In the course of our work there are very many patients with pulmonary fibrosis who ask us about the methods and effects of pulmonary rehabilitation exercises, here we are to share with you the methods and treatment effects of pulmonary fibrosis pulmonary function exercises. The purpose and significance of pulmonary rehabilitation: Pulmonary function exercise is also known as pulmonary rehabilitation exercise, first of all, we need to understand the purpose of pulmonary rehabilitation, the main goal of pulmonary rehabilitation is to improve exercise endurance, improve the quality of life and health status of pulmonary fibrosis, through rehabilitation treatment to reduce the symptoms of dyspnea in patients with pulmonary fibrosis, reduce respiratory disability, so that patients regain physical strength and the ability to participate in social activities, thereby improving the quality of life of patients with pulmonary fibrosis The quality of life of patients with pulmonary fibrosis is improved through rehabilitation. Pulmonary rehabilitation exercises are mainly aimed at people with chronic respiratory diseases and secondary respiratory disorders, including chronic obstructive pulmonary emphysema, pulmonary hypertension, bronchial asthma, pulmonary fibrosis and other causes. The advantages of inpatient rehabilitation are that patients with serious illnesses or other systemic diseases can receive pulmonary rehabilitation under medical supervision, inpatient rehabilitation is safer, outpatient rehabilitation can save money, and the quality of rehabilitation can be ensured with the supervision and guidance of a doctor. Home rehabilitation exercises have the advantage of being economical and convenient. Home rehabilitation is the best option to continue the effect of inpatient rehabilitation, but the effect is less than the improvement of outpatient and inpatient rehabilitation. Community rehabilitation is in between outpatient rehabilitation and home rehabilitation, and can achieve the same results as outpatient rehabilitation in communities where it is available. Indications and contraindications for pulmonary rehabilitation: Pulmonary rehabilitation is not limited by age. For patients with pulmonary fibrosis, as long as the disease is stable, dyspnea, decreased exercise tolerance, and limited activity are indications for pulmonary rehabilitation. Contraindications: Acute exacerbation of pulmonary fibrosis, more serious heart disease, such as myocardial infarction and unstable angina, diabetic ketosis, oxygen saturation less than 85%, these contraindications are relative, mainly for exercise therapy, for example, pulmonary fibrosis patients with oxygen saturation less than 85% can still use other exercise methods for pulmonary rehabilitation under the guidance of a physician. Pulmonary rehabilitation observation indicators: Pulmonary fibrosis patients should do some pulmonary function tests before doing pulmonary rehabilitation exercise, and recheck again after a period of pulmonary function exercise to compare the degree of improvement, so as to adjust the pulmonary fibrosis pulmonary function exercise methods and programs. The observation indexes are blood oxygen saturation, pulmonary function (FVC, FEV1, FEV1/FVC), arterial blood gas analysis, specific numerical analysis will not be detailed here, you can ask your doctor about the changes of related tests. Pulmonary fibrosis patients, like chronic obstructive pulmonary disease (COPD), cannot be prevented from progressing by current drug therapy. Some patients only seek medical attention or a definitive diagnosis when their lung function is impaired and symptoms of dyspnea are clinically evident. Studies have shown that the quality of life of patients with pulmonary fibrosis is severely limited, both in terms of physical health, general energy, respiratory symptoms and the ability to live independently. Specific methods of pulmonary function exercise: 1, lip reduction breathing: the specific method for inhalation so that the gas from the nostrils into, when exhaling shrink lips in the shape of whistling, so that the gas evenly from the lips slowly exhaled, inhalation and exhalation time ratio is 1:2, 3 times a day ~ 4 times a day, each time 10 minutes. Long-term use of this method can effectively improve cardiopulmonary function and help the discharge of carbon dioxide. 2, intercostal muscle relaxation method: this method is the patient to take a supine position, the therapist placed one hand along the ribs down the walk, open fingers, the other hand placed at the adjacent ribs fixed, like wringing a towel, twisting during exhalation, exhalation remove the compression, relaxed, the direction from the lower ribs to the upper ribs one by one to stretch, the left and right thorax respectively, increasing the movability of the rib vertebral joints. 3, abdominal breathing: this method can make the activity of the transverse septum become larger, sternocleidomastoid muscle, oblique muscles and other respiratory auxiliary muscle activity is reduced, so that each ventilation, respiratory efficiency, arterial oxygen partial pressure rise, so that the respiratory frequency, minute ventilation volume is reduced. Abdominal breathing is never abdominal deep breathing, the specific method is to let the patient hip, knee lightly flexed, the whole body in a comfortable limb position, hands on the abdomen, the other hand on the chest, lip reduction breathing, training time 5 ~ 10 minutes, training to control the breathing rhythm, avoid the rhythm is disrupted, mental concentration, the training effect will be revealed with the increase in the number of times. 4, blood oxygen saturation exercise method in different states: this method is our original, has important significance for patients with pulmonary fibrosis, under the monitoring of the oximeter through different positions to reflect the patient’s cardiopulmonary function, record the changes in blood oxygen saturation in different positions, guide the patient’s posture for pulmonary rehabilitation exercise, continuous daily regular exercise, can effectively alleviate the development of the disease, improve the oxygen-carrying capacity of cardiomyocytes, improve the This method is only applicable to inpatients and can be completed under the guidance of professional physicians. 5. Postural sputum discharge method: It can effectively remove secretions in the respiratory tract, aiming to purify the respiratory tract to improve lung ventilation, remove the retention of secretions in the airway, reduce the obstruction of air circulation in prayer and control the reproduction of bacteria, and is applicable to those who cannot cough up sputum. The specific method is to make a “bang-bang” sound by rhythmically tapping the chest wall with the therapist’s hand when the rhythm of sputum is consistent with that of the expiration period, and the timing of snapping should be fast and multiple times in one breathing period, avoiding snapping during inhalation, and the duration is usually about 2~3 minutes. 6, cardiopulmonary function in class I or II heart function patients can do some chronic aerobic exercise, such as taijiquan, stance, static gong, etc.