Kigin C M
Phys Ther. 1981 Dec;61(12):1724-36. doi: 10.1093/ptj/61.12.1724.
Techniques of chest physical therapy have been used since the early 1900s to decrease postoperative pulmonary complications. Through investigations since the 1950s, documentation as to the efficacy of chest physical therapy in actually reducing postoperative pulmonary complications has been published. However, the careful documentation of techniques employed (such as full Trendelenburg's position versus a modified position and vibration of particular force and frequency) has not been done. Also, because of an inability to specify the risk factors of postoperative pulmonary complications occurring in particular patients or to qualitate the occurrence of these complications, it is difficult to establish what treatment is most efficacious. This article is a critical review of investigations to date with recommendations for further research stemming from this review.
自20世纪初以来，胸部物理治疗技术就被用于减少术后肺部并发症。自20世纪50年代以来的研究已经发表了关于胸部物理治疗在实际减少术后肺部并发症方面疗效的文献记录。然而，对于所采用技术的详细记录（如完全头低脚高位与改良体位以及特定力度和频率的振动）尚未完成。此外，由于无法明确特定患者发生术后肺部并发症的风险因素或对这些并发症的发生进行定性，因此难以确定哪种治疗方法最有效。本文是对迄今为止的研究的批判性综述，并基于该综述提出进一步研究的建议。
