经鼻导管高流量吸氧在慢性阻塞性肺疾病加重期的应用进展

张梅; 王美堂

doi:10.13201/j.issn.1009-5918.2020.07.019

经鼻导管高流量吸氧在慢性阻塞性肺疾病加重期的应用进展

张梅,
王美堂^,

- 上海长海医院急诊科(上海, 200433)

详细信息

通讯作者: 王美堂,E-mail:wmt88@sina.com

中图分类号: R541.4

收稿日期: 2020-05-19

Application of high flow nasal cannula oxygen therapy in acute exacerbated COPD patients

ZHANG Mei,
WANG Meitang^,

More Information

Corresponding author: WANG Meitang, E-mail: wmt88@sina.com

Received Date: 19 May 2020

摘要

- 经鼻高流量氧疗 /
- 慢性阻塞性肺疾病急性加重 /
- 传统氧疗 /
- 无创通气
Abstract: Acute exacerbation of chronic obstructive pulmonary disease(AECOPD)is a common clinical event that can result in severe respiratory failure and substantial mortality.High-Flow through Nasal Cannula(HFNC)can deliver heated humidified air-oxygen mixture to the patients,wash out the pharyngeal dead space,generate a certain amount of positive end expiratory pressure and assure more comfort.It has been introduced in the clinical therapy in acute exacerbated COPD patients.In this paper,we reviewed the literature in recent years to assess the effect of HFNC in the treatment of AECOPD patients.
- high flow nasal cannula /
- acute exacerbation of chronic obstructive pulmonary disease /
- oxygen therapy /
- non-invasive ventilation

HTML全文

参考文献(26)

[1]	Vogelmeier CF,Criner GJ,Martinez FJ,et al.Global strategy for the diagnosis,management,and prevention of chronic obstructive lung disease 2017 report:GOLD executive summary[J].Am J Respir Crit Care Med,2017,195(3):557-582.
[2]	Rochwerg B,Brochard L,Elliott MW,et al.Official ERS/ATS clinical practice guidelines:noninvasive ventilation for acute respiratory failure[J].Eur Respir J,2017,50(2):1-20.
[3]	Squadrone E,Frigerio P,Fogliati C,et al.Noninvasive vs invasive ventilation in COPD patients with severe acute respiratory failuredeemed to require ventilatory assistance[J].Intensive Care Med,2004,30(7):1303-1310.
[4]	Pisani L,Vega ML.Use of nasal high flow in stable COPD:rationale and physiology[J].COPD,2017,14(3):346-50.
[5]	Maggiore SM,Idone FA,Vaschetto R,et al.Nasal high-flow versus Venturi mask oxygen therapy after extubation.Effects on oxygenation,comfort,and clinical outcome[J].Am J Respir Crit Care Med.2014,190(3):282-288.
[6]	Longhini F,Pisani L,Lungu R,et al.High-flow oxygen therapy after noninvasive ventilat ion interruption in patients recovering from hypercapnic acute respiratory failure:a physiological crossover trial[J].Crit Care Med,2019,47(6):e506-511.
[7]	O’Donnell DE.Hyperinflation,dyspnea,and exercise intolerance in chronic obstructive pulmonary disease[J].Proc Am Thorac Soc,2006,3:180-184.
[8]	Rabe KF,Watz H.Chronic obstructive pulmonary disease[J].Lancet,2017,389(10082):1931-1940.
[9]	陈喆,刘秋旻,颜卫峰.无创机械通气与拔管后经鼻高流量氧疗对治疗慢性阻塞性肺疾病急性加重血气指标的影响[J].内科急危重症杂志,2019,25(1):38-40.
[10]	Pilcher J,Eastlake L,Richards M,et al.Physiological effects of titrated oxygen via nasal high-flow cannula in COPD exacerbations:a randomized controlled cross-over trial[J].Respirology.2017,22(6):1149-1155.
[11]	Lee MK,Choi J,Park B,et al.High flow nasal cannula oxygen therapy in acute-moderate hypercapnic respiratory failure[J].Clin Respir J,2018,12(6):2046-2056.
[12]	Jing G,Li J,Hao D,et al.Comparison of high flow nasal cannula with noninvasive ventilation in chronic obstructive pulmonary disease patients with hypercapnia in pre-venting postextubation respiratory failure:a pilot randomized controlled trial[J].Res Nurs Health,2019,42(3):217-225.
[13]	Di Mussi R,Spadaro S,Stripoli T,et al.High-flow nasal cannula oxygen therapy decreases postextubation neuroventilatory drive and work of breathing in patients with chronic obstructive pulmonary disease[J].Crit Care,2018,22(1):180.
[14]	Pham TM,O'Malley L,Mayfiled S,et al.The effect of high flow nasal cannula therapy on the work of breathing in infants with bronchiolitis[J].Pediatr Pulmonol,2015,50(7):713-720.
[15]	Brochard L,Mancebo J,Wysocki M,Lofaso F,Conti G,Rauss A,et al.Noninvasive ventilation for acute exacerbations of chronic obstructive pulmonary disease.N Eng J Med.1995,333:817-822.
[16]	Papazian L,Corley A,Hess D,et al.Use of high-flow nasal cannula oxygenation in ICU adults:a narrative review[J].Intensive Care Med,2016,42:1336-1349.
[17]	Hernández G,Roca O,Colinas L.High-flow nasal cannula support therapy:new insights and improving performance[J].Crit Care,2017,21:62.
[18]	Moler W,Celik G,Feng S,et al.Nasal high flow clears anatomical dead space in upper airway models[J].J Appl Physiol,2015,118:1525-1532.
[19]	Rittayamai N,Phuangchoei P,Tscheikuna J,et al.Effects of high-flow nasal cannula and non-invasive ventilation on inspiratory effort in hypercapnic patients with chronic obstructive pulmonary disease:a preliminary study[J].Ann Intensive Care,2019,9:122.
[20]	Di Mussi R,Spadaro S,Stripoli T,et al.High-flow nasal cannula oxygen therapy decreases postextubation neuroventilatory drive and work of breathing inpatients with chronic obstructive pulmonary disease[J].Crit Care,2018,22(1):180.
[21]	Liao H,Pei W,Li H,et al.Efficacy of long-term noninvasive positive pressure ventilation in stable hypercapnic COPD patients with respiratory failure:a meta-analysis of randomized controlled trials[J].Int J Chron Obstruct Pulmon Dis,2017,12:2977-2985.
[22]	Mittal A,Varshney M,Rathi V,et al.High flow nasal cannula in acute hypercapnic exacerbation of chronic obstructive pulmonary disease:an emerging utility[J].Monaldi Archives for Chest Disease 2020,90:1158.
[23]	陈栋玉,何磊,周亮亮,等.有创机械通气-高流量氧疗序贯治疗慢性阻塞性肺疾病所致急性呼吸衰竭的临床研究[J].中华重症医学电子杂志,2019,5(3):219-224.
[24]	刘霜,朱华栋,于学忠,等.经鼻高流量氧疗和无创正压通气对于肺源性中重度急性呼吸窘迫综合征患者初始治疗的效果评价[J].临床急诊杂志,2020,21(3):1819-187.
[25]	Weinreich UM.Domiciliary high-flow treatment in patients with COPD and chronic hypoxic failure:In whom can we reduce exacerbations and hospitalizations[J]?PLoS One,14(12):e0227221.
[26]	Ferrer M,Sellares J,Valencia M,et al.Non-invasive ventilation after extubation in hypercapnic patients with chronic respiratory disorders:randomized controlled trial[J].Lancet,2009,374(9695):1082-1088.