Observation on efficacy of compositive chest physiotherapy for the prevention of atelectasis after thoracotomy in the elderly patients
10.3760/cma.j.issn.1674-2907.2010.26.004
- VernacularTitle:综合胸部物理治疗预防老年开胸术后肺不张的效果观察
- Author:
Jin-Zhao WANG
1
;
Lian-Zhen LIU
;
Rui-Qiong HUANG
;
Jin-Sheng HUANG
;
Ke-Zhi LI
;
Yan LUO
;
Zhang-Feng HUANG
Author Information
1. 353000,福建省南平市第一医院胸外科
- Keywords:
Chest physiotherapy;
Elderly patient;
Thoracotomy;
Rock sputum ejection;
Atelectasis
- From:
Chinese Journal of Modern Nursing
2010;16(26):3112-3115
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of compositive chest physiotherapy for the prevention of atelectasis after thoracotomy in the elderly patients.Methods Sixty-eight elderly patients after thoracotomy were randomly divided into two groups, the experimental group adopted compositive chest physiotherapy(n = 35), the control group were given the traditional chest physiotherapy(n = 33).The factors considered included the action abide by doctor,the effect of expectoration, the improvement difference of PaO2 ,PaCO2 , SaO2 by blood gas analysis, the incidence of atelectasis.Results There were significant differences in the action abide by doctor and the effect of expectoration. After intervention, the improvement difference of PaO2 ,PaCO2 and SaO2 were significant higher than that of the control group(P <0.05); The rates of atelectasis were 5.71% (2 cases) and 27.27% (9 cases) in experimental group and control group respectively (P < 0.05).Conclusions Compositive chest physiotherapy is superior to traditional physiotherapy for elderly patients in pedoperation, which can clear sputum more effectively, improve blood oxygen partial pressure and lung expansion, also can prevent pest-operative atelectasis more effectively in the elderly patients.
