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高流量湿化氧疗治疗慢性阻塞性肺疾病的效果观察 被引量:22

Observation of High-flow Humidified Oxygen Therapy in the Treatment of Chronic Obstructive Pulmonary Disease
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摘要 目的:观察高流量湿化氧疗治疗慢性阻塞性肺疾病(COPD)的临床效果。方法:58例COPD患者随机分成2组,在止咳化痰、抗感染、纠正酸碱平衡紊乱等治疗基础上,对照组(n=30例)采用传统方式吸氧,观察组(n=28例)采用高流量湿化氧疗治疗,观察两组患者治疗前后呼吸频率、PaO2、SpO2和心率变化情况,以及比较在舒适度、气道高反应性及咳痰困难等方面的差异性。结果:治疗后观察组患者呼吸频率、PaO2、SpO2和心率等指标改善程度明显好于对照组(P<0.05);观察组患者氧疗舒适度、气道高反应性及咳痰困难等均优于对照组(P<0.05)。结论:高流量湿化氧疗治疗COPD可显著提高氧疗效果和舒适度,改善患者的呼吸功能。 Objective:To observe the clinical effect of high-flow humidified oxygen therapy in the treatment of chronic obstructive pulmonary disease (COPD).Methods:58 patients with COPD were randomly divided into 2 groups, on the basis of traditional methods, such as relieving cough and phlegm, anti-infection, correction of acid-base balance disorders, the control group (n=30 cases) was treated with the traditional ways of oxygen,and the observation group (n=28 cases) was treated with high-flow humidified oxygen therapy. The respiratory rate, PaO2, SpO2 and heart rate of two groups before and after treatment were observed, and the difference of comfort, airway hyperresponsiveness and expectoration difficult aspects were compared.Results:After the treatment, the respiratory frequency, PaO2, SpO2 and heart rate the in the observation group improved significantly better than that of the control group (P〈0.05). The comfort, airway hyperresponsiveness and expectoration difficulties in the observation group were superior than that of the control group (P〈0.05). Conclusion:The treatment of high-flow humidified oxygen therapy for COPD could significantly improve the effect of oxygen therapy and comfort, improve the respiratory function of patients.
作者 刘荣
出处 《中国医药导刊》 2014年第1期170-171,共2页 Chinese Journal of Medicinal Guide
关键词 高流量 湿化 氧疗 慢性阻塞性肺疾病 High flow Wetting Oxygen therapy Chronic obstructive pulmonary disease
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