睡(shui)(shui)眠(mian)呼(hu)(hu)(hu)吸(xi)(xi)(xi)機(ji)（C/Bi）是一種通(tong)過(guo)持(chi)(chi)續(xu)氣(qi)(qi)(qi)(qi)道(dao)(dao)正(zheng)壓(ya)(ya)(ya)(ya)通(tong)氣(qi)(qi)(qi)(qi)治療睡(shui)(shui)眠(mian)呼(hu)(hu)(hu)吸(xi)(xi)(xi)障礙的，其原理是通(tong)過(guo)機(ji)械(xie)增(zeng)壓(ya)(ya)(ya)(ya)維(wei)持(chi)(chi)氣(qi)(qi)(qi)(qi)道(dao)(dao)開放狀(zhuang)態。主要針對阻塞性(xing)(xing)睡(shui)(shui)眠(mian)呼(hu)(hu)(hu)吸(xi)(xi)(xi)暫(zan)停(ting)（OSA）患(huan)者，這類人(ren)群因上呼(hu)(hu)(hu)吸(xi)(xi)(xi)道(dao)(dao)肌肉(rou)松弛導(dao)致氣(qi)(qi)(qi)(qi)道(dao)(dao)塌陷(xian)，引(yin)(yin)發(fa)呼(hu)(hu)(hu)吸(xi)(xi)(xi)暫(zan)停(ting)和低氧(yang)血(xue)癥(zheng)。設備(bei)通(tong)過(guo)渦(wo)輪電機(ji)產(chan)生(sheng)穩定氣(qi)(qi)(qi)(qi)流，老人(ren)呼(hu)(hu)(hu)吸(xi)(xi)(xi)機(ji)保養，經濕(shi)(shi)化(hua)(hua)器(qi)加濕(shi)(shi)后(hou)通(tong)過(guo)面罩輸(shu)送到(dao)患(huan)者呼(hu)(hu)(hu)吸(xi)(xi)(xi)道(dao)(dao)。C（持(chi)(chi)續(xu)氣(qi)(qi)(qi)(qi)道(dao)(dao)正(zheng)壓(ya)(ya)(ya)(ya)）模式提(ti)供恒定壓(ya)(ya)(ya)(ya)力（通(tong)常4-20cmH?O），打(da)鼾呼(hu)(hu)(hu)吸(xi)(xi)(xi)機(ji)維(wei)修(xiu)，在呼(hu)(hu)(hu)氣(qi)(qi)(qi)(qi)與吸(xi)(xi)(xi)氣(qi)(qi)(qi)(qi)階段均維(wei)持(chi)(chi)壓(ya)(ya)(ya)(ya)力，形成物(wu)理性(xing)(xing)'氣(qi)(qi)(qi)(qi)撐'效應，阻止(zhi)咽(yan)喉部(bu)軟(ruan)組織塌陷(xian)。Bi（雙水平氣(qi)(qi)(qi)(qi)道(dao)(dao)正(zheng)壓(ya)(ya)(ya)(ya)）則采用(yong)(yong)差異化(hua)(hua)壓(ya)(ya)(ya)(ya)力設置(zhi)，吸(xi)(xi)(xi)氣(qi)(qi)(qi)(qi)時高壓(ya)(ya)(ya)(ya)（I）幫助(zhu)肺部(bu)擴張，呼(hu)(hu)(hu)氣(qi)(qi)(qi)(qi)時低壓(ya)(ya)(ya)(ya)（E）降低呼(hu)(hu)(hu)吸(xi)(xi)(xi)阻力，更適合合并慢性(xing)(xing)呼(hu)(hu)(hu)吸(xi)(xi)(xi)衰竭患(huan)者。現代設備(bei)配(pei)備(bei)流量(liang)傳感器(qi)和壓(ya)(ya)(ya)(ya)力反饋系(xi)統，可(ke)實(shi)時監測呼(hu)(hu)(hu)吸(xi)(xi)(xi)頻率、氣(qi)(qi)(qi)(qi)流波動及(ji)漏(lou)氣(qi)(qi)(qi)(qi)量(liang)，通(tong)過(guo)算法動態調節輸(shu)出壓(ya)(ya)(ya)(ya)力。部(bu)分(fen)機(ji)型具備(bei)自動調壓(ya)(ya)(ya)(ya)功能(neng)（A），根據(ju)氣(qi)(qi)(qi)(qi)道(dao)(dao)阻力變化(hua)(hua)在夜間自動匹配(pei)佳(jia)治療壓(ya)(ya)(ya)(ya)力。加濕(shi)(shi)器(qi)模塊可(ke)調節氣(qi)(qi)(qi)(qi)體溫(wen)濕(shi)(shi)度(du)，減少鼻腔干(gan)(gan)燥和黏膜(mo)刺(ci)激(ji)。臨(lin)床效果源于兩方面：機(ji)械(xie)性(xing)(xing)維(wei)持(chi)(chi)氣(qi)(qi)(qi)(qi)道(dao)(dao)通(tong)暢(chang)，消除呼(hu)(hu)(hu)吸(xi)(xi)(xi)暫(zan)停(ting)事件；改善(shan)血(xue)氧(yang)飽和度(du)，降低因缺氧(yang)引(yin)(yin)發(fa)的覺(jue)醒反應。長期使用(yong)(yong)可(ke)恢復睡(shui)(shui)眠(mian)結(jie)構(gou)，減少。該設備(bei)屬于癥(zheng)狀(zhuang)控制性(xing)(xing)治療，需配(pei)合生(sheng)活方式干(gan)(gan)預才能(neng)達到(dao)佳(jia)。

