【摘要】目的：探讨无创呼吸机联合重症护理对慢性阻塞性肺疾病急性发作期患者症状改善及肺功能的影响。方法：随机将76例慢性阻塞性肺疾病急性发作期患者分为各38例的两组。无创呼吸机治疗期间，对照组实施常规护理，观察组实施重症护理。对比两组患者症状改善情况[临床症状(气促、咳嗽及咳痰)缓解时间和住院时间]、肺功能指标、生活质量(SGRQ评分)和6MWD。结果：观察组临床症状缓解时间和住院时间均比对照组短(P<0.05)；干预后，观察组肺功能指标及6MWD高于对照组，SGRQ评分低于对照组(P<0.05)。结论：慢性阻塞性肺疾病急性发作期患者采用无创呼吸机联合重症护理可有效缩短临床症状缓解时间及住院时间，有助于促进患者肺功能恢复，提高生活质量，改善运动耐力。

    【关键词】无创呼吸机；重症护理；慢性阻塞性肺疾病；急性发作

    The effect of noninvasive ventilator combined with intensive nursing on symptom improvement and pulmonary function in patients with acute exacerbation of chronic obstructive pulmonary disease

    HE Cunxiang， MENG Yan

    Shanxian Hospital of Traditional Chinese Medicine， Heze， Shandong 274300， China

    【Abstract】Objective：To investigate the effect of non-invasive ventilator combined with intensive nursing on symptom improvement and lung function in patients with acute exacerbation of chronic obstructive pulmonary disease.Methods：76 patients with acute exacerbation of chronic obstructive pulmonary disease were randomly divided into two groups ......