床主要表现为进行性呼吸困难，最终导致低氧血症和呼吸衰竭。是呼吸系统最严重疾病之一。目前临床上尚缺乏有效的治疗手段，主要的治疗方法有抗炎、抗纤维化、抗氧化剂、抗凝剂、细胞因子治疗等。本文将就这些方法作一简要的概述。</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　1抗炎治疗</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　1．1糖皮质激素和免疫抑制剂</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　糖皮质激素可抑制炎症和免疫过程，减轻肺泡炎，从而延缓PF的进程。目前研究资料显示10％～30％的特发性肺纤维化(1PF)患者对糖皮质激素有一定疗效，但缺乏大样本、双盲、随机、对照的临床试验来评价其效果。且越来越多的研究认为，激素治疗者中少部分可出现短暂的临床反应，但并不能延长其生存期。欧美国家推荐糖皮质激素和免疫抑制剂联合应用治疗IPF。免疫抑制剂有抑制炎症和免疫反应的作用。但目前尚无确凿证据表明这种联合治疗方法有很好的治疗价值。</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　1．2大环内酯类抗生素</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　大环内酯类抗生素有抗炎和免疫调节作用。Desaki等用红霉素治疗博莱霉素(BLU)诱导的PF模型，发现该药抑制了肺泡巨噬细胞(AH)的核因子-K B(NF-K B)活性，抑制了肺组织白细胞介素-1β(IL-1β)和转化生长因子-β(TGF-β)mRNA表达，减轻了肺泡炎和纤维化。EM703的治疗作用机制可能是通过抗炎和调节肺纤维母细胞TGF-β的信号转导。阿奇霉素可阻断NF-K B与肿瘤坏死因子-α(TNF-α)、TGF-β形成的恶性循环，抑制巨噬细胞分泌胶原酶。李立等[1]研究发现阿奇霉素治疗IPF患者具有与口服泼尼松相当的疗效，且副作用少。</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　2抗纤维化治疗</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　2．1秋水仙碱</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　秋水仙碱可抑制FB增殖、趋化、迁移和胶原沉积，减少PF患者AM释放FB因子和纤维连接素。许多体外实验研究显示此药可减缓纤维化进程。但一组大样本回顾性研究显示，用秋水仙碱治疗的IPF患者与用激素或未接受治疗者相比，在减缓肺功能下降及延长生存期方面无明显差异。该药治疗的有效性仍需大量的临床研究证实。</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　2．2吡啡尼酮</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　吡啡尼酮在体外试验中能减少TGF-β和血小板衍生生长因子(PDOF)等的表达，从而抑制纤维化。在体内试验中发现其能抑制TGF-β引起的胶原合成，减少ECM的产生，阻断PDGF的促有丝分裂作用，抑制FB的增生。Azuma等在研究中发现，IPF患者经口服吡啡尼酮治疗，其肺功能及呼吸困难症状均较安慰剂对照组有所改善。但该药的有效性、安全性还需进一步证实。</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　2．3血管紧张素转换酶抑制剂(ACEI)／血管紧张素Ⅱ的Ⅰ型受体(AT1)拮抗剂</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　正常肺组织中存在局部内源性肾素—血管紧张素系统，其分泌的血管紧张素在其转换酶的作用下生成血管紧张素Ⅱ(AngⅡ)。AngⅡ能直接刺激FB生长及胶原分泌，诱导内皮细胞及上皮细胞凋亡，促进PF的发生。ACEI和ATl拮抗剂可阻断AngⅡ的致纤维化作用。何平平等[2]的研究显示，应用卡托普利和氯沙坦治疗BLU诱导的PF大鼠，均可抑制PF。3抗氧化剂</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　3．1N-乙酰半胱氨酸CNAC)</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　NAC是谷胱甘肽(GSH)的前体，GSH．是细胞内重要的抗氧化剂。NAC／GSH能减少FB增生和削弱细胞内基质形成，还可抑制前炎性和前纤维化的信号转导和细胞因子的产生。有研究发现，IPF患者经大剂量NAC治疗其肺功能得到明显改善。Zeki Yildirim等证实NA可明显减轻BLM诱导的PF小鼠的PF。</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　3．2其它药物</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　如氨溴索、烟酸、牛磺酸等也在研究当中。有研究发，现早期应用氨溴索，可清除氧自由基，减轻细胞损伤，并能减少TNF-α生成或释放，干预纤维化形成。牛磺酸和烟酸减轻PF的可能机制是通过下调TNF-α等细胞因子表达，减少胶原生成。</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　4抗凝剂</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　有证据表明：PF患者肺泡灌洗液中凝血酶水平升高，而凝血酶除了在凝血中有作用外，也可通过诱导PDGF直接刺激肺FB和平滑肌细胞原胶原的产生。因此，抗凝剂在理论上可以抗纤维化。Kubo等在研究中比较了强的松治疗组与华法令或低分子肝素与强的松联合治疗组的效果后得出，抗凝治疗可减少急性加重的IPF患者的死亡率。但仍缺乏大样本、双盲、随机实验以证实其作用及作用机制。</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　5细胞因子治疗</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　5．1抗TGF-p治疗</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　TGF-β是目前研究最深入、最重要的致纤维化的细胞因子，它参与FB的分化及增殖，刺激或抑制多种细胞因子的合成与分泌，从而促进细胞间质的形成。用SD-208(TGF-β受体抑制剂)治疗PF小鼠，可抑制纤维化的形成和发展。Smad7(TGF-β信号转导拮抗剂)可抑制BLM诱导的PF小鼠的Ⅰ型前胶原和其他前纤维化分子的表达。修饰素(Decorin)是TGF的天然抑制剂，还可降低肺羟脯氨酸。但TGF-β的生物作用广泛，阻断它的活性同时，不可避免地影响其正常的生理功能，很可能导致致命性的类自身免疫性疾病。</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　5．2干扰素-γ(1FN-γ)</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　IFN-γ具有多种生物学效应：一方面，它可抑制FB增殖，并促进其凋亡，减少胶原合成：另一方面，它又可促进淋巴细胞趋化，单核细胞增殖活化；继而分泌多种促增殖因子，间接促进细胞增殖和组织纤维化。Raghu等在IFN-γ 1b治疗IPF的研究中发现IFN-γ 1b组呼吸困难发生率、氧气使用率较对照组有减少趋势。Karla等证实IFN-γ对于终末期IPF的治疗无效。目前有关IFN的实验与临床研究仍在深入。</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　总的来说，目前对PF的治疗尚无重大突破。学者们对临床常用的药物和尚处于研发阶段的药物进行了大量的临床探索和推测，取得较大的进展。其中应用中医药治疗PF也逐渐得到人们的认可，如芪丹颗粒、复方鳖甲软肝方、三七总苷、丹参、川芎嗪等，但缺乏大规模临床试验的证据支持。至今尚无任何一种药物能有效阻止疾病的发展。但我们相信随着对该病发病机制的研究深入，PF的抬疗一定会取得突破性的进展。