Application of comprehensive chest physical therapy in patients with extracorporeal circulation operation

Abstract

Objective To evaluate the effects of comprehensive chest physical therapy in patients with extracorporeal circulation operation. Methods A total of 90 patients with extracorporeal circulation operation under general anesthesia were recruited in Department of Thoracic Surgery, The Affiliated Nanjing Hospital of Nanjing Medical University from June to September 2016 and all patients were randomly divided into A, B, and C three groups, 30 cases in each. Patients in group A received conventional nursing measures, while group B and C received extro comprehensive chest physical therapy after operation and on the admission day respectively. Deep inspiratory capacity after removing orotracheal intubation, coughing pain score, comfort score, incidence of pulmonary infection, atelectasis, length of hospital stay, postoperative hospital stay were investigated. Results Repeated measures analysis of variance showed that deep inspiratory capacity after removing the orotracheal intubation, coughing pain score, comfort score were different before and after the intervention (Ftime=77.319, 70.463, 21.434; P group B >group A; daily deep inspiration capacity of group C were higher than those of group A and B (P 0.05) , but better than that of group A (P<0.05) . The postoperative hospital stay among the three groups was different (P<0.05) . group C had a shorter hospital stay than that of group A (P<0.05) . Conclusions Comprehensive chest physical therapy could speed up the recovery postoperatively, improve patient comfort, reduce postoperative hospital stay for patients with extracorporeal circulation surgery. Key words: Extracorporeal circulation; Physical treatment; Inspiratory capacity; Pain; Comfort degree