Abstract
Respiratory disorders are closely related to the prognosis of children with severe motor and intellectual disabilities, and affect quality of life. In recent years, intrapulmonary percussive ventilation(IPV) has been used in the medical treatment of acute respiratory infection, and its effects have been reported. However, there are few reports considering the effectiveness of mid- and long-term IPV use during the chronic phase. At this time, we carried out treatment two to four times a month on 13 children with severe motor and intellectual disabilities suffering from severe chronic respiratory disorders, who were admitted to or regularly visited our hospital from May 2008 to May 2011. In seven cases, treatment continued, and in six cases, treatment was discontinued. For the cases where treatment continued, frequency of infection decreased, oxygenation improved,and frequency of suction decreased. Significant improvement was observed in two cases, and these two cases are mainly reported here. Improvement of respiratory function and decreased suctions are considerd to benefit not only the patient ,but also lighten the burden for those assisting the patient.
