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在持续气道正压通气(CPAP)治疗中通过下颌运动分析进行漏气表型分析:给从业者的关键见解。

Air leak phenotyping by mandibular jaw movement analysis in CPAP therapy: Key insights for practitioners.

作者信息

Martinot Jean-Benoit, Hostaux Lorent, Malhotra Atul, Hwang Dennis, Pépin Jean-Louis

机构信息

Sleep Laboratory CHU Université catholique de Louvain (UCL) Namur Site Sainte-Elisabeth Namur Belgium.

Institute of Experimental and Clinical Research UCL Bruxelles Woluwe Brussels Belgium.

出版信息

Respirol Case Rep. 2024 Sep 24;12(9):e70030. doi: 10.1002/rcr2.70030. eCollection 2024 Sep.

Abstract

Monitoring unintentional air leaks in continuous positive airway pressure (CPAP) treatment for obstructive sleep apnea (OSA) is essential for therapy success. While leaks are often attributed to improperly sealed masks, mouth openings may also cause them, requiring interventions. Recent studies demonstrated distinctive mandibular jaw movement (MJM) signal patterns during sleep related to respiratory events and sleep stages. Analysing MJM during CPAP treatment reveals air leak peaks coinciding with maximal MJM amplitude during obstructive events, and air leak decreases corresponding to arousals. Examining leaks with MJM offers valuable insights into their origins and might open new avenues for CPAP management.

摘要

在阻塞性睡眠呼吸暂停(OSA)的持续气道正压通气(CPAP)治疗中监测无意的空气泄漏对于治疗成功至关重要。虽然泄漏通常归因于面罩密封不当,但张口也可能导致泄漏,这就需要进行干预。最近的研究表明,睡眠期间与呼吸事件和睡眠阶段相关的下颌运动(MJM)信号模式具有独特性。分析CPAP治疗期间的MJM发现,在阻塞性事件期间,空气泄漏峰值与最大MJM幅度一致,而空气泄漏减少与觉醒相对应。通过MJM检查泄漏可以深入了解其来源,并可能为CPAP管理开辟新途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6eda/11421881/07912768a054/RCR2-12-e70030-g001.jpg

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