慢性阻塞性肺疾病患者雾化吸入中吸氧方法效果探讨

目的探讨慢性阻塞性肺疾病（COPD）在雾化吸入过程中最佳给氧途径。方法将62例COPD患者随机分组为对照组31例，观察组3l例。对照组电动雾化吸入同时采用经鼻导管吸氧；观察组电动雾化吸入同时在口合器旁加氧气管吸氧。动态观察两组吸入前、后的血氧饱和度（SpO2及心率的变化。结果两组SpOz在吸入前差异无统计学意义（P〉0．05）而开始吸入后的5、10、15、20、30min时，两组SpO2差异有显著性（P〈0．05）。吸入前两组心率无统计学意义（P〉0．05），而吸入后5、10、15、20、30min时，两组心率具有统计学差异（P〈0．05）。结论慢性阻塞性肺疾病在雾化吸入过程中在口合器旁加一氧气管进行吸氧，可有效提高患者的血氧饱和度，改善患者缺氧及心率加快的状况，优替大干经鼻导管吸氢．

Oxygen inhalation methods during atomization inhalation for chronic obstructive pulmonary disease

Objective The study was aimed to explore a better oxygen-providing therapy when implementing atomization inhalation for chronic obstructive pulmonary disease(COPD).Methods 62 patients of COPD were randomly divided into comparison group(31 patients) and experimental group(31 patients).Patients of the comparison group were provided with oxygen by a nasal tube during electric-atomization inhalation,whereas patients of the experiment group were provided with oxygen by a tube beside the buccal apparatus during electric-atomization inhalation.Variations of oxyhemoglobin saturations(SpO2) and heart rate before and after inhalation were dynamically recorded.Results The statistic discrepancy of the SpO2 indexes for both groups did not appear before inhalation(P>0.05),but it appeared after implementing inhalation for 5,10,15,20,30 miniatures(P<0.05).The statistic discrepancy of heart rates for both groups doesn’t appeared before inhalation(P>0.05),but it appeared after implementing inhalation for 5,10,15,20,30 miniatures(P<0.05).Conclusion The oxygen-providing therapy for chronic obstructive pulmonary disease(COPD) by adding a tube beside the buccal apparatus during atomization inhalation can effectively promote the oxyhemoglobin saturation and improve hypoxia and heart rate.