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Use of supplemental oxygen during exercise testing and training for people with chronic obstructive pulmonary disease: a survey of Australian pulmonary rehabilitation programs.

慢性阻塞性肺疾病患者运动测试和训练中补充氧气的使用: 澳大利亚肺康复计划的调查。

  • 影响因子:0
  • DOI:10.1016/j.bjpt.2020.04.003
  • 作者列表:"Leung RWM","Alison JA","Jenkins SC","Holland AE","Hill K","Morris NR","Spencer LM","Hill CJ","Lee AL","Seale HE","Cecins NM","McDonald CF","McKeough ZJ
  • 发表时间:2021-01-01
Abstract

OBJECTIVES:The aims of this study were to determine, in Australian pulmonary rehabilitation programs for people with COPD: (1) whether oxygen saturation (SpO2) was monitored during exercise testing; (2) whether supplemental oxygen was available during exercise testing and/or training; (3) whether oxygen was prescribed during exercise training; and the reason for providing oxygen; (4) whether a protocol was available for supplemental oxygen prescription during exercise training. METHODS:This was a cross-sectional multi-center study using a purposed-designed survey. De-identified survey data were analyzed and the absolute number and percentage of responses were recorded for each question. RESULTS:The survey was sent to 261 pulmonary rehabilitation programs and 142 surveys (54%) were available for analysis. Oxygen saturation was monitored during exercise testing in 92% of programs. Supplemental oxygen was available in the majority of programs during exercise testing (82%) and training (84%). The rationale cited by 87 programs (73%) for prescribing oxygen during exercise training was maintaining SpO2 above a threshold ranging from SpO2 80-88%. Forty-five (32%) programs had a protocol for oxygen prescription during exercise training. CONCLUSION:While monitoring of SpO2 during exercise testing and using supplemental oxygen during testing and training is common in Australian pulmonary rehabilitation programs, few programs had a protocol in place for the prescription of supplemental oxygen for people with COPD who were not on long-term oxygen therapy. This may be due to lack of strong evidence to support the use of supplemental oxygen during exercise training.

摘要

目的: 本研究的目的是确定澳大利亚COPD患者的肺康复计划 :( 1) 在运动测试期间是否监测到氧饱和度 (SpO2); (2) 在运动测试和/或训练期间是否有补充氧气; (3) 运动训练期间是否处方氧气;和提供氧气的原因; (4) 运动训练期间是否有补充氧气处方的方案。 方法: 这是一项横断面多中心研究,采用目的设计调查。分析了去识别的调查数据,并记录了每个问题的绝对回答数和百分比。 结果: 调查被送到261肺康复计划和142调查 (54%) 可用于分析。在92% 的项目中,在运动测试期间监测氧饱和度。在运动测试 (82%) 和训练 (84%) 期间,大多数项目都有补充氧气。87个项目 (73%) 引用的用于在运动训练期间处方氧气的原理是将SpO2维持在SpO2 80-88% 范围内的阈值以上。45个 (32%) 项目有运动训练期间氧气处方的方案。 结论: 虽然在澳大利亚肺康复计划中,在运动测试期间监测SpO2以及在测试和训练期间使用补充氧气是常见的,但很少有计划为未接受长期氧疗的COPD患者制定补充氧气的处方。这可能是由于缺乏强有力的证据支持在运动训练期间使用补充氧气。

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