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成人囊性纤维化的物理治疗管理策略。

Physiotherapeutic management strategies for the treatment of cystic fibrosis in adults.

机构信息

York Hospitals NHS Trust Cystic Fibrosis Unit, York Teaching Hospitals Foundation NHS Trust, York, UK.

出版信息

J Multidiscip Healthc. 2010 Nov 19;3:201-12. doi: 10.2147/JMDH.S8878.

DOI:10.2147/JMDH.S8878
PMID:21289861
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3024890/
Abstract

Physiotherapy has long been considered a cornerstone of condition management for people with cystic fibrosis (CF). The presentation of CF has changed over time with an increased life expectancy and increased expectations of people with CF to have a complete lifestyle. In turn, the scope of strategies used in physiotherapy for CF have also changed dramatically over the years, moving away from routine postural drainage and manual techniques toward an individualized regimen including the choice of many different forms of airway clearance, such as both independent and assisted, exercise, treatments to promote continence and good posture, inhalation therapy, oxygen, and noninvasive ventilation. This article describes the techniques and overall strategies used by physiotherapists in helping people with CF to manage the symptoms and progression of their condition.

摘要

物理疗法长期以来一直被认为是囊性纤维化(CF)患者病情管理的基石。随着预期寿命的延长和 CF 患者对完整生活方式的期望增加,CF 的表现也随之发生了变化。因此,多年来,CF 物理治疗中使用的策略范围也发生了巨大变化,从常规的体位引流和手动技术转向个体化治疗方案,包括选择许多不同形式的气道清除方法,如独立和辅助清除、运动、促进节制和良好姿势的治疗、吸入疗法、氧气和无创通气。本文介绍了物理治疗师在帮助 CF 患者管理其病情的症状和进展时所使用的技术和总体策略。

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The clinical effects of combining postural exercises with chest physiotherapy in cystic fibrosis: A single-blind, randomized-controlled trial.体位锻炼联合胸部物理治疗对囊性纤维化的临床效果:一项单盲随机对照试验
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本文引用的文献

1
Timing of dornase alfa inhalation for cystic fibrosis.吸入用胰蛋白酶原治疗囊性纤维化的时机。
Cochrane Database Syst Rev. 2021 Mar 9;3(3):CD007923. doi: 10.1002/14651858.CD007923.pub6.
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Non-invasive ventilation for cystic fibrosis.囊性纤维化的无创通气
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High frequency chest wall oscillation in cystic fibrosis.囊性纤维化中的高频胸壁振荡
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Beyond postural drainage and percussion: Airway clearance in people with cystic fibrosis.除了姿势引流和叩击法以外:囊性纤维化患者的气道廓清。
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Cystic fibrosis pulmonary guidelines: airway clearance therapies.囊性纤维化肺部指南:气道清除疗法
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Oxygen therapy for cystic fibrosis.囊性纤维化的氧疗
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BTS guideline for emergency oxygen use in adult patients.英国胸科学会成人患者紧急用氧指南。
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Is a longer time interval between recombinant human deoxyribonuclease (dornase alfa) and chest physiotherapy better? A multi-center, randomized crossover trial.重组人脱氧核糖核酸酶(多纳培南)与胸部物理治疗之间更长的时间间隔是否更好?一项多中心随机交叉试验。
Pediatr Pulmonol. 2007 Dec;42(12):1110-6. doi: 10.1002/ppul.20704.
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Evidence-based assessment of adherence to medical treatments in pediatric psychology.儿科心理学中基于证据的药物治疗依从性评估
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