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小儿心脏手术:物理治疗干预能带来什么效果?

Pediatric cardiac surgery: what to expect from physiotherapeutic intervention?

作者信息

Silva Maria Eduarda Merlin da, Feuser Marília Rohling, Silva Mayara Pereira, Uhlig Shelley, Parazzi Paloma Lopes Francisco, Rosa George Jung da, Schivinski Camila Isabel Santos

机构信息

University of Santa Catarina State (UDESC) – Center for Health and Sports Sciences (CEFID), Florianópolis, SC, Brazil.

出版信息

Rev Bras Cir Cardiovasc. 2011 Apr-Jun;26(2):264-72. doi: 10.1590/s0102-76382011000200018.

Abstract

This study aims to gather and present scientific evidence on the role of a physiotherapist in the pre, peri and postoperative of pediatric cardiac surgery. This professional is able to prevent, minimize or reverse possible respiratory dysfunction and motor sequelae resulting from these interventions. Studies discuss the involvement of respiratory system, specifically the clearance of bronchial secretions and ventilatory adequacy, as a result of surgical procedure. Scientific evidences suggest the effectiveness of physiotherapy in reducing indices of: pneumonia, atelectasis, hospitalization, sequelae deleterious and length of bed restriction, beyond clinical improvement. These data confirm positive contribution of physiotherapeutic intervention in these surgeries.

摘要

本研究旨在收集并呈现关于物理治疗师在小儿心脏手术术前、术中和术后作用的科学证据。该专业人员能够预防、减轻或逆转这些干预措施可能导致的呼吸功能障碍和运动后遗症。研究讨论了手术过程对呼吸系统的影响,特别是支气管分泌物清除和通气充分性。科学证据表明,物理治疗在降低肺炎、肺不张、住院率、有害后遗症和卧床限制时长等指标方面具有有效性,且能带来临床改善。这些数据证实了物理治疗干预在这些手术中的积极作用。

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