Application of chest physical therapy combined with improved postural drainage method in patients with esophageal cancer after operation
10.3760/j.issn.1674-2907.2014.04.037
- VernacularTitle:改良式体位引流联合胸部物理治疗在食管癌术后患者中的应用
- Author:
Juping YAN
1
;
Li TENG
;
Yun GUI
Author Information
1. 430014 武汉市中心医院外科
- Keywords:
Esophageal cancer;
Surgical operation;
Chest physical therapy;
Position drainage
- From:
Chinese Journal of Modern Nursing
2014;20(4):465-467
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore chest physical therapy combined with improved postural drainage method, applied in patients with esophageal cancer after operation .Methods A total of 60 patients with esophageal cancer after operation from October 2010 to October 2012 were selected and randomly divided into observation group ( n=30 ) and control group ( n=30 ) .Control group received the routine nursing such as chest physical therapy (roll over, right back, take a deep breath and cough) and wet phlegm,while observation group received the improved postural drainage on the basis of routine nursing .Then, compared two groups of removal time of chest drainage tube , from bed activity time , postoperative pneumonia , pulmonary atelectasis situation.Results Patients of chest drainage tube removal time [(2.433 ±1.063) vs (3.066 ±1.112)], from bed activity time [(1.950 ±1.044) vs (2.666 ±1.109)] in observation group was significantly shorten than that in control group (t =2.263,3.006;P <0.05).And the incidence of postoperative atelectasis in observation group was significantly lower than that in control group (3.3%vs 16.7%;χ2 =4.043,P<0.05). While no significant difference was found in the incidence of pneumonia between observation group and control group ( P >0.05 ).Conclusions Chest physical therapy combined with improved postural drainage can effectively prevent the incidence of postoperative atelectasis , which is advantageous to chest drainage and the recovery of lung function and .