</span></p>","barId":"1289","topicTypeId":null,"topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":2},{"id":"11004","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"专家为您解答肺纤维化的发病因素有什么呢","content":"<p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">肺纤维化难以治疗，患上这种疾病之后，有可能是会伴随患者的一生，专家表示，对于肺纤维化最好是提前做好预防，而若要预防，我们就必须熟知它究竟是为何出现的，那么造成肺纤维化的原因有哪些呢</span>?下面就请有关专家为大家来介绍一下。我们就一起来了解一下<strong>引起肺纤维的原因</strong>吧。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1515829208945.png\" title=\"专家为您解答肺纤维化的发病因素有什么呢\" alt=\"专家为您解答肺纤维化的发病因素有什么呢\" width=\"600\" height=\"372\"/></span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><br/></span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">患上肺纤维化可能与以下因素有关：</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">1、过敏性肺炎</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">也使</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">诱发肺纤维化的原因。主要是由于吸入含有真菌孢子、细菌产物、动物蛋白质或有机物尘埃所引起的非哮喘性变应性肺疾患，以弥漫性肺间质炎为病理特征，能痊愈，不留后遗症。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">2、肺炎支原体</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">是</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">引起肺纤维化的发生</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">原因</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">。</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">其中原因</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">是支原体经呼吸道侵入后</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，直接导致</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">细支气管和支气管周围组织，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">致使</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">无破坏性病变，故能完全恢复。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">3、另外警惕职业和环境相关性疾病：矽肺、石棉肺、重金属肺、煤尘肺、铍尘肺、氧化铝肺，这些是都职业性疾病，对于这样的疾病，患者需要提前做好治疗和预防，定期检查身体，这样才能防止肺纤维化的发生。</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">肺纤维化是危害极大的肺部疾病，其治疗是刻不容缓的，为有效避免肺纤维化带来的危害，明确症状，对症施治是关键。据统计，严重的肺纤维化在</span>2年内就会死亡，因此患者一定要引起足够的重视。</span></p><p><br/></p>","barId":"1289","topicTypeId":null,"topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":3}],"pageObj":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":5,"pageNumber":0,"totalPage":0,"totalRow":0},"loginUser":null,"replies":[],"forumUserFans":null,"herfList":[],"only":"0","topic":{"id":"11032","isDel":0,"createAt":1515842876426,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"为帮老人检查准确 护士检查动作夸张","content":"<p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp; &nbsp; &nbsp;</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">近日，山东省淄博市第一医院女护士吴红在指导老人做检查时，因声音动作“夸张”地引导帮助老人而走红网络。昨天，吴红在接受北京青年报记者采访时称，视频是自己给老人做肺功能检查时，有患者家属偷偷拍下来传到网上的。因为老人的听力和理解能力相对较差，才自创了“浮夸”动作。“有人说我这样做，像个小丑一样。为了老人能够有一个准确的检查结果，我甘愿当小丑。”吴红说。</span></p><p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;<img src=\"http://01luntan.com/ly_img/uimgs/1515843397217.jpg\" title=\"为帮老人检查准确 护士检查动作夸张\" alt=\"为帮老人检查准确 护士检查动作夸张\" width=\"400\" height=\"369\"/></span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;&nbsp;&nbsp;&nbsp; </span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">“呼吸呼吸，吸吸吸……”近日，淄博市第一医院女护士吴红在给老人做检查时，因声音动作“夸张”地引导帮助老人而走红网络。北青报记者从视频中看到，一名老人坐在椅子上对着仪器做吸气状，而与此同时，吴红高举着胳膊，大喊“呼吸呼吸，吸吸吸……”、“猛吸猛吸、猛吸猛吸……”</span></p><p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;<img src=\"http://01luntan.com/ly_img/uimgs/1515843655681.jpg\" title=\"护士检查动作夸张\" alt=\"护士检查动作夸张\" width=\"400\" height=\"383\"/></span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp; </span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">昨天上午，北青报记者采访了护士吴红。她称，自己是淄博市第一医院呼吸二科的护士，在肺功能室已有近四个月的时间。为了病人能够有一个准确的检查，她经常喊得嗓子疼，还有一次因为动作幅度大，闪了腰。