体位引流
医学
模式
胸部理疗
囊性纤维化
重症监护医学
支气管扩张
粘液
痰
物理疗法
肺
病理
内科学
肺结核
社会学
生物
社会科学
生态学
出处
期刊:Journal of Cardiopulmonary Rehabilitation
[Ovid Technologies (Wolters Kluwer)]
日期:1998-07-01
卷期号:18 (4): 283-289
被引量:82
标识
DOI:10.1097/00008483-199807000-00005
摘要
The purpose of this article is to review published studies on the efficacy of old and new mucus clearance techniques and to develop recommendations for different groups of patients. Mucus clearance is a problem in cystic fibrosis, bronchiectasis, and many other pulmonary conditions. Percussion and postural drainage (P & PD) was the traditional method of facilitating mucus clearance, but the many hazards and contraindications along with the onerous nature and resultant poor patient compliance of this procedure have led to the development of alternative therapies. Research studies with cystic fibrosis patients support the efficacy of P & PD in patients who can tolerate it. However, equivalent sputum production can be accomplished with autogenic drainage, positive expiratory pressure, and Flutter valve therapy without the assistance of another caregiver, as long as the patient has the motivation, breath control, and neuromuscular function to perform these modalities. The Intrapulmonary Percussive Ventilation device and high-frequency chest compression with the ThAIRapy vest involve more elaborate and expensive equipment, yet these devices provide mucus clearance assistance to patients who lack the ability to perform the simpler techniques. Both mechanized modalities promote independence and self-care in the patient, and the effectiveness of both has been supported by the limited research published to date. Which alternative to recommend depends on the ability, motivation, preference, needs, and resources of each patient.
科研通智能强力驱动
Strongly Powered by AbleSci AI