无创正压通气(NIPPV)可以减少急性呼吸衰竭的气管插管或气管切开的需要以及相应的并发症;减少慢性呼吸衰竭对呼吸机的依赖,减少患者的痛苦和医疗费用。近10多年来,NIPPV已经成为治疗急性呼吸衰竭的重要手段之一。然而,实际应用中仍存在比较多的问题,影响其疗效和依从性。下面就常见的问题进行讨论。 一、创建开展NIPPV的基础条 Non-invasive positive pressure ventilation (NIPPV) can reduce the need for endotracheal intubation or tracheotomy for acute respiratory failure and its accompanying complications; reduce respiratory reliance on chronic respiratory failure and reduce patient pain and medical costs. For nearly 10 years, NIPPV has become an important treatment of acute respiratory failure. However, there are still many problems in practical application, which affect the efficacy and compliance. The following is a discussion of common problems. First, to create a basis for the implementation of NIPPV