瑞思(si)邁（ResMed）呼(hu)(hu)吸(xi)(xi)(xi)(xi)機(ji)(ji)(ji)(ji)(ji)(ji)作為的(de)(de)睡(shui)眠(mian)呼(hu)(hu)吸(xi)(xi)(xi)(xi)障(zhang)礙治(zhi)療設備(bei)(bei)品(pin)牌(pai)，其產品(pin)線覆蓋不同用(yong)(yong)戶需(xu)(xu)求(qiu)。選(xuan)擇時需(xu)(xu)結(jie)合病(bing)(bing)(bing)情類型、功(gong)能(neng)(neng)(neng)需(xu)(xu)求(qiu)及使(shi)用(yong)(yong)場景，以下(xia)是關(guan)鍵考量(liang)因素：###一(yi)、明確疾(ji)(ji)病(bing)(bing)(bing)類型與(yu)機(ji)(ji)(ji)(ji)(ji)(ji)型適(shi)配1.**阻(zu)塞性(xing)睡(shui)眠(mian)呼(hu)(hu)吸(xi)(xi)(xi)(xi)暫停（OSA）**-**AirSense10AutoSet**：機(ji)(ji)(ji)(ji)(ji)(ji)型，支(zhi)持(chi)自動調壓(ya)（A）和固定(ding)壓(ya)力(li)（C）雙模式，通過算(suan)法實時監(jian)測呼(hu)(hu)吸(xi)(xi)(xi)(xi)并調整壓(ya)力(li)，舒適(shi)性(xing)高。-**AirSense10Elite**：僅支(zhi)持(chi)固定(ding)壓(ya)力(li)（C），適(shi)合已通過睡(shui)眠(mian)監(jian)測確定(ding)治(zhi)療壓(ya)力(li)的(de)(de)用(yong)(yong)戶。-**基礎款AirStart10**：價格較低，適(shi)合預算(suan)有限且病(bing)(bing)(bing)情較輕者(zhe)，老(lao)人呼(hu)(hu)吸(xi)(xi)(xi)(xi)機(ji)(ji)(ji)(ji)(ji)(ji)維修(xiu)，但(dan)(dan)缺(que)少數(shu)據(ju)功(gong)能(neng)(neng)(neng)。2.**復雜呼(hu)(hu)吸(xi)(xi)(xi)(xi)疾(ji)(ji)病(bing)(bing)(bing)（如(ru)混合性(xing)/性(xing)呼(hu)(hu)吸(xi)(xi)(xi)(xi)暫停）**-**AirCurve10VAuto**：雙水平自動調壓(ya)（Bi），提(ti)供(gong)吸(xi)(xi)(xi)(xi)氣壓(ya)（I）與(yu)呼(hu)(hu)氣壓(ya)（E）獨立(li)調節，緩解呼(hu)(hu)氣阻(zu)力(li)問題。-**AirCurve10ST**：帶(dai)備(bei)(bei)用(yong)(yong)呼(hu)(hu)吸(xi)(xi)(xi)(xi)頻率(lv)功(gong)能(neng)(neng)(neng)，適(shi)用(yong)(yong)于慢性(xing)或神經肌肉疾(ji)(ji)病(bing)(bing)(bing)導(dao)致的(de)(de)呼(hu)(hu)吸(xi)(xi)(xi)(xi)衰竭。###二、功(gong)能(neng)(neng)(neng)對比(bi)-**舒適(shi)技(ji)術**：全(quan)系(xi)標配HumidAir濕(shi)化(hua)系(xi)統，AutoSet及AirCurve機(ji)(ji)(ji)(ji)(ji)(ji)型支(zhi)持(chi)智(zhi)能(neng)(neng)(neng)溫控（ClimateLineAir管(guan)路），減少鼻腔干燥。-**智(zhi)能(neng)(neng)(neng)算(suan)法**：AutoSet采(cai)用(yong)(yong)AutoRamp?技(ji)術，在(zai)用(yong)(yong)戶入睡(shui)后(hou)逐步增壓(ya)；ExpiratoryPressureRelief（EPR）功(gong)能(neng)(neng)(neng)可降低呼(hu)(hu)氣阻(zu)力(li)。-**數(shu)據(ju)管(guan)理**：機(ji)(ji)(ji)(ji)(ji)(ji)型支(zhi)持(chi)無線傳(chuan)輸(shu)數(shu)據(ju)至AirView平臺，方便醫生遠程(cheng)監(jian)測治(zhi)果。###三、使(shi)用(yong)(yong)場景與(yu)附加需(xu)(xu)求(qiu)-**出差需(xu)(xu)求(qiu)**：選(xuan)擇AirMini便攜款（重(zhong)量(liang)僅0.3kg），但(dan)(dan)需(xu)(xu)搭配濕(shi)化(hua)濾芯。-**噪(zao)(zao)音(yin)敏感者(zhe)**：全(quan)系(xi)運行噪(zao)(zao)音(yin)低于26分貝，臥室環境友好。-**氧療支(zhi)持(chi)**：部分機(ji)(ji)(ji)(ji)(ji)(ji)型可外接(jie)制氧機(ji)(ji)(ji)(ji)(ji)(ji)，睡(shui)眠(mian)呼(hu)(hu)吸(xi)(xi)(xi)(xi)機(ji)(ji)(ji)(ji)(ji)(ji)維修(xiu)，需(xu)(xu)確認設備(bei)(bei)氧氣接(jie)口兼(jian)容性(xing)。