Active cycle of breathing techniques and incentive spirometer in coronary artery bypass graft surgery

Abstract

Keywords

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Koroner arter bypass greft cerrahisinde aktif solunum teknikleri döngüsü ve insentif spirometre

Öz

Amaç: Bu çalışmada koroner arter bypass greft (KABG) cerrahisinden sonra insentif spirometre (İS) ve aktif solunum teknikleri döngüsünün (ASTD) etkinliğinin değerlendirilmesi amaçlandı. Gereç ve yöntem: Bu prospektif randomize çalışmaya 60 erkek hasta alındı. Mobilizasyonla kombine olarak 30 hastaya ASTD ve 30 hastaya İS uygulandı. Hastalar solunum fonksiyon testleri, arteryel kan gazları, 6 dakikalık yürüme testi (6DYT), göğüs radyografi ve ağrı algılaması için 10 cm’lik görsel analog skalası ile değerlendirildi. Sonuçlar: Postoperatif beşinci günde her iki grupta da solunum fonksiyonları preoperatif değerlerle karşılaştırıldığında anlamlı olarak azaldı (vital kapasite ASTD’de % 15, İS’de % 18 azaldı, p0.05). Tartışma: Her iki tedavi de postoperatif birinci günden itibaren arteryel oksijenasyonu artırdı. Beş günlük tedaviden sonra, ASTD veya İS’nin kullanımı ile fonksiyonel kapasite iyi bir şekilde korundu. Her iki fizyoterapi yöntemi atelektazi insidansı, pulmoner fonksiyon ve ağrı algılamasını benzer şekilde etkiledi

Anahtar Kelimeler

• Fizyoterapi, Koroner arter bypass cerrahisi, Akciğer fonksiyon testleri, Egzersiz

Kaynakça

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