Yokoyama Toshiki, Yamamoto Hiroshi, Kubo Keishi
First Department of Internal Medicine, Shinshu University School of Medicine.
Nihon Rinsho. 2011 Oct;69(10):1850-5.
Non-drug treatments such as long term oxygen therapy (LTOT) and non-invasive positive pressure ventilation (NPPV) are thought important for patients with chronic obstructive pulmonary disease (COPD). It is reported that LTOT can improve the prognosis of patients with COPD, particularly who have severe respiratory failure. NPPV attracted attention to avoid endotracheal intubation and high efficacy in patients with acute exacerbation of COPD. In chronic phase of COPD, NPPV may improve the quality of life in patients with hypercapnia, selected carefully.
长期氧疗(LTOT)和无创正压通气(NPPV)等非药物治疗方法被认为对慢性阻塞性肺疾病(COPD)患者很重要。据报道,长期氧疗可改善慢性阻塞性肺疾病患者的预后,尤其是那些患有严重呼吸衰竭的患者。无创正压通气在慢性阻塞性肺疾病急性加重患者中避免气管插管和疗效高而受到关注。在慢性阻塞性肺疾病的慢性期,经过仔细挑选,无创正压通气可能会改善高碳酸血症患者的生活质量。