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刺激性スピロメトリと,腹部外科手術後の肺合併症の予防のための通常の胸部理学療法との比較
1University Department of Surgery, Department of Respiratory Medicine, Royal Perth Hospital, Australia.
Lancet (London, England)
|April 20, 1991
まとめ
腹部手術を受ける患者にとって,インセンティブスピロメトリーと胸部理学療法では,手術後の肺合併症の予防に同様の効果があります. 両方の方法は,試験において同等の臨床的有効性を示した.
科学分野:
- 医学 医学 医学 医学 医学
- 肺内科 肺内科 肺内科
- 外科手術についてです.
背景:
- 術後の肺合併症は,腹部外科手術後の大きな懸念事項です.
- 従来の胸部理学療法が一般的な予防策である.
研究 の 目的:
- 腹部外科手術後の肺合併症の予防におけるインセンティブスピロメトリーと胸部理学療法との臨床効果を比較する.
主な方法:
- 腹部外科手術を受けた876人の患者を対象とした臨床試験.
- 患者は,インセンティブスピロメトリーまたは胸部理学療法を受けるようにランダムに割り当てられました.
- 測定されたアウトカムには,肺合併症の発生率,臨床症状,発熱,胸部X線写真,呼吸不全,入院などが含まれていました.
主要な成果:
- 肺合併症の発生率は,インセンティブスピロメトリーグループ (15.8%) と胸部理学療法グループ (15.3%) の間で類似していました.
- 臨床的徴候,発火症,胸部X線写真,唾液病原体,呼吸不全,または2つのグループ間の入院期間において有意な差異は観察されなかった.
結論:
- 予防的インセンティブスピロメトリーと胸部理学療法では,腹部外科手術を受ける患者に対して同等の臨床効果を示しています.
- この2つの介入は,手術後の肺合併症の予防に類似しています.
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