飛利浦呼(hu)(hu)(hu)吸(xi)機操作指(zhi)南一、使(shi)用前(qian)準(zhun)(zhun)備(bei)(bei)(bei)1.檢(jian)(jian)查設(she)(she)備(bei)(bei)(bei)：確認呼(hu)(hu)(hu)吸(xi)機外(wai)觀無(wu)破損(sun)，電(dian)源(yuan)(yuan)線、管(guan)(guan)路、面(mian)罩(zhao)等(deng)配件(jian)完(wan)整(zheng)且清潔。2.連(lian)(lian)接(jie)管(guan)(guan)路：將空氣(qi)(qi)過(guo)(guo)(guo)濾(lv)棉(mian)裝入位置(zhi)(zhi)，連(lian)(lian)接(jie)呼(hu)(hu)(hu)吸(xi)管(guan)(guan)路與主機及(ji)濕化器（若使(shi)用）。3.電(dian)源(yuan)(yuan)準(zhun)(zhun)備(bei)(bei)(bei)：接(jie)通(tong)電(dian)源(yuan)(yuan)并(bing)開機自(zi)(zi)檢(jian)(jian)，確保設(she)(she)備(bei)(bei)(bei)顯示正(zheng)常無(wu)報錯提(ti)示。二、操作流程1.模式(shi)選(xuan)(xuan)擇(ze)(ze)：-根據醫囑選(xuan)(xuan)擇(ze)(ze)C（持續正(zheng)壓(ya)通(tong)氣(qi)(qi)）或Bi（雙水平(ping)正(zheng)壓(ya)通(tong)氣(qi)(qi)）模式(shi)。-患者(zhe)(zhe)可(ke)選(xuan)(xuan)擇(ze)(ze)Auto模式(shi)（自(zi)(zi)動調節壓(ya)力）。2.參(can)數設(she)(she)置(zhi)(zhi)：-初始壓(ya)力范圍(wei)通(tong)常設(she)(she)為4-20cmH?O，具體(ti)數值需(xu)遵醫囑。-設(she)(she)置(zhi)(zhi)呼(hu)(hu)(hu)吸(xi)頻率（10-20次(ci)/分）和(he)吸(xi)呼(hu)(hu)(hu)比（1:1.5-1:2）。3.佩(pei)戴面(mian)罩(zhao)：-選(xuan)(xuan)擇(ze)(ze)合適(shi)尺(chi)寸的面(mian)罩(zhao)/鼻罩(zhao)，調節頭(tou)帶松(song)緊至(zhi)無(wu)漏氣(qi)(qi)且患者(zhe)(zhe)舒(shu)適(shi)。-連(lian)(lian)接(jie)呼(hu)(hu)(hu)吸(xi)管(guan)(guan)路與面(mian)罩(zhao)接(jie)口。4.啟動治(zhi)療(liao)：-按(an)Start鍵(jian)開始運行(xing)(xing)，觀察患者(zhe)(zhe)呼(hu)(hu)(hu)吸(xi)同步性。-通(tong)過(guo)(guo)(guo)顯示屏實時監測潮氣(qi)(qi)量、血氧飽(bao)和(he)度等(deng)數據。三(san)、注意事(shi)項1.使(shi)用需(xu)在醫護人員(yuan)指(zhi)導下進行(xing)(xing)2.濕化器水溫應維持在37℃±2℃3.出現報警時立即檢(jian)(jian)查管(guan)(guan)路連(lian)(lian)接(jie)、患者(zhe)(zhe)狀(zhuang)態及(ji)參(can)數設(she)(she)置(zhi)(zhi)4.禁止(zhi)自(zi)(zi)行(xing)(xing)更(geng)改氧濃度等(deng)關鍵(jian)參(can)數四、關機維護1.按(an)Stop鍵(jian)停止(zhi)運行(xing)(xing)后斷開電(dian)源(yuan)(yuan)2.每日用中性清潔劑消毒面(mian)罩(zhao)及(ji)管(guan)(guan)路3.每周(zhou)更(geng)換(huan)空氣(qi)(qi)過(guo)(guo)(guo)濾(lv)棉(mian)4.每月進行(xing)(xing)設(she)(she)備(bei)(bei)(bei)性能檢(jian)(jian)測（注：不同機型操作存在差異，請(qing)以(yi)具體(ti)型號說明(ming)書為準(zhun)(zhun)。突(tu)發緊急(ji)情況應立即切換(huan)備(bei)(bei)(bei)用呼(hu)(hu)(hu)吸(xi)支持方(fang)案。）

