引用本文:秦志强.慢性阻塞性肺疾病稳定期家庭无创通气治疗[J].中国临床新医学,2019,12(1):22-27.
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慢性阻塞性肺疾病稳定期家庭无创通气治疗
秦志强
530021 南宁,广西壮族自治区人民医院呼吸内科
摘要:
[摘要] 慢性阻塞性肺疾病(COPD)是常见慢性呼吸系统疾病,多数患者因呼吸困难影响生活质量,尤其是严重COPD患者,因慢性高碳酸性呼吸衰竭常常急性加重住院,加速肺功能减退并严重影响生活质量。长期家庭无创通气(NIV)已成为高碳酸性慢性呼吸衰竭COPD患者肺康复重要措施之一,双水平气道正压通气是常用NIV模式,高水平吸气气道正压(IPAP)和足够时长的NIV能够改善高碳酸性慢性呼吸衰竭COPD患者肺功能、血气分析参数,减少急性加重住院次数,改善生活质量。该文就COPD稳定期的家庭无创通气治疗进行介绍。
关键词:  慢性阻塞性肺疾病  呼吸衰竭  无创通气  康复
DOI:10.3969/j.issn.1674-3806.2019.01.06
分类号:R 563
基金项目:广西科技重点研发计划项目(编号:桂科AB16380218);广西卫计委科研课题(编号:Z2015314)
Home non-invasive ventilation in stable chronic obstructive pulmonary disease
QIN Zhi-qiang
Department of Respiratory Medicine, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
Abstract:
[Abstract] Chronic obstructive pulmonary disease(COPD) is a common chronic respiratory disease. Dyspnea, which is the most characteristic symptom of COPD patients, decreases the patients′ quality of life. Hospitalization for acute-on-chronic respiratory failure of COPD usually makes the patients′ pulmonary function and quality of life worse. Long term home non-invasive ventilation(NIV) has become one of the rehabilitations for hypercapnic COPD patients. Bilevel positive airway pressure(BiPAP) mode is the best choice of NIV. High inspiratory pressure and appropriate NIV time daily improve the pulmonary function and parameters of blood gas analysis, lower the times of rehospitalization and better the quality of life for hypercapnic COPD patients. The treatment of home non-invasive ventilation in stable chronic obstructive pulmonary disease is reviewed in this paper.
Key words:  Chronic obstructive pulmonary disease(COPD)  Respiratory failure  Non-invasive ventilation  Rehabilitation