CAJ | 학술논문

　　目的：观察肺结核治疗转归与肺功能变化的关系。方法：选取2011年1月-2012年12月来本院就诊的78例肺结核患者，作为研究对象。对所有患者分别在治疗3个月、治疗5个月及治愈后10 d 内分三次对所有患者进行复查，经实验室检验和 X 线检查后排出活动期肺结核后，进行肺功能检测，并对结果进行统计分析。结果：（1）继发性肺结核患者确诊后均出现肺功能损伤；（2）继发性肺结核且病灶≥4个肺野的患者出现限制性通气障碍；（3）经抗结核治疗后，B 组和 C 组肺结核患者的肺通气功能及肺功能损伤较治疗初期均有显著的改善，比较差异有统计学意义（P<0.05）。结论：继发性肺结核肺功能损害与病灶侵袭程度成正比，治疗后其损害程度均有显著改善，肺结核侵袭程度较重者在治愈后依然存在一定程度的肺功能损伤，早发现、早治疗可改善患者的转归和肺功能。
　　목적：관찰폐결핵치료전귀여폐공능변화적관계。방법：선취2011년1월-2012년12월래본원취진적78례폐결핵환자，작위연구대상。대소유환자분별재치료3개월、치료5개월급치유후10 d 내분삼차대소유환자진행복사，경실험실검험화 X 선검사후배출활동기폐결핵후，진행폐공능검측，병대결과진행통계분석。결과：（1）계발성폐결핵환자학진후균출현폐공능손상；（2）계발성폐결핵차병조≥4개폐야적환자출현한제성통기장애；（3）경항결핵치료후，B 조화 C 조폐결핵환자적폐통기공능급폐공능손상교치료초기균유현저적개선，비교차이유통계학의의（P<0.05）。결론：계발성폐결핵폐공능손해여병조침습정도성정비，치료후기손해정도균유현저개선，폐결핵침습정도교중자재치유후의연존재일정정도적폐공능손상，조발현、조치료가개선환자적전귀화폐공능。
Objective:To observe the relationship between tuberculosis treatment outcomes and pulmonary function changes.Method:To choose 78 cases patients with secondary pulmonary tuberculosis from January 2011 to December 2012 in our hospital as the subjects.Check pulmonary function three times for all patients before treatment,treatment after 3 months and after treatment within 10 days,and analyzed the results.Result:(1)Being diagnosed secondary tuberculosis patients in with mild pulmonary function damage;(2)Secondary pulmonary tuberculosis and lesions of lung field four or more occurred restrictive ventilatory disorder;(3)After treatment with anti-tb,group B and group C tuberculosis pulmonary ventilation function and pulmonary function in patients with lesions were significantly improved than before treatment,with statistical significance(P<0.05).Conclusion:Secondary tuberculosis lung function damage is proportional to the degree of lesion invasion and were significantly improved after treatment,the damage degree of TB infestation seriously after cured still exists a certain degree of pulmonary function injury,early discovery,early treatment can improve patients’ outcomes,and pulmonary function.