在肺结核患者的治疗中坚持应用物理疗法:临床病例

T. V. Siraeva, M. V. Burakova, O. G. Komissarova, V. V. Romanov, A. S. Polyakova
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引用次数: 0

摘要

导言。国内肺结核病学的问题之一是治疗效果不佳,在抗结核化疗的同时,还采用了包括理疗程序在内的病理方法。在肺结核治疗中使用多种物理因素显示出巨大的治疗效果。然而,考虑到特定过程的阶段和物理方法的治疗效果机制,突出物理因素在呼吸系统结核病中的综合作用的著作还不够多。研究材料为住院病人的病历和综合检查结果。所提供的临床病例表明,在对一名浸润性肺结核患者进行复杂治疗时,持续应用物理治疗程序非常有效。从治疗开始 1 个月后,患者的临床动态加速好转,细菌排泄停止,肺部浸润性病变部分吸收,2 个月后,腐腔闭合,4 个月后,患者出院,放射性病变极小,可在门诊继续治疗。正如所介绍的临床实例所示,坚持应用物理因素是提高肺结核治疗效果的有效方法之一。要证实所建议方法的有效性,还需要进一步的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Consistent Application of Physiotherapy Methods in the Treatment of Patients with Pulmonary Tuberculosis: A Clinical Case
Introduction. One of the problems of domestic phthisiology is the low effectiveness of treatment, which, along with anti-tuberculosis chemotherapy, uses pathogenetic methods, including physiotherapy procedures. The use of several physical factors in the treatment of pulmonary tuberculosis shows great therapeutic effectiveness. However, there are not enough works highlighting the combined effects of physical factors in tuberculosis of the respiratory system, applied in successive courses, taking into account the phase of a specific process and the mechanisms of therapeutic effects of physical methods.The purpose of the study — is to demonstrate the effectiveness of consistent application of physiotherapy methods in the treatment of patients with pulmonary tuberculosis.Materials and methods. The materials of the study were the medical records of the inpatient and the results of a comprehensive examination.Results and discussion. The presented clinical example demonstrates the effectiveness of consistent application of physiotherapy procedures in the complex treatment of a patient with infiltrative pulmonary tuberculosis. After 1 month from the start of treatment, accelerated positive clinical dynamics was noted, cessation of bacterial excretion, partial resorption of infiltrative changes in the lungs, by 2 months — closure of the decay cavities, after 4 months the patient was discharged with minimal radiological changes to continue treatment on an outpatient basis.Conclusion. Consistent application of physical factors can be one of the effective methods of improving the effectiveness of treatment of pulmonary tuberculosis, as demonstrated by the presented clinical examples. Further research is needed to substantiate the effectiveness of the proposed methodology.
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