Üst batın cerrahisi sonrası farklı iki fizyoterapi yönteminin etkinliğinin karşılaştırılması

Amaç: Solunum egzersizleri ve insentif spirometrenin (İS) üst batın cerrahisi sonrası postoperatif erken dönemde, kan gazları ve hemodinamik parametreler üzerindeki etkilerinin karşılaştırılmasıdır. Yöntem: Çalışmaya üst batın cerrahisi uygulanan 41 hasta dahil edildi. Hastalar basit rastgele örnekleme yöntemiyle iki gruba ayrıldı. Grup 1 hastalarına; solunum egzersizleri, zorlu ekspirasyon ve öksürme teknikleri, Grup 2 hastalarına; İS, zorlu ekspirasyon ve öksürme teknikleri uygulandı. Her iki programdaki işlemler ekstübasyondan 30 dakika sonra 6 saat süresince saat başı 5-10 kez tekrarlandı. Her tedavi seansı öncesi ve sonrası kalp hızı, ortalama arteriyel kan basıncı ve periferal oksijen satürasyonu (SpO2) ölçüldü. Kan gazı değerleri tedavi öncesi ile tedavi sonrası 3. ve 6. saatte ölçüldü. Bulgular: Her iki grupta da tedavi sonrası pH ve PaO2 değerindeki artışın istatistiksel olarak anlamlı olduğu bulundu (p

Anahtar Kelimeler:

Karın, Solunum egzersizleri, Ameliyat sonrası bakım, Spirometri, Cerrahi işlemler, operatif, Egzersiz hareket teknikleri

A comparison of the effectiveness of two different physiotherapy methods after upper abdominal surgery

Objective: To compare the effects of breathing exercises and incentive spirometry on blood gas values and hemodynamic parameters in the immediate postoperative period following upper abdominal surgery. Method: Forty-one patients who had undergone upper abdominal surgery were included in the study. The patients were randomly divided into two groups. Breathing exercises, forced expiration and coughing techniques were applied to the Group 1 patients. Incentive spirometry, forced expiration and coughing techniques were applied to the Group 2 patients. The procedures in both groups were repeated 5-10 times hourly for six hours, starting 30 minutes after extubation. Before and after each treatment heart rate, mean arterial blood pressure and peripheral oxygen saturation (SpO2) were measured. Blood gas values were measured before the treatment, and again after the treatment at the third and sixth hours. Results: We found that in both groups there were statistically significant increases in PaO2 and pH values after the treatment (p<0.05). The PaC02 values in group 2 significantly decreased at the 6th hour (p<0.05). Conclusion: Breathing exercises and incentive spirometry treatments following upper abdominal surgery do not have any negative effects on haemodynamic parameters. They significantly improved oxygenation, but there were no differences between the two methods.

Keywords:

Abdomen, Breathing Exercises, Postoperative Care, Spirometry, Surgical Procedures, Operative, Exercise Movement Techniques,

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