慢性阻塞性肺病病人使用高頻胸壁振盪治療是否能改善清除痰液能力

Can the Use of High-frequency Chest Wall Oscillation Therapy Improve Mucus Clearance Ability in Patients with Chronic Obstructive Pulmonary Disease?

背景：慢性阻塞性肺病是世界衛生組織2019年發布之全球十大死因第3名，又名為肺阻塞，由於肺部氣體交換功能不良，常出現「咳、痰、悶、喘」的症狀，故需要氣道清除技術，改善氣道中黏液清除和氣體交換效率。
目的：透過實證方法，探討高頻胸壁振盪治療相比常規療法在清除痰液方面的效果，為臨床實踐提供依據。
方法：以PICO擬定關鍵字，搜尋中英文電子資料庫，符合納入條件之研究，使用CASP評析工具進行文獻資料評價及精粹。
結果與結論：經由文獻篩選後共納入2篇，1篇系統性文獻回顧與統合分析、1篇隨機對照試驗文獻進行評讀，結果顯示COPD病人使用HFCWO，更能促進痰液排除，且於日常生活功能及肺功能皆有所改善，故可將此研究運用於臨床提升病人的照護。

Background: Chronic obstructive pulmonary disease (COPD), also known as pulmonary obstruction, was the third leading cause of death worldwide according to the World Health Organization's 2019 report. It is commonly manifested by symptoms such as chronic cough, sputum production, and difficulty breathing, necessitating airway clearance techniques to improve mucus removal and gas exchange efficiency.
Purpose: Exploring through literature whether the use of high-frequency chest wall oscillation therapy can improve mucus clearance ability in patients with chronic obstructive pulmonary disease.
Methods: PICO was used to formulate keywords, and the Chinese and English electronic databases were searched, and CASP checklist was used to evaluate and summarize the literature.
Results and Conclusion: After screening the literature, a total of 2 articles were included: 1 systematic review and meta-analysis, and 1 randomized controlled trial. The results showed that in COPD patients, the use of HFCWO could promote mucus clearance and lead to improvements in daily life functions and lung function. Therefore, this study can be applied in clinical practice to enhance patient care.