Hore P M, McLeod J A
N Z Med J. 1981 Jun 24;93(686):413-7.
A clinical review of the 50 patients with severe respiratory disease using domiciliary oxygen, was conducted in Christchurch where there had been no specified assessment of patients prior to commencement of therapy. It was found that uncontrolled growth of this expensive domiciliary service had resulted in its inappropriate and non-cost effective use. Thirty-seven (74 percent) of the patients die not require oxygen according to scientific indications, including 22 (44 percent) who had a resting arterial oxygen tension (PaO2) greater than 70 mmHg (9.31 kPa). This situation is believed to be widespread and reflects a lack of informed medical supervision. It is recommended that prior to commencement of therapy, patients be assessed according to specific domiciliary oxygen criteria with investigations including arterial blood gas tensions.
对在克赖斯特彻奇使用家庭氧气治疗的50例重症呼吸系统疾病患者进行了一项临床回顾，在开始治疗前未对患者进行具体评估。结果发现，这项昂贵的家庭服务的无节制增长导致了其使用不当且不具成本效益。根据科学指征，37名（74%）患者不需要吸氧，其中22名（44%）患者静息动脉血氧分压（PaO2）大于70 mmHg（9.31 kPa）。据信这种情况很普遍，反映出缺乏明智的医疗监督。建议在开始治疗前，根据具体的家庭氧气标准对患者进行评估，并进行包括动脉血气张力在内的检查。
