呼吸科合理用药（Rational use of drugs in Department of respiration）.docVIP

呼吸科合理用药（Rational use of drugs in Department of respiration） The rational use of common diseases 106. chronic obstructive pulmonary disease how to use medication? Chronic obstructive pulmonary disease (COPD), referred to as chronic obstructive pulmonary disease (COPD) and chronic emphysema (COPD), is a common and frequently occurring disease that seriously endangers peoples health and requires long-term standardized treatment. In addition to smoking cessation, rehabilitation exercise and physical fitness, we should also pay attention to the rational use of drugs. (1) anti infective therapy. The most common cause of acute exacerbation of diffuse obstructive pulmonary disease is a respiratory infection, the pathogenic microorganism is mainly Streptococcus pneumoniae, Haemophilus influenzae, Moraxella Morahan bacteria, virus etc.. If you are not able to carry out drug sensitivity test, according to the clinical experience of antibiotics in the treatment of 7 ~ 14 days, such as quinolones (such as amoxicillin, ciprofloxacin, fluoride, Zhen acid) new cephalosporin (such as CEDAX). Macrolides (such as erythromycin, spiramycin ether etc.), aminoglycosides (such as rikenella magnitude). In recent years, because of Staphylococcus, drug-resistant Haemophilus influenzae and Streptococcus increased, if the initial empirical treatment is not good, it should be replaced as soon as possible according to susceptibility test results of antibiotics. (2) relieving spasm and asthma. At present, there are three main types of antispasmodic drugs: the beta 2 receptor agonists such as salbutamol and Bricasol etc.. Anticholinergic drugs, such as ipratropium bromide, etc.. Methyl purine class, such as excellent asthma and equal tea panting. Should be selected according to the individual circumstances of the patient, although not all patients after medication lung function will improve, but can alleviate symptoms, improve the activity of patients. (3) glucocorticoids, such as prednisone, are 0