Effect of chest physiotherapy in patients undergoing mechanical ventilation: a prospective randomized controlled trial

Zhonghua wei zhong bing ji jiu yi xue
Hui ZengMiao Chen

Abstract

To investigate the effect of chest physiotherapy (CPT) on patients undergoing mechanical ventilation (MV). A prospective randomized controlled trial (RCT) was conducted. Sixty-eight adult patients undergoing invasive MV over 48 hours admitted to intensive care unit (ICU) of Affiliated Hospital of Zunyi Medical College from December 2014 to October 2016 were enrolled, and they were divided into CPT group (n = 37) and control group (n = 31) by random number table. The patients in control group received routine physical therapy; while those in the CPT group received comprehensive CPT including manual lung inflation, vibration expectoration and early functional exercise etc. on the basis of the treatment in control group. Acute physiology and chronic health evaluation II (APACHE II) score and oxygenation index (PaO2/FiO2) before and after the treatment in both two groups were observed as well as the respiratory function and vital signs before and after CPT. The laboratory indicators after treatment, incidence of complications, duration of MV and the length of ICU stay in the two groups were recorded. The incidence of ventilator associated pneumonia (VAP) in the CPT group was significantly lower than that of control group (5.4% vs. ...Continue Reading

Citations

Jun 28, 2020·Voprosy kurortologii, fizioterapii, i lechebnoĭ fizicheskoĭ kultury·A N RazumovV A Badtieva

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