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一种量化胸部物理治疗对机械通气患者效果的简单临床方法。

A simple clinical method of quantitating the effects of chest physiotherapy in mechanically ventilated patients.

作者信息

Winning T J, Brock-Utne J G, Goodwin N M

出版信息

Anaesth Intensive Care. 1975 Aug;3(3):237-8. doi: 10.1177/0310057X7500300310.

Abstract

A simple clinical method, allowing quantitive assessment of the effects of chest physiotherapy on patients subjected to I.P.P.V., is presented. The method involves measuring of the "alveolar" pressure using the end-expiratory retard mechanism available on the Bennet MA 1 (volume cycled) ventilator. Using this simple technique three different methods of physiotherapy were shown to significantly lower alveolar pressure, indicating an increase in pulmonary compliance. The inhalation of acetyl cysteine however, appeared to render treatment less effective in this regard.

摘要

本文介绍了一种简单的临床方法,可对接受间歇正压通气(I.P.P.V.)的患者进行胸部物理治疗效果的定量评估。该方法利用贝内特MA 1(容量控制型)呼吸机上的呼气末延迟机制来测量“肺泡”压力。使用这种简单技术表明,三种不同的物理治疗方法均能显著降低肺泡压力,这表明肺顺应性增加。然而,吸入乙酰半胱氨酸在这方面似乎会使治疗效果降低。

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