Medical Director, Sleep Laboratory, Hillcrest Hospital, Sleep Disorders Center, Neurological Institute, Cleveland Clinic
Cleve Clin J Med. 2019 Sep;86(9 Suppl 1):26-33. doi: 10.3949/ccjm.86.s1.05.
Positive airway pressure (PAP) devices deliver a pressurized column of air to open the airway in patients with sleep apnea. For patients with moderate to severe sleep apnea, PAP therapy is the gold standard for treatment, with demonstrated improvements in daytime sleepiness and cardiovascular measures that are superior to conservative treatments. For a variety of reasons, adherence to PAP therapy is a challenge for many patients, resulting in deficits in the frequency and duration of use. To improve use and compliance to therapy, several advanced features are available to enhance comfort, pressure, and humidification factors associated with PAP devices. Patient motivation strategies such as motivational interviews, desensitization protocols, and PAP "NAPs" are also being employed to improve adherence to therapy.
正压通气（PAP）设备向气道内输送一段正压气流，以打开睡眠呼吸暂停患者的气道。对于中重度睡眠呼吸暂停患者，PAP 治疗是治疗的金标准，可显著改善日间嗜睡和心血管指标，优于保守治疗。由于各种原因，许多患者难以坚持 PAP 治疗，导致使用频率和持续时间不足。为了提高治疗的使用和依从性，有几种先进的功能可用于改善与 PAP 设备相关的舒适度、压力和加湿因素。还采用了患者激励策略，如动机访谈、脱敏方案和 PAP“NAP”，以提高治疗的依从性。
