Bronchitis dry cough that lasts for a long time

When bronchitis attacks, the patient will have a dry cough all the time, and the dry cough cannot be cured for a long time. At this time, you should first find a way to control the infection so as not to aggravate the condition. You should also find a way to take nebulization treatment measures, which is mainly to expel some phlegm accumulated in your body and improve your condition.

(1) To control infection, antimicrobial drugs should be selected based on the main pathogens and severity of the infection or based on the drug sensitivity results of the pathogens. If the patient has purulent sputum, it is an indication for the use of antibacterial drugs. Mild cases can be taken orally, while more serious cases can use intramuscular injection or intravenous drip of antibiotics. Commonly used antibiotics include penicillin G, erythromycin, aminoglycosides, quinolones, cephalosporins, etc.

(2) Expectorant and antitussive drugs: In addition to anti-infection treatment, patients in the acute stage should be given expectorants and antitussive drugs to improve symptoms. Commonly used drugs include ammonium chloride mixture, bromhexine, ambroxol, carboxymethylcysteine ​​and strong diluent. Chinese patent medicine also has a certain effect in relieving cough. For the elderly who are weak and unable to cough up sputum or those with a large amount of sputum, they should be assisted in expectoration to clear the respiratory tract. The use of cough suppressants should be avoided to prevent central nervous system depression, aggravation of airway obstruction and complications.

(3) Antispasmodics and antiasthmatic drugs are usually taken orally, such as aminophylline and terbutaline, or inhaled short-acting bronchodilators such as salbutamol. If airflow limitation persists, pulmonary function testing is done. If the diagnosis of COPD is confirmed, long-acting inhaled bronchodilators, or glucocorticoids plus long-acting inhaled bronchodilators should be used if necessary.

(4) Nebulizer therapy: Nebulizer inhalation can dilute secretions in the trachea and facilitate expectoration. If the sputum is thick and difficult to cough up, nebulization inhalation may be of some help.

4. Treatment of stable chronic bronchitis

Pay attention to the prevention and treatment of colds: colds can cause relapse of old illnesses in patients in remission. Over a longer period of time (at least 1 year), it is important to regularly take preventive measures against colds, such as taking a flu shot or taking Chinese herbal medicine to prevent colds.

The goals of treatment are to relieve symptoms and improve body function. People often require fluids and antipyretic drugs. Antitussive drugs can be used appropriately. When the sputum is large or sticky, expectorants can be used.

2. Patients with acute bronchitis

There is no obvious therapeutic effect of antibacterial drugs, and the abuse of antibacterial drugs should be avoided when treating patients with acute bronchitis. However, if the patient has fever, purulent sputum and severe cough, it is an indication for the use of antibacterial drugs. Patients with acute bronchitis should be treated with antibiotics. Antibiotics against Chlamydia pneumoniae and Mycoplasma pneumoniae, such as erythromycin, can be used. Clarithromycin or azithromycin can also be used. During influenza epidemics, anti-influenza treatment measures should be applied if there are symptoms of acute bronchitis.