Ann Am Thorac Soc. 2020 Oct;17(10):1177-1185. doi: 10.1513/AnnalsATS.202007-864ST.
Continuous positive airway pressure (CPAP) remains the major treatment option for obstructive sleep apnea (OSA). The American Thoracic Society organized a workshop to discuss the importance of mask selection for OSA treatment with CPAP. In this workshop report, we summarize available evidence about the breathing route during nasal and oronasal CPAP and the importance of nasal symptoms for CPAP outcomes. We explore the mechanisms of air leaks during CPAP treatment and possible alternatives for leak control. The impact of nasal and oronasal CPAP on adherence, residual apnea-hypopnea index, unintentional leaks, and pressure requirements are also compared. Finally, recommendations for patient and partner involvement in mask selection are presented, and future directions to promote personalized mask selection are discussed.
持续气道正压通气（CPAP）仍然是治疗阻塞性睡眠呼吸暂停（OSA）的主要方法。美国胸科学会组织了一次研讨会，讨论 CPAP 治疗中面罩选择的重要性。在这份研讨会报告中，我们总结了有关经鼻和口鼻 CPAP 时呼吸途径以及鼻部症状对 CPAP 结果重要性的现有证据。我们探讨了 CPAP 治疗期间空气泄漏的机制以及可能的泄漏控制替代方法。还比较了经鼻和口鼻 CPAP 对依从性、残余呼吸暂停低通气指数、非故意泄漏和压力需求的影响。最后，提出了关于患者和伴侣参与面罩选择的建议，并讨论了促进个性化面罩选择的未来方向。
