肺部物理治疗([1]..

WhileweBreathe,wehope.肺部物理治疗WhileweBreathe,wehope.肺部物理治疗的目标保持肺泡充气矫正肺不张清除痰液改善通气/血流比例提高肺顺应性使呼吸机方面的功能发挥最大的效益WhileweBreathe,wehope.适应症排痰障碍肺不张血氧低肺部渗出多WhileweBreathe,wehope.禁忌症气胸延迟关胸伤口感染肺部器质性病变肋骨骨折明显出血倾向严重心率失常或低心排状态WhileweBreathe,wehope.什么是物理治疗？体位引流胸壁叩击胸壁震颤呼吸训练运动治疗吸痰WhileweBreathe,wehope.体位引流WhileweBreathe,wehope.体位引流WhileweBreathe,wehope.叩击WhileweBreathe,wehope.震颤呼气时进行WhileweBreathe,wehope.呼吸训练WhileweBreathe,wehope.TriflowWhileweBreathe,wehope.运动治疗身体运动肺部运动WhileweBreathe,wehope.吸痰物理治疗=X=吸痰WhileweBreathe,wehope.WhileweBreathe,wehope.WhileweBreathe,wehope.生命体征VitalsignsMean标准差Paired-tpHRPre-142.3318.80-3.1220.002Post-144.5618.54RRPre-35.9812.77-1.2380.217Post-36.6211.59SBPPre-98.6714.981.5070.133Post-97.6013.76DBPPre-58.3511.061.5850.114Post-57.449.48WhileweBreathe,wehope.血气分析血气指标Mean标准差Paired-tpPHPre-7.43950.045-2.4270.021Post-7.45350.050BEPre-3.913.490.5710.572Post-3.603.39PaO2Pre-110.3340.52-0.3230.749Post-112.6337.99SATPre-96.785.40-0.9810.334Post-97.165.95PaCO2Pre-40.274.971.9450.061Post-38.465.28WhileweBreathe,wehope.进一步计划不同年龄段不同病种不同通气方式WhileweBreathe,wehope.感谢各位聆听！2009-3-2WhileweBreathe,wehope.WhileweBreathe,wehope.VAP关键是预防！减少不必要的插管时间！WhileweBreathe,wehope.气道参数及氧合情况参数Mean标准差Paired-tpSpO2Pre-96.514.09-10.0820.000Post-98.123.31PIPPre-17.664.456.7460.000Post-15.014.49MAPPre-7.312.284.0900.000Post-6.371.88CdynPre-3.611.94-1.1930.246Post-3.861.78