轻中度气流受限AECOPD不同氧疗方式前后疗效比较  

Comparison of the efficacy before and after different oxygen therapy for mild-moderate airflow restricted AECOPD

作　　者：陈红波 陈丽萍[1] 王丽娜[1] 刘杰[1] 张宇[1] 沈荣琼 CHEN Hongbo;CHEN Liping;WANG Lina;LIU Jie;ZHANG Yu;SHEN Rongqiong(Department Respiratory and Critical Care Medicine,The First People's Hospital of Arming/Affiliated The First People's Hospital of Aiming of Kunming University of Science and Technology,Kunming Yunnan 653100,China)

机构地区：[1]安宁市第一人民医院/昆明理工大学附属安宁市第一人民医院呼吸与危重症医学科,云南昆明653100

出　　处：《云南医药》2023年第2期30-33,共4页Medicine and Pharmacy of Yunnan

基　　金：昆明市卫健委科研项目(2019-03-02-022)。

摘　　要：目的探讨轻-中度气流受限AECOPD不同氧疗方式的疗效。方法对54例轻中度气流受限AECOPD的住院患者随机分成2组分别给予鼻导管吸氧、经鼻高流量湿化氧疗,测定呼吸支持前后的HR、RR、SpO_(2)、PaO_(2)、PaCO_(2);评估舒适度及痰液粘稠度,进行比较。结果2组患者呼吸支持后HR、RR、SpO_(2)、PaO_(2)、CAT评分、痰液粘稠度均得到改善(P<0.05),组间比较无差异性(P>0.05)。结论HFNC与鼻导管吸氧两种方式在轻-中度气流受限的AECOPD患者均可选择。Objective To investigate the efficacy of different oxygen therapy methods for exacerbation of chronic obstructive pulmonary disease(AECOPD)patients with mild-moderate airflow limitation.Methods 54 AECOPD patients with mild-moderate airflow limitation were randomly divided into two groups:nasal catheter oxygen therapy and high-flow nasal cannula oxygen therapy(HFNC).The heart rate(HR),respiratory rate(RR),SpO_(2),PaO_(2),PaO_(2)were measured before and after respiratory support;Assessed and compared comfort level and sputum viscosity.Results HR,RR,SpO_(2),PaO_(2),CAT scores,and sputum viscosity were improved after respiratory support in the two groups(P<0.05),and there was no difference between groups(P>0.05).Conclusions Both HFNC and nasal catheter oxygen therapy can be selected in AECOPD patients with mild-moderate airflow limitation.

关 键 词：慢阻肺急性加重 经鼻高流量湿化氧疗 鼻导管吸氧 

分 类 号：R563.9[医药卫生—呼吸系统]