CAJ | 학술논문

近年来无创正压通气(NIPPV)被广泛应用于临床,已作为慢性阻塞性肺疾病(COPD)合并呼吸衰竭的首选治疗手段,具有痛苦少、无创性、易接受等优点.但临床上有些患者因为应用NIPPV治疗而错过了有创呼吸机或气管插管治疗的最佳时机.因此,如何在适当的时候选择应用NIPPV对COPD合并呼吸衰竭患者至关重要.该篇文章主要从COPD合并呼吸衰竭的疗效相关预测因素进行综述,以便为临床医师选择NIPPV治疗COPD合并呼吸衰竭提供参考.
근년래무창정압통기(NIPPV)피엄범응용우림상,이작위만성조새성폐질병(COPD)합병호흡쇠갈적수선치료수단,구유통고소、무창성、역접수등우점.단림상상유사환자인위응용NIPPV치료이착과료유창호흡궤혹기관삽관치료적최가시궤.인차,여하재괄당적시후선택응용NIPPV대COPD합병호흡쇠갈환자지관중요.해편문장주요종COPD합병호흡쇠갈적료효상관예측인소진행종술,이편위림상의사선택NIPPV치료COPD합병호흡쇠갈제공삼고.
Recent years,noninvasive positive pressure ventilation (NIPPV) which was the preferred management for COPD patients with respiratory failure had been widely used in clinical treatment.This noninvasive therapy brought the patients less sufferings who liefly accepted it.But some patients who had received NIPPV missed the best time for the invasive ventilator treatment or intubation.Therefore,it was critical to the COPD patients with respiratory failure that applying NIPPV at the proper time.This review mainly discoursed on effectiveness predictive factors in NIPPV treatment of COPD patients with respiratory failure which was intended to provide evidence for the clinician to adopt NIPPV.