Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, Australia; Department of Thoracic Medicine, Concord Repatriation General Hospital, Concord, NSW, Australia.
Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, Australia; Sydney Local Health District, Sydney, NSW, Australia.
Braz J Phys Ther. 2021 Jan-Feb;25(1):97-102. doi: 10.1016/j.bjpt.2020.04.003. Epub 2020 May 15.
The aims of this study were to determine, in Australian pulmonary rehabilitation programs for people with COPD: (1) whether oxygen saturation (SpO) 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.
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.
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 SpO above a threshold ranging from SpO 80-88%. Forty-five (32%) programs had a protocol for oxygen prescription during exercise training.
While monitoring of SpO 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.
本研究旨在确定澳大利亚 COPD 肺康复计划中：（1）运动测试期间是否监测血氧饱和度（SpO）；（2）运动测试和/或训练期间是否提供补充氧气；（3）运动训练期间是否开具氧气处方以及提供氧气的原因；（4）是否有运动训练期间补充氧气处方的方案。
这是一项使用特定设计调查的横断面多中心研究。对匿名调查数据进行分析，并记录每个问题的绝对数量和百分比。
该调查发送给 261 个肺康复计划，其中有 142 个（54%）可用于分析。92%的计划在运动测试期间监测 SpO。大多数计划在运动测试（82%）和训练（84%）期间提供补充氧气。87 个计划（73%）在运动训练期间开具氧气处方的理由是将 SpO 维持在 80-88%的阈值以上。45 个（32%）计划有运动训练期间氧气处方的方案。
尽管澳大利亚肺康复计划中普遍监测运动测试期间的 SpO 并在测试和训练期间使用补充氧气，但很少有计划为未接受长期氧疗的 COPD 患者制定运动训练期间补充氧气的方案。这可能是由于缺乏支持在运动训练期间使用补充氧气的强有力证据。
