Community Physician-Guided Long-Term Domiciliary Oxygen Therapy Combined With Conventional Therapy in Stage IV COPD Patients
Community Physician-Guided Long-Term Domiciliary Oxygen Therapy Combined With Conventional Therapy in Stage IV COPD Patients
复制标题
DOI：
10.1002/rnj.233
复制
发表时间：
2017-09-01
影响因子：
1.3
通讯作者：
Li, Qinghua
中科院分区：
文献类型：
--
作者：
Bao, Hong;Wang, Jiaman;Li, Qinghua
目的：本研究旨在探讨社区医生指导下的长期家庭氧疗（LTDOT）对 IV 期慢性阻塞性肺疾病（COPD）患者的临床效果。设计：回顾性研究。方法：招募 54 例 IV 期 COPD 患者，随机分为两组（LTDOT 组和对照组）。 LTDOT组患者每天接受15小时以上持续低流量（1-2 L/min）额外氧疗，持续3年。 结果：LTDOT组治疗后PaO2（O-2压）、FEV1/FVC（用力肺活量）、FEV1%（1秒用力呼气量百分比）显着升高。 LTDOT 组的 BODE 指数显着下降（第 05 页）。 LTDOT 3年后，住院治疗和紧急医疗服务的频率和费用显着降低。结论：社区医生指导的LTDOT可以改善COPD IV期患者的预后并降低费用。临床意义：康复护士可以帮助COPD IV期患者学习LTDOT的原理。
Purpose: The aim of the study was to explore clinical effect of community physician-guided long-term domiciliary oxygen therapy (LTDOT) on patients with Stage IV chronic obstructive pulmonary disease (COPD).Design: A retrospective study.Methods: Fifty-four patients with Stage IV COPD were recruited and randomly divided into two groups (the LTDOT group and the control group). Patients in LTDOT group accepted additional oxygen therapy for more than 15 hours every day with continuous low flow (1-2 L/min) for 3 years.Findings: PaO2 (O-2 pressure), FEV1/FVC (forced vital capacity), and FEV1% (percentage of forced expiratory volume in 1 second) in the LTDOT group increased significantly after treatment. A significant decrease was observed on the BODE index in the LTDOT group (p.05). Frequencies and costs of hospitalization therapy and emergency medical services were markedly decreased after 3 years of LTDOT.Conclusion: Community physician-guided LTDOT can improve prognosis and reduce the costs for stage IV COPD patients.Clinical Relevance: Rehabilitation nurses can be instrumental in helping patients with stage IV COPD learn principles of LTDOT.