Oxygen therapy by a portable concentrator with a demand valve: A randomised controlled study of its effectiveness in patients with COPD

被引:1
作者
Couillard, A. [1 ]
Foret, D. [1 ]
Barel, P. [2 ]
Bajon, D. [3 ]
Didier, A. [4 ]
Melloni, B. [1 ]
Sauder, P. [1 ]
Muir, J. -F. [1 ]
Veale, D. [1 ,5 ]
机构
[1] Federat ANTADIR, F-75006 Paris, France
[2] Ctr Hosp Gen, Serv Pneumol, F-81013 Albi 9, France
[3] Clin St Orens, Ctr Rehabil Cardioresp, F-31650 St Orens De Gameville, France
[4] Hop Larrey, Serv Pneumol & Allergol, F-31059 Toulouse, France
[5] Ctr Med Pneumol Henri Bazire, F-38134 St Julien De Ratz, France
关键词
COPD; Portable concentrator; Long-term oxygen therapy; Walking test; OBSTRUCTIVE PULMONARY-DISEASE; DELIVERY-SYSTEMS; FLOW OXYGEN; EXERCISE; EFFICACY; HOME;
D O I
10.1016/j.rmr.2010.09.010
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Introduction. - There is doubt concerning the clinical effectiveness of portable oxygen concentrators with a control valve (PCDV) and their appreciation by patients. Objectives. To compare the effectiveness and appreciation of oxygen therapy by PCDV and liquid oxygen by continuous f low (O(2)Liq). Methods. - Nineteen patients with COPD were randomised to receive PCDV or O(2)Liq at rest and during a 6 minute walk test (6MWT). For each mechanism they assessed, by visual analogue scales, the convenience and portability, the noise, and the discomfort of the nasal oxygen delivery. Results. - The 6MW distance was 315 +/- 120 m with PCDV and 325 +/- 114 m with O(2)Liq (P > 0.05). Dyspnoea and the desaturation induced by the 6MWT were identical with both systems (P > 0.05). The time spent with a SaO(2) < 90 % was 289 +/- 69s with PCDV and 242 +/- 130s with O(2)Liq (P = 0.08). PCDV was noisier than O(2)Liq (P < 0.05); there was no difference in convenience and portability or in nasal discomfort. Conclusion. - The PCDV model that we tested was equally effective to O(2)Liq. However, the prescription of this type of system is a matter of personal choice. (C) 2010 SPLF. Published by Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:1030 / 1038
页数:9
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