Cystic Fibrosis Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK; Portex Unit, UCL Institute of Child Health, London, UK.
Paediatr Respir Rev. 2013 Dec;14(4):263-9. doi: 10.1016/j.prrv.2012.08.006. Epub 2012 Nov 4.
Optimisation of physiotherapy techniques to improve outcomes is an area of cystic fibrosis (CF) care, which has developed considerably over the last two decades. With the introduction of newborn screening and an increase in median life expectancy, the management of individuals with CF has needed to adapt to a more dynamic and individualised approach. It is essential that CF physiotherapy management reflects the needs of a changing cohort of paediatric CF patients and it is no longer justifiable to adopt a 'blanket' prescriptive approach to care. The areas of physiotherapy management which are reviewed and discussed in this paper include inhalation therapy, airway clearance techniques, the management of newborn screened infants, physical activity and exercise.
优化物理治疗技术以改善结局是囊性纤维化 (CF) 护理的一个领域，在过去二十年中得到了极大的发展。随着新生儿筛查的引入和中位预期寿命的增加，CF 患者的管理需要适应更加动态和个体化的方法。CF 物理治疗管理必须反映出不断变化的儿科 CF 患者群体的需求，而采用“一刀切”的规范性护理方法已不再合理。本文回顾和讨论了物理治疗管理的几个方面，包括吸入治疗、气道清除技术、新生儿筛查婴儿的管理、体力活动和运动。
