高齢者肺癌患者術直後ICUにおける理学療法の試み

概要

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The subjects for this study were 9 patients, who diagnosed lung cancer and admitted to the 2nd. department of surgery of National Defence Medical College for operation, 8 male and 1 female between the ages of 65 and 79 years (mean age of 72. 2 years). Post-operative chest physical therapy was given to the patients right after transfered to ICU from operation room on operation day. Physical therapy contained breathing assist with specfic techniques, such as Spring action technique and facilitation technique to diaphragm, postural drainage and ROM exercise of shoulder flexion, On operation day, physical therapy was done 4 times, 1 hour each time within about 10 hours. Results: 3 cases had mild atelectasis in small area on X-ray film temporally. All cases followed good process and returned to their home independent in ADL. ROM of shoulder flexion was improved to the range of 80-90% of the pre-operative range without pain. Conclusion: It is important to give intensive physical therapy in first 10 hours following operation.
信州大学の論文