Unlock free breathing! Have you heard of pulmonary rehabilitation? Who needs pulmonary rehabilitation?

According to Yiyang Central Hospital , pulmonary rehabilitation (PR) is a set of multidisciplinary comprehensive intervention measures for patients with chronic respiratory diseases who have symptoms and reduced daily living ability, based on detailed patient assessment and individualized treatment, including (but not limited to): exercise, education and behavior change, etc. It aims to improve the physiological and psychological state of patients with chronic respiratory diseases and encourage patients to persist in activities that promote health over the long term.

1. The purpose of pulmonary rehabilitation

1. Relieve or control the acute symptoms and complications of respiratory diseases.

2. Eliminate the functional disorders and psychological shadows left over from the disease, carry out active breathing and exercise training, and unleash breathing potential.

3. Educate patients on how to maximize their daily activities, improve their endurance for activities and exercise, increase their ability to take care of themselves in daily life, and reduce the need for hospitalization.

2. Pulmonary rehabilitation is suitable for people

Thoracic diseases: kyphoscoliosis, ankylosing spondylitis.

Neuromuscular disorders: Parkinson's disease, post-polio syndrome, amyotrophic lateral sclerosis, diaphragmatic dysfunction, post-tuberculous syndrome.

Respiratory diseases: before and after lung volume reduction surgery, ventilator dependence, lung cancer, primary pulmonary hypertension, before and after chest and abdominal surgery, children with respiratory diseases, obesity-related respiratory diseases, chronic obstructive pulmonary disease, asthma, bronchiectasis, bronchiolitis obliterans, restrictive lung diseases such as interstitial pulmonary fibrosis, occupational or environmental lung diseases, and sarcoidosis.

3. Nutritional Support

According to the patient's own nutritional status, disease severity, and energy consumption status, plan a balanced diet for the patient, determine the intake of carbohydrates, protein, and fat, and formulate a corresponding recipe.

Professional pulmonary rehabilitation methods should be implemented under the guidance of professional medical personnel according to the individual's specific situation to ensure safety and effectiveness. Therefore, it is recommended that patients with pulmonary rehabilitation needs should go to a professional rehabilitation center for rehabilitation exercises. During the rehabilitation process, it is very important to regularly evaluate progress so that the treatment plan can be adjusted in a timely manner.

References

Maddocks M, et al. Neuromuscular electrical stimulation to improve exercise capacity in patients with severe COPD: arandomised double-blind, placebo-controlled trial. Lancet Respir Med. 2016 Jan;4(1):27-36.

Chen Fangwei. Application of pulmonary rehabilitation therapy in patients with acute COPD during hospitalization[J]. Contemporary Chinese Medicine, 2017, (22): 20-23.

Hunan Medical Chat Special Author: Lin Guoqing from Yiyang Central Hospital

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(Edited by Wx)