氧疗持续时间与慢阻肺Ⅱ型呼吸衰竭患者动脉血氧分压关系的研究  

Study of Relatlionship Between the Time of Continued Oxygen Therapy and PaO_2 in Patients with COPD with Ⅱ Type Respiratory Failure

作　　者：郭淑娟 霍雅黎 盖飞月[3] 

机构地区：[1]鹤壁市第一人民医院内科,鹤壁458000 [2]河南省鹤壁市结核病防治所,鹤壁458000 [3]河南职工医学院,郑州450003

出　　处：《河南职工医学院学报》2000年第3期25-26,共2页Journal of Henan Medical College For Staff and Workers

摘　　要：目的 :了解氧疗持续时间与慢性阻塞性肺疾病 (慢阻肺 )Ⅱ型呼吸衰竭 (Ⅱ型呼衰 )患者动脉血氧分压 (PaO2 )的关系。方法 :选择慢阻肺Ⅱ型呼哀患者 30例 ,每组 10例分别给予鼻导管吸氧 3天、一周、两周 ,并在氧疗前及氧疗后 2 4小时分别测动脉血气。结果 :三天组氧疗后PaO2 与氧疗前无显著差异 ;一周组氧疗后PaO2 较氧疗前提高 ;二周组氧疗后PaO2 较氧疗前明显提高。结论 :慢阻肺Ⅱ型呼吸衰竭患者以持续二周以上吸氧为宜 ,至少不应少于一周。Objective To study the relationship between the time of continued oxygen therapy and PaO 2 in patients with chronic obstractive pulmonary disease (COPD) with Ⅱ type respiratory failure. Methods 30 Patients with COPD with Ⅱ type respiratory failure were selected. They were divided into 3 grorps, and there are 10 patients in each grorp. The time of continued oxygen therapy by nasal cannula was 3 days and 7 days and 14 days respectively. PaO 2 was measured and compared before and after oxygen therapy. Results Compared with before oxygen therapy, PaO 2 was increased after oxygen therapy in patients of 7 days grorp and 14 days, the latter more obviously (P<0.01 and P<0.005 respectively). However, PaO 2 was decreased in group of 3 days. Conclusion The time of continued oxygen therapy shall be more than 14 days in patients with COPD with Ⅱ type respiratory failure, or more than 7 days at least.

关 键 词：慢性阻塞性肺疾病 血氧分压 呼吸衰竭 治疗 

分 类 号：R563.805[医药卫生—呼吸系统]