儿科的支气管清除物理疗法。急性毛细支气管炎患儿门诊期间呼吸短期影响的对照、随机、多中心研究

IF 0.3 Q4 PEDIATRICS
S. Sebban, D. Evenou, C. Jung, C. Fausser, S. Durand, M. Bibal, V. Geninasca, M. Saux, J. Jeulin
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引用次数: 0

摘要

抽象目标 迄今为止,胸部物理疗法(CP)的使用尚未被证明对因毛细支气管炎住院的婴儿有效。然而,它尚未在门诊环境中进行研究。我们研究的目的是检验CP与增加呼气技术(IET)对非住院婴儿呼吸状况的短期益处。方法 我们的研究包括一项针对1岁以下婴儿的多中心、随机、对照、单盲研究。比较两组婴儿呼吸系统疾病严重程度评分的下降情况:一组接受CP,一组不接受CP。82名婴儿被随机分组:CP组41名,对照组41名。盲法评估员确定纳入时的王临床严重程度评分(T0)和30 分钟后(T1)。后果 与对照组的4名婴儿(9.76%)相比,接受CP组的29名婴儿(70.7%)的严重程度评分有所改善(p < 0.001)。与对照组的−0.22(±0.99)相比,接受物理治疗组的王临床严重程度评分平均下降了−2(±1.32)(p < 0.001)。结论 对于毛细支气管炎婴儿的门诊护理,本研究结果表明,CP和IET可短期改善粘液气道阻塞参数。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bronchial Clearance Physiotherapy in Pediatrics. A Controlled, Randomized, Multicenter Study of the Short-Term Effects on Respiration during Outpatient Care for Infants with Acute Bronchiolitis
Abstract Objectives The use of chest physiotherapy (CP) has not, to date, been shown to be effective in the care of infants hospitalized for bronchiolitis. However, it has not yet been studied in outpatient settings. The aim of our study was to examine the short-term benefit of CP with the increased exhalation technique (IET) on the respiratory conditions of nonhospitalized infants. Methods Our research consisted of a multicenter, randomized, controlled, single-blind study of infants under 1 year old. A decrease in the severity score of the infants' respiratory condition was compared between two groups: one receiving CP and one without CP. Eighty-two infants were randomized: 41 in the CP group and 41 in the control group. Blinded assessors determined the Wang Clinical Severity Score at inclusion (T0) and 30 minutes later (T1) for each group. Results Improvement in the severity score was observed for 29 infants (70.7%) in the group receiving CP, compared with 4 infants (9.76%) in the control group (p < 0.001). The mean decrease in the Wang Clinical Severity Score was −2 (±1.32) in the group receiving physiotherapy compared with −0.22 (±0.99) in the control group (p < 0.001). Conclusion For outpatient care of infants with bronchiolitis, the results of this study suggest that CP with IET leads to a short-term improvement of mucus airway obstruction parameters.
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