高频打击乐器在患有严重脑损伤和气管切除术的人群中的可行性:一项观察性研究
Salvatore Andrea Sciurello1, Francesca Graziano2, Maria Marcella Laganà3
1IRCCS Fondazione Don Carlo Gnocchi ONLUS, Milan. ssciurello@dongnocchi.it.
概括
高频打击力理疗是一种可行且有效的治疗方法,用于治疗严重获得性脑损伤 (pwSABI) 患者的脑损伤. 这种呼吸系统物理治疗改善了气管切除术的非合作患者的肺功能和放射性结果.
科学领域:
- 神经学 神经学
- 肺部病理学 肺部病理学
- 康复医学 康复医学 康复医学
背景情况:
- 肺部并发症,如阿特莱克塔斯,在患有严重获得性脑损伤 (pwSABI) 的人群中很常见,可能导致急性呼吸衰竭.
- 呼吸器物理治疗在非合作性pwSABI中治疗脱氧症的作用尚不清楚.
研究的目的:
- 评估高频冲击物理治疗对非合作性 pwSABI 的 atelectasis 的可行性.
- 评估这种物理治疗对呼吸系统参数和肺部成像的影响.
主要方法:
- 追溯分析15个非合作的pwSABI,其中包括接受高频冲击物理治疗的气管切除术.
- 评估动脉血液气体分析,夜间氧和和高分辨率计算机断层扫描 (HRCT) 肺部图像治疗前后.
- 放射性评估包括修改后的透度得分和使用CT肺炎分析®软件的自动不透明度得分.
主要成果:
- 所有的物理疗法治疗都没有发生任何不良事件.
- 经过14天的中位数后,在动脉血液气体测量和夜间氧气和度上观察到显著的改善.
- 在80%以上的患者中,放射性改善或稳定性被注意到.
结论:
- 高频冲击理疗是一种可行且安全的干预措施,用于非合作性 pwSABI 中的 atelectasis.
- 治疗对呼吸功能和肺部成像产生了积极影响.
- 自动化CT分析可能有助于评估这个群体的短期物理治疗效果.
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