氧疗对稳定期COPD患者肺功能及动脉血气的影响.docVIP

氧疗对稳定期COPD患者肺功能及动脉血气的影响 　　doi：10.3969/j.issn.1007-614x.2014.16.76 　　摘 要 目的：探讨在慢性阻塞性肺疾病患者的治疗过程中采取氧疗治疗的效果和对患者动脉血气的影响。方法：2011年6月-2013年6月收治稳定期COPD患者80例，随机分为观察组和对照组各40例。对照组采取常规的方法治疗，观察组采取鼻导管输氧进行治疗，以2个星期为周期，比较两组在治疗之后动脉血气和肺部功能的情况，并采取统计学分析。结果：相比较对照组，观察组在FEV1/FVC、PaO2的升高和PaCO2的降低程度上均比对照组要好，差异具有统计学意义 （P0.05）。结论：在临床上采取氧疗针对COPD稳定期的患者进行治疗，具有明显的改善动脉血气和患者肺功能的效果，值得广泛推广。 　　关键词 稳定期COPD 肺功能 动脉气血 　　Effect of oxygen therapy on pulmonary function and arterial blood gas of COPD patients in the stable stage 　　Xie Yi 　　The Peoples Hospital of Tacheng City，Xinjiang 834700 　　Abstract Objective：To investigate the effect of oxygen therapy treatment and the effects on arterial blood gas in the treatment of patients with chronic obstructive pulmonary disease.Methods：80 cases with COPD in stable stage were selected from June 2011 to June 2013 .They were randomly divided into the observation group and the control group with 40 cases in each.The control group were given conventional treatment，while the observation group were treated by nasal catheter oxygen therapy，with 2 weeks as a cycle.We compared the arterial blood gas and pulmonary function of the two groups after the treatment，and took statistical analysis.Results：Compared with the control group，the ratio of FEV1/FVC，the degree of PaO2 increased and the PaCO2 decreased of the observation group were better than those of the control group，and there was statistical difference（P0.05）.Conclusion：Oxygen therapy in treating COPD patients in stable stage can obviously improve the arterial blood gas and pulmonary function of patients，so it is worth popularizing widely. 　　Key words Stable COPD；Pulmonary function；Arterial blood 　　慢性阻塞性肺疾病（COPD）是一种临床上常见的进行性肺部气流阻塞病症，其主要特征是呼吸道的气流呈现出不完全可逆的受限，形成的原因多是因为进入肺部的有害性颗粒或者有害气体所诱发的炎性反应[1]。目前，针对COPD的治疗主要是以平喘、化痰、止咳和抗感染等祛除主要诱因为主[2]。但是在空气污染严重的当今，COPD患者的数量依然呈现出比较高的增长率[3]。因此在临床上对COPD患者稳定期的治疗引起相应的重视，并采取相关的措施来改善患者肺部功能和血气情况是至关重要的。本文针对我院2011年6月-2013年6月收治80例稳定期COPD患者作为研究对象，探讨在治疗过程中采取氧疗治疗的效果和对患者动脉血气的影响。现将结果报告如下。 　　资料