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睡眠呼吸疾病无创正压通气临床应用专家共识(草案)

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Author:: No author available

Journal Title:: Chinese Journal of Tuberculosis and Respiratory Diseases

Issue:: 9

DOI:: 10.3760/cma.j.issn.1001-0939.2017.09.011

Key Word:: No keyword available

Abstract：睡眠呼吸疾病(sleep related breathing,SRB)是一组睡眠中呼吸异常的疾病,伴或不伴清醒期呼吸功能异常.包括不同病因所致的睡眠呼吸暂停、睡眠低通气和睡眠低氧性疾病等[1-3].睡眠呼吸疾病是睡眠疾病中仅次于失眠的第二大类疾病.其患病率高,合并症多发,对健康危害严重,近年来已引起临床医学界的极大关注.包括持续气道正压通气(continuous positive airway pressure,CPAP)在内的无创正压通气(noninvasive positive pressure ventilation,NPPV)治疗可有效改善多种睡眠呼吸疾病的临床症状和生活质量,减少心脑血管和代谢相关等并发症的发生与发展.近20年来,随着NPPV临床适应证不断拓宽,治疗有效性和舒适度不断提高,接受治疗人群的迅速扩大,NPPV已经成为睡眠呼吸疾病首选和最主要的治疗手段.目前我国睡眠呼吸疾病的无创通气治疗还处于无章可循和随意性较强的欠规范状态,严重影响患者的治疗和无创通气领域的健康发展.为此,中华医学会呼吸病学分会睡眠呼吸障碍学组在参考国内外现有指南[4-6]和临床研究结果基础上,结合国内临床实践和研究结果拟定本共识,意在指导国内NPPV在睡眠呼吸疾病治疗中的规范化应用及管理,期望能成为指导我国睡眠呼吸疾病无创通气规范应用的临床依据.

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