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目的 :判定电子温控氧气湿化器对慢性阻塞性肺病 (COPD)急性期患者疗效的影响。方法 :将COPD急性期患者 93例 ,随机分为治疗组 5 0例 (温控湿化供氧 )和对照组 43例 (普通湿化供氧 )。两组患者年龄、性别、病程、呼衰及心衰构成比 ,差异无显著性 (P >0 0 5 ) ,在同一组医护人员治疗下 ,根据病情予以去除诱因、解痉、抗炎、利尿、强心等治疗。采用气泡式湿化器供氧 2d ,观察脉搏、血气变化。然后 ,对照组仍维持原法吸氧 ,治疗组改用电子温控氧气湿化器吸氧。准确观测治疗组两种方法吸氧湿化水的消耗量 ,定时观察两组患者治疗前及治疗期间症状、体征及体位的改变 ,白细胞计数、血气分析等变化 ,病程好转的时间。结果 :温控湿化水的消耗量成倍增多 ,治疗组 5 0例中胸闷、喘息、痰液粘稠、紫绀的减轻或消失 ,以及动脉血气恢复时间 ,均比对照组明显缩短 ,差异有显著性 (P <0 0 1)。结论 :COPD急性期采用温控湿化供氧治疗优于普通气泡湿化供氧 ,对保持呼吸道通畅 ,减少吸氧的并发症有重要价值。
Objective: To determine the effect of electronic temperature-controlled oxygen humidifier on the curative effect of patients with acute obstructive pulmonary disease (COPD). Methods: Ninety-three patients with acute COPD were randomly divided into treatment group (n = 50) and control group (n = 40). There were no significant differences in the age, sex, duration of disease, respiratory failure and heart failure between the two groups (P> 0.05). In the same group of medical staffs, , Cardiac treatment. Using a bubble humidifier oxygen 2d, observe the pulse, blood gas changes. Then, the control group still maintained the original method of oxygen, the treatment group switched to electronic temperature control oxygen humidifier oxygen. Accurately observe the consumption of oxygen-absorbing and humidifying water by two methods in the treatment group. Observe the change of symptoms, signs and position, leucocyte count and blood gas analysis before treatment and during treatment regularly, and improve the duration of the disease. Results: The consumption of temperature-controlled and humidified water doubled. Compared with the control group, the consumption of temperature-controlled and humidified water doubled. Compared with the control group, the treatment group had 50 cases of chest tightness, wheezing, sputum viscosity, cyanosis alleviation or disappearance, and arterial blood gas recovery time Significance (P <0.01). CONCLUSION: Temperature-controlled humidification and oxygen supply in the acute phase of COPD is superior to normal air-bubble humidification and oxygen supply, which is of great value in keeping the airway open and reducing the complication of oxygen inhalation.