摘要
目的通过文献检索调查和评价慢性阻塞性肺疾病急性加重患者氧疗情况。方法数据库检索2013年1月至2015年12月刊登在中华结核和呼吸杂志、中国实用内科杂志、中华老年医学杂志、中国老年医学杂志、中国呼吸与危重监护杂志、国际呼吸杂志、临床内科杂志、临床肺科杂志等8种期刊关于慢性阻塞性肺疾病急性加重治疗的论著,调查氧疗实施情况。结果 2013~2015年8种期刊共刊登70篇慢性阻塞性肺疾病急性加重治疗的论文,其中14篇未提及患者是否进行氧疗,13篇氧疗资料相对不全面,43篇氧疗资料相对完整,未检索到有完整氧疗处方的文献。对氧疗后患者动脉血气进一步分析,结果显示存在给氧过高或氧疗不足的情况。结论临床对于慢性阻塞性肺疾病急性加重患者氧疗未予足够重视,需制定相关指南和临床路径指导和规范目标氧疗。
Objective To investigate the application status of titrated oxygen therapy in patients with acute exacerbation of chronic obstructive pulmonary disease （AECOPD） by means of literature retrieving. Methods Database retrieving is taken on eight major domestic medical journals about the treatment for AECOPD patients during the period of January 2013 to December 2015. Results There were 70 articles involving the treatment of AECOPD in the eight major journals during 2013 to 2015. Oxygen therapy was not mentioned in 14 articles, oxygen therapy data were incomplete in 13 papers and relatively complete in 43 papers. None of the articals provided full description of oxygen therapy. The arterial blood gas of the patients was analyzed, and showed excessive or not enough on effect of oxygen treatment. Conclusion The clinicians did not pay enough attention to oxygen treatment for AECOPD patients, so treatment guideline and clinical pathway should be construed to standardize titrated oxygen therapy.
出处
《中国呼吸与危重监护杂志》
CAS
CSCD
北大核心
2017年第3期250-253,共4页
Chinese Journal of Respiratory and Critical Care Medicine
基金
山西大同大学内科学重点学科建设经费
关键词
慢性阻塞性肺疾病急性加重
目标氧疗
高氧血症
Acute exacerbation of chronic obstructive pulmonary disease
Titrated oxygen treatment
Hyperoxemia
