Abdel Kafi S
Service de Pneumologie, C.H.U. Brugmann.
Rev Med Brux. 2010 Sep;31(4):267-70.
In Belgium, oxygen therapy is becoming more and more accessible. When oxygen is needed for short periods or for special indications as palliative care, an agreement between mutual insurance companies and pharmacists allows the practitioner the home installation of gazeous oxygen cylinder or of oxygen concentrator. When long term oxygen therapy (LTOT) is indicated for patients with respiratory insufficiency, the pneumologist must first ask the INAMI the authorization to install one of the following modalities: oxygen concentrator with or without demand oxygen delivery cylinder and liquid oxygen. The goal of LTOT is to increase survival and quality of life. The principal and well accepted indication for LTOT is severe hypoxemia. The beneficial effects of oxygen therapy limited at night or on exertion are controversial. In order to increase patient's autonomy, oxygen can be prescribed for ambulation, respecting prescription's rules. At each step of oxygen therapy implementing (indication, choice of the device and follow-up) the patient under oxygen may benefit from a joint approach between the general practitioner and the chest specialist.
在比利时，氧疗越来越容易获得。当因短期需求或姑息治疗等特殊指征需要氧气时，互助保险公司与药剂师之间的一项协议允许从业者在家中安装气态氧气瓶或制氧机。当呼吸功能不全的患者需要长期氧疗（LTOT）时，肺病专家必须首先向比利时国家健康保险和医疗质量管理局（INAMI）申请授权，以安装以下其中一种方式：带或不带按需供氧气瓶的制氧机以及液氧。长期氧疗的目标是提高生存率和生活质量。长期氧疗的主要且被广泛认可的指征是严重低氧血症。夜间或运动时进行氧疗的有益效果存在争议。为了提高患者的自主性，可以按照处方规定为患者行走时开具氧气。在氧疗实施的每个阶段（指征、设备选择和随访），吸氧患者可能会受益于全科医生和胸部专科医生的联合治疗方法。
