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目的了解上海市家庭氧疗的现状。方法对201例家庭氧疗患者进行家庭氧疗的使用及对其了解程度调查询问,测定吸氧前后部分生理指标的变化。结果慢性阻塞性肺疾病(COPD)患者占54.7%;在动脉氧饱和度(SaO2)低于88%的45例患者中,仅有4例每日吸氧时间在 15 h以上;吸氧30min后,SaO2低于88%的 COPD患者SaO2、心率(HR)、呼吸次数(RR)均有改善。结论 家庭氧疗患者缺乏指导,对氧疗知识了解不够。家庭氧疗急需加强管理,并需在医务人员、患者及家属中普及家庭氧疗知识。
Objective To understand the status of home oxygen therapy in Shanghai. Methods A total of 201 patients with oxygen therapy in the home were asked about the use of oxygen therapy in the home and the level of their understanding. The changes in physiological parameters before and after oxygen inhalation were measured. Results 54.7% of patients with chronic obstructive pulmonary disease (COPD) and 45 patients with less than 88% of arterial oxygen saturation (SaO2) had only 4 daily oxygen intakes for more than 15 hours; After 30 minutes, SaO2, heart rate (HR), and respiratory rate (RR) were improved in 88% of COPD patients with SaO2. Conclusion There is a lack of guidance for patients with oxygen therapy in the home and there is not enough knowledge of oxygen therapy. There is an urgent need to strengthen management of home oxygen therapy, and it is necessary to popularize knowledge of home oxygen therapy among medical personnel, patients, and family members.