Freedman Neil
Pulmonary, Critical Care, Allergy and Immunology, Department of Medicine, North Shore University Health System, 2650 Ridge Avenue, Evanston, IL 60201, USA.
Sleep Med Clin. 2020 Jun;15(2):205-218. doi: 10.1016/j.jsmc.2020.02.007.
Positive airway pressure (PAP) remains primary therapy for most patients with obstructive sleep apnea (OSA). CPAP, APAP, and BPAP are all reasonable therapies that can be used for patients with uncomplicated OSA across the spectrum of disease severity. BPAP should be considered for patients who are nonadherent to CPAP or APAP therapy because of pressure intolerance. Several additional factors should be considered when choosing the type of PAP device for a given patient, including associated symptoms and comorbid medical problems, cost, access to online data management and patient portals, and the portability for the device for patients who travel frequently.
气道正压通气（PAP）仍然是大多数阻塞性睡眠呼吸暂停（OSA）患者的主要治疗方法。持续气道正压通气（CPAP）、自动调压气道正压通气（APAP）和双水平气道正压通气（BPAP）都是合理的治疗方法，可用于不同疾病严重程度的单纯性OSA患者。对于因压力不耐受而不依从CPAP或APAP治疗的患者，应考虑使用BPAP。为特定患者选择PAP设备类型时，应考虑其他几个因素，包括相关症状和合并的医疗问题、成本、在线数据管理和患者门户的可用性，以及经常旅行患者对设备便携性的需求。
