In addition to regular drug treatment, pulmonary rehabilitation training can be used to slow down the disease process, reduce the number of acute exacerbations, reduce medical costs and improve the quality of life. This disease can be treated with regular medication to delay the disease process, reduce the number of acute exacerbations, reduce medical costs and improve quality of life.
Indications: Patients with chronic obstructive pulmonary disease, bronchial asthma, interstitial lung disease, lung cancer, respiratory dysfunction, lung surgery, etc.
Not recommended for: patients with a recent history of myocardial infarction or angina pectoris, peripheral vascular disease, progressive arthritis, mental abnormalities, etc.
We have summarized four pulmonary rehabilitation training methods as follows.
1. Quit smoking and limit alcohol
Quit smoking and limit alcohol, diet to enhance nutrition, regular work and rest, positive mindset, and adherence to regular medication.
2. Pulmonary rehabilitation exercise training
Lip retraction breathing training
Patients take a comfortable position, relax the neck and shoulder muscles, close the lips tightly while inhaling slowly through the nose, then shrink the lips like whistling and exhale slowly outward, each time inhaling 2-3s, exhaling 4-6s, the ratio of inhalation time to exhalation time is 1:2. You can use blowing candles, blowing pieces of paper, etc. to determine whether there is gas exhalation. Twice a day, 10-20 minutes each time, 7-8 times per minute.
Abdominal breathing training
The patient can be trained in lying, sitting, or three-dimensional position, taking the breathing method of inhalation, drumming, and contraction, with one hand on the upper abdomen and one hand on the chest, and both knees half flexed to relax the abdominal muscles. Inhale slowly through the nose, puffing up the abdomen while inhaling, keeping the chest still. Exhale through the mouth with the lips retracted, exhale with the hand pressing the abdomen, and retracting the abdomen as much as possible, pay attention to the regular control of the inhalation and exhalation ratio of 1:2, twice a day, 10-15 minutes each time.
Upper limb training method
Such as dumbbell training, hand crank training, elastic band training, chest expansion exercises, etc., starting from no resistance, each stage of incremental exercise time 20-30 minutes, the speed depending on individual circumstances, to exercise mild shortness of breath, shortness of breath is appropriate.
Lower limb training method
Lower extremity training can significantly increase the activity tolerance of patients with chronic obstructive pulmonary disease, reduce the symptoms of dyspnea and improve mental status. Usually, aerobic training methods such as brisk walking, rowing, cycling, hiking, etc. are used.
3. Pay attention to sputum discharge, smooth breathing
When knocking on the back, put all five fingers together, flex the metacarpophalangeal joints at 120°, leave the palm empty, land the fingers with the size of the fissure, use the wrist joint to tap the back rhythmically from the bottom to the top, from the edge to the center, and breathe deeply at the same time. In addition to other people’s assistance, mechanical-assisted excretion vibration can also be applied to help sputum discharge.
4. Home oxygen therapy
Intermittent low-flow oxygen can be administered at home, about 2-3 liters per minute, and the duration of oxygen intake depends on the condition.
Note: If the situation worsens, if you cannot tolerate the pulmonary rehabilitation training, if you suspend the activity, and if you cannot be relieved after rest, please consult a specialist promptly.
Act quickly, long-term adherence to pulmonary rehabilitation training can not only enhance lung function but also significantly improve overall body function, with the effect of prolonging life.