彭哲男

慢性阻塞性肺疾病（COPD）合并重症呼吸衰竭是临床常见的危重症，其发病机制复杂，预后不良。近年来，无创正压通气（NPPV）技术在该领域的应用取得了显著进展。本研究系统梳理了NPPV治疗COPD合并重症呼吸衰竭的最新研究动态，重点探讨了其作用机制、临床应用效果及现存问题。研究表明，NPPV通过改善通气功能、减轻呼吸肌负荷等途径发挥治疗作用，在降低气管插管率、缩短住院时间等方面展现出独特优势。然而，患者选择标准、参数优化设置及并发症防治等问题仍需进一步研究。本文旨在为临床医师提供循证医学依据，促进NPPV技术的规范化应用，提高COPD合并呼吸衰竭患者的救治成功率。

无创呼吸机；慢性阻塞性肺疾病；重症呼吸衰竭；治疗进展

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