CAJ | 학술논문

慢性阻塞性肺疾病（COPD）常并发呼吸衰竭，机械通气是重要治疗措施，其中无创通气（NIV）是临床上常用治疗方法。 NIV治疗COPD急性加重期急性呼吸衰竭可以改善患者的呼吸功能、动脉血氧饱和度和降低通气插管率。 NIV治疗COPD稳定期慢性呼吸衰竭也能改善动脉血氧饱和度、生活质量和运动耐力。严重酸中毒、高血糖和患者病情严重等是预测NIV治疗失败因素。该文对NIV治疗COPD急性加重期和稳定期、NIV参数设置、影响NIV疗效因素方面进行了综述。
만성조새성폐질병（COPD）상병발호흡쇠갈，궤계통기시중요치료조시，기중무창통기（NIV）시림상상상용치료방법。 NIV치료COPD급성가중기급성호흡쇠갈가이개선환자적호흡공능、동맥혈양포화도화강저통기삽관솔。 NIV치료COPD은정기만성호흡쇠갈야능개선동맥혈양포화도、생활질량화운동내력。엄중산중독、고혈당화환자병정엄중등시예측NIV치료실패인소。해문대NIV치료COPD급성가중기화은정기、NIV삼수설치、영향NIV료효인소방면진행료종술。
Respiratory failure is common in chronic obstructive pulmonary disease (COPD) and usually needs ventilation, which includes non-invasive ventilation (NIV).Clinical studies have confirmed that the NIV can benifit the respiratory function, improve the parameters of arterial blood gas analysis and reduce the endotracheal intu -bation rate in the patients with acute respiratory failure in actue exacerbation of COPD .NIV can also improve the pa-rameters of artierial blood gas analysis , quality of life and excercise tolerance of patients with chronic respiratory fail-ure in stable COPD.Severe acidosis, hyperglycaemia and more severe conditions are the predict factors of poor NIV outcome.This paper reviews the research progress on the non-invasire ventilation for the treatment of respiratory fail-ure in chronic obstructive pulmonary disease .