缓解期慢性阻塞性肺病患者氧疗的观察及护理  

Observation of oxygen therapy on patients with COPD at the stable stage.

作　　者：柯丽华[1] 

机构地区：[1]南京医科大学附属苏州医院,江苏苏州215001

出　　处：《齐鲁护理杂志》2005年第1期8-9,共2页Journal of Qilu Nursing

摘　　要：目的:通过对慢性阻塞性肺病(COPD)患者为期四年的随访,了解长期家庭氧疗对其生命质量和生存时间的影响,并对此提出护理措施。方法:COPD患者分为长期氧疗组和非氧疗组,定期进行血常规、血气分析和肺功能检测,并对两组患者四年中的住院率、病死率进行比较。结果:氧疗组PO2 水平显著高于非氧疗组;其血红蛋白、红细胞压积显著低于非氧疗组,且氧疗组的这两项指标与氧疗前相比得到了一定程度的逆转;肺功能下降程度两组无明显差异;氧疗组在四年中的住院率和病死率均显著低于非氧疗组。结论:长期氧疗可显著降低COPD患者住院次数和远期病死率,提高其生命质量,是COPD患者缓解期康复治疗的重要手段。Objective： To assess the daily use of home oxygen therapy（HOT） in patients with COPD and examined its effects on patients quality of life（QOL） and long term survival and discuss some specialized nursing interventions. Methods： The patients were divided into two groups： the long term oxygen therapy（LTOT） group and the non-LTOT group（ the control group）. During the follow-up period （4 years ） , the blood routine test （BRT） , blood gas analysis （BGA） and pulmonary function（PF） were periodically conducted. The re-admission rate and mortality were compared between the two groups. Results： The partial pressure of oxygen（ PO2 ） was significantly higher in the LTOT group than that in the control group. Whereas, the haemoglobin（HB） and the hematocrit（HCT） were significantly lower in the LTOT than that in the control group and were improved than that before LTOT. The rate of the deterioration of PF was not significantly different between the two groups. The re-admission rate and the mortality were significantly lower in the therapy group. Conclusion： LTOT for patients with COPD may significantly cut down the re-admission rate and the mortality and may improve the QOL. It may be an important rehabilitative therapy for patients with COPD at the stable stage.

关 键 词：COPD 长期家庭氧疗 护理 

分 类 号：R473.5[医药卫生—护理学]