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相關文獻
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題 名 | Chest Physiotherapy Does Not Exacerbate Gastroesophageal Reflux in Patients with Chronic Bronchitis and Bronchiectasis=胸腔物理治療不影響慢性支氣管炎及支氣管擴張病患之胃酸食道逆流 |
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作 者 | 陳豪成; 劉劍英; 鄭涵方; 何淑娟; 江玲玲; 郭漢彬; | 書刊名 | 長庚醫學 |
卷 期 | 21:4 1998.12[民87.12] |
頁 次 | 頁409-414 |
分類號 | 415.428 |
關鍵詞 | 慢性支氣管炎; 支氣管擴張; 胃酸食道逆流; 胸腔物理治療; Chronic bronchitis; Bronchiectasis; Gastroesophageal reflux; Chest physiotherapy; |
語 文 | 英文(English) |
中文摘要 | 背景:胸腔物理治療對氣道痰液過度分泌的病患雖有許多益處,但也並非全無危 險性。在執行過程中,身體姿勢、肺容積、經橫膈壓力及伴隨自主神經張力的改變皆可能會 影響胃腸道的蠕動及食道括約肌。本篇研究目的在於探討胃酸食道逆流是否會受胸腔物理治 療所影響。 方法:32位患有慢性支氣管炎或支氣管擴張的病患,年齡介於30至79歲,在空腹清醒時接受 胸腔物理治療清除氣道過度分泌的痰液。所有的病患在次日接受1小時的胸腔物理治療,其 中包括姿勢引流左側躺、右側躺及俯臥各20分鐘。每一段前10分鐘並做敲擊,每一姿勢期間 間歇性執行用力吐氣技巧及咳嗽。食道酸鹼值測量記錄由首日的早上8點至次日的早上12點 ,共記錄28小時。 結果:在食道酸鹼測量計記錄下,32位病患接受胸腔物理治療時,胃酸食道逆流頻率及酸鹼 值小於4之間期跟未接受胸腔物理治療時胃酸食道逆流24小時平均頻率及間期並無顯著差別 ,跟首日同時段未接受胸腔物理治療時胃酸食道逆流頻率及間期也無顯著差別。13個病患( 41%)被診斷有胃酸食道逆流其接受胸腔物理治療時,胃酸食道逆流及酸鹼值小於4之間期跟 未接受胸腔物理治療時胃酸食道逆流24小時平均頻率及間期並無顯著差別,跟首日同時未接 受胸腔物理治療時胃酸食道逆流頻率及間期也無顯著差別。對過去無胃酸食道逆流的病患胸 腔物理治療並不會引發胃酸食道逆流的發生。 結論:胸腔物理治療在各種不同位置的姿勢引流、敲擊及用力咳嗽技巧,對慢性支氣管炎及 支氣管擴張的病患而言並不會增加胃酸食道逆流的發生機率。 |
英文摘要 | Background: Chest physiotherapy is beneficial to patients with mucus hypersecretion. However, it is not risk-free. Chest physiotherapy may affect gastrointestinal motility and the competence of the gastroesophageal sphincter during the procedure. Our sutdy was aimed to investigate whether gastroesophageal reflus is exacerbated or induced by chest physiotherapy. Materials and Methods: Thirty-two adult patients with chronic bronchitis or bronchiectasis received chest physiotherapy. An esophageal pH meter was placed 5 cm above the gastroesophageal junction and monitored the reflu episodes from 8 AM on the first day to 12 noon on the second day. Physiotherapy was performed with the patient in three different positions on the second day for one hour. Results: Thirteen patients were found to have gastroesophageal reflux disease. For the study group as a whole, neither the frequency nor the duration of having a pH<4 during the physiotherapy was significantly different from the mean hourly frequency and mean hourly duration recorded on the first day or from those values recorded at a corresponding time on the first day. As for the patients with gastroesophageal reflux disease, the frequency and total duration of gastroesophageal reflux during physiotherapy were not significantly different from the mean hourly frequency and the mean hourly duration or from the values recorded at the corresponding time on the first day. There was no significant difference in the gastroesophageal reflux frequency or the duration in different body positions. Conclusion: Chest physiotherapy including postural drainage, percussion and forced expiration techniques in different positions did not induce or increase the incidence of gastroesophageal reflux in patients with chronic bronchitis and bronchiectasis. |
本系統中英文摘要資訊取自各篇刊載內容。