慢性阻塞性肺病

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慢性阻塞性肺病

  1. 1. 慢性阻塞性肺病 Chronic Obstructive Pulmonary Disease Speaker: 马圣念
  2. 2. What is COPD? 慢性阻塞性肺疾病, 使得气流进出肺部阻力增 加,气道对有害物质产生 异常发炎反应,引起多种 呼吸症状的疾病。通常包 括肺气肿、慢性支气管炎 、部份的慢性气喘病况等
  3. 3. What is COPD? • 肺气肿 • 慢性支气管炎 • 部份的慢性气喘 Chronic obstructive pulmonary disease includes emphysema and chronic bronchitis characterized by bronchospasm and dyspnea.
  4. 4. COPD: Signs & Symptoms • 慢性的咳嗽咳痰 • 需要用力呼吸 • 呼吸时伴哮鸣声 • 胸闷 • 复发性感染
  5. 5. How can that be?
  6. 6. How can that be? Healthy Damaged
  7. 7. How can that be? 我们拿针筒来做个小实验(口香糖、针头)
  8. 8. How to diagnosis?
  9. 9. How to diagnosis? • 肺功能测试,夹 鼻,含吸管,用 最大的力气快速 且完整的吐气 • 肺活量,第一秒 吐气量(FEV1) 以及吐气速度, 从而了解是否有 气流阻塞的现象
  10. 10. What can we do? 慢性阻塞性肺病是消耗性疾病 COPD: A catabolic “wasting” disease
  11. 11. COPD: Carbohydrates • CHO produce the most CO2 during metabolism • CHO should be 40% of intake • Complex CHO best
  12. 12. COPD: Fats and Proteins • Need at least 30% of calories from fat, whole dairy encouraged • Need 30% from protein
  13. 13. COPD: Fruits and Vegetables • Antioxidants • Vitamin C • Calcium, Vitamin D • Phosphorus
  14. 14. Respiratory function training 缩唇呼吸:通过缩唇形成微弱阻力来延长呼 气时间,增加气道压力,延缓气道塌陷。 吸气与呼气时间比为1:2或1:3
  15. 15. Focus on complications
  16. 16. Pulmonary heart disease
  17. 17. Secondary infection 刷牙很重要,一天不刷牙你 的嘴巴里面将会布满了恶心 的细菌,这些细菌对于免疫 力不好的人来说.. 根本就是颗定时炸弹 研究已经证实可以降低呼吸 器相关肺炎(VAP) Adapted from Chest 2009; 136: 433-9.
  18. 18. Focus on prevention
  19. 19. Recommended exercise 可以确信,游泳可以使你的肺足够的强壮。
  20. 20. Quite Smoking Wayne McLaren Maureen Hamilton
  21. 21. Quite Smoking Wayne McLaren Maureen Hamilton
  22. 22. Please do not smoke!
  23. 23. Thank you for attention 马圣念

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