睡(shui)眠呼(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)機(ji)(ji)（C/Bi）是一種通(tong)(tong)過持(chi)續(xu)(xu)氣(qi)(qi)道正壓(ya)(ya)(ya)通(tong)(tong)氣(qi)(qi)治療(liao)睡(shui)眠呼(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)障礙的，睡(shui)眠呼(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)機(ji)(ji)出(chu)售，其原理(li)是通(tong)(tong)過機(ji)(ji)械增(zeng)壓(ya)(ya)(ya)維(wei)持(chi)氣(qi)(qi)道開放狀(zhuang)態。主要(yao)針對阻(zu)(zu)(zu)塞性睡(shui)眠呼(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)暫停(ting)（OSA）患(huan)者，這類(lei)人群因(yin)上呼(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)道肌肉松弛導致氣(qi)(qi)道塌陷，引(yin)發呼(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)暫停(ting)和低氧(yang)(yang)血(xue)癥。設(she)備(bei)通(tong)(tong)過渦(wo)輪電機(ji)(ji)產生穩定氣(qi)(qi)流，經濕(shi)化(hua)器加濕(shi)后通(tong)(tong)過面(mian)(mian)罩輸(shu)(shu)送到患(huan)者呼(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)道。C（持(chi)續(xu)(xu)氣(qi)(qi)道正壓(ya)(ya)(ya)）模(mo)式提供恒定壓(ya)(ya)(ya)力(li)(li)（通(tong)(tong)常4-20cmH?O），在(zai)呼(hu)(hu)氣(qi)(qi)與吸(xi)(xi)(xi)(xi)(xi)氣(qi)(qi)階段均維(wei)持(chi)壓(ya)(ya)(ya)力(li)(li)，形成物(wu)理(li)性'氣(qi)(qi)撐'效應，阻(zu)(zu)(zu)止咽喉部(bu)軟組織塌陷。Bi（雙水平氣(qi)(qi)道正壓(ya)(ya)(ya)）則采用差(cha)異(yi)化(hua)壓(ya)(ya)(ya)力(li)(li)設(she)置，吸(xi)(xi)(xi)(xi)(xi)氣(qi)(qi)時高壓(ya)(ya)(ya)（I）幫(bang)助肺(fei)部(bu)擴張，福建呼(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)機(ji)(ji)，呼(hu)(hu)氣(qi)(qi)時低壓(ya)(ya)(ya)（E）降低呼(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)阻(zu)(zu)(zu)力(li)(li)，打鼾呼(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)機(ji)(ji)出(chu)售，更適合合并(bing)慢性呼(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)衰竭患(huan)者。現代設(she)備(bei)配(pei)(pei)備(bei)流量傳感器和壓(ya)(ya)(ya)力(li)(li)反饋系統，可實(shi)時監測呼(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)頻率、氣(qi)(qi)流波(bo)動(dong)(dong)及漏氣(qi)(qi)量，通(tong)(tong)過算法動(dong)(dong)態調(diao)節輸(shu)(shu)出(chu)壓(ya)(ya)(ya)力(li)(li)。部(bu)分機(ji)(ji)型具備(bei)自動(dong)(dong)調(diao)壓(ya)(ya)(ya)功能（A），根據氣(qi)(qi)道阻(zu)(zu)(zu)力(li)(li)變化(hua)在(zai)夜間自動(dong)(dong)匹配(pei)(pei)佳(jia)治療(liao)壓(ya)(ya)(ya)力(li)(li)。加濕(shi)器模(mo)塊可調(diao)節氣(qi)(qi)體溫濕(shi)度(du)，減少(shao)鼻(bi)腔(qiang)干燥和黏膜刺激。臨床效果源于兩方面(mian)(mian)：機(ji)(ji)械性維(wei)持(chi)氣(qi)(qi)道通(tong)(tong)暢，消除呼(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)暫停(ting)事件；改善血(xue)氧(yang)(yang)飽和度(du)，降低因(yin)缺氧(yang)(yang)引(yin)發的覺醒(xing)反應。長(chang)期使用可恢復(fu)睡(shui)眠結構(gou)，減少(shao)。該設(she)備(bei)屬(shu)于癥狀(zhuang)控(kong)制性治療(liao)，需(xu)配(pei)(pei)合生活方式干預才能達到佳(jia)。

