Hadel Shahood, Annamaria Pakai, Kiss Rudolf, Eva Bory, Noemi Szilagyi, Adrienn Sandor, Verzar Zsofia
{"title":"术前胸部物理治疗对心脏手术患者氧合和肺功能的影响:一项随机对照研究。","authors":"Hadel Shahood, Annamaria Pakai, Kiss Rudolf, Eva Bory, Noemi Szilagyi, Adrienn Sandor, Verzar Zsofia","doi":"10.5144/0256-4947.2022.8","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Postoperative pulmonary complications in patients who undergo open heart surgery are serious life-threatening conditions. Few studies have investigated the potentially beneficial effects of preoperative physiotherapy in patients undergoing cardiac surgery.</p><p><strong>Objectives: </strong>Assess the effects of preoperative chest physiotherapy on oxygenation and lung function in patients undergoing open heart surgery.</p><p><strong>Design: </strong>Randomized, controlled.</p><p><strong>Setting: </strong>University hospital.</p><p><strong>Patients and methods: </strong>Patients with planned open heart surgery were randomly allocated into an intervention group of patients who underwent a preoperative home chest physiotherapy program for one week in addition to the traditional postoperative program and a control group who underwent only the traditional postoperative program. Lung function was assessed daily from the day before surgery until the seventh postoperative day.</p><p><strong>Main outcome measures: </strong>Differences in measures of respiratory function and oxygen saturation. Length of postoperative hospital stay was a secondary outcome.</p><p><strong>Sample size: </strong>100 patients (46 in intervention group, 54 in control group).</p><p><strong>Results: </strong>Postoperative improvements in lung function and oxygen saturation in the intervention group were statistically significant compared with the control group. The intervention group also had a statistically significant shorter hospital stay (<i>P</i><.01).</p><p><strong>Conclusion: </strong>Preoperative chest physiotherapy is effective in improving respiratory function following open heart surgery.</p><p><strong>Limitations: </strong>Relatively small number of patients.</p><p><strong>Conflict of interest: </strong>None.</p><p><strong>Registration: </strong>ClinicalTrials.gov (NCT04665024).</p>","PeriodicalId":8016,"journal":{"name":"Annals of Saudi Medicine","volume":"42 1","pages":"8-16"},"PeriodicalIF":1.5000,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8c/3a/0256-4947.2022.8.PMC8812159.pdf","citationCount":"5","resultStr":"{\"title\":\"The effect of preoperative chest physiotherapy on oxygenation and lung function in cardiac surgery patients: a randomized controlled study.\",\"authors\":\"Hadel Shahood, Annamaria Pakai, Kiss Rudolf, Eva Bory, Noemi Szilagyi, Adrienn Sandor, Verzar Zsofia\",\"doi\":\"10.5144/0256-4947.2022.8\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Postoperative pulmonary complications in patients who undergo open heart surgery are serious life-threatening conditions. Few studies have investigated the potentially beneficial effects of preoperative physiotherapy in patients undergoing cardiac surgery.</p><p><strong>Objectives: </strong>Assess the effects of preoperative chest physiotherapy on oxygenation and lung function in patients undergoing open heart surgery.</p><p><strong>Design: </strong>Randomized, controlled.</p><p><strong>Setting: </strong>University hospital.</p><p><strong>Patients and methods: </strong>Patients with planned open heart surgery were randomly allocated into an intervention group of patients who underwent a preoperative home chest physiotherapy program for one week in addition to the traditional postoperative program and a control group who underwent only the traditional postoperative program. Lung function was assessed daily from the day before surgery until the seventh postoperative day.</p><p><strong>Main outcome measures: </strong>Differences in measures of respiratory function and oxygen saturation. Length of postoperative hospital stay was a secondary outcome.</p><p><strong>Sample size: </strong>100 patients (46 in intervention group, 54 in control group).</p><p><strong>Results: </strong>Postoperative improvements in lung function and oxygen saturation in the intervention group were statistically significant compared with the control group. The intervention group also had a statistically significant shorter hospital stay (<i>P</i><.01).</p><p><strong>Conclusion: </strong>Preoperative chest physiotherapy is effective in improving respiratory function following open heart surgery.</p><p><strong>Limitations: </strong>Relatively small number of patients.</p><p><strong>Conflict of interest: </strong>None.</p><p><strong>Registration: </strong>ClinicalTrials.gov (NCT04665024).</p>\",\"PeriodicalId\":8016,\"journal\":{\"name\":\"Annals of Saudi Medicine\",\"volume\":\"42 1\",\"pages\":\"8-16\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2022-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8c/3a/0256-4947.2022.8.PMC8812159.pdf\",\"citationCount\":\"5\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of Saudi Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.5144/0256-4947.2022.8\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2022/2/3 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Saudi Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.5144/0256-4947.2022.8","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/2/3 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
The effect of preoperative chest physiotherapy on oxygenation and lung function in cardiac surgery patients: a randomized controlled study.
Background: Postoperative pulmonary complications in patients who undergo open heart surgery are serious life-threatening conditions. Few studies have investigated the potentially beneficial effects of preoperative physiotherapy in patients undergoing cardiac surgery.
Objectives: Assess the effects of preoperative chest physiotherapy on oxygenation and lung function in patients undergoing open heart surgery.
Design: Randomized, controlled.
Setting: University hospital.
Patients and methods: Patients with planned open heart surgery were randomly allocated into an intervention group of patients who underwent a preoperative home chest physiotherapy program for one week in addition to the traditional postoperative program and a control group who underwent only the traditional postoperative program. Lung function was assessed daily from the day before surgery until the seventh postoperative day.
Main outcome measures: Differences in measures of respiratory function and oxygen saturation. Length of postoperative hospital stay was a secondary outcome.
Sample size: 100 patients (46 in intervention group, 54 in control group).
Results: Postoperative improvements in lung function and oxygen saturation in the intervention group were statistically significant compared with the control group. The intervention group also had a statistically significant shorter hospital stay (P<.01).
Conclusion: Preoperative chest physiotherapy is effective in improving respiratory function following open heart surgery.
期刊介绍：
The Annals of Saudi Medicine (ASM) is published bimonthly by King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia. We publish scientific reports of clinical interest in English. All submissions are subject to peer review by the editorial board and by reviewers in appropriate specialties. The journal will consider for publication manuscripts from any part of the world, but particularly reports that would be of interest to readers in the Middle East or other parts of Asia and Africa. Please go to the Author Resource Center for additional information.
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