入睡时段持续低流量吸氧对COPD治疗的效果观察  

Effects observation of continuous low flow oxygen inhalation in sleeping term on patients with chronic obstructive pulmonary disease

作　　者：高雪萍 金卫红 

机构地区：[1]上海市浦东新区光明中医医院,201300

出　　处：《护理实践与研究》2013年第9期15-17,共3页Nursing Practice and Research

基　　金：上海市浦东新区卫生局卫生科技发展专项基金资助(PW2011A-37)

摘　　要：目的:探讨对COPD患者实施入睡时段持续低流量氧气吸入的临床应用效果。方法:将80例COPD急性期无严重并发症的患者随机分为观察组与对照组各40例,在相同治疗程序下,观察组患者进行入睡时段氧疗(18∶00～次日9∶00持续低流量氧吸入15 h),对照组患者进行日间氧疗(6∶00～21∶00持续低流量氧吸入15 h)。观察两组患者夜间突发事件情况及氧疗第5 d和第10 d日间及夜间呼吸、脉搏及血气分析情况。结果:对照组有3例发生夜间不良突发事件。氧疗第5 d和第10 d两组患者日间呼吸及脉搏情况差异不明显,但夜间观察组改善情况明显优于对照组(P<0.05)。PaO2,PaCO2及pH值情况氧疗第5 d差异无统计学意义(P>0.05),氧疗第10 d观察组效果明显优于对照组(P<0.05)。结论:入睡时段持续低流量氧气吸入可减少COPD患者夜间不良突发事件发生,可有效改善病情。Objective： To explore the clinical effects of continuous low flow oxygen inhalation in sleeping term on patients with chronic obstructive pulmonary disease（COPD）. Methods： 80 patients with C OPD were randomly divided into observation group and control group, there were 40 patients in each group. Under the same therapy pattern, observation group were taken oxygen therapy in sleeping term （ It was continuous low flow oxygen inhalation fifteen hours from 18：00 to 9： 00）, control group were taken oxygen therspy in day term（It was continuous low flow oxygen inhalation fifteen hours from 6：00 to 21： 00）. Observed the adverse incident in night, breathing and pulse in day and night, PaO2, PaCO2 and pH at the fifth day and the tenth day. Results： In the control group, there were three cases oeeured adverse events during the night. Oxygen therapy at the fifth day and the tenth day patients in the two groups of daytime respiratory and pulse condition difference was not obvious, but the night observation group was significantly higher than those in control group （P 〈0.05）. PaO2, PaCO2 and pH value of oxygen therapy in the fifth day had no significant difference （ P 〉 0.05 ）, oxygen therapy in the tenth day of observation group was better than control group （P 〈0. 05）. Conclusion： Continuous low flow oxygen inhalation in sleeping term can reduce adverse incident in night and effectively improve condition.

关 键 词：入睡时段 持续低流量吸氧 慢性阻塞性肺疾病 夜间低氧血症 

分 类 号：R472[医药卫生—护理学]