稳定期慢阻肺患者夜间低氧与日间呼吸衰竭及肺功能损害程度相关性分析

发布时间：2019-01-29 00:45

【摘要】：目的对稳定期慢阻肺患者与日间有否呼吸衰竭及与按照肺功能严重程度的分级关系进行分析。方法选取稳定期慢阻肺患者,进行日间肺功能、血气分析及夜间睡眠监测,应用SAS11.0统计软件进行统计分析。结果 56例稳定期慢阻肺患者MSa02、LSa02与FEV 1%预计值呈正相关,TB90与FEV 1%预计值呈负相关;日间Pa O2与MSa02呈明显正相关,与TB90呈明显负相关。结论在轻中度慢阻肺患者中也存在夜间低氧的问题,不能单纯凭借肺功能情况指导患者是否需要夜间氧疗;患者日间Pa O2测试对指导患者是否需要夜间氧疗具有指导意义。
[Abstract]:Objective to analyze the relationship between respiratory failure and severity of pulmonary function in stable chronic obstructive pulmonary disease (COPD) patients. Methods the daytime lung function, blood gas analysis and night sleep monitoring were performed in patients with chronic obstructive pulmonary disease (COPD) in stable period. The statistical analysis was carried out by SAS11.0 software. Results there was a positive correlation between MSa02,LSa02 and FEV (1%), a negative correlation between TB90 and FEV (1%), and a significant positive correlation between Pa O 2 and MSa02, and a negative correlation between Pa O 2 and TB90. Conclusion there is also the problem of nocturnal hypoxia in patients with mild to moderate chronic obstructive pulmonary disease (COPD). It is not possible to rely solely on the pulmonary function to guide the patients whether or not they need nocturnal oxygen therapy, and the daytime Pa O2 test is helpful to guide the patients whether they need nocturnal oxygen therapy.
【作者单位】：顺德区第一人民医院;
【分类号】：R563.9

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