INTEGRATED ASSESSMENT OF BRONCHIAL PATENCY IN ACTIVE PULMONARY TUBERCULOSIS TREATMENT BEFORE AND AFTER THE IN-PATIENT TREATMENT

Abstract

Changes in the bronchial patency, its correlation with initial manifestations of bronchial obstruction and with the rate of clinical and X-ray changes of tuberculosis disease have been assessed in 215 patients su}ering from active pulmonary tuberculosis. The administered therapy improved the bronchial patency only in 40.5% of pulmonary tuberculosis patients with bronchial obstruction. Functional changes were more often observed in the patients with initially minor or moderate obstructive disorders. Correlation between functional changes has been found including changes in viscous respiratory resistance and changes in tuberculosis disease. Changes in viscous respiratory resistance during the treatment of pulmonary tuberculosis changes with bronchial obstruction can be considered as an indicator of tuberculosis disease. The obtained results provide the evidence of the stable and clear influence of bronchial obstruction on clinical and x-ray changes of pulmonary tuberculosis, which points out at the need of monitoring the respiratory function and timely prescription of comprehensive broncholytic therapy to pulmonary tuberculosis patients.

Keywords

• туберкулез легких
• вязкостное дыхательное сопротивление
• обструкция бронхов
• функциональные показатели