clinmedКлиническая медицинаClinical Medicine (Russian Journal)0023-21492412-1339ООО «Медицинское информационное агентство»10.30629/0023-2149-2022-100-2-3-91-96clinmed-357Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESРеабилитация больных с туберкулезом легких и посттуберкулезными изменениямиRehabilitation of the patients with pulmonary tuberculosis and tuberculosis sequelaehttps://orcid.org/0000-0001-8263-8240ЧушкинМ. И.ChushkinM. I.

Чушкин Михаил Иванович — д-р мед. наук, ведущий научный сотрудник Центра диагностики и реабилитации 

eLibrary SPIN: 2568-6781

107564, Москва

Chushkin Mikhail I.

107564, Moscow

mchushkin@yandex.ruСтручковП. В.StruchkovP. V.

Стручков Петр Владимирович — д-р мед. наук, профессор, заведующий кафедрой клинической физиологии и функциональной диагностики

125371, Москва

Struchkov Pyotr V.

125371, Moscow

ОтсО. Н.OtsO. N.

Отс Олег Николаевич — д-р мед. наук, профессор кафедры фтизиопульмонологии и торакальной хирургии имени М.И. Перельмана Института клинической медицины им. Н.В. Склифософского

119991, Москва

Ots Oleg N.

119991, Moscow

https://orcid.org/0000-0001-9337-3903КарпинаН. Л.KarpinaN. L.

Карпина Наталья Леонидовна — д-р мед. наук, руководитель Центра диагностики и реабилитации 

107564, Москва

Karpina Natalia L.

107564, Moscow

ФГБНУ «Центральный научно-исследовательский институт туберкулеза»РоссияCentral Research Institute of TuberculosisRussian FederationАкадемия постдипломного образования ФГБУ «Федеральный научно-клинический центр специализированных видов медицинской помощи и медицинских технологий Федерального медико-биологического агентства России»РоссияAcademy for postgraduate education of the Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies of the Federal Medical and Biological Agency of RussiaRussian FederationФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский Университет)РоссияI.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)Russian Federation2022240620221002-39196Copyright © Чушкин М.И., Стручков П.В., Отс О.Н., Карпина Н.Л., 20222022Чушкин М.И., Стручков П.В., Отс О.Н., Карпина Н.Л.Chushkin M.I., Struchkov P.V., Ots O.N., Karpina N.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.clinmedjournal.com/jour/article/view/357

В большинстве случаев после излечения от туберкулеза в легких остаются различной выраженности посттуберкулезные изменения. На фоне этих изменений формируются нарушения функции дыхания по рестриктивному и обструктивному типу. Большая частота нарушений функции легких показывает необходимость функциональных исследований у больных с посттуберкулезными изменениями и проведения легочной реабилитации. У больных хроническими заболеваниями легких часто наблюдают недостаточность питания. В обзоре описаны методы реабилитации, которые включают физические тренировки и методы коррекции нутритивного статуса.

Tuberculosis sequelae are very common after successful treatment of the disease. Airflow obstruction and restrictive impairment develop alongside with the changes. High prevalence of pulmonary impairment in patients with tuberculosis sequelae shows that lung function study and pulmonary rehabilitation should be performed. Malnutrition is very common among TB patients. The review deals with the methods of rehabilitation, which include physical training and nutritional status correction.

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The authors declare that there are no conflicts of interest present.