摘要
目的探究肺康复训练联合用药指导对耐多药肺结核(multidrug-resistant tuberculosis,MDR-TB)患者的应用效果及对其生活质量的影响.方法选取该院2018年1月-2019年10月收治的124例MDR-TB患者为研究对象,随机分为两组,对照组61例,研究组63例.两组均采用抗结核治疗,对照组采用常规用药指导,研究组在对照组的基础上采用肺康复训练.观察两组患者的治疗效果及生活质量.结果比较两组治疗前的各项肺功能指标,组间差异无统计学意义(P>0.05);治疗后,研究组各项肺功能指标水平均高于对照组,组间差异有统计学意义(P<0.05).比较两组治疗前的各项免疫功能指标,组间差异无统计学意义(P>0.05);治疗后,研究组的各项免疫功能指标水平均高于对照组,组间差异有统计学意义(P<0.05).比较两组治疗前的生活质量躯体功能、物质功能、心理功能、社会功能评分,组间差异无统计学意义(P>0.05);治疗后,研究组的各项生活质量评分均高于对照组,组间差异有统计学意义(P<0.05).结论肺康复训练联合用药指导可优化MDR-TB患者的治疗效果,提高其生活质量,具有临床意义.
Objective To explore the effect of pulmonary rehabilitation training combined with medication guidance on patients with multidrug-resistant tuberculosis(MDR-TB)and its impact on the quality of life.Methods 124 patients with MDR-TB admitted to the hospital from January 2018 to October 2019 were selected as the research objects,and they were randomly divided into two groups,61 cases in the control group and 63 cases in the study group.Both groups were treated with anti-tuberculosis treatment,the control group was guided by conventional medication,and the study group was treated with pulmonary rehabilitation training on the basis of the control group.The treatment effect and quality of life of the two groups of patients were observed and compared.Results Comparing the pulmonary function indexes of the two groups before treatment,there were no statistically significant differences between the groups(P>0.05);after treatment,the levels of lung function indexes in the study group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Comparing the immune function indexes of the two groups before treatment,the differences between the groups were not statistically significant(P>0.05);after treatment,the levels of various immune function indexes of the study group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Comparing the physical,material,psychological and social function scores of the two groups before treatment,there were no statistically significant differences between the groups(P>0.05);after treatment,all the quality of life scores of the study group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Pulmonary rehabilitation training combined with medication guidance can optimize the treatment effect and improve the quality of life of MDR-TB patients,which has clinical significance.
作者
李菁
窦敏
周然
LI Jing;DOU Min;ZHOU Ran(Fifth Department of Thoracic,Qingdao Chest Hospital of Shandong Province,Qingdao Shandong,266043,China)
出处
《反射疗法与康复医学》
2021年第13期77-80,共4页
Reflexology And Rehabilitation Medicine
关键词
肺康复训练
耐多药肺结核患者
应用效果
Pulmonary rehabilitation training
Patients with multidrug-resistant tuberculosis
Application effect
作者简介
李菁(1968-),女,山东青岛人,本科,副主任医师,研究方向:结核病;通讯作者:窦敏(1984-),女,山东青岛人,本科,主治医师,研究方向:结核病,邮箱:49334769@qq.com。
