在非低血压患者的自发性肺胸病患者中"气冲洗":叙述性审查
Erwin Grasmuk-Siegl1,2, Arschang Valipour1,2
1Department of Respiratory and Critical Care Medicine, Klinik Floridsdorf, Brünner Straße 68, 1210 Vienna, Austria.
Journal of clinical medicine
|July 14, 2023
概括
肺胸炎的氧气治疗是常见的,但缺乏强有力的临床证据. 虽然动物研究表明有好处,但人类数据有限,需要进一步研究其有效性,无论氧气水平如何.
科学领域:
- 肺部病理学 肺部病理学
- 胸部外科手术 胸部外科手术
- 临界护理医学 临界护理医学
背景情况:
- 目前的指导方针建议对自发性肺胸进行最少的侵入性治疗.
- 氧气疗法在临床实践中经常用于通过洗效应加速空气再吸收,尽管它并不总是适用于低氧症.
研究的目的:
- 审查氧疗法在肺胸管理中的科学基础和临床应用.
- 评估证据支持氧气使用在成人和儿科患者的肺胸部.
主要方法:
- 来自PubMed,Embase和Cochrane图书馆的临床研究的系统文献综述.
- 使用的关键词包括"氧气和肺胸部"",洗和肺胸部"和"和肺胸部".
- 审查当前的临床实践指南.
主要成果:
- 动物模型表明氧气对肺胸部有潜在的治疗作用.
- 人类的临床证据主要来自小规模的回顾性研究,其设计低于最佳.
- 九项临床研究和三项指导方针被纳入了审查.
结论:
- 肺胸炎的氧气治疗的临床疗效,不论是低氧症,由于缺乏足够的高质量证据,仍然不确定.
- 建议进行前性,在方法上健全的临床研究,以最终评估氧气治疗在肺胸治疗中的作用.
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