Objective: this paper mainly studies the patients with chronic obstructive emphysema, observes the symptoms of this type of patients during their illness, and treats the selected patients in different ways, and analyz...Objective: this paper mainly studies the patients with chronic obstructive emphysema, observes the symptoms of this type of patients during their illness, and treats the selected patients in different ways, and analyzes the final therapeutic effect. Methods: this article mainly selected 62 patients with chronic obstructive emphysema from May 2020 to September 2021. In order to better compare and analyze the treatment results, all patients were divided into two groups for comparison. Firstly, 31 patients were randomly selected as the X group in this study, and their conditions were relatively serious. The remaining 31 patients were taken as the Y group of this study, and their condition was relatively mild. During the treatment of all patients, medical staff should choose the appropriate treatment method for patients according to the severity of their condition, and compare and analyze the final treatment effects of different patients. Results: after observing and studying the selected patients with the above methods, it was found that the symptoms of patients during the illness were complicated, and the complications of patients with different conditions were different. However, after choosing a scientific and reasonable treatment method for patients according to different patients conditions, the patients conditions were obviously improved, and the overall cure rate and satisfaction were improved correspondingly. There are obvious differences between the final research data of the two groups, which can provide reliable data support for this study. Conclusion: from the above research methods and research process, it is found that the symptoms of patients with different diseases are different, and the probability of pulmonary bullae in the course of patients onset is relatively large. However, for some patients with serious illness, long-term illness will lead to respiratory and heart failure, aggravate the changes of patients condition, and increase the mortality of patients. Therefore, in the process of treating this type of patient, we should accurately judge the patients condition, and combine the judgment results to treat the patient, so as to improve the effect of treatment for the patient.展开更多
Patients with Chronic Obstructive Pulmonary Disease(COPD)often experience difficulty breathing,decreased exercise tolerance and respiratory function as the disease progresses.Pulmonary rehabilitation training can impr...Patients with Chronic Obstructive Pulmonary Disease(COPD)often experience difficulty breathing,decreased exercise tolerance and respiratory function as the disease progresses.Pulmonary rehabilitation training can improve respiratory symptoms,increase exercise tolerance and quality of life through exercise stimulation.However,after the end of pulmonary rehabilitation training,the patient's movement behavior is not easy to maintain.Cognitive behavioral therapy(CBT)can effectively enhance cognition,strengthen the motivation of"regular motor behavior",and maintain motor behavior,which can be used as a maintenance strategy for pulmonary rehabilitation training.Objective:To study the effect of cognitive behavioral therapy on the rehabilitation effect and the changing stage of"regular motor behavior"in COPD patients.Methods:30 patients consulted in the Rehabilitation Department of the Third Veterans Hospital of Sichuan Province were interviewed by telephone,and the exercise status and rehabilitation status were recorded and analyzed.From 30 patients,severe and extremely severe(GOLD grade III-IV)in motivation period of"regular exercise behavior"(not starting regular exercise but had exercise thoughts)were randomly divided into two groups.Pulmonary rehabilitation group(CBT-PR group,n=15)conducted one-to-one CBT intervention for 30-40 minutes to discuss the reasons for regular exercise and teach exercise precautions and principles using exercise education form;conventional pulmonary rehabilitation group(conventional PR group,n=15)conducted intensive pulmonary rehabilitation education without consultation and discussion.Both groups underwent 4 weeks of outpatient rehabilitation training,And the regular exercise ability was detected in the first and third months after training(6-Minutes Walking Distance,6-WMD;Short Physical Performance Battery,SPPB),(International Physical Activity Questionnaire,IPAQ),(St.George's Respiratory Scale,St.George's Respiratory Questionnaire,SGRQ),change.展开更多
Objective To obtain new insights into the behavior of Interleukin-6(IL-6)in bronchoalveolar lavage fluid (BALF)and released from alveolar macrophages(AM)in chronic obstructive pulmonary diseases (COPD),and reveal the ...Objective To obtain new insights into the behavior of Interleukin-6(IL-6)in bronchoalveolar lavage fluid (BALF)and released from alveolar macrophages(AM)in chronic obstructive pulmonary diseases (COPD),and reveal the relationship between IL-6 and the development of emphysema in COPD.Methods IL-6 in BALF and released by AM in BALF were examined in 7 non-smoking subjects and 21 patients with COPD.According to the 95% confidence limits of IL-6 in BALF from non-smoking subjects,the patients were divided into two groups:those who were within the limits were assigned to the first group,and those who were above the limits were assigned to the second group.Results The concentration of IL-6 released by AM was much higher in the second group than in the first one.Between the two groups,significant differences were found in pulmonary function.Conclusion Our results suggest that the concentration of IL-6 released by AM may be related with pulmonary function,and IL-6 may play a role in the development of emphysema in patients with COPD.展开更多
