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呼吸锻炼在结核性胸膜炎患者中的治疗作用。

Therapeutic role of respiratory exercise in patients with tuberculous pleurisy.

作者信息

Ma ZengXia, Liu GuiMei, Qiao GaoFeng, Shen ChangMing, Wang Cheng

机构信息

Department of Respiratory and Critical Care Medicine, Shandong Public Health Clinical Center, Shandong University, Shandong, 250013, China.

Department of Tuberculosis, Shandong Public Health Clinical Center, Shandong University, Shandong, 250013, China.

出版信息

Open Med (Wars). 2024 Nov 7;19(1):20241057. doi: 10.1515/med-2024-1057. eCollection 2024.

Abstract

OBJECTIVE

To observe the efficacy of respiratory exercise in patients with tuberculous pleurisy (TBP).

METHODS

A randomized controlled study was conducted including 146 patients diagnosed with TBP and undergoing pleural effusion drainage in Shandong Public Health Clinical Center from June 2020 to December 2022, and the patients were randomly divided into the control group and the respiratory exercise observation group. Pleural effusion drainage time, the difference of pulmonary function, and the degree of pleural hypertrophy between the two groups at 1 and 3 months after treatment were studied.

RESULTS

Compared with the control group, the pleural effusion drainage time of the observation group was shortened, and there was no significant difference between the two groups in terms of lung function and the degree of pleural hypertrophy at 1 month after treatment, while the lung function indexes and the degree of pleural hypertrophy of the observation group were significantly improved compared with that of the control group at 3 months after treatment.

CONCLUSION

Respiratory exercise can shorten the drainage time of effusion in patients with TBP, and help to improve lung function and alleviate pleural hypertrophy adhesion.

摘要

目的

观察呼吸锻炼对结核性胸膜炎(TBP)患者的疗效。

方法

采用随机对照研究,纳入2020年6月至2022年12月在山东公共卫生临床中心诊断为TBP并接受胸腔积液引流的146例患者,将患者随机分为对照组和呼吸锻炼观察组。研究两组治疗后1个月和3个月时的胸腔积液引流时间、肺功能差异及胸膜肥厚程度。

结果

与对照组相比,观察组胸腔积液引流时间缩短,治疗后1个月两组肺功能及胸膜肥厚程度无显著差异,而治疗后3个月观察组肺功能指标及胸膜肥厚程度较对照组明显改善。

结论

呼吸锻炼可缩短TBP患者胸腔积液引流时间,有助于改善肺功能,减轻胸膜肥厚粘连。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/801a/11554447/6f75398fce23/j_med-2024-1057-fig001.jpg

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