Clement J Zablocki Veterans Affairs Medical Center, Milwaukee, Wisconsin, USA.
Respir Care. 2010 Sep;55(9):1216-29.
Over the past few decades, continuous positive airway pressure (CPAP) therapy for obstructive sleep apnea has evolved into more and more sophisticated modes of therapy for various forms of sleep-disordered breathing. While the principles of splinting the airway and delivering assisted ventilation underpin the basics of this therapy, the introduction of newer technologies and miniaturization are revolutionizing the former conventions of the field. The purpose of this review is to improve our understanding of various forms of PAP therapy by providing the rationale for such modalities, gaining a basic working knowledge of device technology, and critically assessing the clinical research evidence while identifying barriers to implementation. Dissemination of such information is vital in order to prevent knowledge gaps in healthcare providers and systems.
在过去的几十年中，持续气道正压通气（CPAP）治疗阻塞性睡眠呼吸暂停已经发展为治疗各种睡眠呼吸障碍的越来越复杂的治疗模式。尽管气道夹板和辅助通气的原理构成了这种治疗的基础，但新技术的引入和小型化正在彻底改变该领域的传统惯例。本文的目的是通过提供这些模式的基本原理、获得设备技术的基本知识、批判性评估临床研究证据并确定实施障碍，来提高对各种形式的 PAP 治疗的理解。传播此类信息对于防止医疗保健提供者和系统中的知识差距至关重要。
