Antone E, Gilbert M, Bironneau V, Meurice J C
Service de pneumologie, CHU de Poitiers, université de Poitiers, 2, rue de la Miletrie, 86000 Poitiers, France.
Service de pneumologie, CHU de Poitiers, université de Poitiers, 2, rue de la Miletrie, 86000 Poitiers, France.
Rev Mal Respir. 2015 Apr;32(4):447-60. doi: 10.1016/j.rmr.2014.11.072. Epub 2015 Mar 29.
Continuous positive airway pressure (CPAP) still remains the most frequently used and the most efficient treatment for obstructive sleep apnea syndrome. However, its efficiency is conditioned by healthcare quality depending on many factors such as medical specificities of the patients as well as the severity of sleep-related breathing disorders. In order to optimize CPAP efficiency, it is necessary to be aware of the functional abilities of the different devices, and to perform a close monitoring of the patients, particularly during the first weeks of treatment, by maximally using the data provided by the CPAP apparatus. Some questions remain unsolved, such as the impact of nasal CPAP on glucose metabolism or cardiovascular prognosis. Furthermore, the strategy of CPAP use should be improved according to future results of studies dedicated to the interest of home telemonitoring and taking into account the validated mode of CPAP initiation.
持续气道正压通气（CPAP）仍然是阻塞性睡眠呼吸暂停综合征最常用且最有效的治疗方法。然而，其疗效取决于医疗质量，而医疗质量又受许多因素影响，如患者的医学特殊性以及与睡眠相关的呼吸障碍的严重程度。为了优化CPAP的疗效，有必要了解不同设备的功能特性，并对患者进行密切监测，尤其是在治疗的最初几周，要最大限度地利用CPAP设备提供的数据。一些问题仍未解决，比如鼻CPAP对葡萄糖代谢或心血管预后的影响。此外，应根据致力于家庭远程监测的研究的未来结果，并考虑已验证的CPAP启动模式，改进CPAP的使用策略。
