On non-invasive mechanical ventilation in COPD clinical application.docVIP

 PAGE \* MERGEFORMAT 33 On non-invasive mechanical ventilation in COPD clinical application [Abstract] chronic obstructive pulmonary disease (chronic obstructive pulmonary disease, COPD) is a kind of airflow limitation characteristic of the disease can be prevented and treated, not fully reversible airflow limitation, showed a progressive development, and the lungs of cigarette smoke and other harmful particles abnormal inflammatory response. COPD mainly involves the lungs, but can cause systemic adverse reactions. more than the number of patients because of its high mortality, socio-economic burden, has become an important public health issue. noninvasive positive pressure ventilation (nonin-vasive positive pressureventilation, NIPPV) is not an artificial airway, the use of masks or nasal mask mechanical ventilation for respiratory support technology, mainly through air pump from the auxiliary function to relieve respiratory muscle fatigue, can effectively reduce endotracheal intubation rate and improve patient comfort, reduce complications. now NIPPV in acute exacerbation of COPD and the stable has a wide range of applications. now NIPPV in COPD patients in recent years, clinical application are summarized below. [Keywords:] non-invasive mechanical ventilation; chronic obstructive pulmonary disease COPD is a chronic respiratory failure or acute exacerbation of chronic respiratory failure, the most common cause, including chronic bronchitis, emphysema, irreversible airway obstruction caused by reconstruction of bronchial asthma. COPD patients are generally older, poorer lung function, usually caused by respiratory infection, underlying diseases increase, usually medication changes, and other incentives to stop or over-exertion, leading to acute exacerbation caused moderate to severe respiratory failure. So for COPD patients with respiratory failure, the active resistance to infection, the expansion of bronchus, expectorant, oxygen respiratory stimulan