| 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，加速肺功能减退和生活质量恶化。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。 |
| 关键词: 慢性阻塞性肺疾病，呼吸衰竭，无创通气，康复 |
| DOI： |
| 分类号: |
| 基金项目: |
|
| Home non-invasive ventilation in stable chronic obstructive pulmonary disease |
|
1
|
|
1
|
| 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 patient’s pulmonary function and quality of life worse. Long term home non-ventilation 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 rehospitalization and better the quality of life for hypercapnic COPD patients. |
| Key words: chronic obstructive pulmonary disease, respiratory failure, non-invasive ventilation, rehabilitation |
