胸部创伤患者疼痛管理的新呼吸技术:一项随机试验
Sameer Tootla1, Monika Fagevik Olsén1,2,3, Jenny Danielsbacka2,3
1Department of Physiotherapy, School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
概括
一个鼻孔灵感 (ONI) 在添加到物理治疗时,显著减少胸部创伤患者的疼痛. 密切遵守ONI呼吸练习导致从第三天开始减少疼痛,使患者在康复过程中获得力量.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 创伤护理 创伤护理
- 康复 康复 康复 康复
背景情况:
- 有效的疼痛管理对于胸部创伤患者至关重要.
- 一个鼻孔吸气 (ONI) 是一种技术,以最大限度地减少吸气流和减少疼痛.
- 这项研究评估了ONI作为标准物理治疗的辅助.
研究的目的:
- 评估ONI对胸部创伤患者疼痛水平的影响.
- 评估ONI对功能状态,运动能力和肺部并发症的影响.
- 确定ONI对不良事件和住院时间的影响.
主要方法:
- 一个单中心随机试验,涉及150名成年胸部创伤患者.
- 参与者接受了标准物理治疗或标准物理治疗加ONI.
- 结果在入院后的前五天进行了评估.
主要成果:
- 接受ONI治疗的患者在第5天报告明显减少疼痛 (p=0.01).
- 较高的ONI坚持 (≥3次/天) 与第3天的疼痛减少相关 (p=0.05).
- 在肺部并发症,功能状态或不良事件中没有发现显著差异.
结论:
- 一个鼻孔启发 (ONI) 是胸部创伤物理治疗的可行和安全补充.
- 缓慢的深呼吸练习,如ONI,可以帮助患者控制呼吸道疼痛.
- 遵守ONI协议可以改善住院患者的疼痛减轻.
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