阻塞性睡眠呼吸暂停低通气综合征气道正压治疗

Continous positive airway pressure treatment for obstructive sleep apnea hypopnea patients

持续气道正压通气治疗阻塞性睡眠呼吸暂停低通气综合征可使睡眠期上气道保持通畅已被公认,也明确存在依从性不够理想的缺点。现有的C PAP装置已出现越来越多的界面和模式供选择,通过改进鼻面罩和口鼻面罩增加配戴的舒适性,通过压力缓升机制和加温湿化提高C PAP的设备配置的性能,采用自动调压CPAP及使用双水平正压呼吸机,提高了CPAP的疗效和依从性。

It is accepted that continuous positive airway pressure （CPAP） treatment can maintain upper airway of patients suf- fered obstructive sleep apnea hypopnea syndrome in sleep period. But it had an obvious disadvantage that compliance is not ideal. The current CPAP device has more interfaces and modes for choice. The improvement of nasal and oronasal mask increase wearing com- fort. The pressure slow rising mechanism and warming humidification improve the performance of CPAP device congiguration. The use of automatic pressure regulating CPAP and bilvel positive pressure ventilation reduce disfomfort. These method can increase the curative effect and CPAP compliance.