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物理治疗干预对COVID-19患者功能结果的影响:临床实验研究
Athar Abufara1, Akram Amro1, Muntaser S Ahmad2
1Physiotherapy Department, Faculty of Health Professions, Al-Quds University, Jerusalem, Palestine.
概括
物理治疗显著改善了严重的COVID-19患者的呼吸功能和运动能力. 早期干预改善了氧气和,呼吸和运动能力,导致更好的康复结果.
科学领域:
- 医疗康复 医疗康复
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
背景情况:
- COVID-19会导致严重的肺炎和急性呼吸困难.
- 物理治疗对于管理COVID-19患者至关重要,有助于非侵入性支持,姿势改变,胸部物理治疗 (CPT) 和床上移动.
- 了解物理治疗对急性阶段COVID-19患者的影响至关重要.
研究的目的:
- 评估物理治疗干预对急性阶段COVID-19患者的功能结果的影响.
- 为了比较接受理疗与标准医疗护理的COVID-19患者的功能恢复.
主要方法:
- 一项涉及60名严重COVID-19患者 (平均年龄50岁) 的研究.
- 干预组 (n=30) 每天接受物理治疗,包括定位,CPT,心脏,呼吸练习和早期运动.
- 对照组 (n=30) 接受了标准的医疗护理. 评估包括氧气和度,呼吸率,呼吸困难,2分钟步行测试和基线和出院时的螺旋计 (FVC,FEV1).
主要成果:
- 两组从基线到放药都显示出明显的改善.
- 物理治疗干预组在所有测量结果指标 (p<0.001) 中表现出显著改善.
- 物理治疗改善了氧和,呼吸率和呼吸不良,但没有FVC (p=0.402) 或FEV1 (p=0.114).
结论:
- 物理治疗干预措施对COVID-19患者的呼吸功能和治疗持续时间产生积极影响.
- 早期和全面的物理治疗对急性COVID-19中的功能恢复有益.
- 可能需要进一步的研究,以充分阐明对特定肺功能参数 (如FVC和FEV1.1) 的影响.
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