Friday, April 4, 2008
Chronic obstructive pulmonary disease how drug treatment
As chronic obstructive pulmonary disease COPD, including chronic bronchitis and chronic obstructive pulmonary emphysema, is a serious and endanger people's health common diseases, multiple, and the need for long-term treatment of standardization. In addition to its smoking cessation therapy, rehabilitation exercises to enhance physical, but also the attention of rational drug use. (1) anti-infective treatment. Diffuse pulmonary resistance acute exacerbation is the most common cause of respiratory tract infection, the causative organism is Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis-card bacteria, virus. If it is suddenly impossible sensitivity test, according to clinical experience from 7 to 14 days of antibiotic treatment, such as amoxicillin, quinolones (such as ciprofloxacin, fluoride Zhen acid, etc.), the new cephalosporin (eg, first of Proton). Macrolides (such as erythromycin ethylsuccinate, ether Spiramycin, etc.), aminoglycoside (such as Rickettsia bacteria Star, etc.). In recent years due to Staphylococcus aureus, Haemophilus influenzae and resistant Streptococcus such an increase, if the initial empirical treatment of poor, as soon as possible in accordance with appropriate antimicrobial susceptibility test results replacement of antibiotics. (2) spasmolysis asthma. At present there are mainly three types of anti-asthmatic drug spasm: ① β2 receptor agonists such as salbutamol, such as asthma aerosol Kang speed. ② anticholinergic drugs such as such as ipratropium bromide. ③ methyl purine such as gifted Yanchuanping, tea Surge equality. Should be based on individual patients choose to use, although not all patients after treatment will be improved lung function, but may relieve symptoms and improve patient mobility. (3) Glucocorticoids, such as prednisone, each weighing 0.4 kg to 0.6 mg daily use, for 2 to 3 weeks. If can significantly improve lung function, can consider long-term use, but it should be timely reductions to the lowest effective level, the prevention of the occurrence of complications. In addition agent may also be used phlegm, mucus dissolved agent with drug treatment, so as to improve the curative effect.
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