I thought it was just a simple routine hospitalization for “shortness of breath”, but suddenly fainted, lost consciousness, and experienced two cardiac arrests, which can be described as “the front line of life and death.” Recently, 67-year-old Lao Jian (pseudonym), who suffered from chronic obstructive pulmonary disease, went through the “ghost gate” two times due to an attack. He went through active treatment and innovative pulmonary rehabilitation training in the Department of Respiratory and Critical Care Medicine of the Second People’s Hospital of Guangdong Province. Turning crisis into peace, miraculous recovery from “cardiac arrest” to “walking discharge” was achieved.
Pulmonary rehabilitation refers to the use of individualized comprehensive interventions for patients with chronic lung diseases with symptoms and limited daily activities. It is a widely recognized non-drug treatment measure that can improve the health of patients, increase exercise endurance, and reduce acute exacerbations Number of episodes.
4 benefits of pulmonary rehabilitation
It is clinically found that active lung rehabilitation training has four benefits:
1. Relieve or control the acute symptoms and complications of lung disease;
2. Eliminate the dysfunction and psychological impact left by the disease, carry out active breathing and exercise exercises, and tap the breath Functional potential, enhance the function of the respiratory tract;
3. Improve daily habits, relieve mood, relieve anxiety and fear in daily life;
4. Help patients to recognize the relevant knowledge of lung diseases, so as to strengthen self-management and improve their exercise and Activity endurance increases the ability to take care of themselves in daily life and reduces the risk of hospitalization.
Suitable for 5 groups of people
1. Patients who are often accompanied by different lung diseases and other related diseases;
2. Those with weak lung function and easily affected by the external environment;
3. Patients with restrictive lung diseases and related diseases;
4. Those who
have undergone lung surgery; 5. Yes History of pulmonary cystic fibrosis.
There are 3 types of rehabilitation
Home rehabilitation: proper exercise at home, keeping fresh air, and a balanced diet;
inpatient rehabilitation: using hospital medical equipment to treat patients;
outpatient rehabilitation: when it is not convenient to go to the hospital, you can perform nearby treatment in the outpatient department. You can go home for treatment, and on the other hand, you can receive medical equipment in the outpatient clinic.
3 ways to train effectively
The main purpose of abdominal breathing is to ensure smooth breathing. The steps are: first establish an effective breathing pattern, then perform loosening exercises on the chest cavity, and finally train the breathing muscles in all directions. The above 3 steps are repeated cycles until the ventilation is smooth and no abnormality is felt.
This method is commonly used in lying and sitting positions. When lying down, you can put a cushion under your knees. When sitting, you can lean forward slightly to maintain a certain degree of stability and relax your muscles. The specific method is: use one hand to press on the upper abdomen, and when you exhale, the abdomen sinks, and the hand is slightly harder to further increase the intra-abdominal pressure and promote the uplift of the diaphragm; when inhaling, the upper abdomen resists the pressure of the hand. Slowly uplifted. In this process, air is required to be inhaled from the nose and then exhaled from the mouth. When you inhale, you can see the upper abdomen bulge, and when you exhale, you can see the abdomen sunken. Breathing should be even, and you should not breathe or exhale.
Lung cleaning technology is to remove foreign bodies from the lungs so that the lungs can perform normal work. There are mainly postural drainage and coughing.
Drainage is mainly to place the lesion on a higher position and use gravity to make the liquid flow towards the lower place. Corresponding symptoms are: body weakness, physical and mental fatigue, lung swelling, and secretions cannot be cleared for a long time. It should be noted that patients with high blood pressure, cardiovascular problems, pulmonary edema, anemia, chest tightness, etc. are not suitable for use. The usual measure for such patients is to expectoration. Foreign bodies are expelled from the mouth by tapping and shaking. The specific methods are: Bend the palms to slap top-down, keeping a constant speed, and each time for 15 minutes, 2 times a day.
Cough is mainly divided into fulminant cough and segmented cough. In fulminant cough, the patient should take a sitting or semi-recumbent position, head slightly forward, take a deep breath and close the glottis. With the sudden and powerful contraction of the chest and abdomen muscles, the glottis will open instantly, flushing out the gas and coughing Sputum. Segmented coughing is a series of low-pitched coughs, gradually moving the sputum to the throat, and then coughing up vigorously.
Sports training Exercise as the basis of all diseases, it is a product of the development of clinical medicine, and most patients with diseases can benefit from sports rehabilitation.
Sports training is mainly based on physical training, and its methods are diversified, such as cycling, swimming, walking, etc. The time is maintained at 4-6 times/week, 30-50 minutes/time, and can be intermittent or continuous training . In the training process, the strength of the upper and lower limbs should be distributed evenly, which is more helpful for breathing.