Sahni Ashima S, Wolfe Lisa
Division of Sleep Medicine, Department of Neurology, Northwestern University Feinberg School of Medicine.
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine.
Respir Care. 2018 May;63(5):601-608. doi: 10.4187/respcare.06210. Epub 2018 Apr 24.
Caring for patients with neuromuscular disease (NMD) is challenging. Respiratory care is of the utmost importance because it is a major determinant of quality of life and survival. Noninvasive ventilation (NIV) is one of the few modalities that has shown survival benefit in the NMD patient population. Newer modes with smart technologies are being developed to assist in better ventilation. Some noninvasive methods have shown success in the management of sialorrhea, which is of paramount importance in the initiation of NIV. This review will summarize the management of respiratory symptomatology in patients with NMD with recent advances made in NIV.
护理神经肌肉疾病(NMD)患者具有挑战性。呼吸护理至关重要,因为它是生活质量和生存率的主要决定因素。无创通气(NIV)是少数已被证明对NMD患者群体有生存益处的治疗方式之一。正在开发具有智能技术的新型模式以协助更好地通气。一些无创方法已在流涎管理方面取得成功,而流涎在启动NIV时至关重要。本综述将总结NMD患者呼吸症状的管理以及NIV方面的最新进展。