###四、購買建議(yi)1.務(wu)必先完成多導(dao)睡(shui)眠(mian)監(jian)測（PSG），無創呼(hu)(hu)吸(xi)(xi)(xi)(xi)機(ji)(ji)(ji)(ji)(ji)(ji)維修(xiu)，由(you)醫生出具壓(ya)力(li)。2.優先選(xuan)擇授權渠道(dao)，國行機(ji)(ji)(ji)(ji)(ji)(ji)型享(xiang)2年質保(bao)，避免二手(shou)翻新機(ji)(ji)(ji)(ji)(ji)(ji)。3.試用(yong)(yong)期政策：部分供(gong)應(ying)商提(ti)供(gong)7-15天無理由(you)退換，可測試面罩(zhao)(zhao)適(shi)配性(xing)。**示例方案**：中重(zhong)度OSA患者(zhe)AirSense10AutoSet（約(yue)1.2萬元(yuan)），搭配F30i全(quan)臉面罩(zhao)(zhao)；若頻繁出差可增購AirMini備(bei)(bei)用(yong)(yong)。預算(suan)有限且病(bing)(bing)(bing)情穩定(ding)者(zhe)可選(xuan)AirStart10（約(yue)6000元(yuan)），但(dan)(dan)需(xu)(xu)定(ding)期回診復查。選(xuan)擇時需(xu)(xu)平衡醫療需(xu)(xu)求(qiu)與(yu)長期使(shi)用(yong)(yong)成本，機(ji)(ji)(ji)(ji)(ji)(ji)型的(de)(de)智(zhi)能(neng)(neng)(neng)功(gong)能(neng)(neng)(neng)可提(ti)升治(zhi)療依從性(xing)，降低后(hou)續健(jian)康風(feng)險。

飛(fei)(fei)利浦(pu)呼(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)(xi)機(ji)(ji)提(ti)供(gong)多(duo)種通(tong)(tong)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)模(mo)式(shi)(shi)(shi)(shi)(shi)(shi)，華(hua)安(an)呼(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)(xi)機(ji)(ji)維修(xiu)，可滿(man)(man)足不同患(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)的(de)(de)呼(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)(xi)支(zhi)(zhi)持(chi)需(xu)求(qiu)，主(zhu)(zhu)(zhu)要涵(han)蓋無(wu)創與(yu)有創通(tong)(tong)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)場(chang)(chang)景(jing)。以下(xia)是其模(mo)式(shi)(shi)(shi)(shi)(shi)(shi)分(fen)(fen)類及功(gong)能(neng)(neng)特點(dian)(dian)：###一、基礎通(tong)(tong)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)模(mo)式(shi)(shi)(shi)(shi)(shi)(shi)1.**C（持(chi)續(xu)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)道(dao)正壓通(tong)(tong)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)）**適用于(yu)阻塞性睡(shui)眠(mian)呼(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)(xi)暫停（OSA）患(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)，通(tong)(tong)過恒定壓力(li)(li)(li)(li)維持(chi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)道(dao)開放(fang)，防(fang)止睡(shui)眠(mian)中上呼(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)(xi)道(dao)塌陷。壓力(li)(li)(li)(li)值(zhi)根(gen)據患(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)需(xu)求(qiu)預設，無(wu)主(zhu)(zhu)(zhu)動(dong)(dong)(dong)送(song)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)觸發。2.