Objective To approach the curative effect of curing chronic obstructive pulmonary disease and Ⅱ type respiratory failure by noninvasive mechanical ventilation. Methods To retrospective analyze the clinical data of 60 cases chronic obstructive pulmonary disease and Ⅱ type respiratory failure,which was to be divided into detection group and control group by treatment way. Results The cough, expectoration,chest distress,rales of improving were better than control group, the respiratory frequency, heart rate, systolic arterial pressure were better than control group,the blood gas analysis result PaO2, PaCO2 of detection group were better than control group (P ＜ 0. 05). The difference was statistical significance. Conclusion The curative effect of curing chronic obstructive pulmonary disease and Ⅱ type respiratory failure by noninvasive mechanical ventilation. It is worthy to be used in clinics.

OBJECTIVE To study the cause of bacterial infection of ventilator-associated pneumonia(VAP) in intensive care unit(ICU) and summarize effective methods to prevent and control the infection.METHODS Epidemiologic study on 300 patients with VAP in ICU from Dec 1,2003 to Jul 13,2006.Preventing and controlling strategy was as follows.RESULTS Pathogenic bacteria of VAP in ICU mostly were multidrug-resistant ones,of which the G-were 56.3%,G+ were 23% and fungi were 13.7%.CONCLUSIONS To control VAP in ICU proper technique and method are important.Management of hospital infection and related training of staff in ICU are the basic way.