新型冠状病毒肺炎疫情防控期间开展睡眠监测及无创正压通气治疗的专家共识

Expert consensus on sleep study and non-invasive positive airway pressure therapy during the epidemic of coronavirus disease 2019

新型冠状病毒肺炎主要通过呼吸道飞沫、密切接触及高浓度气溶胶传播。睡眠监测及无创正压通气治疗可增加医务人员和患者发生新型冠状病毒暴露及传播的风险。在当前疫情防控及恢复正常医疗工作并重的关键阶段,本共识根据睡眠呼吸疾病诊疗的特点,从医患教育管理、诊疗流程优化、诊疗环境设备消毒管理、医院内感染的防控管理等四个方面制定推荐意见。主要强调在当前疫情流行期间,需根据本地区疫情流行情况,严格睡眠监测及无创正压通气治疗的适应证,推荐采取家庭便携睡眠监测和自动压力滴定治疗,睡眠监测尽量采用一次性气流压力传感器,无创正压通气治疗推荐采用一次性或个人专用的口鼻面罩和呼吸机管路,规范无创正压通气操作,严格医务人员分级防护和睡眠诊疗区功能分区,加强仪器设备及环境清洁消毒。

Coronavirus disease(COVID-19)is mainly transmitted through respiratory droplets,close unprotected contact,and intense aerosols-generating procedures.Sleep study and non-invasive positive airway pressure(NIPAP)therapy can increase the risk of exposure and transmission of new coronaviruses to medical staff and patients.China′s national epidemic control has entered a critical stage of overall prevention and control together with the restoration of normal medical care delivery.Based on the characteristics of sleep-disordered breathing,this consensus elaborates on the recommendations from the following four aspects that include patient and medical staff education,optimization of diagnostic and treatment protocols,sterilization of medical devices and the environment,and control of hospital-acquired infection.It is emphasized that the indications for sleep study and NIPAP should be strictly defined according to the local epidemic situation.Portable home sleep study and auto-titration positive airway pressure is recommended.The applications of disposable nasal pressure transducer for sleep study and disposable or personal masks and ventilator tubing for NIPAP are strongly suggested.Moreover,it is necessary to standardize the procedure of NIPAP,to separate the functional divisions in sleep lab,to comply with the protection regulations for medical personnel,and to strengthen the cleaning and disinfection management.