摘要：目的探讨双水平正压通气(BiPAP)联合补肾纳气法治疗慢性阻塞性肺疾病急性加重期(AECOPD)临床疗效。方法将80例AECOPD患者随机分为对照组(标准治疗+双水平正气道压力通气)和观察组(标准治疗+双水平正气道压力通气联合补肾纳气法)，观察2组治疗前及治疗后24h、72h、7d生命体征、血气分析，比较2组患者住院时间、病死率及气管插管率等指标的差异。结果治疗后观察组较对照组血气分析明显改善，观察组总的气管插管率明显降低(P<0.05)，住院时间明显缩短(P<0.01)。结论无创正压通气联合补肾纳气法治疗慢性阻塞性肺疾病急性加重期可以可明显增加患者的气体交换，提高患者的生活质量，改善患者的预后，提高临床疗效。

    关键词：双水平正气道压力通气；慢性阻塞性肺疾病急性加重期；补肾纳气法

    中图分类号：R256.1文献标志码：B文章编号：1007-2349(2015)06-0042-03

    【Abstract】Objective： To study the clinical effect of bi-level positive airway pressure(BiPAP)combined with reinforcing kidney to improve inspiration on the treatment of acute exacerbation chronic obstructive pulmonary disease (AECOPD). Methods： 80 patients were randomly divided into a control group (standard therapy + bi-level positive airway pressure ventilation) and an observation group (standard therapy + bi-level positive airway pressure + reinforcing kidney to improve inspiration). The vital signs and blood gas of the two groups were observed before the treatment and after 24h ......