文摘Objective: this paper mainly studies the patients with chronic obstructive emphysema, observes the symptoms of this type of patients during their illness, and treats the selected patients in different ways, and analyzes the final therapeutic effect. Methods: this article mainly selected 62 patients with chronic obstructive emphysema from May 2020 to September 2021. In order to better compare and analyze the treatment results, all patients were divided into two groups for comparison. Firstly, 31 patients were randomly selected as the X group in this study, and their conditions were relatively serious. The remaining 31 patients were taken as the Y group of this study, and their condition was relatively mild. During the treatment of all patients, medical staff should choose the appropriate treatment method for patients according to the severity of their condition, and compare and analyze the final treatment effects of different patients. Results: after observing and studying the selected patients with the above methods, it was found that the symptoms of patients during the illness were complicated, and the complications of patients with different conditions were different. However, after choosing a scientific and reasonable treatment method for patients according to different patients conditions, the patients conditions were obviously improved, and the overall cure rate and satisfaction were improved correspondingly. There are obvious differences between the final research data of the two groups, which can provide reliable data support for this study. Conclusion: from the above research methods and research process, it is found that the symptoms of patients with different diseases are different, and the probability of pulmonary bullae in the course of patients onset is relatively large. However, for some patients with serious illness, long-term illness will lead to respiratory and heart failure, aggravate the changes of patients condition, and increase the mortality of patients. Therefore, in the process of treating this type of patient, we should accurately judge the patients condition, and combine the judgment results to treat the patient, so as to improve the effect of treatment for the patient.
文摘Patients with Chronic Obstructive Pulmonary Disease(COPD)often experience difficulty breathing,decreased exercise tolerance and respiratory function as the disease progresses.Pulmonary rehabilitation training can improve respiratory symptoms,increase exercise tolerance and quality of life through exercise stimulation.However,after the end of pulmonary rehabilitation training,the patient's movement behavior is not easy to maintain.Cognitive behavioral therapy(CBT)can effectively enhance cognition,strengthen the motivation of"regular motor behavior",and maintain motor behavior,which can be used as a maintenance strategy for pulmonary rehabilitation training.Objective:To study the effect of cognitive behavioral therapy on the rehabilitation effect and the changing stage of"regular motor behavior"in COPD patients.Methods:30 patients consulted in the Rehabilitation Department of the Third Veterans Hospital of Sichuan Province were interviewed by telephone,and the exercise status and rehabilitation status were recorded and analyzed.From 30 patients,severe and extremely severe(GOLD grade III-IV)in motivation period of"regular exercise behavior"(not starting regular exercise but had exercise thoughts)were randomly divided into two groups.Pulmonary rehabilitation group(CBT-PR group,n=15)conducted one-to-one CBT intervention for 30-40 minutes to discuss the reasons for regular exercise and teach exercise precautions and principles using exercise education form;conventional pulmonary rehabilitation group(conventional PR group,n=15)conducted intensive pulmonary rehabilitation education without consultation and discussion.Both groups underwent 4 weeks of outpatient rehabilitation training,And the regular exercise ability was detected in the first and third months after training(6-Minutes Walking Distance,6-WMD;Short Physical Performance Battery,SPPB),(International Physical Activity Questionnaire,IPAQ),(St.George's Respiratory Scale,St.George's Respiratory Questionnaire,SGRQ),change.
基金ThisstudywassupportedbyNationalNaturalScienceFoundationofChina (No 3 92 0 0 15 8) andStateAdministrationofTraditionalChineseMedicine (No 91C0 19)
文摘Objective To obtain new insights into the behavior of Interleukin-6(IL-6)in bronchoalveolar lavage fluid (BALF)and released from alveolar macrophages(AM)in chronic obstructive pulmonary diseases (COPD),and reveal the relationship between IL-6 and the development of emphysema in COPD.Methods IL-6 in BALF and released by AM in BALF were examined in 7 non-smoking subjects and 21 patients with COPD.According to the 95% confidence limits of IL-6 in BALF from non-smoking subjects,the patients were divided into two groups:those who were within the limits were assigned to the first group,and those who were above the limits were assigned to the second group.Results The concentration of IL-6 released by AM was much higher in the second group than in the first one.Between the two groups,significant differences were found in pulmonary function.Conclusion Our results suggest that the concentration of IL-6 released by AM may be related with pulmonary function,and IL-6 may play a role in the development of emphysema in patients with COPD.
