Leotard A, Lebret M, Prigent H, Arnol N, Pépin J-L, Hartley S, Lofaso F, Borel J-C
Département de physiologie, explorations fonctionnelles, unité des pathologies du sommeil, hôpital Raymond-Poincaré, AP-HP, 104, boulevard Raymond-Poincaré, 92380 Garches, France; Université Versailles-Saint-Quentin-en-Yvelines, « End:icap » U1179 Inserm, UFR des sciences de la santé-Simone-Veil, Versailles, France.
HP2, Inserm U1042, University Grenoble Alpes, 38000 Grenoble France; AGIR à dom., association, 38240 Meylan, France.
Rev Mal Respir. 2020 Feb;37(2):99-104. doi: 10.1016/j.rmr.2019.11.646. Epub 2020 Jan 22.
In subjects with neuromuscular diseases (NMD), the choice of facemask is essential for successful long-term noninvasive ventilation (NIV). While nasal masks usually represent the first line of treatment, almost a third of our subjects with NMD use an oro-nasal interface. Factors associated with the choice of mask remain poorly understood. We provide an original analysis of a previous prospective, multi-centric, Franco-Belgian survey investigating the factors associated with the type of nocturnal mask used in 116 adult NMD subjects treated with NIV. In these patients oro-nasal mask use was more often associated with non-Duchenne muscular dystrophy, older subjects, higher body mass index, better upper limb autonomy allowing independent mask removal and shorter periods of ventilation. Controlled prospective studies are needed to compare the efficacy and tolerance of different interfaces in this specific population.
在患有神经肌肉疾病（NMD）的患者中，面罩的选择对于成功进行长期无创通气（NIV）至关重要。虽然鼻罩通常是一线治疗方式，但我们近三分之一的NMD患者使用口鼻面罩。与面罩选择相关的因素仍知之甚少。我们对之前一项前瞻性、多中心、法比联合调查进行了原创性分析，该调查研究了116例接受NIV治疗的成年NMD患者夜间使用面罩类型的相关因素。在这些患者中，口鼻面罩的使用更常与非杜氏肌营养不良、老年患者、较高的体重指数、上肢自主性较好（可独立摘除面罩）以及较短的通气时间相关。需要进行对照前瞻性研究，以比较不同面罩在这一特定人群中的疗效和耐受性。
