神经调节辅助通气在慢性阻塞性肺疾病患者中的应用研究进展  

Research Advances in the Application of Neurally Adjusted Ventilatory Assist in Patients with Chronic Obstructive Pulmonary Disease

作　　者：华焱 马同军 于涛[2] HUA Yan;MA Tongjun;YU Tao(School of Anesthesiology,Wannan Medical College,Wuhu 241001,China;Department of Neurosurgical Intensive Care Unit,Yijishan Hospital of Wanan Medical College,WuHu 241001,China)

机构地区：[1]皖南医学院麻醉学院,安徽芜湖241001 [2]皖南医学院弋矶山医院神经ICU,安徽芜湖241001

出　　处：《中国医药指南》2020年第23期24-26,共3页Guide of China Medicine

基　　金：安徽省重点研究和开发计划项目(201904a07020034)。

摘　　要：神经调节辅助通气(NAVA)是一种通过监测膈肌电活动(EAdi)信号进行工作的新型机械通气模式,以往研究证明NAVA具有改善人机协调性、减轻膈肌负荷、提高脱机成功率、减轻炎症等优势。近几年关于NAVA在慢性阻塞性肺疾病(COPD)患者中的应用研究的逐渐深入。因此,本文就NAVA在COPD患者中的应用进行了综述,阐述了临床治疗COPD患者的现状、NAVA的部分优势以及NAVA在COPD患者中的应用价值,为临床治疗COPD患者提供了新的思路。Neurally adjusted ventilatory assist(NAVA)is a new type of mechanical ventilation mode which works by monitoring electrical activity of the diaphragm(EAdi)signals.Previous studies have shown that NAVA can improve man-machine coordination,reduce the load of diaphragm,improve the success rate of weaning,reduce inflammation,and so on.With the deepening of the application of NAVA in patients with chronic obstructive pulmonary disease(COPD)in recent years,this paper reviews the application of NAVA in patients with COPD.This paper expounds the present situation of clinical treatment of COPD patients and some advantages of NAVA and the therapeutic value of NAVA in COPD patients,which provides a new idea for clinical treatment of COPD patients.

关 键 词：慢性阻塞性肺疾病 神经调节辅助通气 机械通气 体外二氧化碳清除技术 

分 类 号：R563.9[医药卫生—呼吸系统]