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First of all, everyone should understand, what is "slow obstructive lung"? For many people, "slow obstructive lung" sounds relatively unfamiliar, but "old slow branch" and "pulmonary emphysema" are somewhat familiar to everyone. In fact, "slow obstructive lung" is "old slow branch" and "pulmonary" Emphysema is a chronic respiratory disease that develops mainly due to decreased lung function. Clinical manifestations include decreased activity tolerance, coughing, wheezing, and shortness of breath. It is also a disease that is greatly affected by temperature, high incidence in winter. Each acute exacerbation of the patient represents a further deterioration of the lung condition, which is also a progressive blow to the patient's lung function. Such patients have progressively increased performances such as wheezing, shortness of breath, and post-activity exacerbation, and are not completely reversible. Therefore, home convalescence and prevention of COPD patients are very important.
In daily life, pay attention to quit smoking and alcohol, avoid contact with irritating substances, and avoid cold. But what should we pay attention to when the climate changes in winter?

1.First, we must insist on standardizing medication.

In the clinical diagnosis and treatment process, I found that many patients did not reasonably regulate the medication, that is, they received injections when the acute illness occurred, and all medicines were stopped when they improved. Patients with COPD often need to insist on the application of long-acting inhalation drug treatment, and in the winter when the disease is prone to stop the drug or reduce the dose at will When a lung infection occurs, be sure to pay attention to bed rest and follow the doctor's instructions to actively treat infections, relieve spasm and asthma, and take medication on time.

2. Secondly, proper cold resistance exercise.

"Old slow-branch" patients are most afraid of cold in winter and are also prone to colds. Symptoms increase after each respiratory infection and lung function is also affected. Performing cold resistance exercises can improve the patient's resistance (many old patients when the climate changes) Even if the cat is at home, dare not go anywhere, this is wrong), proper cold resistance training can reduce the risk of catching a cold and respiratory infections. But at the same time, it should be noted that cold resistance exercises cannot be performed blindly. Not every patient with COPD is suitable for what kind of patients can do and how to do it. Consult a professional doctor for specific circumstances.

3. Appropriate physical activities should also be carried out.

According to the patient's physical strength, you can actively participate in some appropriate physical activities. For example, jogging, as one of the most complete systemic coordinated exercise, can increase lung capacity and endurance, maintain even breathing during jogging, and allow enough oxygen to enter the body. Tai Chi, middle-aged and old people aerobics, walking, etc. can improve physical health, and patients who have been exercising for many years can maintain health than those who take more rest and move less. Of course, we must also pay attention to avoid the work beyond our ability to reduce the burden on the heart and lungs.

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Simple lung rehabilitation exercise.
Some lung rehabilitation exercises are very simple and economical. For example, the following two commonly used methods:
① Lip contraction breathing, which can control the symptoms of dyspnea in most patients, is therefore included in most lung rehabilitation programs. Specific methods: Close your mouth and inhale through the nose, and then through the lips, slowly exhale through the mouth like a whistle for 4~6 seconds. The degree of lip shrinkage can be adjusted by yourself when you exhale, not too large or too small.
② Abdominal breathing, this method can reduce chest movement, enhance abdominal movement, improve ventilation distribution and reduce breathing energy consumption. Abdominal breathing is practiced in lying, sitting, and standing positions, with the "sucking and deflating" method, with one hand on the chest and one hand on the abdomen, the abdomen is retracted as much as possible, and the abdomen is raised against the pressure of the hand when inhaling The exhalation time is 1 to 2 times longer than the inhalation time.

Home oxygen therapy and non-invasive ventilator-assisted treatment
For patients with COPD and chronic respiratory failure, the disease awareness should be raised even in the stable period. If economic conditions permit, it is possible to purchase oxygen generators and non-invasive ventilators for home oxygen therapy and noninvasive ventilation according to the condition. Appropriate oxygen therapy can improve the body's hypoxia (requires home oxygen therapy daily low flow oxygen inhalation time of more than 10-15 hours), slow down the occurrence or progress of complications such as pulmonary heart disease. Non-invasive ventilator treatment can relax the respiratory muscles of chronic fatigue, improve respiratory function, gas exchange, and blood gas indicators. Night noninvasive ventilation can also improve the condition of night hypoventilation, improve the quality of sleep, and ultimately improve the efficiency and quality of life of gas exchange during the day, and reduce the frequency of acute exacerbations. This can not only help patients suffer less, but also reduce medical expenses.


Post time: Jul-13-2020