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TITLE:

THE OUTCOMES OF PULMONARY PHYSICAL THERAPY AMONG PATIENTS WITH RESPIRATORY FAILURE

AUTHORS:

Dr Shaista Khalid, Dr Zainab Riaz, Dr Ahmad Zaki

ABSTRACT:

Introduction: Our aim was to investigate the effects of pulmonary physical therapy in patients with respiratory failure. Place and Duration: In the Pulmonology department of Mohi ud Din Teaching Hospital, Mirpur AJK for one-year duration from March 2019 to March 2020. Methods: A total of 132 patients with respiratory failure were enrolled and divided into a control group (n = 66) and an observation group (n = 66). Patients in both groups received conventional physiotherapy, but those in the observation group additionally received pulmonary physical therapy. The functions of ventilation and air exchange, assessment of acute physiology and chronic health assessment II (APACHE II) as well as the occurrence of complications in patients in both groups were compared. Results: PaO2, PaCO2, PaO2 / FiO2 and estimated FEV2% improved significantly in patients in both groups after treatment, and patients in the observation group were better than in the control group; the differences were statistically significant (P = 0.014). There were no statistically significant differences in the patients' APACHE II scores in both groups before treatment and 2 and 3 days after treatment. The patients' APACHE II scores in the observation group were obviously lower than in the other group at 4 days and 7 days after treatment, and the differences were statistically significant (p = 0.015, 0.029). The total rates of complications in the observation and control groups were 7.57% and 39.39%, respectively, and the difference was statistically significant (p = 0.021). Conclusion: Treating patients of respiratory failure with pulmonary physical therapy can greatly improve ventilation and air exchange functions, avoid complications, and improve health. Key words: respiratory failure, pulmonary physical therapy, therapeutic effect

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