食管癌肺癌患者术后不同时间实施胸部物理治疗的效果观察

目的食管癌肺癌患者术后不同时间实施胸部物理治疗的效果。方法选择2015年3月至2016年3月在我院进行开胸手术后不同时间实施胸部物理治疗的食管癌肺癌患者。随机分为两组，每组100例患者。其中对照组所有患者在术后15h实施胸部物理治疗；实验组所有患者在术后6h实施胸部物理治疗。分别观察腰组患者术后不同时间实施胸部物理治疗后的离床活动时间、胸腔引流管拔除时间、术后肺不张以及肺炎发生率。结果实验组患者在术后6h实施胸部物理治疗后，患者的离床活动时间、胸腔引流管拔除时间、术后肺不张率均低于对照组，对比差异具有统计学意义（P〈0．05），而两组患者的肺炎发生率比较．差异不具有统计学意义（P〉0．05）。结论综上所述，食管癌肺癌患者术后不同时间实施胸部物理治疗的效果不同，其中在手术6个小时实施翻身、叩背等胸部物理治疗有利于手术过程中产生的积气和积液及时引流至体外，值得临床推广使用。

Objective esophageal cancer patients with lung cancer after different time of chest physical therapy effect. Methods in March 2015 to March 20015 in different time after open heart surgery in our chest physical therapy of esophageal cancer patients with lung cancer. Randomly divided into two groups, 100 patients in each group. Which controls all 15 h after surgery in patients with chest physical therapy~ The experimental group all 6 h after surgery in patients with chest physical therapy, Respectively to observe the two groups of patients of postoperative chest physical therapy after different time from bed activity time, postoperative chest drainage tube time, postoperative atelectasis and the incidence of pneumonia. Results the experimental group patients after 6 h chest physical therapy after surgery, the patient from bed activity time, chest drainage tube removal time, postoperative atelectasis were significantly lower than the control group, comparing differences statistically significant （P〈0.05）, the incidence of pneumonia and two groups of pa- tients, no statistically significant difference （P〈0.05）. Conclusion to sum up, esophageal cancer patients with lung cancer after dif- ferent time of chest physical therapy effect, which is carried out in turn operation 6 hours, knocking hack the chest physical therapy is helpful to operation process of pneumatosis and effusion drainage in time to in vitro, worth clinical promotion.