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家庭氧气疗法是当今受到国内外注视的动向之一。对阻塞性肺病采用低流量氧气疗法在门诊及家庭氧气治疗可追溯到1959年Barch发表的资料。Petty等直到1970年前后积累了长期吸氧的成果。低氧血症,即使无合并肺心病的情况,本疗法具有控制PaO_2的降低、肺动脉压升高及红细胞增多的作用。 本疗法肯定的结论可见于1980、1981年美、英两国发表的资料。美国六个研究单位合作采取相同的抽样资料,观察在家吸氧治疗慢性阻塞性肺病203例,24小时连续给O_2及包括夜间12小时给氧结果进行对比分析。英国三个研究单位合作观察本病87例,采用15小时在家给氧与完全未吸氧的家庭病例进行研究。虽然没有看到病人生存期出现有意义的延长,但家庭氧气疗法是有价值的。
Home oxygen therapy is one of the trends that is being watched today both at home and abroad. Low-flow oxygen therapy for obstructive pulmonary disease in outpatients and home oxygen therapy dates back to 1959 by Barch. Petty et al accumulated long-term oxygen absorption results around 1970. Hypoxemia, even without pulmonary heart disease, the therapy has the effect of reducing PaO 2, pulmonary hypertension and increased red blood cells. The positive conclusion of this therapy can be found in the published data of the United States and Britain in 1980 and 1981. Six US research institutes collaborated to take the same sampling data and observed 203 cases of chronic obstructive pulmonary disease at home with Oxygen therapy. Oxygen was continuously given 24 hours and included 12 hours of night oxygen. Three research units in the UK collaborated on the observation of 87 cases of this disease and studied 15-hour home-based oxygenation and non-oxygenated family cases. Although there is no meaningful extension of patient survival, home oxygen therapy is valuable.