氧疗对稳定期COPD患者肺功能及动脉血气的影响

Effect of oxygen therapy on pulmonary function and arterial blood gas of COPD patients in stable stage

目的:探讨在稳定期慢性阻塞性肺疾病(COPD)患者中应用氧疗对其肺功能与动脉血气的改善效果。方法:2011-2013年收治稳定期COPD患者70例,并以随机数字表法将其分为观察组和对照组,各35例,对照组给予常规基础治疗,观察组在此基础上给予鼻导管氧疗,比较两组病例的临床治疗结局,总结治疗经验。结果:观察组治疗后的FEV1/FVC指标较其治疗前、对照组改善更突出,比较差异有统计学意义(P<0.05);观察组的Pa O2、Pa CO2值同样较其治疗前、对照组有优越性(P<0.05)。结论:为稳定期COPD患者实施鼻导管氧疗,对于改善患者的肺功能与动脉血气有确切效果,并且操作简便、安全,适合在今后的临床上普及应用。

Objective:To investigate the improve effect of oxygen therapy on the pulmonary function and arterial blood gas of chronic obstructive pulmonary disease(COPD) patients in stable phase.Methods:70 cases with COPD in stable phase were selected from 2011 to 2013.They were divided into the observation group and the control group according to the random number table method with 35 cases in each.The control group were given conventional treatment,and the observation group were given nasal catheter oxygen therapy based on the control group.We compared the clinical outcomes between the two groups,and summarized the experience of treatment.Results:The FEV1/FVC index of the observation group after treatment was improved more prominent than before the treatment of the control group,and it had significant differences(P<0.05).The Pa O2 and Pa CO2 value of the observation group after treatment were more superiority than before the treatment of the control group(P<0.05).Conclusion:We take the nasal catheter oxygen therapy for patients with COPD in stable phase.The effect of improving the patients' pulmonary function and arterial blood gas is definite,and the operation is simple and safe,so it is suitable for popularization and application in clinic.