Abstract：Objective To explore the feasibility and effect of vest chest physiotherapy (VCPT) in prevention of post-cardiac pulmonary infections. Methods Altogether 120 patients who had been treated with cardiac operations in the hospital from November 2012 to May 2013 were randomly and evenly divided into two groups: Control Group and Experiment Group. The high-frequency chest wall oscillation was adopted in Experiment Group; while the conventional percussive physiotherapy was applied in Control Group. Adjuvant therapies were performed in both of the groups, such as antibiotics, mask oxygen inhalation and timing turnover. Then, the postoperative pulmonary infection, secretion effectiveness of phlegm, secretion amount of phlegm, improvement of breath sound, tolerance and comfort of patients, and intensity of nurse operation as well as changes in circulation index before and after secretion of phlegm were observed in both groups. Results Two cases of pulmonary infections were identified in Experiment Group; 6 cases were found in Control Group. The secretion effectiveness of phlegm, secretion amount of phlegm, improvement of breath sound, tolerance and comfort of patients in Experiment Group were remarkably higher than those of Contrast Group. The influence on circulation index before and after secretion of phlegm in Experiment Group was obviously lower than that of Control Group. The Experiment Group demonstrated superiority over Control Group in intensity of nurse operation, tolerance and comfort of patients with statistically significant differences between two groups. Conclusion Application of high-frequency chest wall oscillation therapy to post-cardiac patients could serve as an easy-to-operate method to significantly decrease the incidence of postoperative pulmonary infections with minimal influences on vital signs.
魏艳艳，石丽，吴荣，贺红霞，代琦，余萌. 高频胸壁振荡排痰法在心脏术后预防肺部感染中的应用[J]. 中国医疗设备, 2015, 30(9): 114-117.
WEI Yan-yan, SHI Li, WU Rong, HE Hong-Xia, DAI Qi, YU Meng. Application of Vest Chest Physiotherapy in Prevention of Post-Cardiac Pulmonary Infections. China Medical Devices, 2015, 30(9): 114-117.
