What are the treatments for bronchitis?

What are the treatments for bronchitis?

1. When patients have systemic symptoms, they should pay attention to rest and keep warm.

The purpose of treatment is to relieve symptoms and improve the function of the body. Patients often need to replenish fluids and apply antipyretics. Antitussive drugs can be applied as appropriate. Tinctures can be applied when the amount of sputum is large or sticky.


2. Patients with acute bronchitis

There is no obvious therapeutic effect on antibacterial drugs, and the abuse of antibiotics should be avoided in the treatment of patients with acute bronchitis. However, if the patient has fever, purulent sputum and severe cough, it is an indication for the application of antibiotics. Antibacterial therapy for patients with acute bronchitis can be applied to antibiotics against Chlamydia pneumoniae and Mycoplasma pneumoniae, such as erythromycin, or clarithromycin or azithromycin. During the influenza epidemic, anti-influenza treatment should be applied if there is acute bronchitis.

3. Treatment of acute exacerbation of chronic bronchitis

• Control of infections The main pathogens and severity of infections or the selection of antimicrobial agents based on the susceptibility of pathogens. If the patient has purulent sputum, it is a testimony for the application of antibiotics. Mild orally, heavier patients with intramuscular or intravenous infusion of antibacterial drugs. Commonly used are penicillin G, erythromycin, aminoguanidines, quinolones, cephalosporins and other antibacterial drugs.
• Phlegm and antitussive for patients with acute attack, while taking anti-infective treatment, the use of expectorants and antitussive drugs to improve symptoms. Commonly used drugs are ammonium chloride mixture, bromine, ambroxol, carboxymethylcysteine ​​and strong thinning mucin. Chinese patent medicine cough also has a certain effect. For elderly people who are weak and have no cough or more sputum, they should assist in sputum drainage and clear the respiratory tract. The use of antitussives should be avoided to prevent central nervous system and increased airway obstruction and complications.
• Antispasmodic, antiasthmatic drugs often use aminophylline, terbutaline, etc. or oral inhalation with short-acting bronchodilators such as salbutamol. If the airflow persists, a lung function test is required. If the diagnosis of chronic obstructive pulmonary disease is clear, long-acting bronchodilator inhalation, or glucocorticoid plus long-acting bronchodilator inhalation, if necessary.
• Atomization therapy Nebulized inhalation can dilute the secretions in the trachea, which is beneficial for drainage. If the sputum is sticky and difficult to cough up, it may help if it is inhaled.

4. Chronic bronchitis stable treatment

Pay attention to the prevention and treatment of colds: a cold can cause relapse of old patients during remission. For a long period of time (at least 1 year), regular prevention and treatment of colds is important, either with a flu shot or with a Chinese herbal medicine that prevents colds.