打鼾(han)呼(hu)(hu)(hu)吸機(ji)（C呼(hu)(hu)(hu)吸機(ji)）使(shi)(shi)用(yong)(yong)注意(yi)(yi)事項(xiang)(xiang)正確(que)使(shi)(shi)用(yong)(yong)打鼾(han)呼(hu)(hu)(hu)吸機(ji)可(ke)有效呼(hu)(hu)(hu)吸暫停(ting)癥狀(zhuang)，老人呼(hu)(hu)(hu)吸機(ji)維修(xiu)，但(dan)需(xu)注意(yi)(yi)以(yi)(yi)下(xia)事項(xiang)(xiang)以(yi)(yi)確(que)保(bao)安(an)全(quan)和：一(yi)、正確(que)佩(pei)戴與調(diao)(diao)試1.使(shi)(shi)用(yong)(yong)需(xu)在(zai)人員指導下(xia)調(diao)(diao)節壓(ya)(ya)力(li)參(can)數，避(bi)(bi)(bi)免自行調(diao)(diao)壓(ya)(ya)導致不適(shi)2.佩(pei)戴面(mian)罩(zhao)時(shi)(shi)應(ying)確(que)保(bao)松(song)緊(jin)適(shi)度(du)（以(yi)(yi)插(cha)入1-2根手指為宜），避(bi)(bi)(bi)免漏(lou)氣或壓(ya)(ya)迫面(mian)部3.選(xuan)擇(ze)合適(shi)鼻罩(zhao)/口鼻罩(zhao)型號，鼻塞(sai)患者建議搭(da)配加溫(wen)(wen)濕化器使(shi)(shi)用(yong)(yong)二、日(ri)常(chang)清(qing)(qing)潔維護1.每日(ri)清(qing)(qing)洗面(mian)罩(zhao)硅膠(jiao)墊，每周用(yong)(yong)中性清(qing)(qing)潔劑(ji)浸泡消毒管路2.濾網(wang)每2周清(qing)(qing)潔，永(yong)安(an)呼(hu)(hu)(hu)吸機(ji)，每3個(ge)月(yue)更換(huan)（霧(wu)霾(mai)地區需(xu)縮短周期(qi)）3.主機(ji)避(bi)(bi)(bi)免陽光直射，儲水(shui)(shui)罐每天(tian)(tian)換(huan)水(shui)(shui)防止細菌(jun)滋生(sheng)三、使(shi)(shi)用(yong)(yong)習慣養成1.建議每天(tian)(tian)連續使(shi)(shi)用(yong)(yong)≥4小時(shi)(shi)，初期(qi)適(shi)應(ying)期(qi)可(ke)分段使(shi)(shi)用(yong)(yong)2.睡前(qian)1小時(shi)(shi)避(bi)(bi)(bi)免飲(yin)水(shui)(shui)，防止夜間頻(pin)繁中斷(duan)(duan)治(zhi)(zhi)(zhi)療(liao)3.搭(da)配睡眠監測APP記錄(lu)數據，每3個(ge)月(yue)回診評估四、特(te)殊情況處理1.出(chu)(chu)現耳(er)脹、胃脹氣時(shi)(shi)應(ying)檢查是否張口呼(hu)(hu)(hu)吸，必要時(shi)(shi)換(huan)全(quan)臉面(mian)罩(zhao)2.皮膚壓(ya)(ya)痕持(chi)續2小時(shi)(shi)未消退(tui)需(xu)調(diao)(diao)整頭帶松(song)緊(jin)度(du)3.感冒鼻塞(sai)時(shi)(shi)應(ying)開啟加溫(wen)(wen)濕化功(gong)能并咨詢醫生(sheng)用(yong)(yong)藥五、安(an)全(quan)注意(yi)(yi)事項(xiang)(xiang)1.使(shi)(shi)用(yong)(yong)級(ji)純凈水(shui)(shui)，禁止添加精油或2.停(ting)電時(shi)(shi)立即斷(duan)(duan)開管路避(bi)(bi)(bi)免窒(zhi)息風(feng)險3.