How to Exercise for COPD

Although COPD requires drug treatment as soon as it occurs, it cannot be completely cured by drug treatment alone. It still requires care in daily life. You must strengthen your physical exercise on a regular basis so that your body's immune ability can be strengthened. You must also be careful not to catch any cold in your life.

Strengthening physical exercise, improving physical fitness, reducing risk factors such as smoking and alcoholism, and improving one's own immunity are effective ways to prevent pneumonia. In March 1988, the World Health Organization recommended at the "Advisory Meeting on Pneumococcal Vaccine Immunization for the Elderly" held in Copenhagen that all elderly people and all high-risk groups should be vaccinated against pneumonia. The U.S. health goals for 2000 proposed that the pneumococcal vaccination rate should reach more than 60% for high-risk groups prone to pneumococcal infections, including people over 65 years old.

Pneumococcal vaccine can be given to people who are over 65 years old or under 65 years old but have cardiovascular or lung diseases, diabetes, alcoholism, cirrhosis and immunosuppression (such as HIV infection, renal failure, organ transplant patients, etc.). At the end of 1996, my country's Ministry of Health approved the entry of pneumococcal vaccine into China, and it has now been widely used in health and epidemic prevention departments across the country.

Antimicrobial treatment of pneumonia should be started as early as possible, and the first dose of antibiotics should be given immediately if pneumonia is suspected. Once the condition stabilizes, the patient can switch from intravenous to oral therapy. The course of antibiotic treatment for pneumonia is at least 5 days, and most patients require 7-10 days or longer. Antibiotics can be discontinued if the body temperature remains normal for 48-72 hours and there are no clinical unstable signs of pneumonia. The clinical stability criteria for pneumonia are: ①T≤37.8℃; ②heart rate≤100 times/min; ③respiratory rate≤24 times/min; ④blood pressure: systolic pressure≥90mmHg; ⑤arterial oxygen saturation≥90% or PaO2≥60mmHg under breathing room air conditions; ⑥able to eat orally; ⑦normal mental state.

The condition should be evaluated 48-72 hours after antimicrobial treatment. Effective treatment will be manifested by a decrease in body temperature, improvement in symptoms, a stable clinical state, a gradual decrease in white blood cells or a return to normal, and delayed absorption of lesions on chest X-rays. If symptoms do not improve after 72 hours, the possible reasons may be: ① the drug fails to cover the pathogenic bacteria, or the bacteria are resistant to the drugs; ② infection with special pathogens such as Mycobacterium tuberculosis, fungi, viruses, etc. ③ Complications occur or host factors that affect efficacy (such as immunosuppression) exist. ④ Non-infectious diseases are misdiagnosed as pneumonia. ⑤Drug fever. It needs to be carefully analyzed, necessary inspections made, and appropriate treatments taken.