【摘要】  目的 探讨无创正压通气(NIPPV)在慢性阻塞性肺疾病急性加重期(AECOPD)并Ⅱ型呼吸衰竭中的应用价值。方法 51例AECOPD合并Ⅱ型呼吸衰竭患者随机分为治疗组(26例)和对照组(25例)，对照组给予常规治疗，治疗组在常规治疗基础上给予NIPPV治疗8h。比较两组治疗前后动脉血气结果及临床症状等观察指标。结果 治疗组pH、PaO2、PaCO2改善明显，均优于对照组(P<0.05)。结论 早期应用无创正压通气治疗AECOPD合并Ⅱ型呼吸衰竭患者，能更好地提高pH和PaO2，降低PaCO2，改善临床症状。
【关键词】  无创正压通气;AECOPD;Ⅱ型呼吸衰竭
The effect of NIPPV on AECOPD with type 2 respiratory failure
　　WANG Ya-jing.Luoyang Petrification Hospital, Henan 471012,China
　　[Abstract] Objective To observe the effect of noninvasive positive-pressure ventilation (NIPPV) on acute exacerbation of chronic obstructive pulmonary disease (AECOPD) with type 2 respiratory failure.Methods 51 cases of AECOPD were randomly divided into treatment group (26 cases) and contrast group (25 cases). The treatment group was given NPPV for eight hours, and other treatments were the same for both groups. The biochemical indicators and arterial blood gas were checked during the study.Results The improvement of indicators had remarkable difference i...