旅行時(shi)(shi)注意(yi)(yi)電壓(ya)(ya)匹(pi)配，備足備用(yong)(yong)濾芯溫(wen)(wen)馨(xin)提示：初期(qi)1-2周為適(shi)應(ying)期(qi)，出(chu)(chu)現輕微口干、鼻塞(sai)屬正常(chang)現象。若持(chi)續不適(shi)或血(xue)氧值未改(gai)善(shan)，應(ying)及時(shi)(shi)聯系呼(hu)(hu)(hu)吸治(zhi)(zhi)(zhi)療(liao)師調(diao)(diao)整治(zhi)(zhi)(zhi)療(liao)方案(an)。治(zhi)(zhi)(zhi)療(liao)期(qi)間仍需(xu)保(bao)持(chi)體重控制、側臥睡姿等綜合干預措施。

家用(yong)呼(hu)吸機(ji)(ji)(ji)的(de)正確安裝(zhuang)(zhuang)對治(zhi)果至關重要(yao)，以下(xia)是簡明安裝(zhuang)(zhuang)指(zhi)(zhi)南：**一、準備(bei)工作**1.開(kai)箱檢查(cha)(cha)配件是否齊全(quan)（主(zhu)(zhu)機(ji)(ji)(ji)、管(guan)路、面(mian)罩、濕(shi)化(hua)器(qi)、電源線、濾(lv)芯）。2.選擇平穩(wen)、通風(feng)的(de)床頭(tou)柜放置主(zhu)(zhu)機(ji)(ji)(ji)，確保離床50cm內且高于地面(mian)，避(bi)免陽光直射。**二、安裝(zhuang)(zhuang)步驟(zou)**1.**組裝(zhuang)(zhuang)主(zhu)(zhu)機(ji)(ji)(ji)**：插(cha)入(ru)濾(lv)芯（通常位于機(ji)(ji)(ji)身(shen)側面(mian)或背部(bu)），注意(yi)正反面(mian)。2.**連接濕(shi)化(hua)器(qi)**：將(jiang)儲水(shui)罐注入(ru)純凈水(shui)至刻度(du)線，裝(zhuang)(zhuang)入(ru)主(zhu)(zhu)機(ji)(ji)(ji)插(cha)槽(cao)（部(bu)分機(ji)(ji)(ji)型需外接）。3.**安裝(zhuang)(zhuang)管(guan)路**：將(jiang)加(jia)溫管(guan)一端(duan)連接主(zhu)(zhu)機(ji)(ji)(ji)出氣口(kou)，另一端(duan)連接面(mian)罩接口(kou)，確保無扭曲(qu)。**三、參數設(she)置**1.使(shi)用(yong)需由醫(yi)生設(she)定壓(ya)力(li)范圍（如C模式固(gu)定壓(ya)力(li)或Auto模式自動調節）。2.開(kai)啟濕(shi)化(hua)器(qi)調節檔(dang)位（冬季建(jian)(jian)議3-4檔(dang)，夏(xia)季1-2檔(dang)），避(bi)免冷凝水(shui)積聚。**四、佩戴(dai)測(ce)試**1.選擇合(he)適(shi)尺寸鼻罩/口(kou)鼻罩，調整頭(tou)帶松緊(jin)（能(neng)插(cha)入(ru)一指(zhi)(zhi)為宜(yi)）。2.開(kai)機(ji)(ji)(ji)后用(yong)手背感受出氣口(kou)是否有穩(wen)定氣流，檢查(cha)(cha)面(mian)罩是否漏氣（聽到明顯漏氣聲需重新佩戴(dai)）。**注意(yi)事項**-每(mei)(mei)日換水(shui)并(bing)清(qing)(qing)洗濕(shi)化(hua)罐，每(mei)(mei)周用(yong)中性洗滌劑(ji)浸泡管(guan)路，每(mei)(mei)月更換濾(lv)棉。-使(shi)用(yong)前需排除，建(jian)(jian)議在白天清(qing)(qing)醒(xing)時試戴(dai)適(shi)應(ying)。-出現(xian)胸悶或血(xue)氧持續低(di)于90%應(ying)立(li)即(ji)停機(ji)(ji)(ji)并(bing)就醫(yi)。建(jian)(jian)議安裝(zhuang)(zhuang)由呼(hu)吸治(zhi)療(liao)師指(zhi)(zhi)導，兩(liang)周后通過SD卡(ka)數據回訪(fang)評(ping)估治(zhi)果。正確安裝(zhuang)(zhuang)可提升(sheng)治(zhi)療(liao)舒適(shi)度(du)，降低(di)睡眠呼(hu)吸暫停引起(qi)的(de)健康風(feng)險。