老年阻塞性睡眠呼吸暂停患者无创正压通气应用规范专家共识  

Chinese Consensus on Application Speifications for Noninvasive Positive Pressure Ventilation of Elderly Patients with Obstructive Sleep Apnea

作　　者：中国老年医学学会睡眠医学分会 吕云辉[2] 叶靖 周品益 刘霖[3] 高莹卉 苗志斌 Chinese Association of Geriatric Sleep Medicine,Chinese Geriatrics Society;LYU Yunhui

机构地区：[1]不详 [2]云南省第一人民医院 [3]解放军总医院第二医学中心 [4]北京大学国际医院 [5]云南新昆华医院

出　　处：《中国全科医学》2024年第31期3841-3849,3864,共10页Chinese General Practice

基　　金：国家自然科学基金资助项目(81760022);云南省韩芳专家工作站(202105AF150022);云南省昆医联合专项研究计划[2018FE001(-107)];云南省“兴滇英才支持计划”[XDYC-MY-2022-0013]。

摘　　要：由于老年人上气道神经肌肉功能减弱、呼吸调节功能不稳定等特点,导致阻塞性睡眠呼吸暂停(OSA)在老年人群中普遍存在。OSA是多种常见慢性疾病的危险因素,影响老年人的认知功能及多系统器官功能。因此,对老年人OSA进行有效的治疗干预是极为重要的。中国老年医学学会睡眠医学分会作为发起单位,组织国内相关领域的专家,参考国内外临床研究,就老年OSA患者无创正压通气(NPPV)治疗的操作流程、要求具体的方式和方法等内容进行反复探讨,最终制订本专家共识,旨在为规范国内老年OSA患者NPPV治疗提供参考。Obstructive sleep apnea(OSA)is prevalent in the elderly population due to the weakened neuromuscular function of the upper airway and unstable respiratory regulation in the elderly.OSA is a risk factor for a variety of common chronic diseases,and affects cognitive function and multi-system organ function in the elderly.Therefore,it is essential to provide effective therapeutic interventions for OSA in the elderly.The Sleep Medicine Branch of the Chinese Geriatrics Society,as the initiator,organized domestic experts in related fields to repeatedly discuss the operation process,requirements,specific ways and methods of noninvasive positive pressure ventilation(NPPV)treatment for elderly OSA patients with reference to domestic and international clinical studies,and finally made this expert consensus,which is aimed at standardizing the treatment of NPPV in elderly OSA patients in China to provide a reference.

关 键 词：睡眠呼吸暂停 阻塞性 老年人 无创正压通气 压力滴定 专家共识 指南 

分 类 号：R749.79[医药卫生—神经病学与精神病学] R563.8[医药卫生—临床医学]