结核与肺部疾病杂志 ›› 2023, Vol. 4 ›› Issue (5): 342-345.doi: 10.19983/j.issn.2096-8493.20230098

• 专家笔谈 • 上一篇    下一篇

结核后肺疾病健康管理

谭守勇()   

  1. 呼吸疾病国家重点实验室广州市胸科医院结核内科 510095
  • 收稿日期:2023-08-29 出版日期:2023-10-20 发布日期:2023-10-16
  • 通信作者: 谭守勇,Email:tanshouyong@163.com
  • 基金资助:
    国家“十三五”科技重大专项课题(2018ZX10722301-001)

Health management of post-TB pulmonary disease

Tan Shouyong()   

  1. State Key Laboratory of Respiratory Disease,Department of Tuberculosis in Guangzhou Chest Hospital,Guangzhou 510095,China
  • Received:2023-08-29 Online:2023-10-20 Published:2023-10-16
  • Contact: Tan Shouyong, Email:Tanshouyong@163.com
  • Supported by:
    National Major Special Project for Science and Technology during the 13th Five Year Plan(2018ZX10722301-001)

摘要:

肺结核是一种古老的呼吸道传染性疾病,尽管全球肺结核治愈率达到85%,但它给患者带来慢性呼吸道的生理和社会相关的心理损伤仍较严重。2020年国际防痨和肺部疾病联合会提出了结核病后肺病(post-tuberculosis pulmonary disease, PTLD)对患者整个生命过程中肺外后果和进行性损害的重要性,包括结核病复发和病亡率增加。笔者就临床实践提出:对于肺结核患者在治疗过程中,除有效的抗结核治疗外,合理应用气管扩张剂及对症治疗,减少对肺功能损伤;尽早对肺结核患者开展肺功能评估和肺康复治疗;对继发肺部感染及糖尿病等相关疾病患者,及时进行治疗,减少PTLD发生;同样,对于肺结核临床治愈并发PTLD患者,积极开展肺功能评估和肺康复治疗,注意健康膳食,健康生活,减少复发。

关键词: 结核, 肺疾病, 疾病管理

Abstract:

Tuberculosis is an ancient respiratory infectious disease, although the global cure rate of tuberculosis reaches 85%, it still causes physical and social related psychological damage to chronic respiratory tract to patients. In 2020, the International Federation Against Tuberculosis and Pulmonary Diseases proposed the importance of post-tuberculosis pulmonary disease (PTLD) for extrappulmonary consequences and progressive damage throughout the life course of patients, including tuberculosis recurrence and increased mortality. In clinical practice, the author proposes that the patients with pulmonary tuberculosis, were treated, in addition to the effective anti-tuberculosis therapy, rational application of tracheal dilator and symptomatic treatment, in order to reduce pulmonary function injury for the patients. And the patients with secondary pulmonary infection or diabetes mellitus to be timely treated to reduce the occurrence of PTLD. Similarly, the patient, with tuberculosis was cured after treaed, and with PTLD, were actively carried out lung function assessment and pulmonary rehabilitation treatment, pay attention to healthy diet, healthy life, and reduce recurrence.

Key words: Tuberculosis, Lung disease, Disease management