III 型活动性肺结核病人气道高反应性与肺功能康复关系研究

Itwasrarelyreportedaboutthebroncho－hyperreactivity（BHR）inpatientswithpulmonarytuberculosisinChina．Accordingtomea－surementvalueofBHRin１０３patietswithactivepulmonarytuber－culosis，weinvestigatecorrelationbetweenBHRandobstructionoflittleairway．TheobjectivewastostudyeffectofincreasedBHRonpulmonaryrehabilitationinpatientswithactivepulmonarytubercu－losis．１Subjectandmethods１．１Subject１０３patientsconsistingofoutpatientsandinpatientsparticipatedinourstudy．Amongthesepatients，５８…

Study on relationship between broncho-hyperreactivity and pulmonary rehabilitation in patients with active pulmonary tuberculosis III

Objective To investigate relationship between broncho-hyperreactivity(BHR)and pulmonary rehabilitation in pat ients with active pulmonary tuberculosis.Method Pulmonary function and histamine provocation tests were conducted to co mpare results in 103cases.Results Positive rate for histamine provoca tion test was 13.59%.Compared with n egative group,more patients in positive group developed cough and hemoptysis(P <0.01).Incidence of BHR in patients with po sitive result for sputum examinatio n for tubercle bacillus was higher th an patients with negative results(P <0.01).Percentage of midexpiratory rate o f flow(PMMF )in group with positive provocation t est was strikingly lower than that in negative group.Conclusion BHR is closely related to stenosis of little airway in patients with pulmo nary tuberculosis.In-creased BHR affects pulmonary rehabilitation.