不同物理治疗方法对婴幼儿先天性心脏病术后肺氧合的影响

Influence of dofferent physical therapy on pulmonary oxygen coalescent after operation in infant congenital heart disease

目的:探讨不同物理疗法对婴幼儿先天性心脏病术后肺氧合的影响。方法:将80例受试者随机分成人工空心掌拍左右肺部组(对照组)与振动拍左右肺部组(实验组),每组40例。于撤机2h后采用不同的物理方法治疗,并在各时段记录当时的FiO2、氧合指数(OI)、动脉血氧分压/肺泡氧分压(PaO2/PAO2)、二氧化碳分压(PaCO2)、呼吸指数(RI)。结果:于体外循环前、撤机后2,6,12,24h观察实验组与对照组的FiO2、OI、PaO2/PAO2、A-aDO2、PaCO2、RI,比较有显著差异。结论:婴幼儿先天性心脏病体外循环术后于撤机2h后采用振动排痰机进行物理治疗可以改善婴幼儿术后的肺氧合。

Objective： Probe into the effect of different physical therapy on pulmonary oxygen coalescent after operation in infant congenital heart disease patients. Methods：80 patients were divided into control group and test group. Used different physical therapy after weaned from machine two hours, and record FIO2 , OI, PaO：/PAO2 , PaCO2 and RI in different times. Results： There was remarkable difference between two groups before cardiopulmonary bypass and after weaned from machine 2,6,12,24 hours in FiO2 , OI, PaO2/ PAO2 ,A- aDO2 ,PaCO2 ,RI. Conclusion：Oscillating productive machine could improve pulmonary oxygen coalescent in infant congenital heart disease patients.