**S模(mo)式(shi)(shi)(shi)(shi)(shi)(shi)（Spontaneous，自主(zhu)(zhu)(zhu)呼(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)(xi)模(mo)式(shi)(shi)(shi)(shi)(shi)(shi)）**患(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)自主(zhu)(zhu)(zhu)觸發呼(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)(xi)機(ji)(ji)送(song)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)，呼(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)(xi)機(ji)(ji)同步提(ti)供(gong)預設吸(xi)(xi)(xi)(xi)(xi)(xi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)壓（I）和呼(hu)(hu)(hu)(hu)(hu)(hu)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)壓（E）。適用于(yu)意識清(qing)醒、呼(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)(xi)驅動(dong)(dong)(dong)穩(wen)定的(de)(de)患(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)，如慢性阻塞性（COPD）急性加重(zhong)期。3.**T模(mo)式(shi)(shi)(shi)(shi)(shi)(shi)（Timed，時(shi)間控(kong)(kong)制(zhi)模(mo)式(shi)(shi)(shi)(shi)(shi)(shi)）**完(wan)全由設備按設定呼(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)(xi)頻率強制(zhi)送(song)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)，適用于(yu)無(wu)自主(zhu)(zhu)(zhu)呼(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)(xi)能(neng)(neng)力(li)(li)(li)(li)的(de)(de)患(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)，如神經肌肉疾(ji)病導致(zhi)的(de)(de)呼(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)(xi)衰(shuai)竭。4.**S/T模(mo)式(shi)(shi)(shi)(shi)(shi)(shi)（自主(zhu)(zhu)(zhu)/時(shi)間控(kong)(kong)制(zhi)混合(he)模(mo)式(shi)(shi)(shi)(shi)(shi)(shi)）**結(jie)合(he)S與(yu)T模(mo)式(shi)(shi)(shi)(shi)(shi)(shi)特點(dian)(dian)，若患(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)自主(zhu)(zhu)(zhu)呼(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)(xi)頻率低于(yu)預設值(zhi)，呼(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)(xi)機(ji)(ji)自動(dong)(dong)(dong)切換(huan)為時(shi)間控(kong)(kong)制(zhi)通(tong)(tong)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)，確保(bao)通(tong)(tong)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)量。常用于(yu)病情波(bo)動(dong)(dong)(dong)患(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)。---###二、智(zhi)(zhi)能(neng)(neng)模(mo)式(shi)(shi)(shi)(shi)(shi)(shi)1.**AVAPS（平均容積保(bao)證(zheng)壓力(li)(li)(li)(li)支(zhi)(zhi)持(chi)）**通(tong)(tong)過動(dong)(dong)(dong)態調(diao)整(zheng)I水平，保(bao)證(zheng)患(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)潮氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)量穩(wen)定在目(mu)標(biao)范圍內。