Objective:To evaluate the effect of focused nursing care on treatment compliance and prognosis of drug-resistant pulmonary tuberculosis patients.Methods:A total of 100 drug-resistant pulmonary tuberculosis patients who were treated in Shenyang 10th People's Hospital from December 2021 to November 2022 were selected as the research subjects.According to the admission time,they were divided into a control group(50 cases)and an observation group(50 cases)using a random number table method.The control group adopted routine nursing mode,while the observation group adopted cluster nursing in addition to the routine nursing mode.The scores of treatment compliance,physical recovery,and psychological recovery between the two groups were compared.Results:The treatment compliance,physical recovery,and psychological recovery scores of the observation group were 41.89±2.35,51.56±4.56,and 55.53±5.75,respectively,and were 15.19±3.26,34.62±3.17,and 32.35±5.42,respectively,in the control group.The scores of all indicators in the observation group were significantly higher than those in the control group,and the differences were statistically significant(t values were 13.271,15.231,and 12.241,respectively,all P＜0.05).The nursing satisfaction rate in the observation group was 96.0％(48/50),which was significantly higher than that in the control group(60.0％(30/50)),and the difference was statistically significant(x2=13.785,P＜0.05).Conclusion:During the treatment of drug-resistant pulmonary tuberculosis patients,adopting focused nursing care can effectively improve the treatment compliance,improve the quality of life,and enhance the confidence.

Objective In order to improve the quality of life of patients with tuberculosis and diabetes mellitus, comprehensive nursing intervention will be carried out. Methods From April 2019 to December 2019, TB patients with diabetes were selected as the study object. Through retrospective analysis, 96 patients were randomly divided into groups and investigated on the premise of fairness. The patients in the control group were treated with routine nursing measures, while those in the observation group were treated with comprehensive nursing intervention. Results In terms of nursing quality, the incidence of adverse reactions was 6.33% in the observation group and 16.67% in the control group. There was significant difference between the two groups (P＜0.05). At the same time, in the comparative analysis of physiological function, mental status, social function and health status, the scores of the observation group were (8.56±0.32), (8.20±1.41), (8.28±1.34) and (8.39±1.26) respectively, and the quality of life effect of the observation group was better than that of the control group, the difference was statistically significant (P＜0.05). Finally, in the survey of nursing satisfaction, the satisfaction of patients in the observation group was 93.8% (45/48), significantly better than 85.4% (41/48) in the control group, the difference was statistically significant (P＜0.05). Conclusion The adoption of comprehensive nursing measures has a positive effect on the disease control of patients with tuberculosis and diabetes mellitus, which is conducive to improving the quality of life of patients, reducing the incidence of adverse events, and has the security of treatment.

目的 对胸腺肽联合基础抗结核药治疗复治涂阳肺结核的有效性及不良反应进行系统评价.方法 计算机系统检索CBM、CNKI、VIP、WangFang、MEDLINE、Embase、Cochrane Library等中英文数据库,纳入以胸腺肽联合基础抗结核药作为试验组、以基础抗结核药作为对照组,治疗复治涂阳肺结核的研究文献.采用Meta分析方法 对其有效性(总有效率、病灶吸收、细菌痰培养转阴、肺空洞缩小及闭合)及不良反应(肝功能损害、肾功能损害、药疹、关节痛、低热、消化道反应)进行评价.结果 纳入16篇文献,受试者共1501例.Meta分析结果 表明,试验组、对照组总有效率分别为93.54％、76.06％,试验组总有效率高于对照组(OR=0.17,95％CI 0.14～0.21,P<0.00001);试验组、对照组总不良反应率分别为13.53％、17.63％,试验组总不良反应率低于对照组(OR=0.73,95％CI 0.55～0.97,P<0.00001).结论 基础抗结核药联合胸腺肽治疗复治涂阳肺结核能提高疗效,降低部分不良反应.

当前一些地方开始注重强调要做好老年人的关系和爱护,因为老年人对于我国的贡献力量是不容忽视的.然而,老年人有病了不能够及时进行护理,将会严重制约到我国经济社会的稳定发展,内科老年人的护理研究更不容忽视,要认真做好各方面的调节作用,让老年人也能够安享晚年,这才是最根本的保障.本文结合实际,主要研究分析了内科老年病护理研究方面的知识,笔者希望能够给予读者一些借鉴.

研究的目的主要在于分析和探讨分析和探讨肺结核合并糖尿病的护理临床经验.通过一些最关键的案例来有效的做好临床分析,以便于及时的形成科学化的治疗模式,这对于我国的经济建设和国家卫生发展打下坚实的基础.本文主要借助医院一些重要的医疗案例来总结经验教训,从而加快我国肺结核合并糖尿病的护理临床迈向新的发展道路,在此,我们将借助一些经验教训来找到更加适合医疗护理发展要求的内容,这对于加快医疗技术的发展起到积极的推动作用.

目的 进行老年结核病患者中延续性护理控制效果的探讨.方法 选择我院收治256例老年结核病患者,将其随机平均划分为对照组和观察组.对照组患者护理采用常规护理措施,观察组患者在此基础上接受延续性护理,进行两组患者治疗效果、治疗依从性、健康知识知晓情况的对比.结果 观察组患者治疗依从性、治疗效果、健康知识掌握情况均比对照组好,各项指标组间比较差异显著,P<0.05.结论 老年结核病患者中开展延续性护理能够提升患者治疗依从性、健康知识掌握情况、治疗效果,具有较高的临床推广价值.

