アブストラクト
| Title | 喀痰障害に対する気道クリアランス法 |
|---|---|
| Subtitle | 特集 / リハビリテーション診療の現場で悩む呼吸トラブル対策 II. 喀痰障害 |
| Authors | 宮川哲夫*1, 一場友実*2 |
| Authors (kana) | みやがわてつお, いちばともみ |
| Organization | *1昭和大学大学院保健医療学研究科呼吸ケア領域, 教授, *2杏林大学保健学部理学療法学科, 准教授 |
| Journal | MB Medical Rehabilitation |
| Volume | |
| Number | 257 |
| Page | 23-30 |
| Year/Month | 2021 / 1 |
| Article | 報告 |
| Publisher | 全日本病院出版会 |
| Abstract | 「Abstract」 喀痰障害に対する気道クリアランス法には, 現在, たくさんの方法が行われている. 痰の移動は, 咳嗽, 線毛運動, 気流(換気), 重力, 喀痰レオロジー, 肺メカニクス, 気道分泌物の存在する気管支の部位などによって影響を受ける. 排痰のメカニズムで最も大切なのは, まずcritical opening pressureを作り末梢肺をリクルートメントさせ, 次に速い呼気流量で痰を中枢気道へ移動させ, そして咳あるいは機械的咳介助を用いて喀出させることである. 痰粘弾性が高く, 気道抵抗が高い排痰困難な場合は, 胸郭外と肺内の方法を併用する. 気道クリアランス法の選択には, 疾患や病態, 無気肺の有無, 深呼吸の有無, 痰の粘弾性, 末梢か中枢気道, 随意咳の有無, 呼吸筋弱化の有無, 年齢, 耐性を考慮して選択する. |
| Practice | 医療技術 |
| Keywords | 気道クリアランス法 (airway clearance techniques), 気道クリアランスの生理学 (airway clearance physiology), 気道解放閾値圧 (critical opening pressure), 機械的咳介助 (mechanical insufflation-exsufflation; MIE), 高頻度胸壁振動法 (high frequency chest wall oscillation; HFCWO) |
- 全文ダウンロード： 従量制、基本料金制の方共に968円(税込) です。
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