[1]翟安,邓平,贝承丽,等.胸部物理治疗联合纤维支气管镜灌洗对肺结核的效果[J].中国医学物理学杂志,2021,38(8):1023-1027.[doi:DOI:10.3969/j.issn.1005-202X.2021.08.020]
　ZHAI An,DENG Ping,BEI Chengli,et al.Therapeutic effect of chest physiotherapy combined with fiberoptic bronchoscopy lavage on pulmonary tuberculosis[J].Chinese Journal of Medical Physics,2021,38(8):1023-1027.[doi:DOI:10.3969/j.issn.1005-202X.2021.08.020]
点击复制

胸部物理治疗联合纤维支气管镜灌洗对肺结核的效果()
分享到：

《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
38卷
期数:
2021年第8期
页码:
1023-1027
栏目:
医学生物物理
出版日期:
2021-08-02

文章信息/Info

Title:
Therapeutic effect of chest physiotherapy combined with fiberoptic bronchoscopy lavage on pulmonary tuberculosis
文章编号:
1005-202X（2021）08-1023-05
作者:
翟安1; 邓平2; 贝承丽2; 刘歆春3
1.长沙市中心医院胸科中心， 湖南 长沙 410004； 2.长沙市中心医院结核病研究所， 湖南 长沙 410004； 3.长沙市中心医院普外科， 湖南 长沙 410004
Author(s):
ZHAI An1;  DENG Ping2;  BEI Chengli2;  LIU Xinchun3
1. Chest Center, Changsha Central Hospital, Changsha 410004, China 2. Institute of Tuberculosis, Changsha Central Hospital, Changsha 410004, China 3. Department of General Surgery, Changsha Central Hospital, Changsha 410004, China
关键词:
肺结核; 胸部物理治疗; 纤维支气管镜灌洗
Keywords:
Keywords: pulmonary tuberculosis chest physiotherapy fiberoptic bronchoscopy lavage
分类号:
R319；R521
DOI:
DOI:10.3969/j.issn.1005-202X.2021.08.020
文献标志码:
A
摘要:
目的：探讨胸部物理治疗（CPT）联合纤维支气管镜（FB）灌洗对肺结核（PTB）患者的应用效果。方法：125例PTB患者根据随机数字表法分为对照组62例和观察组63例，对照组行常规治疗，观察组在其基础上行CPT联合FB灌洗。比较两组治疗7 d后排痰效果和治疗24 h后日排痰量；治疗前和治疗24 h后呼吸频率（RR）、血氧饱和度（SpO2）、气道峰压（PIP）、平均动脉压（MAP）、血氧分压（PaO2）、二氧化碳分压（PaCO2）、氧合指数（OI）。结果：与对照组比较，观察组排痰总有效率、日排痰量显著升高，差异有统计学意义（P<0.05）；与治疗前比较，治疗后两组RR、PIP、MAP、PaCO2显著降低，SpO2、PaO2、OI显著升高，观察组变化幅度显著大于对照组（P<0.05）。结论：CPT联合FB灌洗对PTB患者有较好的应用效果，能够有效改善排痰效果和呼吸功能。
Abstract:
Abstract: Objective To explore the therapeutic effect of chest physiotherapy (CPT) combined with fiberoptic bronchoscopy (FB) lavage in patients with pulmonary tuberculosis (PTB). Methods A total of 125 patients with PTB were randomly divided into control group (62 cases) and observation group (63 cases). The patients in control group received conventional treatment, while those in observation group were treated by conventional treatment and CPT combined with FB lavage. The sputum excretion after 7 days of treatment and the sputum volume at 24 hours after treatment were compared between two groups. Moreover, the changes of several indexes before and at 24 hours after treatment were also compared, and the indexes included respiratory rate (RR), oxygen saturation (SpO2), peak inspiratory pressure (PIP), mean arterial pressure (MAP), partial pressure of oxygen (PaO2), partial pressure of carbon dioxide (PaCO2) and oxygenation index (OI). Results The total effective rate of sputum excretion and the daily sputum volume in observation group were significantly higher and larger than those in control group, with statistical differences (P<0.05). After treatment, the RR, PIP, MAP and PaCO2 of both two groups were significantly decreased, and SpO2, PaO2, OI were significantly increased and the changes of observation group were significantly greater than those of control group (P<0.05). Conclusion CPT combined with FB lavage has a good therapeutic effect on PTB, and it can facilitate sputum excretion and improve respiratory function effectively.