现阶段,我国的一些心脏病发生率极高,原因在于受到社会发展的一些压力作用,结合当前社会发展的情况,逐渐可以领会到治疗心理疾病的办法不光在于靠药物的治疗,还需要有效的进行科学化心理护理,这对于一个身患疾病的患者来讲可以有效地提高治疗的效率,而且还可以助推患者慢慢的接受心理治疗的康复方法.这对于我国未来心内科心理护理对于患者治疗来讲是一次重要的尝试,而且为减轻患者的心理压力起到积极地作用,要想彻底的治疗心理疾病,就应该让患者还原在原来生病时的状态,找到一些具体解决问题的办法,这对于调节心内科心理疾病患者进行长期治疗意义十分重大.同时,我们更应看到依靠现代化的心理护理技术,可以迅速的提升患者的生病概率,在改善生活质量方面起到很好的促进作用.

目的：观察卷曲霉素联合左氧氟沙星在复治涂阳肺结核治疗中的应用效果。方法从医院收治的复治涂阳肺结核患者中抽调110例，依据治疗方法不同划为两组，对照组50例治疗方案为3SEL2PaZ/9EL2Pa，观察组60例在对照组治疗基础上给予卷曲霉素联合左氧氟沙星治疗，对比病灶变化情况以及不良反应。结果观察组患者的病灶吸收率、空洞闭合率以及不良反应发生率与对照组相比，有显著差异P ＜0.05。结论卷曲霉素联合左氧氟沙星治疗复治涂阳肺结核，可促病灶吸收、空洞闭合，应用效果显著，安全可靠。

耐多药和广泛耐药结核病的病死率较高，在临床治疗时如果合理选择药物和设计联合治疗方案，大部分病例都能得到有效治疗。本研究根据现有抗结核病药物的疗效、安全性以及治疗费用等进行分组，讨论了耐多药及广泛耐药结核病的临床治疗策略。

目的：分析影响结核分枝杆菌艾滋病毒双重感染患者抗结核治疗转归的非治疗因素。方法：收集我院2013年2月～2014年7月期间诊治的结核分枝杆菌艾滋病毒双重感染患者147例作为研究对象，回顾性分析患者的临床资料，总结影响结核分枝杆菌艾滋病毒双重感染患者抗结核治疗转归的非治疗因素。结果：研究结果显示，本组患者主要为青年男性，艾滋病毒主要通过静脉吸毒及性传播感染，大部分患者无固定职业，文化程度较低，且为离异或丧偶者。结论：影响结核分枝杆菌艾滋病毒双重感染患者抗结核治疗转归的非治疗因素主要包括患者的性别、文化程度、职业、婚姻状况。

目的：探讨利福喷丁联合左氧氟沙星在初治菌阳肺结核患者中的疗效。方法85例菌阳肺结核患者，按随机数字表法分为对照组(42例)与观察组(43例)。给予对照组2HRZE/4HRE方案治疗，给予观察组2HL2ZV/4HL2V方案治疗。比较两组治疗效果。结果观察组患者痰菌检测转阴率高于对照组(P<0.05)；观察组患者治疗总有效率为90.70%高于对照组的69.05%，且观察组患者不良反应发生率低于对照组，差异均具有统计学意义(P<0.05)。结论利福喷丁联合左氧氟沙星在初治菌阳肺结核中效果显著，值得临床推广应用。

目的：对肺结核合并糖尿病患者的中医护理进行深入讨论。方法：对我科近期收治的糖尿病患者的临床资料进行分析，结果：在对患者进行中医护理后，患者对疾病有了更大的配合。结论：通过对肺结核合并糖尿病患者的中医护理后，发现可以提高对患者的治疗能力，同时提高了治愈概率，让患者对疾病有了正确认识，使得患者的生活质量大大提高。

目的探讨重症肺结核并呼吸衰竭的最佳机械通气策略。方法将102例肺结核合并呼吸衰竭患者随机分为观察组及对照组各51例,两组均在有效抗结核、抗感染基础上行机械通气治疗,其潮气量分别为10、6mL/kg,余通气参数一致。记录两组血气分析指标[吸入氧浓度(FiO2)、PaO2、PaCO2、pH值]、气胸发生率及病死率。结果两组血气分析指标差异均无统计学意义,观察组与对照组气胸发生率分别为3.92%、5.88%,病死率分别为43.14%、39.22%,P均>0.05。结论对于重症肺结核合并呼吸衰竭患者的机械通气保护性策略应以限制平台压为主,不应以过度强调小潮气量为主。

目的:评估无创正压通气(NIPPV)治疗肺结核合并呼吸衰竭的疗效。方法:对肺结核合并呼吸衰竭患者进行NIPPV,动态观察NIPPV治疗后不同时段动脉血气。结果:NIPPV治疗后血气各指标较治疗前有明显改善,PaO2明显升高(P<0.05),PaCO2明显下降(P<0.01)。结论:肺结核合并呼吸衰竭患者进行NIPPV有较好疗效。

目的:了解小潮气量联合低水平PEEP机械通气治疗慢性阻塞性肺疾病(COPD)伴呼衰并肺大泡的疗效及安全性。方法:49例COPD伴呼衰并肺大泡的患者随机分为常规通气组(Ⅰ)24例和小潮气量联合低水平PEEP组(Ⅱ)25例,比较两组通气时间、气压伤发生率及病死率。结果:Ⅱ组气压伤发生率、通气时间显著低于Ⅰ组,两组病死率差异无统计学意义。结论:小潮气量联合低水平PEEP机械通气治疗COPD伴呼衰并肺大泡疗效较好,值得临床推广应用。