面罩综合介绍及佩戴清洁.pdf

飞利浦伟康面罩介绍 ——为您提供全面的佩戴解决方案 谢丹 HHS Sleep Therapy 2012 Agenda 面罩在PAP 飞利浦伟康 面罩的选择 您的患者需 治疗中的角 面罩类型 面罩家族 与佩戴 要哪款面罩？ 色 Confidential HHS Sleep Therapy, 2012 2 Agenda 面罩在PAP治疗中的角色 Confidential HHS Sleep Therapy, 2012 3 呼吸机使用中面罩扮演的角色及临床证据 • 为病人选择合适面罩的目标是漏气量最小化，舒适度最大化，并且有效改善鼻腔 阻塞情况 The patient should be carefully fitted with an appropriate mask with the goals of minimizing leak, maximizing comfort, and compensating for significant nasal obstruction NPPV Titration Task Force of the American Academy of Sleep Medicine (AASM) Journal of Clinical Sleep Medicine, Vol. 6, No. 5, 2010 • 规律的随访病人呼吸机的使用及面罩佩戴对于评价呼吸机使用的耐受性和依从性 至关重要 Regular review of patients to address any issues related to the use of their CPAP machine and interface is necessary to ensure ongoing tolerance and compliance. Cochrane Database of Systematic Reviews, Issue 3, 2009 Confidential HHS Sleep Therapy, 2012 4 呼吸机使用中面罩扮演的角色及临床证据 • 不适的面罩佩戴会引起不适感及面罩漏气，引起频繁的觉醒，最终影响睡眠质量 及呼吸机治疗效果 A poorly fitting nasal mask can lead to discomfort and interface leak *Leaks are associated with frequent arousals which compromise sleep quality Sleep 1997;20:561-9 • 面罩漏气降低治疗效果并影响睡眠结构 Leaks reduces therapy effectiveness and disrupts sleep architecture Eur Respir J 1999;14:1251–7 • 口漏气影响NPPV治疗的有效性 Mouth leaks, can impair the effectiveness of NPPV therapy Respir Med 2007;101:1874-9 Confidential HHS Sleep Therapy, 2012 5 呼吸机使用中面罩扮演的角色及临床证据 • 有效的NPPV治疗必须保证：气道开放、正确的面罩选择佩戴、口闭合、 病人及呼吸机同步