简易涡流气/氧混合气吸氧装置对COPD患者的氧疗舒适度影响(1)
摘要：目的 探讨简易涡流气/氧(混合气)吸氧装置对COPD患者氧疗舒适度的影响情况。方法 2015年5月～2016年3月收治稳定期COPD 患者140 例，随机分成实验组和对照组各70例，其中对照组使用传统吸氧装置吸氧1 w，试验组使用简易涡流/氧(混合气)吸氧装置吸氧1 w，吸氧≥15 h/d。然后由护士对两组患者氧疗舒适度问卷调查。血气分析检查分别于吸氧前及吸氧1周后进行检查，然后对实验组与对照组结果进行对比。结果 两组患者吸氧舒适度结果显示实验组在氧气气味、氧气湿润度、鼻咽部干燥出血及吸氧后恶心及胸闷等对比项目方面，实验组明显优于对照组。两组患者治疗前PaO2 和PaCO2比较差异无统计学意义(P>0.05)，治疗后，实验组明显优于对照组。结论 简易涡流气/氧(混合气)吸氧装置可提高COPD患者氧疗舒适度，并明显改善患者动脉血气，提高血氧饱和度，临床疗效显著，值得推广。
关键词：COPD；氧疗舒适度；动脉血气；简易涡流气/氧(混合气)吸氧装置
Abstract：Objective To discuss the influence of comfort degree of COPD patients with continued use of the simple whirling air/Oxygen (mixed gas) oxygen inhalation device.Methods A total of 140 stable COPD inpatients were randomly divided into observation group and control group with 70 cases in each group from May 2015 to March 2016.Patients in observation group received traditional oxygen therapy for 7 days and more than 15 hours every day.Patients in control group received simple whirling air/Oxygen (mixed gas) oxygen inhalation device for 7 days and more than 15 hours every day，and two groups'comfort level were investigated through questionaire by the nurse.Arterial blood gas was checked before and after oxygen therap 7 days and results of both group were compared. Results About comfort degree， the observation group were significantly better than the control group in the oxygen odor，oxygen moisture，nose pharynx dry or nasal mucosal bleeding ，nausea or chest distress. There was no significant difference in PaO2 and PaCO2 between both groups before treat(P>0.05).The observation group were significantly better than the control group in PaO2 and PaCO2 after treatment.Conclusion The simple whirling air/Oxygen (mixed gas) oxygen inhalation device can improve comfort degree of COPD patients、arterial blood gas and blood oxygen saturation significantly.The curative effect is obvious.The simple whirling air/Oxygen (mixed gas) oxygen inhalation device is worth promoting.
, http://www.100md.com
Key words：COPD；Comfort degree；Arterial blood gas；Simple whirling air/Oxygen (mixed gas) oxygen inhalation device
慢性阻塞性肺疾病(chronic obstructive pulmonary disease，COPD)是一種严重危害人类健康的常见病、多发病，严重影响患者的生命质量，病死率较高，并给患者及其家庭、社会带来沉重的经济负担。氧气疗法(oxygrn therapy)是指通过给氧提高动脉血氧分压(PaO2)和动脉血氧饱和度(SaO2)，增加动脉血氧含量，预防和纠正各种原因造成的缺氧状态，促进组织的新陈代谢，维持机体生命活动的一种治疗方法。
应用简易床旁吸氧装置在治疗COPD的应用中已经相当成熟，家庭氧疗也已经逐渐普及。但在临床治疗中COPD患者对氧疗存在很多不舒适感觉或拒绝吸氧的因素，因此我们设计了简易涡流气/氧(混合气)吸氧装置，以便提高COPD患者氧疗舒适度。本课题对2015年5月～2016年3月收治的140例老年慢性阻塞性肺疾病(COPD)住院患者，采用传统给氧和简易涡流气/氧(混合气)吸氧装置给氧，比较两种方法对其氧疗舒适度及血气分析结果的影响，现将结果报告如下。, http://www.100md.com(刘旭艳 田士军 房艳红)
关键词：COPD；氧疗舒适度；动脉血气；简易涡流气/氧(混合气)吸氧装置
Abstract：Objective To discuss the influence of comfort degree of COPD patients with continued use of the simple whirling air/Oxygen (mixed gas) oxygen inhalation device.Methods A total of 140 stable COPD inpatients were randomly divided into observation group and control group with 70 cases in each group from May 2015 to March 2016.Patients in observation group received traditional oxygen therapy for 7 days and more than 15 hours every day.Patients in control group received simple whirling air/Oxygen (mixed gas) oxygen inhalation device for 7 days and more than 15 hours every day，and two groups'comfort level were investigated through questionaire by the nurse.Arterial blood gas was checked before and after oxygen therap 7 days and results of both group were compared. Results About comfort degree， the observation group were significantly better than the control group in the oxygen odor，oxygen moisture，nose pharynx dry or nasal mucosal bleeding ，nausea or chest distress. There was no significant difference in PaO2 and PaCO2 between both groups before treat(P>0.05).The observation group were significantly better than the control group in PaO2 and PaCO2 after treatment.Conclusion The simple whirling air/Oxygen (mixed gas) oxygen inhalation device can improve comfort degree of COPD patients、arterial blood gas and blood oxygen saturation significantly.The curative effect is obvious.The simple whirling air/Oxygen (mixed gas) oxygen inhalation device is worth promoting.
, http://www.100md.com
Key words：COPD；Comfort degree；Arterial blood gas；Simple whirling air/Oxygen (mixed gas) oxygen inhalation device
慢性阻塞性肺疾病(chronic obstructive pulmonary disease，COPD)是一種严重危害人类健康的常见病、多发病，严重影响患者的生命质量，病死率较高，并给患者及其家庭、社会带来沉重的经济负担。氧气疗法(oxygrn therapy)是指通过给氧提高动脉血氧分压(PaO2)和动脉血氧饱和度(SaO2)，增加动脉血氧含量，预防和纠正各种原因造成的缺氧状态，促进组织的新陈代谢，维持机体生命活动的一种治疗方法。
应用简易床旁吸氧装置在治疗COPD的应用中已经相当成熟，家庭氧疗也已经逐渐普及。但在临床治疗中COPD患者对氧疗存在很多不舒适感觉或拒绝吸氧的因素，因此我们设计了简易涡流气/氧(混合气)吸氧装置，以便提高COPD患者氧疗舒适度。本课题对2015年5月～2016年3月收治的140例老年慢性阻塞性肺疾病(COPD)住院患者，采用传统给氧和简易涡流气/氧(混合气)吸氧装置给氧，比较两种方法对其氧疗舒适度及血气分析结果的影响，现将结果报告如下。, http://www.100md.com(刘旭艳 田士军 房艳红)