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慢阻肺氧疗须知(Notes on oxygen therapy for chronic obstructive pulmonary disease)
慢阻肺氧疗须知(Notes on oxygen therapy for chronic obstructive pulmonary disease)
Prof. Shen Ning: Hello, I am Dr. Shen Ning from Department of respiration of No.3 Hospital of Peking University. I am glad to talk to you today about the problem of oxygen therapy in COPD patients.
Good doctor online: welcome Professor shen! First of all, what is the importance of oxygen inhalation in patients with COPD?
Prof. Shen Ning: chronic obstructive pulmonary disease (COPD) is a chronic respiratory disease. When the disease progresses to the later stage, many patients suffer from hypoxia. At this point, we may suggest that the patient breathe oxygen. But the point is that not all patients need oxygen, and only when the patient is suffering from oxygen deficiency does the doctor recommend oxygen inhalation.
Good doctor online: what happens when a patient needs oxygen?
Prof. Shen Ning: from the doctors point of view, patients who need oxygen have definite indexes, and can be divided into three kinds. First, when the patient breathing difficulties, can suggest a short time oxygen; second patients at the time of exercise, the body itself due to the increase of oxygen consumption appears hypoxia, oxygen can also; third, long-term oxygen therapy, the patient had the function of heart, pulmonary heart disease, pulmonary hypertension, bad situation, will also advise the patient with oxygen.
In fact, what we usually call oxygen therapy is long-term oxygen therapy. In general, long-term oxygen therapy is indicated, arterial blood gas analysis, oxygen partial pressure below 55 mmHg, or peripheral oxygen saturation monitoring is less than 88, then patients will be advised to long-term oxygen therapy. Detection of these two indicators, is also three week two times, it can guarantee the patient is indeed consistent with long-term oxygen indication.
Good doctor online: COPD patients, if usually do not feel hypoxia, but exercise when it is difficult to breathe, can not only in the exercise of oxygen?
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