The rehabilitation of patients with chronic bronchitis emphysema care

The rehabilitation of patients with chronic bronchitis emphysema careThe rehabilitation of patients with chronic bronchitis emphysema:

① cold exercise: patients with chronic diseases, repeated infections, malnutrition, the body local and systemic immune mechanism may be cold drop, while fear of Shouliang, dressing, easy to sweat, less outdoor activities. Adaptation to climate change capacity of poor and prone to respiratory infections. A cold exercise can improve the body's defense capability, enhance the respiratory tract immunity, reduce respiratory infections. Exercise should be cold in summer, the increase in outdoor activities, the time of the cold weather to persist in training. As far as possible delay to wear cotton wear masks time, but should pay attention to climate change with the change clothes in time to prevent the flu.

② strengthen nutrition: patients because of long duration, gastrointestinal function weak, less eating, physical consumption is bound to lack of nutrition, lack of trace elements, resulting in disease resistance in patients with low capacity and poor treatment, it should increase the intake of calories. In the daily diet of quality protein (such as lean meat, fish) should not be less than 1.0 g / kg. Elderly patients with multiple lipid metabolism disorders, should be limited animal fat intake. Obviously carbon dioxide retention should reduce the amount of sugar into. Eat more fresh vegetables and fruit, if necessary, for a variety of trace elements, vitamins and amino acid treatment.

③ enhance the cellular immune function: In addition to training and strengthening of cold nutrient, can be given to transfer factor, interferon, BCG, and bronchial vaccine Fuzheng and reinforce the traditional Chinese medicine treatment, in order to increase the body's immune function, prevention of respiratory tract infections.

④ rational use of antibiotics: patients with widespread abuse of antibiotics, antibiotics and even "psychological dependence phenomenon," mistakenly believe that antibiotics can prevent colds. In fact a variety of antibiotics or wrong turn can be used to the compatibility dysbacteriosis and resistance, an increase of the chance of infection pathogens conditions, and increase the difficulty of treatment. Patients should change its wrong understanding of medication as directed; doctors should strictly control the use of indications, the correct guidance to patients with physical health-based rehabilitation treatment.

⑤ breathing gymnastics: chronic pulmonary emphysema patients with weakened bronchial wall flexibility, trachea, and other pressure points within the shift, when the wall ahead of occlusion of breath, lung residual capacity increase, and increase the lead to emphysema. Breathing gymnastics can be delayed bronchial obliterans time and training functions of the diaphragm, increased pulmonary ventilation, improve the state of hypoxia, thereby delaying disease progression. Is in Duanzuo or vertical, the first deep-suction, Gufu, to the chest, and then shrink lip (fish-shaped mouth) and Shoufu slow breath, chest and fell. Breath in time to tolerance and the ability to set, so repeatedly and gradual manner. Time and frequency of exercise without fatigue suitable, the best in outdoor activities or physical exercise conducted.

⑥ diaphragm pacing therapy: emphysema downward movement of the diaphragm location, activity weakened, respiratory muscle fatigue, decreased pulmonary ventilation. Through the phrenic nerve stimulation to enhance the contraction of the diaphragm, increasing mobility of the diaphragm, raising alveolar ventilation, improve the retention of carbon dioxide and hypoxia.

⑦ oxygen therapy: more patients with chronic bronchitis emphysema or potential presence of hypoxemia hypoxemia, especially at night obviously. Hypoxemia can be caused by multiple organ dysfunction. Experts have been affirmed at night continued to adhere to long-term low-flow (1 ~ 3 L / min) oxygen> 12 h, can delay disease progression and lower mortality rates, extended survival period, improving cardiopulmonary function and improve the quality of life. Can also be a mechanical respirator at night so that the rest of respiratory muscles and improve breathing capacity during the day. It should be noted carbon dioxide retention occurred. ⑧ home care: a direct impact on the quality of family care and disease prognosis. Therefore, family members should be in line with the spirit of comfort, caring and encouraging patients to enhance the confidence to overcome the disease; doctors adjust medication under the guidance of the regular programmes and supervision of medication, and so on time.