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近年来无创正压通气(NPPV)的临床应用日益广泛,尤其在慢性阻塞性肺疾病(COPD)并呼吸衰竭治疗中的价值得到越来越多的肯定。NPPV能改善COPD并呼吸衰竭患者的肺功能,提高生活质量,减少有创-无创序贯机械通气患者呼吸机相关性肺炎(VAP)发生,降低再插管率和病死率。该文就NPPV在COPD并呼吸衰竭患者中的应用进展作一综述。
In recent years, noninvasive positive pressure ventilation (NPPV) has been widely used clinically, especially in the treatment of chronic obstructive pulmonary disease (COPD) and respiratory failure, the value of more and more affirmed. NPPV improves pulmonary function in patients with COPD and respiratory failure, improves quality of life, reduces the incidence of ventilator-associated pneumonia (VAP) in patients with invasive-noninvasive sequential mechanical ventilation, and decreases reintubation and mortality. This article reviews the progress of NPPV in patients with COPD and respiratory failure.