Effectiveness of airway clearance techniques in children hospitalized with acute bronchiolitis

被引：31

作者：

Van Ginderdeuren, F. ^{[1
,2
]}

Vandenplas, Y. ^{[3
]}

Deneyer, M. ^{[3
]}

Vanlaethem, S. ^{[2
]}

Buyl, R. ^{[4
]}

Kerckhofs, E. ^{[1
]}

机构：

[1] Vrije Univ Brussel, Fac Phys Educ & Physiotherapy, Laarbeeklaan 103, B-1090 Brussels, Belgium

[2] UZ Brussel, Dept Physiotherapy, Brussels, Belgium

[3] Vrije Univ Brussel, Dept Pediat, UZ Brussel, Brussels, Belgium

[4] Vrije Univ Brussel, Dept Publ Hlth Biostat & Med Informat, Informat Res Grp, Brussels, Belgium

来源：

PEDIATRIC PULMONOLOGY | 2017年 / 52卷 / 02期

关键词：

airway clearance techniques; respiratory physiotherapy; intrapulmonary percussive ventilation; autogenic drainage; bronchiolitis; INTRAPULMONARY PERCUSSIVE VENTILATION; CHEST PHYSIOTHERAPY; GASTROESOPHAGEAL-REFLUX; AUTOGENIC DRAINAGE; HYPERTONIC SALINE; CYSTIC-FIBROSIS; INFANTS; TRIAL; AGREEMENT;

D O I：

10.1002/ppul.23495

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

ObjectiveTo evaluate the effectiveness of two airway clearance techniques (ACT's) in children <24 months hospitalized with mild to moderate bronchiolitis. DesignOne hundred and three children were randomly allocated to receive one 20-min session daily, either assisted autogenic drainage (AAD), intrapulmonary percussive ventilation (IPV), or bouncing (B) (control group), ninety-three finished the study. Outcome measuresMean time to recovery in days was our primary outcome measure. The impact of the treatment and the daily improvement was also assessed by a validated clinical and respiratory severity score (WANG score), heart rate (HR), and oxygen saturation (SaO(2)). ResultsMean time to recovery was 4.51.9 days for the control group, 3.6 +/- 1.4 days, P<0.05 for the AAD group and 3.5 +/- 1.3 days, P=0.03 for the IPV group. Wang scores improved significantly for both physiotherapy techniques compared to the control group. ConclusionBoth ACT's reduced significantly the length of hospital stay compared to no physiotherapy. Pediatr Pulmonol. 2017;52:225-231. (c) 2016 Wiley Periodicals, Inc.

引用

页码：225 / 231

页数：7

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