Zheng Zeguang
Chen Xiaoyan
Lu Weijie
Xia Xinhua
Winter is a high season for patients with Chronic obstructive pulmonary disease (hereinafter referred to as "Chronic obstructive pulmonary ") that are prone to acute exacerbation. First Affiliated Hospital of Guangzhou Medical University (referred to as " First Hospital of Guangzhou Medical University "), and the multidisciplinary expert of Academician Zhong Nanshan of Guangzhou Respiratory Health Research Institute reminds patients with COPD: In addition to insisting on standardized drug treatment + home rehabilitation, repeated fluctuations in blood sugar should also be avoided; while treating the primary disease, you should also pay close attention to bone health and actively prevent and treat osteoporosis ; patients in remission can also try traditional Chinese medicine conditioning under the guidance of Chinese medicine practitioner .
text/Guangzhou Daily All-Media Reporter Weng Shuxian Correspondent Ru Zhina, Han Wenqing, Wang Wenxi
Photo/Guangzhou Daily All-Media Reporter Weng Shuxian Correspondent Li Jin
Drug treatment + home rehabilitation to improve efficacy
Professor Zheng Zeguang of the Department of Respiratory and Critical Care Medicine of Guangyi Hospital reminds that if patients with COPD want to control their condition, it is the key to adhere to standardized drug treatment and rehabilitation treatment. The therapeutic value of these two is equally important and can synergistically improve efficacy.
According to Zheng Zeguang, the drug treatment of COPD is mainly inhaled drugs. To achieve greater efficacy of inhalation treatment, patients should first completely expel sputum and clear airway secretions. Patients with poor lung function can practice thorough exhalation and inhalation as much as possible in daily life, and promote sputum excretion through breathing trainers or lip shrinking and exhale. In addition, the inhalation capacity should be maximized and the breath holding time is long enough to increase the proportion and deposition rate of the drug entering the small airway and achieve better therapeutic effects. In addition, symptom management should be strengthened in daily life to avoid acute aggravation of symptoms. He suggested that patients with COPD recover and use medication in the morning to help improve daytime symptoms and improve their quality of life during the day; rehabilitation before going to bed at night and use medication to improve their sleep quality, and also help reduce symptoms the next morning.
"Patients who need to use surface hormones must grasp the indications and use them reasonably under the guidance of a doctor." Zheng Zeguang emphasized: "Improper use of hormones can cause other complications such as osteoporosis, and they cannot be overused on their own."
He reminded that in addition to taking medicine, home rehabilitation treatment that does not require money can also help improve the exercise endurance, quality of life, reduce acute aggravation and the frequency of hospitalization in patients with chronic obstructive pulmonary pulmonary disease, and can improve the efficacy while carrying out drug treatment. Rehabilitation treatment includes rehabilitation of airway secretions removal and coughing ability, respiratory exercise and nutritional rehabilitation.
avoids repeated fluctuations in blood sugar and actively treats
with two-pronged approach. "Chronic obstructive pulmonary disease and diabetes are known as 'sister disease'." Professor Chen Xiaoyan, director of the Department of Endocrinology of Guangyi Hospital cited relevant data and pointed out that about 10% of diabetic patients have COPD, while about 16% of CHP hospitalized patients have diabetes. These two diseases seem to have no connection, but they are actually inflammatory diseases. She analyzed that smoking and repeated lower respiratory tract infection of are risk factors for COPD, which may promote insulin resistance and increase the burden on islets, and insulin resistance is an important cause of the onset of type 22 diabetes. In addition, nicotine in tobacco can directly damage pancreatic islet cells, which is also a common risk factor for people with long-term smoking to cause COPD and diabetes. It is particularly important to note that since the condition requires long-term use of glucocorticoid , some patients who have not had diabetes in the past may also increase the risk of diabetes.
"We investigated patients with chronic obstructive pulmonary pulmonary disease who were repeatedly hospitalized and found that their blood sugar fluctuated repeatedly and was at a high level. The conventional antibiotic treatment was not effective." Chen Xiaoyan analyzed that in this case, a variety of antibiotics are needed, and the "two-pronged" treatment of COPD and diabetes is actively treated. In case of two diseases coexisting, how can we avoid rapid progression to the extent of lung insufficiency or even respiratory failure ? Chen Xiaoyan gave the following suggestions:
1. Quit smoking: Long-term smoking is a common high-risk factor for COPD and diabetes. Quitting smoking can help eliminate the common "soil" that may occur in these two diseases.
2. Standardized treatment: Actively treat COPD to make the condition stable and controllable, avoid repeated acute aggravation, and avoid long-term oral high-dose hormones. If glucocorticoid is required for the condition, the patient's weight may increase progressively, become overweight, obese, or even glucocorticoid-related diabetes. You should try to control your weight well, reduce excessive heat card intake, and seek help from an endocrinologist if necessary.
3. Appropriate exercise: including whole-body exercise and breathing exercise. You can also exercise appropriately at home to do resistance exercises to help strengthen muscle strength.