打(da)鼾呼(hu)吸機(ji)(ji)(ji)（C呼(hu)吸機(ji)(ji)(ji)）的常(chang)見配(pei)(pei)件(jian)(jian)(jian)(jian)及功能(neng)如下(xia)：###一、組件(jian)(jian)(jian)(jian)1.**主(zhu)機(ji)(ji)(ji)**：設備，提(ti)供(gong)氣(qi)(qi)壓調(diao)節(jie)功能(neng)，內置馬(ma)達和控(kong)制系統(tong)。2.**面(mian)罩系統(tong)**-**鼻(bi)罩**：覆蓋(gai)鼻(bi)子，適(shi)合(he)口(kou)呼(hu)吸較少者。-**口(kou)鼻(bi)罩**：覆蓋(gai)口(kou)鼻(bi)，適(shi)合(he)習慣(guan)用(yong)(yong)口(kou)呼(hu)吸者。-**鼻(bi)枕**：插入鼻(bi)孔的軟硅(gui)膠頭，體積(ji)小巧壓迫感低。3.**管(guan)路(lu)**-**標準管(guan)**：連接(jie)主(zhu)機(ji)(ji)(ji)與(yu)面(mian)罩的軟管(guan)（長度(du)1.8-2.1米）。-**加溫(wen)(wen)管(guan)**：內置加熱(re)絲防止冷凝水(shui)(shui)積(ji)聚，提(ti)升(sheng)舒(shu)適(shi)度(du)。###二、輔助配(pei)(pei)件(jian)(jian)(jian)(jian)4.**過(guo)濾(lv)裝置**-**海綿濾(lv)棉(mian)**：可(ke)(ke)水(shui)(shui)洗重復使用(yong)(yong)，攔(lan)截大顆粒灰(hui)塵。-**濾(lv)芯(xin)（HEPA）**：一次性(xing)超(chao)細過(guo)濾(lv)層，需每月更(geng)換。5.**加濕(shi)(shi)(shi)器(qi)組件(jian)(jian)(jian)(jian)**-**水(shui)(shui)罐**：可(ke)(ke)拆卸(xie)容(rong)(rong)器(qi)（容(rong)(rong)量(liang)300-500ml），搭配(pei)(pei)恒溫(wen)(wen)加熱(re)板使用(yong)(yong)。-**加濕(shi)(shi)(shi)器(qi)底座(zuo)**：與(yu)主(zhu)機(ji)(ji)(ji)嵌合(he)，提(ti)供(gong)濕(shi)(shi)(shi)度(du)調(diao)節(jie)功能(neng)。6.**固定裝置**-**頭帶**：魔術貼或彈性(xing)材質，需每3-6個月更(geng)換。-**前額襯墊**：減輕面(mian)罩對額頭的壓力。###三(san)、維(wei)護(hu)配(pei)(pei)件(jian)(jian)(jian)(jian)7.**清潔(jie)工具**-**消毒(du)機(ji)(ji)(ji)**：紫外(wai)線或臭氧消毒(du)面(mian)罩/管(guan)路(lu)。-**中性(xing)清潔(jie)劑(ji)**：避免(mian)腐蝕硅(gui)膠部(bu)件(jian)(jian)(jian)(jian)。8.**電(dian)源配(pei)(pei)件(jian)(jian)(jian)(jian)**-**適(shi)配(pei)(pei)器(qi)**：100-240V寬電(dian)壓設計。-**外(wai)接(jie)電(dian)池**：戶外(wai)使用(yong)(yong)的12V鋰(li)電(dian)池組（容(rong)(rong)量(liang)約10，000mAh）。###四、升(sheng)級配(pei)(pei)件(jian)(jian)(jian)(jian)9.**智能(neng)模塊**-**無線傳輸(shu)器(qi)**：通過(guo)藍牙/WiFi同步(bu)治療(liao)數據。-**SD卡**：存儲夜間使用(yong)(yong)記錄供(gong)醫生分析。10.**便攜(xie)包**：防水(shui)(shui)防震設計，含旅行小型(xing)主(zhu)機(ji)(ji)(ji)。###注意事項-面(mian)罩和管(guan)路(lu)需每3-6個月更(geng)換以防老化(hua)漏氣(qi)(qi)-濾(lv)芯(xin)堵(du)塞(sai)會降低機(ji)(ji)(ji)器(qi)效能(neng)，打(da)鼾呼(hu)吸機(ji)(ji)(ji)代理(li)，建議每月檢查-加濕(shi)(shi)(shi)器(qi)需每日換水(shui)(shui)，每周用(yong)(yong)白(bai)醋除垢合(he)理(li)搭配(pei)(pei)配(pei)(pei)件(jian)(jian)(jian)(jian)可(ke)(ke)提(ti)升(sheng)使用(yong)(yong)舒(shu)適(shi)度(du)，建議根據睡眠(mian)監測報告(gao)選購適(shi)配(pei)(pei)型(xing)號，部(bu)分品(pin)牌配(pei)(pei)件(jian)(jian)(jian)(jian)存在兼容(rong)(rong)差異(yi)，購買(mai)時需確認(ren)型(xing)號匹配(pei)(pei)。