无创机械通气治疗呼吸衰竭的研究进展

呼吸衰竭是临床常见综合征,单纯常规药物治疗作用十分有限。随着对呼吸生理认识的不断深入、无创呼吸机的飞速发展和无创机械通气(NIV)应用指征的逐渐扩大,NIV已被广泛应用于多种类型呼吸衰竭的治疗。研究发现NIV对改善呼吸生理学、降低气管插管率、降低住院病死率、避免气管插管有创机械通气(IMV)并发症等有一定效果。该文就近年来NIV治疗呼吸衰竭的研究进展进行综述。

Progress of non-invasive ventilation in respiratory failure

Respiratory failure is a common clinical syndrome,the effect of sole conventional drugs therapy is very hmited.With the growing understanding of respiratory physiology,the great improvement of non-invasive ventilator and gradual extending indications of non-invasive ventilation(NIV),NIV has been widely used in the different respiratory failure.Many studies have revealed its effects on respiratory failure:improved the respiratory physiology,reduced the rate of endotracheal intubation,lowered hospital mortality and decreased complications of invasive mechanical ventilation(IMV).The progress of NIV in respiratory failure in recent years is reviewed.