ssmuБюллетень сибирской медициныBulletin of Siberian Medicine1682-03631819-3684Siberian State Medical University, the Ministry of Healthcare of the Russian Federation10.20538/1682-0363-2017-2-6-19ssmu-872Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEW AND LECTURESНеинвазивная вентиляция легких у больных ХОБЛ, госпитализированных в стационарNoninvasive ventilation in hospitalized patients with chronic obstructive pulmonary diseaseАвдеевС. Н.AvdeevSergey N.

д-р мед. наук, профессор, член-корреспондент РАН, руководитель клинического отдела 

105077, г. Москва, ул. 11-я Парковая, 32

DM, Professor, Corresponding Member of RAS

32, Str. 11th Parcovay, 105077, Moscow

serg_avdeev@list.ruНаучно-исследовательский институт (НИИ) пульмонологии, г. МоскваРоссияPulmonology Research InstituteRussian Federation201712072017162619Copyright © Авдеев С.Н., 20172017Авдеев С.Н.Avdeev S.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://bulletin.ssmu.ru/jour/article/view/872

Неинвазивная вентиляция легких в течение двух последних десятилетий привела к существенному улучшению ведения пациентов с хронической обструктивной болезнью легких (ХОБЛ) как в период обострений, так и в стабильный период. В настоящее время неинвазивная вентиляция легких рассматривается как терапия первой линии у пациентов с обострением ХОБЛ и развитием гиперкапнической острой дыхательной недостаточности. Данный метод респираторной поддержки также оказался эффективным у больных после экстубации как для облегчения процесса отлучения от респиратора, так и для профилактики и лечения постэкстубационной дыхательной недостаточности. К другим областям успешного применения неинвазивной вентиляции легких относятся сочетание хронической обструктивной болезни легких с синдромом апноэ во время сна, хронической обструктивной болезни легких и пневмонии, а также ранний постоперационный период после операций на грудной клетке.

Эффективность неинвазивной вентиляции легких, исходно доказанная в условиях отделений реанимации и интенсивной терапии, также стимулировала интерес к использованию масочной вентиляции в условиях стационара и в амбулаторной практике (для длительной терапии в домашних условиях). В данной статье представлен обзор применения неинвазивной вентиляции легких у больных хронической обструктивной болезнью легких как во время обострений, так и в стабильный период. 

The use of noninvasive ventilation (NIV) of lungs during the last two decades significantly improved the results of management of severe COPD patients with acute or chronic respiratory failure during both periods of exacerbation and stability. At present, NIV is considered to be the first-line therapy for acute exacerbation of COPD with hypercapnia and respiratory acidosis. This method of airway support turned out to be effective in patients after extubation both for the relief of excommunication from a respirator and for prophylaxis and treatment of postextubation respiratory failure. NIV was proven to be successful in patients with a combination of COPD and obstructive sleep apnea (overlap syndrome), in COPD with pneumonia and in postoperative COPD patients who have undergone lung resectional surgery. The efficacy of NIV under intensive care and intensive therapy unit conditions has stimulated the interest to the use of mask ventilation in hospitals and out-patient departments (for a prolonged domestic therapy). This article presents a review of NIV use in patients with COPD during both periods of exacerbation and stability. 

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The authors declare that there are no conflicts of interest present.