1、While we Breathe,we hope.肺部物理治疗While we Breathe,we hope.肺部物理治疗的目标v保持肺泡充气 v矫正肺不张 v清除痰液 v改善通气/血流比例 v提高肺顺应性v使呼吸机方面的功能发挥最大的效益 While we Breathe,we hope.适应症v排痰障碍v肺不张v血氧低v肺部渗出多While we Breathe,we hope.禁忌症v气胸v延迟关胸v伤口感染v肺部器质性病变v肋骨骨折v明显出血倾向v严重心率失常或低心排状态While we Breathe,we hope.什么是物理治疗？v体位引流v胸壁叩击v胸壁震颤v呼吸训练v运动治
2、疗v吸痰While we Breathe,we hope.体位引流While we Breathe,we hope.体位引流While we Breathe,we hope.叩击While we Breathe,we hope.震颤v呼气时进行While we Breathe,we hope.呼吸训练While we Breathe,we hope.TriflowWhile we Breathe,we hope.运动治疗 身体运动 肺部运动While we Breathe,we hope.吸痰 物理治疗 =X=吸痰While we Breathe,we hope.While we Breath
3、e,we hope.While we Breathe,we hope.生命体征Vital signsMean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-57.449.48While we Breathe,we hope.血气分析血气指标Mean标准差Paired-tpPHPre-7.43950.04
4、5-2.4270.021Post-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-38.465.28While we Breathe,we hope.进一步计划v不同年龄段v不同病种v不同通气方式While we Breathe,we hope.感谢各位聆听！感谢各位聆听！2009-3-2 While we Breathe,we hope.While we Breathe,we hope.VAP关键是预防！减少不必要的插管时间！While we Breathe,we hope.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
