CAJ | 학술논문

无创正压通气(NPPV)在上呼吸道梗阻性疾病的治疗中占重要的地位.国外无创通气治疗儿童呼吸系统疾病的报道逐年增加,而目前国内相关报道不多.通过检索国内外NPPV治疗儿童上呼吸道梗阻性疾病的临床研究、综述及操作指南,以了解NPPV在儿童应用的适应证、效果及实施方法.研究发现,NPPV是不能手术或手术不能解决问题的上呼吸道梗阻患儿的治疗选择.该治疗技术避免了上呼吸道梗阻导致的反复低氧和觉醒对机体造成的损害,减少气管切开的概率,提高患儿生活质量.NPPV治疗的实施需要在专业的儿童医疗中心进行,对患儿和家长的培训和教育是提高依从性的关键.
무창정압통기(NPPV)재상호흡도경조성질병적치료중점중요적지위.국외무창통기치료인동호흡계통질병적보도축년증가,이목전국내상관보도불다.통과검색국내외NPPV치료인동상호흡도경조성질병적림상연구、종술급조작지남,이료해NPPV재인동응용적괄응증、효과급실시방법.연구발현,NPPV시불능수술혹수술불능해결문제적상호흡도경조환인적치료선택.해치료기술피면료상호흡도경조도치적반복저양화각성대궤체조성적손해,감소기관절개적개솔,제고환인생활질량.NPPV치료적실시수요재전업적인동의료중심진행,대환인화가장적배훈화교육시제고의종성적관건.
The non-invasive positive-pressure ventilation(NPPV) play an important role in treating patient with upper airway obstructive diseases.The use of NPPV in children has significantly increased in recent years internationally.Nevertheless,the paediatric NPPV support in China was less reported.This review aimed to clarify the indications,efficacy and technical methods in NPPV,and therefore searched papers including clinical studies,reviews and guidelines focusing on children with upper airway obstructive diseases who were treated on NPPV.The review concluded that NPPV is a treatment choice for patient who has upper airway obstruction and can not be solved by surgery.The NPPV avoids the impairment to the body caused by recurrent hypoxemia and arousals,decreases the rate of intubation and improves the quality of life.NPPV need to be preformed in a professional children's medical center.Education and training for the parent is the key point of improving treatment compliance.