適用于(yu)呼(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)(xi)肌無(wu)力(li)(li)(li)(li)但需(xu)維持(chi)恒定通(tong)(tong)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)量的(de)(de)患(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)，如漸凍(dong)癥（ALS）。2.**iVAPS（智(zhi)(zhi)能(neng)(neng)容積保(bao)證(zheng)壓力(li)(li)(li)(li)支(zhi)(zhi)持(chi)）**飛(fei)(fei)利浦(pu)算(suan)(suan)法模(mo)式(shi)(shi)(shi)(shi)(shi)(shi)，根(gen)據患(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)代(dai)謝需(xu)求(qiu)自動(dong)(dong)(dong)計算(suan)(suan)目(mu)標(biao)分(fen)(fen)鐘通(tong)(tong)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)量，并實(shi)時(shi)調(diao)節壓力(li)(li)(li)(li)支(zhi)(zhi)持(chi)水平。可適應(ying)患(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)晝夜(ye)呼(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)(xi)變化，減(jian)少(shao)人工調(diao)參需(xu)求(qiu)。3.**Auto-Bi（自動(dong)(dong)(dong)雙水平正壓通(tong)(tong)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)）**自動(dong)(dong)(dong)監(jian)測(ce)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)道(dao)阻力(li)(li)(li)(li)與(yu)漏(lou)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)量，動(dong)(dong)(dong)態調(diao)整(zheng)I/E壓力(li)(li)(li)(li)差，優化人機(ji)(ji)同步性。適用于(yu)漏(lou)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)量不穩(wen)定的(de)(de)家(jia)庭無(wu)創通(tong)(tong)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)場(chang)(chang)景(jing)。---###三、特殊功(gong)能(neng)(neng)模(mo)式(shi)(shi)(shi)(shi)(shi)(shi)-**PC（壓力(li)(li)(li)(li)控(kong)(kong)制(zhi)通(tong)(tong)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)）**：限(xian)(xian)定吸(xi)(xi)(xi)(xi)(xi)(xi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)壓力(li)(li)(li)(li)，用于(yu)限(xian)(xian)制(zhi)肺損險的(de)(de)患(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)。-**PSV（壓力(li)(li)(li)(li)支(zhi)(zhi)持(chi)通(tong)(tong)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)）**：患(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)觸發后提(ti)供(gong)增壓輔助，減(jian)少(shao)呼(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)(xi)做功(gong)。-**NIV（無(wu)創通(tong)(tong)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)）**：集成漏(lou)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)補(bu)償技術，適配(pei)面罩通(tong)(tong)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)場(chang)(chang)景(jing)，降(jiang)低誤觸發風險。