Long-term comparative trial of positive expiratory pressure versus oscillating positive expiratory pressure (flutter) physiotherapy in the treatment of cystic fibrosis
作者： P.Maggie McIlwaine , Lawrence T. Wong , Donlim Peacock , A.George F. Davidson
关键词: FEV1/FVC ratio 、 Medicine 、 Flutter 、 Physical therapy 、 Randomized controlled trial 、 Positive pressure 、 Pulmonary function testing 、 Cystic fibrosis 、 Vital capacity 、 Pulmonary compliance 、 Pediatrics, Perinatology, and Child Health
摘要: Abstract Objective: The objective was to evaluate the long-term effects of physiotherapy with an oscillating positive pressure device (“flutter”) compared use a expiratory (PEP) mask in patients cystic fibrosis (CF). Study design: Forty children CF were randomly assigned performing PEP or flutter for 1 year. Clinical status, pulmonary function, and compliance measured at regular intervals throughout study. Results: group demonstrated greater mean annual rate decline forced vital capacity (–8.62 ± 15.5 vs 0.06 7.9; P =.05) similar trend volume second (–10.95 19.96 –1.24 9.9; =.08). There significant Huang scores ( =.05), increased hospitalizations (18 5; =.03), antibiotic group. Conclusion: Flutter not as effective maintaining function this more costly because number use.(J Pediatr 2001;138:845-50)
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