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胸部物理治疗对减轻多叶性肺炎患者呼吸困难、增强功能独立性及提高生活质量的影响:一例报告

Effects of Chest Physiotherapy on Reducing Dyspnea and Enhancing Functional Independence and Quality of Life in Multilobar Pneumonia: A Case Report.

作者信息

Israni Pinky D, Lalwani Lajwanti, Aherrao Samruddhi

机构信息

Cardiovascular and Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education & Research, Wardha, IND.

出版信息

Cureus. 2024 Oct 4;16(10):e70868. doi: 10.7759/cureus.70868. eCollection 2024 Oct.

Abstract

Bronchopneumonia is characterized by inflammation of the lungs, predominantly affecting the bronchioles, whereas lobar pneumonia is a bacterial infection that leads to inflammation primarily in the alveoli and lung lobes. We present the case of a 65-year-old male patient who presented with complaints of breathlessness and cough accompanied by whitish expectoration, ultimately diagnosed with multilobar pneumonia. The patient was subsequently referred for chest physiotherapy to address these complaints. As physiotherapists, we employed a range of treatments, including early mobility, active breathing exercises, and airway clearance techniques. This case underscores the significance of chest physiotherapy for patients with multilobar pneumonia. Outcome measures included the Modified Medical Research Council dyspnea grading scale, the Functional Independence Measure score, and the Numerical Pain Rating Scale. Following the rehabilitation program, improvements were observed in all outcome measures. These findings indicate that a tailored pulmonary rehabilitation program can significantly benefit patients with pneumonia by reducing dyspnea and enhancing functional independence and quality of life.

摘要

支气管肺炎的特征是肺部炎症,主要影响细支气管,而大叶性肺炎是一种细菌感染,主要导致肺泡和肺叶的炎症。我们报告一例65岁男性患者,他主诉呼吸急促和咳嗽,并伴有白色痰液,最终被诊断为多叶性肺炎。该患者随后被转诊接受胸部物理治疗以解决这些症状。作为物理治疗师,我们采用了一系列治疗方法,包括早期活动、主动呼吸锻炼和气道清理技术。该病例强调了胸部物理治疗对多叶性肺炎患者的重要性。结果测量包括改良医学研究委员会呼吸困难分级量表、功能独立性测量评分和数字疼痛评分量表。在康复计划实施后,所有结果测量指标均有改善。这些发现表明,量身定制的肺部康复计划可以通过减轻呼吸困难、增强功能独立性和提高生活质量,使肺炎患者显著受益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cda1/11534426/0d3d06610854/cureus-0016-00000070868-i01.jpg

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