</span></p><p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;<img src=\"http://01luntan.com/ly_img/uimgs/1515843582625.jpg\" title=\"工作场景\" alt=\"工作场景\" width=\"400\" height=\"266\"/></span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">北青报：您什么时候为病人做肺功能检查的？</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">吴红：我是淄博市第一医院呼吸内二科的护士，平时负责看护病人，去年</span><span style=\"font-size:16px;line-height:200%\">10</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">月份，被调到医院肺功能检测室，主要为患者做肺功能、一氧化氮等检查。但是别的检查不需要这样，只有肺功能检查需要这样。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">北青报：您为什么做检查的时候做这样的动作呢？</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">吴红：肺通气功能检查过程中患者需要进行深吸气、深呼气，同时使呼吸达到一定的频率，如果患者不能准确地配合进行上述动作，将影响检查结果的准确性，影响医生对患者病情的准确判断，浪费患者的检查费用。</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">但是因为来做肺通气功能检查的患者本身呼吸功能就存在障碍，配合起来吃力，再加上基本都是老年人，听力存在不同程度下降，理解力也有所减退。为了保证患者深吸气、深呼气到位，同时达到相应的呼吸频率，自然而然的声音就非常大，也会配合一些动作便于他们理解。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">北青报：这些动作是您自创的吗？</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">吴红：这是我跟王老师学的，最初只有我们医院的王世香护士为老人做肺功能检查，因为忙不过来，我才被调过去帮忙。刚来的时候就和她学习怎么给病人做检查，在此基础上，我又加了一些动作。手势夸张一点，也是为了方便他们理解。</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">经常累得嗓子疼</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">北青报：您平时工作忙吗？</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">吴红：我在肺功能检测室属于“兼职”，周二周四过去。平时还好，一天能检查</span><span style=\"font-size:16px;line-height:200%\">20</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">个病人，但是现在冬季是呼吸疾病的高发季，所以还挺忙的，有时候一天为</span><span style=\"font-size:16px;line-height:200%\">30</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">多个人做检查，也经常会延迟下班。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">北青报：您对自己走红这件事怎么看？</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">吴红：我今年</span><span style=\"font-size:16px;line-height:200%\">45</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">岁了，还有</span><span style=\"font-size:16px;line-height:200%\">10</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">年就退休了，现在我就把每一天当成最后一天来看待，等我退休了，就不可能再像今天这样工作了，所以我很珍惜我的工作和服务对象。把每一个病人当作长辈、亲人。虽然很多人说我现在是网红了，但是我还是我。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">北青报：您工作中遇到过病人不理解的事情吗？</span></p><p 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16px;line-height:200%\">&nbsp;</span></p><p><br/></p>","barId":"1289","topicTypeId":"2","topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1542,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1515842876429,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1515842876429,"metaSearch":null,"rn":null},"userAllInfo":{"id":null,"isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":null,"password":null,"level":0,"nickName":null,"realName":null,"signName":null,"head":null,"phone":null,"mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":0,"userType":0,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":0,"provinceId":null,"cityId":null,"userLevel":0,"modifyNameCount":0,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"forumUserActiveInfo":{"id":"b1ba5254dfad11e6a61c00163e04584d","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":1705892489293,"updateBy":"b1a5ca4ddfad11e6a61c00163e04584d","updateName":"小海螺","userId":"b1a5ca4ddfad11e6a61c00163e04584d","topicCount":2201,"replayCount":900,"favorteCount":0,"beFavorteCount":0,"creamCount":2,"focusCount":1,"fansCount":4,"integralCount":2357,"foodCouponCount":0,"lastLoginTime":0,"lastLoginIp":null,"downloadCount":0,"uploadCount":0},"newPass":null,"focusBar":null,"counter":null,"forumUserIdentificateDto":null},"theme":{"id":"1032","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"topicTypeId":"2","topicTypeName":"治疗","themeName":"病友社区","barType":"102","schemaName":2,"reward":0},"page":1,"favorties":true,"isSelf":false,"order":"asc"}