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长期家庭氧疗对慢性阻塞性肺疾病的治疗作用
引用本文:龚震明,张文梅.长期家庭氧疗对慢性阻塞性肺疾病的治疗作用[J].黑龙江医学,2001,25(10):742-743.
作者姓名:龚震明  张文梅
作者单位:上海市第六人民医院呼吸内科,
摘    要:目的 通过对一组伴严重低氧血症的COPD患者进行长期家庭氧疗 (LTOT) ,以了解该治疗的临床意义。方法 选择缓解期COPD患者 5 0例 (PaO2 <7 3kPa(5 5mmHg)或SaO2 <88% )进行家庭氧疗 2个月 ,氧疗前后进行血气分析和血细胞比容测定。结果 每日持续吸氧 >15h者的PaO2 升高同时不伴有PaCO2 的升高 ,血细胞比容较氧疗前明显下降 ,临床症状明显改善。结论 应对伴有严重低氧血症的COPD患者进行LTOT。

关 键 词:慢性阻塞性肺疾病  长期氧疗
文章编号:1004-5775(2001)10-0742-02
修稿时间:2001年9月10日

Affection of Long Time Oxygen Treatment (LTOT) for Chronic Obstructive Pulmonary Disease (COPD)
GONG Zhen ming,ZHANG Wen mei.Affection of Long Time Oxygen Treatment (LTOT) for Chronic Obstructive Pulmonary Disease (COPD)[J].Heilongjiang Medical Journal,2001,25(10):742-743.
Authors:GONG Zhen ming  ZHANG Wen mei
Abstract:Objective To study the clinical significance to treat hypoxemia patients of COPD with LTOT. Methods The 50 cases of COPD patients in catabatic stage were selected to be treated with LTOT for 2 months. The blood gas and HCT were detected before and after treatment. Results The PaO 2 of patients who inhaled oxygen for more than 15 h/day increased without elevating of PaCO 2 and their HCT decreased obviously compared with that before treatment. The clinical symptoms were improved after treatment. Conclusion The COPD patient with severe hyoxemia should be treated with LTOT.
Keywords:COPD  LTOT
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