[1]漆 沄,谢 君,李卫星,等.肺康复训练对结核性胸膜炎患者肺功能影响的临床研究*[J].陕西医学杂志,2019,(10):1319-1322.
　QI Yun,XIE Jun,LI Weixing,et al.Clinical observation of pulmonary rehabilitation training on 〖JZ〗lpumonary function in patients with tuberculous pleurisy[J].,2019,(10):1319-1322.
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肺康复训练对结核性胸膜炎患者肺功能影响的临床研究*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2019年10期
页码:
1319-1322
栏目:
临床研究
出版日期:
2019-10-05

文章信息/Info

Title:
Clinical observation of pulmonary rehabilitation training on 〖JZ〗lpumonary function in patients with tuberculous pleurisy
文章编号:
DOI:10.3969/j.issn.10007377.2019.10.020
作者:
漆 沄; 谢 君; 李卫星; 蔡华锋; 刘泽杰; 方 芳; 赵真真; 王 辉; 迟 旭
西安市胸科医院（西安 710100）
Author(s):
QI Yun; XIE Jun;  LI Weixing; et al.
Xi’an Chest Hospital( Xi’an 710100)
关键词:
肺康复训练; 结核性胸膜炎; 肺功能; 胸腔积液; 胸膜厚度; 对比研究
Keywords:
Key words 〖WT5BZ〗〖HT5”SS〗Pulmonary rehabilitation; Tuberculous pleurisy; Pulmonary function; Pleural fluid; Pleural thickness; Comparative study
分类号:
R526
文献标志码:
A
摘要:
摘 要 目的： 研究了肺康复训练对结核性胸膜炎（TBP）患者肺功能的影响。方法： 收集进行治疗的TBP患者99例，按照随机单盲法分为对照组和观察组。对照组患者行常规的抗结核、保肝、营养支持等治疗，并进行抽液。观察组在对照组的基础上进行肺康复训练，包括健康教育和呼吸功能训练。比较两组患者治疗前和治疗1月、2月和6月时的肺功能、胸膜厚度、胸水量和症状评分。结果： 99例符合纳入和排除标准的患者入组，其中因治疗依从性差、需要更换治疗方案等原因退出者5例，因搬家、电话联系不上等原因失访者4例，最终完成本研究者90例，对照组和观察组各45例。治疗6月时，与对照组相比，观察组肺活量(VC)、第1秒用力呼气容积(FEV1)、用力肺活量(FVC)和最大分钟通气量(MVV)均显著升高（P＜0.05），不同治疗时间观察组VC、FEV1、FVC、FEV1/FVC和MVV的变化比较差异有统计学意义（P＜0.05）。治疗6月时，观察组VC、FEV1、FVC、FEV1/FVC和MVV均显著高于治疗前（P＜0.05）。治疗6月时，观察组胸膜厚度显著低于对照组（P＜0.05），且显著低于治疗前（P＜0.05）。抽水后、治疗1月、治疗2月和治疗6月时，对照组和观察组胸水量比较，差异均无统计学意义（P＞0.05）。治疗1月、治疗2月和治疗6月时，观察组症状评分显著低于对照组（P＜0.05）。结论： 长期肺康复训练能够明显改善TBP患者的肺功能、胸膜厚度和临床症状评分，值得在临床中推广应用。
Abstract:
Abstract 〖WT5BZ〗〖HT5”SS〗Objective:To study clinical observation of pulmonary rehabilitation training on pulmonary function in patients with tuberculous pleurisy.Methods:A total of 99 patients with TBP who were treated in the Department of Internal Medicine of Xi'an Chest Hospital were enrolled and divided into control group and observation group according to random single blind method.The control group received routine antituberculosis,liver protection,nutritional support and other treatments,and pumping.The observation group performed pulmonary rehabilitation training on the basis of the control group,including health education and respiratory function training.Pulmonary function,pleural thickness,pleural effusion,and symptom scores were compared between the two groups before treatment and at 1 month,2 months,and 6 months of treatment.Results :99 patients who met the inclusion and exclusion criteria were enrolled.Among them,5 patients with withdrawal due to poor treatment compliance and need to change treatment plans,4 patients who lost their followup due to reasons because of moving and telephone contact fail.In the final study,90 patients were enrolled in the study,and 45 in the control group and the observation group each.After 6 months of treatment,VC,FEV1,FVC and MVV were significantly higher in the observation group than in the control group (P＜0.05).With the changes of treatment time,VC,FEV1,FVC,FEV1/FVC and MVV in the observation group were significantly different (P＜0.05).After 6 months of treatment,VC,FEV1,FVC,FEV1/FVC and MVV in the observation group were significantly higher than before treatment (P＜0.05).After 6 months of treatment,the pleural thickness of the observation group was significantly lower than that of the control group (P＜0.05) and that before treatment (P＜0.05).There was no significant difference in pleural effusion between the control group and the observation group after pumping,treatment for 1 month,treatment for 2 months,and treatment for 6 months (P＞0.05).At 1 month of treatment,2 months of treatment,and 6 months of treatment,the symptom scores of the observation group were significantly lower than those of the control group (P＜0.05).Conclusion:Longterm〖LM〗 pulmonary rehabilitation training can significantly improve lung function,pleural thickness,and clinical symptom scores in patients with TBP,which is worthy of popularization in clinical practice.

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备注/Memo

备注/Memo:
*西安市卫生和计划生育委员会科技计划项目（J201703063III）
更新日期/Last Update: 2019-10-23