结构化呼吸器物理治疗方案,用于解决儿科重症监护室中阿特莱克塔斯症
Patrícia Aparecida Silva Camassuti1, Cíntia Johnston1, Werther Brunow de Carvalho2
1Postgraduate Program in Pediatrics, Department of Pediatrics, Universidade de São Paulo, São Paulo, SP, Brazil.
Clinics (Sao Paulo, Brazil)
|September 22, 2024
概括
一个结构化呼吸器物理治疗方案 (SRPP) 有效地改善了婴儿接受侵入性机械通风 (IMV) 的呼吸道清除和肺部再扩张,显示了呼吸力和肺部通风的显著改善.
科学领域:
- 儿科肺病学 儿科肺病学
- 呼吸系统疗法 呼吸系统疗法
- 关键护理医学 关键护理医学
背景情况:
- 由于独特的生理学,浸入性机械通风 (IMV) 的婴儿面临着增加的脱氧风险.
- 有限的研究存在于IMV期间的儿科患者的体力疗法.
研究的目的:
- 评估一个结构化呼吸器物理治疗协议 (SRPP) 对于呼吸道清除和肺部重新扩张的婴儿与IMV上 atelectasis.
主要方法:
- 一项前性随机研究,涉及30名接受IMV治疗的婴儿.
- 干预组 (IG) 接受了SRPP (姿势排水,振动,手动膨胀,拉伸,定位);对照组 (CG) 接受了常规物理治疗.
- 评估包括干预前后的呼吸力 (伍德·唐恩斯得分) 和肺气化 (肺超声波得分).
主要成果:
- 两组都显示出在减少呼吸力 (WD) 方面具有很大的群体内效应.
- 适度影响肺气化 (LUS) 减少CG;大影响IG.
- SRPP在气道清除和肺部再扩张方面表现出显著的改善.
结论:
- 结构化呼吸器物理治疗协议 (SRPP) 对于具有 atelectasis 的 IMV 婴儿来说似乎是安全有效的.
- 与常规物理治疗相比,SRPP显著增强了肺部重新扩张和气道清除.
- 进一步的研究可以验证SRPP在儿科呼吸护理中的有效性.
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