Low temperature, cold, temperature difference between the indoor and outdoor...... Various causes of chronic obstructive pulmonary disease (
Low temperature, cold, temperature difference between the indoor and outdoor...... Various causes of chronic obstructive pulmonary disease (COPD), or COPD, the incidence of acute exacerbation. A person sick, the whole family worried about how to help patients with chronic obstructive pulmonary disease in winter? Department of health director of respiratory medicine of China-Japan Friendship Hospital professor Lin Jiangtao pointed out that the patients with chronic obstructive pulmonary disease in winter especially to alert the COPD exacerbations, should include through the use of inhaled bronchodilators to adhere to maintain long-term treatment with long-acting anticholinergic drugs and long-acting beta agonists, reduce COPD exacerbations occur the risk, reduce the mortality of patients, worry free for the winter.
The high incidence of acute exacerbation of chronic obstructive pulmonary disease in winter
COPD is a weakened respiratory function in patients with destructive chronic lung diseases, known as the "invisible killer quietly in respiratory disease. WHO latest statistics show that: there are 210 million patients with copd.
From the development of the disease, COPD is divided into stable and acute exacerbation". Because the human lung has strong compensatory ability, secret disease progression, patients in the daily "stable period" when the disease characteristic is not obvious, but the symptoms in the acute exacerbation of "sudden or sharp deterioration of the original symptoms. Many patients may develop acute exacerbation of COPD two or more times per year, especially in winter and spring. Acute exacerbation may lead to acute deterioration of clinical symptoms in patients with COPD or the emergence of new clinical symptoms, including dyspnea, cough, sputum, cough purulent sputum, chest tightness, serious illness, may also occur with serious lung infection, respiratory failure and other complications.
Professor Lin pointed out: the harm of acute exacerbation of COPD is slow in every episodes of acute exacerbation COPD, most patients with lung function will decline further, that is the irreversible deterioration of the condition, thus speeding up the progress of the disease, increase the risk of death. In the process of COPD treatment, the acute exacerbation of the relevant costs accounted for 40%-70% of the overall cost of COPD patients, which greatly increased the economic burden of patients. Therefore, one of the key objectives in the treatment of COPD is to reduce the acute exacerbation of copd.
- difficulty breathing, activity decline is warning signal
A study of hospitalized patients with acute exacerbation of chronic obstructive pulmonary disease (COPD) showed that the mortality rate was significantly higher in patients with acute exacerbation of copd. An important way to change this situation is that patients in the stable period of aggressive use of bronchodilator to prevent the occurrence of acute exacerbations.
According to the global strategy of chronic obstructive pulmonary disease (GOLD) "" authoritative guidelines recommend the relevant treatment of acute exacerbation of chronic obstructive pulmonary disease, in addition to anti infection, in acute exacerbation of systemic glucocorticoid therapy, including the use of long-acting anticholinergic drugs, drug maintenance therapy is also very important to prevent future acute exacerbation. According to "a new England Journal of Medicine published" the POET-COPD study showed that long-acting anticholinergic agent tiotropium (Spiriva) and long-acting beta agonists compared to Shah Mette Lo, to make a 17% reduction in the risk of acute exacerbation.
In fact, COPD is not untraceable. Cough, expectoration, shortness of breath, decreased activity is the main symptoms of copd. But most people in the early stage of the disease are not caused by the alert, and when the shortness of breath, breathing difficulties and other symptoms have been in the late fall. Many large studies have shown that COPD patients with poor lung function, the more serious the disease, the possibility of acute exacerbation is also significantly increased.
Professor Lin stressed that if the patient has difficulty breathing, activity decreased and other symptoms of late onset of the disease, the patient is about to enter a relatively frequent occurrence of acute exacerbation of the warning signal. Therefore, it is the key to reduce the risk of disease in order to reduce the risk of disease.
In the prevention of COPD exacerbations, focusing on daily for a rainy day
"Wise doctors and patients will be able to prevent exacerbations by appropriate interventions, rather than when the patient begins to treat them," he said." Professor Lin said that the rainy day and in COPD patients is particularly important in patients with COPD in stable period, if long-term use including long-acting anticholinergic drugs long-acting bronchodilator tiotropium, vasodilator, can delay the occurrence of acute exacerbation, significantly reduce acute exacerbation and hospitalized for an exacerbation. Risk. In the course of treatment, both need to adhere to the long-term treatment of COPD patients with acute exacerbation period and stable period, patients can through the use of tiotropium long-acting bronchodilators, rapidly improve dyspnea, improve the activities of patients, prevention of acute and chronic obstructive pulmonary disease, to restore vitality life. At the same time, for patients, in addition to follow the doctor's advice to adhere to long-term medication, but also through smoking cessation, reasonable diet, proper exercise, respiratory rehabilitation exercise and other ways of scientific and comprehensive treatment.
Chronic obstructive pulmonary disease patients worry free winter life tips
1 winter indoor and outdoor temperature difference is bigger, people often in order to keep warm and close doors and windows, which led to the indoor air circulation. In addition, the dry air in winter also provides favorable conditions for the breeding and spreading of viruses and bacteria. Experts suggest that at least two times a day sooner or later to open the window ventilation, and indoor temperature should not be too high, to maintain the best health of human body temperature of about 18 degrees celsius. In addition, can also use a humidifier or to increase the humidity of the air to ground sprinkler.
2 because the winter climate is dry, therefore, can eat pears, honey, lily, lotus root and other nourishing ingredients and. In addition, due to long-term hypoxia in patients with COPD, should supplement with more high-quality protein, vitamins and trace elements in food, such as eggs, duck, chicken, pigeon meat, fish, milk and other food, Soybean Milk.
3 COPD patients need regular exercise activities to improve blood oxygen, however, due to the dry weather in winter morning, the temperature is low, therefore, patients in the winter exercise time should be appropriate to avoid cold back. In addition, the need to pay attention to keep warm when you go out, can be combined with masks, scarves and other respiratory tract to avoid direct stimulation of cold air.