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目的分析吸烟对肺结核患者肺功能的影响,探讨肺结核患者的护理措施。方法 196例肺结核患者,根据是否吸烟将患者分为吸烟组(82例)与不吸烟组(114例)。检测两组患者的肺活量(VC)、用力肺活量(FVC)、第一秒用力肺活量(FEV_1)、最大通气量(MVV)、最大呼吸中段流速(MMEF)并比较,同时分析两组患者肺功能出现差异的原因,探讨其针对性护理措施。结果吸烟组VC、FVC、FEV_1、MVV、MMEF分别为(2750±550)L、(3060±640)L、(1790±420)%、(39260±5720)L/min、(1.13±0.34)L/s,不吸烟组分别为(3050±760)L、(2730±870)L、(2310±540)%、(56440±6680)L/min、(2.31±1.02)L/s;不吸烟组肺功能各项指标均优于吸烟组,差异有统计学意义(P<0.05)。结论吸烟会对肺结核患者的肺功能造成一定的影响,在临床护理工作中需要对吸烟肺结核患者的肺组织采取一定的保护措施,以维持或改善吸烟肺结核患者的肺功能。
Objective To analyze the influence of smoking on pulmonary function in patients with pulmonary tuberculosis and to explore the nursing measures of patients with pulmonary tuberculosis. Methods A total of 196 patients with pulmonary tuberculosis were divided into smoking group (n = 82) and non-smoking group (n = 114) according to whether they smoked or not. The vital capacity (VC), forced vital capacity (FVC), FEV 1, MVV and MMEF of the two groups were measured and compared. The pulmonary function of the two groups was also analyzed The reason for the difference, to explore its targeted care measures. Results The levels of VC, FVC, FEV_1, MVV and MMEF were (2750 ± 550) L, 3060 ± 640, 1790 ± 420, 39260 ± 5720 L / min, 1.13 ± 0.34 L / s and no smoking group were (3050 ± 760) L, (2730 ± 870) L, (2310 ± 540)%, (56440 ± 6680) L / min and (2.31 ± 1.02) L / All indexes of pulmonary function were better than smoking group, the difference was statistically significant (P <0.05). Conclusion Smoking may have an impact on the pulmonary function of patients with pulmonary tuberculosis. In clinical nursing work, it is necessary to take certain measures to protect the lungs of patients with smoking pulmonary tuberculosis in order to maintain or improve lung function in patients with smoking pulmonary tuberculosis.