肺结核后肺病患者肺康复训练的应用进展

Progress in the application of pulmonary rehabilitation training for patients with post tuberculosis lung disease

肺结核是严重危害公共卫生和社会发展的重大传染性疾病。对肺结核患者来说,由于感染造成肺组织不断破坏,疾病进展过程中容易发生肺组织结构不可逆改变的肺部疾病,导致肺损伤和慢性炎症,进而引发呼吸困难、分泌物引流不畅、免疫力下降等功能性变化。适时给予肺结核后肺病患者肺康复训练可以改善其肺功能,延缓肺部疾病的进展,提高生活质量。笔者从肺结核后肺病患者肺康复训练的研究现况、实施方法和效果评价三个方面进行综述,以期为需要开展肺康复训练的结核后慢性肺损伤患者提供参考。

Pulmonary tuberculosis(PTB)is a severe infectious disease that poses a serious threat to public health and society development.For PTB patients,the ongoing destruction of lung tissue caused by infection is prone to develop into irreversible changes in lung structure as the disease progresses,causes lung injury and chronic inflammation which leads to functional changes such as respiratory distress,poor secretion drainage and immune function impairment.For post PTB lung disease,prompt pulmonary rehabilitation can help to improve lung function,retard the progression of lung disease,and improve quality of life.This review summarizes the current progress on the researches,implementation methods,and effectiveness evaluation of pulmonary rehabilitation training among post PTB lung disease patients,providing a reference for patients with post PTB chronic lung impairment who will need the rehabilitation training.