4. Pay close attention to blood sugar changes. If you have the conditions, you can buy an blood glucose meter to monitor blood sugar regularly. If you find abnormalities, intervention will be carried out in time.
closely monitors bone health and improves quality of life
Statistics show that the risk of osteoporosis in patients with COPD is 3 to 4 times that of normal healthy people, and the incidence of osteoporosis in patients with COPD is about 35.1%. Why are patients with COPD prone to osteoporosis? Professor Lu Weijie, director of the orthopedic department of Guangyi Hospital 1, analyzed that the general reasons are as follows:
1. Chronic obstructive pulmonary pulmonary can cause systemic inflammatory reactions, causing damage to the kidneys, and thus affect the absorption of calcium in the body to varying degrees and calcium and phosphorus metabolism , resulting in a decrease in bone density;
2. The drugs used by patients with COPD include glucocorticoids. If such drugs are not used properly, they can easily aggravate osteoblast apoptosis and bone loss. It is recommended that patients must use drugs reasonably under the guidance of doctors;
3. Many patients with COPD still cannot quit smoking after being diagnosed, which has an adverse impact on the content of bone minerals;
4. According to statistics, the incidence of vitamin D deficiency in COPD patients is as high as 58%, which is related to the limited activity, lack of outdoor activities, less sunlight, and less ultraviolet absorption;
5. Hypoxemia, common in COPD patients, , , can easily promote osteoclast differentiation, stimulate osteoclast production, accelerate bone loss, and reduce bone density and induce osteoporosis;
6. The majority of patients with COPD patients are the elderly, and they are the high-risk groups for osteoporosis. "Patients with osteoporosis are very prone to fractures, which seriously affects the quality of life." Therefore, while treating the primary disease, patients with COPD should also pay close attention to bone health, actively prevent and treat osteoporosis under the guidance of doctors, quit smoking and limit alcohol, change bad lifestyles, have a balanced daily diet, supplement sufficient calcium and vitamin D, and insist on regular exercise and appropriate sunbathing.
COPD remission period Try traditional Chinese medicine conditioning
Professor Xia Xinhua, director of the Department of Traditional Chinese Medicine of Guangyi Hospital 1, analyzed that the common symptoms of chronic obstructive pulmonary patients during remission period include lung deficiency, spleen deficiency and kidney deficiency . He recommends the following dietary prescriptions. Patients with different physiques can choose appropriately:
1. Sijunzi lean meat soup
Ingredients: 100 grams of lean meat, 5 grams of Codonopsis pilosula, 310 grams of Poria cocos 5 grams of Atractylodes 5 grams of yam, 15 grams of candied dates, and 2 slices of ginger;
Method: Wash the lean meat and cut into pieces, wash and soak other materials for 30 minutes, add an appropriate amount of water and boil the lean meat, and then simmer over low heat for 1.5-2 hours to season.
Function: Strengthen the spleen and replenish qi
2. Stewed Snow Pear
Ingredients: Fritillaria 5 grams, 10 grams of dried lily, 1 pear, 5 grams of tangerine peel, 5 grams of rock sugar;
Method: Wash the pear and cut into pieces and cut into pieces to remove core, remove heart, and remove pedicles; wash and soak other ingredients, put together with rock sugar and pear in a stewing pot and add appropriate amount of cold boiled water, cover and stew for 3 hours before eating.
Function: nourish yin and moisten the lungs, clear heat and eliminate phlegm
3. Tangerine peel drink
Ingredients: 10 grams of tangerine peel, 5 grams of hawthorn, 315 grams of malt html, 5 grams of lotus leaves, appropriate amount of white sugar;
Method: Put the above ingredients into a pot, add 1 liter of water and boil over high heat, then boil over low heat for 30 minutes, remove the residue and take the juice, add appropriate amount of white sugar and stir well, put it warm and drink.
Function: Warm and neutralize the stomach, strengthen the spleen and stimulate the appetite, regulate qi and eliminate phlegm, "The traditional external treatment method of traditional Chinese medicine is also helpful for regulating the internal organs."Xia Xinhua introduced that the hospital's traditional Chinese medicine department carries out special therapies such as "Youtian moxibustion, pot moxibustion, and red light smokeless moxibustion:
1. Tianmoxibustion/drug moxibustion: grind Chinese medicine into powder and mix ginger juice to make a paste, and apply it to the affected area or acupoints; it helps to promote qi and promote menstruation, warm yang and dispel cold, and regulate internal organs. It is suitable for all kinds of internal medicine diseases, especially lung diseases such as COPD.
2. Pillar moxibustion: Use ceramic basins as moxibustion tools, and after heating, the heat is sufficient and deep, the medicinal power can cover the surrounding acupoints on a large area, helping to warm yang and dispel cold and regulate internal organs, suitable for patients with yang deficiency or cold and damp syndrome during the COPD relieving period.
3. Red light smokeless moxibustion: Use red light treatment with heating moxa velvet to release active ingredients without the production of traditional moxibustion smoke; it helps warm the yang and dispel cold, reduce inflammation, reduce swelling, and promote tissue repair; it is suitable for patients with acute, chronic, chronic, and chronic pulmonary pulmonary disease who are sensitive to smoke.