飛(fei)(fei)利浦(pu)呼(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)(xi)機(ji)(ji)（如TrilogyEvo、V60）通(tong)(tong)過Auto-Trak自適應(ying)技術實(shi)現氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)流同步，部分(fen)(fen)型號支(zhi)(zhi)持(chi)遠程監(jian)控(kong)(kong)，滿(man)(man)足從家(jia)庭護理到ICU的(de)(de)多(duo)場(chang)(chang)景(jing)需(xu)求(qiu)。模(mo)式(shi)(shi)(shi)(shi)(shi)(shi)選擇需(xu)依據患(huan)(huan)(huan)(huan)(huan)者(zhe)(zhe)(zhe)病理生理特點(dian)(dian)及臨床評估確定。

飛利浦(pu)呼(hu)吸(xi)(xi)機(ji)(ji)操(cao)作(zuo)指(zhi)南一、使(shi)(shi)用前(qian)準備(bei)(bei)1.檢(jian)查設(she)(she)(she)備(bei)(bei)：確(que)認呼(hu)吸(xi)(xi)機(ji)(ji)外觀無(wu)破損(sun)，電源(yuan)(yuan)線(xian)、管(guan)路(lu)(lu)、面罩(zhao)(zhao)(zhao)(zhao)等(deng)(deng)配件完整且清(qing)(qing)潔。2.連接(jie)管(guan)路(lu)(lu)：將空(kong)氣過濾棉裝入位置(zhi)，連接(jie)呼(hu)吸(xi)(xi)管(guan)路(lu)(lu)與主機(ji)(ji)及濕(shi)化器（若(ruo)使(shi)(shi)用）。3.電源(yuan)(yuan)準備(bei)(bei)：接(jie)通(tong)電源(yuan)(yuan)并(bing)開(kai)機(ji)(ji)自(zi)檢(jian)，確(que)保設(she)(she)(she)備(bei)(bei)顯示正常無(wu)報錯提示。二、操(cao)作(zuo)流程1.模(mo)式選(xuan)擇(ze)：-根(gen)據醫囑(zhu)選(xuan)擇(ze)C（持(chi)(chi)續(xu)正壓通(tong)氣）或Bi（雙(shuang)水(shui)平正壓通(tong)氣）模(mo)式。-患者(zhe)可選(xuan)擇(ze)Auto模(mo)式（自(zi)動(dong)調(diao)節壓力）。2.參數(shu)(shu)設(she)(she)(she)置(zhi)：-初始(shi)(shi)壓力范(fan)圍(wei)通(tong)常設(she)(she)(she)為4-20cmH?O，具體數(shu)(shu)值需遵醫囑(zhu)。-設(she)(she)(she)置(zhi)呼(hu)吸(xi)(xi)頻(pin)率（10-20次(ci)/分）和(he)吸(xi)(xi)呼(hu)比（1:1.5-1:2）。3.佩戴面罩(zhao)(zhao)(zhao)(zhao)：-選(xuan)擇(ze)合適尺寸的面罩(zhao)(zhao)(zhao)(zhao)/鼻罩(zhao)(zhao)(zhao)(zhao)，調(diao)節頭帶松緊至無(wu)漏氣且患者(zhe)舒適。-連接(jie)呼(hu)吸(xi)(xi)管(guan)路(lu)(lu)與面罩(zhao)(zhao)(zhao)(zhao)接(jie)口(kou)。4.啟動(dong)治療：-按Start鍵開(kai)始(shi)(shi)運(yun)行(xing)(xing)，觀察患者(zhe)呼(hu)吸(xi)(xi)同(tong)步性(xing)。-通(tong)過顯示屏(ping)實時(shi)監測潮氣量、血氧(yang)飽和(he)度等(deng)(deng)數(shu)(shu)據。三、注意事(shi)項1.使(shi)(shi)用需在醫護人員(yuan)指(zhi)導下進(jin)行(xing)(xing)2.濕(shi)化器水(shui)溫(wen)應維持(chi)(chi)在37℃±2℃3.出(chu)現(xian)報警時(shi)立即檢(jian)查管(guan)路(lu)(lu)連接(jie)、患者(zhe)狀態及參數(shu)(shu)設(she)(she)(she)置(zhi)4.禁(jin)止自(zi)行(xing)(xing)更(geng)改氧(yang)濃度等(deng)(deng)關鍵參數(shu)(shu)四、關機(ji)(ji)維護1.按Stop鍵停止運(yun)行(xing)(xing)后斷開(kai)電源(yuan)(yuan)2.每日(ri)用中性(xing)清(qing)(qing)潔劑消毒(du)面罩(zhao)(zhao)(zhao)(zhao)及管(guan)路(lu)(lu)3.每周更(geng)換(huan)(huan)空(kong)氣過濾棉4.每月進(jin)行(xing)(xing)設(she)(she)(she)備(bei)(bei)性(xing)能檢(jian)測（注：不(bu)同(tong)機(ji)(ji)型操(cao)作(zuo)存(cun)在差異(yi)，請(qing)以具體型號說明(ming)書為準。突發緊急情況應立即切換(huan)(huan)備(bei)(bei)用呼(hu)吸(xi)(xi)支持(chi)(chi)方(fang)案(an)。）