胸部物理治疗在肺移植手术患者呼吸功能护理中的应用

目的探讨胸部物理治疗在肺移植手术患者中的应用效果。方法对11例肺移植手术患者实施胸部物理治疗,内容包括:深呼吸、有效咳嗽、胸部扣击、体位引流、机械吸引等。结果胸部物理治疗后,患者呼吸功能改善有效9例,占81.9%;2例死亡。结论胸部物理治疗可有效减轻术后肺部感染、肺不张等并发症,对促进患者早日康复具有积极的作用。

Objective To explore the clinical utilization of the chest physiotherapy in lung transplantation. Methods Chest physiotherapy including deep breath, effective cough, chest percussion, postural drainage and mechanical absorb was performed and system condition of each patient was evaluated before operation and after operation. Results Patients were discharged 7 cases after tracheal extubation, with efficient cleanness of airway secretion and satisfying expansion of graft lung. No evidence of infection was found in each graft lung. Conclusion When vital signs were stable, chest physiotherapy should be performed to reduce the chance of pulmonary infection and atelectasis.