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中国当代医药  2020, Vol. 27 Issue (21): 43-46    
  临床研究 本期目录 | 过刊浏览 | 高级检索 |
异烟肼超声雾化在空洞型肺结核合并支气管结核患者中的应用效果
张 冬
湖北省荆州市胸科医院感染科,湖北荆州 434000
Application effect of Isoniazid ultrasonic atomization in the patients with cavitary pulmonary tuberculosis and bronchial tuberculosis
ZHANG Dong
Department of Infection,Chest Hospital of Jingzhou City,Hubei Province,Jingzhou 434000,China
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摘要 目的 探讨异烟肼超声雾化在空洞型肺结核并支气管结核患者中的应用效果。方法 选取2017年4月~2019年2月我院收治的72 例空洞型肺结核并支气管结核患者的临床资料进行回顾性分析,根据治疗方式分为A 组(32例,单纯实施常规抗结核治疗)与B 组(40 例,在实施常规抗结核治疗的同时予以异烟肼超声雾化)。比较两组患者的结核阴转率和肺空洞闭合率、临床疗效、肺功能,以及两组患者的不良反应发生情况。结果 B 组患者治疗2、5 个月后结核阴转率、肺空洞闭合率、总有效率均高于A 组,差异有统计学意义(P<0.05);治疗后两组患者的肺活量(VC)、最大通气量(MVV)、第1 秒用力呼气容积(FEV1)/用力肺活量(FVC)均高于治疗前,差异有统计学意义(P<0.05),且治疗后B 组各指标均高于A 组,差异有统计学意义(P<0.05);两组不良反应总发生率比较,差异无统计学意义(P>0.05)。结论 异烟肼超声雾化可提高空洞型肺结核并支气管结核患者的结核阴转率、肺空洞闭合率,疗效理想,改善肺功能,且安全。
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张冬
关键词 异烟肼超声雾化空洞型肺结核支气管结核    
AbstractObjective To explore the application effect of Isoniazid ultrasonic atomization in the patients with cavitary pulmonary tuberculosis and bronchial tuberculosis. Methods The clinical data of 72 patients with cavitary pulmonary tuberculosis and bronchial tuberculosis admitted to our hospital from April 2017 to February 2019 were analyzed retrospectively.According to the treatment methods,the patients were divided into the group A (32 cases,only routine antituberculosis treatment) and the group B (40 cases,Isoniazid ultrasonic atomization while routine antituberculosis treatment).The negative conversion rates of tuberculosis,the closure rates of pulmonary cavity,clinical effect,pulmonary function and adverse reactions between the two groups of patients were compared. Results After 2 and 5 months of treatment in group B,the negative conversion rate of tuberculosis,the closure rate of pulmonary cavity and the total effective rate were all higher than those in group A,the differences were statistically significant (P<0.05).After treatment vital capacity (VC),maximum ventilation volume (MVV) and forced expiratory volume (FEV1)/forced vital capacity in the first second (FVC) in the two groups were higher than those before treatment,the differences were statistically significant (P<0.05),which each index in group B after treatment were higher than those in group A,and the differences were statistically significant (P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups (P>0.05).Conclusion Isoniazid ultrasonic atomization can improve the negative conversion rate and the closure rate of pulmonary cavity in the patients with cavitary pulmonary tuberculosis and bronchial tuberculosis,with ideal curative effect and improved pulmonary function,safe.
Key wordsIsoniazid    Ultrasonic atomization    Cavitary pulmonary tuberculosis    Bronchial tuberculosis
    
作者简介: 张冬(1987-),男,汉族,湖北钟祥人,本科,主治医师,研究方向:传染病
引用本文:   
张冬. 异烟肼超声雾化在空洞型肺结核合并支气管结核患者中的应用效果[J]. 中国当代医药, 2020, 27(21): 43-46.
ZHANG Dong. Application effect of Isoniazid ultrasonic atomization in the patients with cavitary pulmonary tuberculosis and bronchial tuberculosis. 中国当代医药, 2020, 27(21): 43-46.
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