高频胸壁振荡治疗在老年患者全麻术后管理中的应用

目的评估高频胸壁振荡（HFCWO）在老年患者全麻术后管理中的应用意义。方法 25名老年外科术后患者接受HFCWO治疗以及术后护理常规。HFCWO设定为12Hz,10 min。记录HFCWO治疗前、中、后的常规血流动力学和脉搏血氧数据。收集并对比HFCWO与人工叩击物理治疗的耐受性和偏好选择的数据。结果治疗中无重大不良事件发生,血流动力学及脉搏血氧在治疗前、中、后保持稳定。88%的患者未诉不适或有轻微不适,多数患者更愿意选择HFCWO治疗。结论 HFCWO是一种安全,耐受性良好的老年患者外科全麻术后常规辅助治疗。

The utility of high-frequency chest wall oscillation therapy in the post-operative management of elderly surgical patients

Objective To evaluate the utility of HFCWO in the post-operative management of elderly surgical patients.Methods Twenty-five consecutive elderly patients who underwent operations received HFCWC treatment,along with routine postoperative care.HFCWO was applied at 12 Hz,for 10 min.Routine hemodynamic and pulse oximetry data were collected before,during,and after HFCWO.We also collected qualitative data on patient tolerance and preference for HFCWO versus percussive chest physiotherapy.Results No major adverse events were encountered.Hemodynamic and pulse oximetry values remained stable before,during,and after HFCWC.Eighty-eight percent of the subjects reported little or no discomfort during therapy,and the subjects who expressed a preference preferred HFCWO to conventional chest physiotherapy by more than two to one.Conclusion HFCWO is a safe,well-tolerated adjunct to the routine post-operative treatment of elderly surgical patients.