相似文献/References:

[1]安冬会,杨俊潇,屈亚林,等. 能谱CT在肺部磨玻璃结节良恶性鉴别中的应用价值[J].中国医学物理学杂志,2018,35(10):1160.[doi:DOI:10.3969/j.issn.1005-202X.2018.10.009]
　AN Donghui,YANG Junxiao,QU Yalin,et al. Application value of energy spectrum CT in the differential diagnosis of benign and malignant pulmonary ground-glass nodule[J].Chinese Journal of Medical Physics,2018,35(8):1160.[doi:DOI:10.3969/j.issn.1005-202X.2018.10.009]
[2]杨朝生,陈慧,孙雪皎,等.结核感染T细胞斑点试验与肺部CT表现的相关性[J].中国医学物理学杂志,2020,37(9):1155.[doi:10.3969/j.issn.1005-202X.2020.09.014]
　YANG Chaosheng,CHEN Hui,SUN Xuejiao,et al.Correlation between T-SPOT.TB assay and pulmonary CT findings in pulmonary tuberculosis[J].Chinese Journal of Medical Physics,2020,37(8):1155.[doi:10.3969/j.issn.1005-202X.2020.09.014]
[3]王佳浩,王宝珠,郭志涛,等.多感受野的轻量化YOLOv4用于检测肺结核[J].中国医学物理学杂志,2022,39(9):1119.[doi:DOI:10.3969/j.issn.1005-202X.2022.09.011]
　WANG Jiahao,WANG Baozhu,GUO Zhitao,et al.Lightweight YOLOv4 with multi-receptive fields for detection of pulmonary tuberculosis[J].Chinese Journal of Medical Physics,2022,39(8):1119.[doi:DOI:10.3969/j.issn.1005-202X.2022.09.011]
[4]王京华,袁金丽,郭志涛,等.改进的YOLOv4算法在肺结核检测中的应用研究[J].中国医学物理学杂志,2023,40(1):113.[doi:DOI:10.3969/j.issn.1005-202X.2023.01.019]
　WANG Jinghua,YUAN Jinli,GUO Zhitao,et al.Application of improved YOLOv4 algorithm in the detection of pulmonary tuberculosis[J].Chinese Journal of Medical Physics,2023,40(8):113.[doi:DOI:10.3969/j.issn.1005-202X.2023.01.019]
[5]郑秋婷,郭琳,夏丽,等.基于CT的空洞特征在耐药肺结核的影像诊断价值[J].中国医学物理学杂志,2024,41(4):413.[doi:DOI:10.3969/j.issn.1005-202X.2024.04.003]
　ZHENG Qiuting,GUO Lin,XIA Li,et al.Diagnostic value of CT cavity features in drug-resistant pulmonary tuberculosis[J].Chinese Journal of Medical Physics,2024,41(8):413.[doi:DOI:10.3969/j.issn.1005-202X.2024.04.003]
[6]谢浩杰,鲁明丽,张陈,等.基于深度学习的肺结核检测综述[J].中国医学物理学杂志,2024,41(7):918.[doi:DOI:10.3969/j.issn.1005-202X.2024.07.020]
　XIE Haojie,LU Mingli,ZHANG Chen,et al.Review on tuberculosis detection using deep learning[J].Chinese Journal of Medical Physics,2024,41(8):918.[doi:DOI:10.3969/j.issn.1005-202X.2024.07.020]

备注/Memo

备注/Memo:
【收稿日期】2021-01-20 【基金项目】长沙市科技计划项目（kq1907019） 【作者简介】翟安，副主任医师，研究方向：肺结核及肺外结核诊治，E-mail: xxza6752@163.com 【通信作者】刘歆春，博士，副主任医师，E-mail: 18676830160@163.com
更新日期/Last Update: 2021-07-31