基于证据的实践干预措施,以减少术后肺部并发症:叙述性审查
Gagandeep Dhillon1, Venkata S Buddhavarapu2, Harpreet Grewal3
1Department of Internal Medicine. University of Maryland Baltimore Washington Medical Center, Glen Burnie, MD, USA.
The open respiratory medicine journal
|April 24, 2024
概括
手术后的术后肺部并发症 (PPC) 可以通过肺部扩张干预来减少. 结合多种治疗方法显示肺功能得到改善,但需要更多的研究.
科学领域:
- 肺部医学 肺部医学
- 手术并发症 手术并发症
- 基于证据的实践.
背景情况:
- 上腹部和胸部手术增加了术后肺部并发症 (PPC) 的风险.
- 在腹部上部手术后,PPC的发病率在20-90%之间.
- 促进肺扩张的干预措施可以最大限度地减少PPCs.
研究的目的:
- 审查基于证据的干预措施,以预防PPCs.
- 评估肺扩张技术在减少术后肺部并发症方面的有效性.
主要方法:
- 在PubMed和谷歌学者中从2007年1月到2022年12月的文献搜索.
- 包括实验性,观察性研究,系统性审查.
- 专注于手术前教育,激励螺旋计,早期动员,指导咳,深呼吸练习,胸部物理治疗和启发性肌肉训练 (IMT).
主要成果:
- 总共审查了22篇文章,其中包括13篇RCT.
- 对于激励性精神测量和IMT等个人干预措施的证据是混合的.
- 一些研究表明有效性,而另一些研究发现没有显著差异.
结论:
- 接受多次干预的患者显示术后肺功能得到改善.
- 需要进一步的最终研究来确认组合干预措施的有效性.
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