瑞(rui)(rui)思邁（ResMed）是的(de)(de)呼(hu)(hu)(hu)(hu)(hu)吸(xi)健康制造商，其(qi)呼(hu)(hu)(hu)(hu)(hu)吸(xi)機產品廣泛應(ying)用(yong)于(yu)睡(shui)眠(mian)呼(hu)(hu)(hu)(hu)(hu)吸(xi)障(zhang)礙（如(ru)(ru)阻塞性(xing)(xing)(xing)睡(shui)眠(mian)呼(hu)(hu)(hu)(hu)(hu)吸(xi)暫停，OSA）和慢(man)性(xing)(xing)(xing)呼(hu)(hu)(hu)(hu)(hu)吸(xi)系統疾病（如(ru)(ru)慢(man)阻肺(fei)）的(de)(de)治療。以下(xia)是相(xiang)關知識(shi)：###1.**產品分類與技(ji)術(shu)特點**瑞(rui)(rui)思邁呼(hu)(hu)(hu)(hu)(hu)吸(xi)機主要分為**C（持(chi)(chi)續(xu)正壓(ya)通(tong)氣(qi)）**、**A（自動(dong)調(diao)壓(ya)）**和**Bi（雙(shuang)水平(ping)正壓(ya)通(tong)氣(qi)）**三種類型：-**C**：恒定壓(ya)力(li)(li)輸出(chu)，適(shi)用(yong)于(yu)輕中度OSA患(huan)(huan)者，維(wei)持(chi)(chi)上(shang)氣(qi)道開放。-**A**：通(tong)過(guo)AutoSet算(suan)法實時(shi)監測呼(hu)(hu)(hu)(hu)(hu)吸(xi)阻力(li)(li)，動(dong)態調(diao)整(zheng)壓(ya)力(li)(li)，提升舒(shu)(shu)適(shi)度。-**Bi**：提供吸(xi)氣(qi)和呼(hu)(hu)(hu)(hu)(hu)氣(qi)雙(shuang)壓(ya)力(li)(li)支(zhi)持(chi)(chi)，適(shi)用(yong)于(yu)復雜OSA或合并(bing)肺(fei)部(bu)疾病的(de)(de)患(huan)(huan)者。技(ji)術(shu)包括(kuo)**AutoRamp?壓(ya)力(li)(li)緩升技(ji)術(shu)**（幫助患(huan)(huan)者自然入(ru)睡(shui)）、**AirSense?智(zhi)能算(suan)法**（識(shi)別呼(hu)(hu)(hu)(hu)(hu)吸(xi)事件）以及**HumidAir?濕化系統**（減少(shao)鼻腔(qiang)干燥不適(shi)）。###2.**優(you)(you)勢**-**舒(shu)(shu)適(shi)性(xing)(xing)(xing)**：搭載(zai)Easy-Breathe?低噪音馬達（噪音＜24分貝）和柔性(xing)(xing)(xing)管路設計(ji)，降低治療干擾。-**智(zhi)能化**：內(nei)置4G/藍(lan)牙模塊，支(zhi)持(chi)(chi)AirView?云平(ping)臺(tai)遠程(cheng)監控(kong)患(huan)(huan)者數據，便于(yu)醫(yi)生調(diao)整(zheng)方案。-**便攜(xie)性(xing)(xing)(xing)**：如(ru)(ru)AirMini系列僅重0.3kg，適(shi)合差(cha)旅(lv)使(shi)(shi)用(yong)，兼容直流電源。###3.**適(shi)應(ying)癥與使(shi)(shi)用(yong)場景**-**睡(shui)眠(mian)呼(hu)(hu)(hu)(hu)(hu)吸(xi)暫停**：通(tong)過(guo)持(chi)(chi)續(xu)正壓(ya)防(fang)止(zhi)氣(qi)道塌陷，改善(shan)缺氧和。-**慢(man)性(xing)(xing)(xing)呼(hu)(hu)(hu)(hu)(hu)吸(xi)衰竭**：輔助慢(man)阻肺(fei)、神經肌肉疾病患(huan)(huan)者的(de)(de)通(tong)氣(qi)功能。-**急性(xing)(xing)(xing)呼(hu)(hu)(hu)(hu)(hu)吸(xi)支(zhi)持(chi)(chi)**：部(bu)分機型可用(yong)于(yu)醫(yi)院過(guo)渡到家(jia)庭的(de)(de)無創(chuang)通(tong)氣(qi)治療。###4.**注意(yi)事項**-**個體化配置**：需通(tong)過(guo)睡(shui)眠(mian)監測確定壓(ya)力(li)(li)參數，避免壓(ya)力(li)(li)不足或過(guo)高。-**日(ri)常(chang)維(wei)護**：定期清洗面罩、過(guo)濾棉，萍鄉家(jia)用(yong)呼(hu)(hu)(hu)(hu)(hu)吸(xi)機，防(fang)止(zhi)細菌(jun)滋生；濕化器需使(shi)(shi)用(yong)純凈水。-**依(yi)從性(xing)(xing)(xing)管理(li)**：建議初(chu)期每天使(shi)(shi)用(yong)＞4小時(shi)，配合APP記錄(lu)數據優(you)(you)化。瑞(rui)(rui)思邁呼(hu)(hu)(hu)(hu)(hu)吸(xi)機以治療和人性(xing)(xing)(xing)化設計(ji)著稱，但需在醫(yi)師指導下(xia)選擇型號并(bing)定期隨訪，以確保安全性(xing)(xing)(xing)和有效性(xing)(xing)(xing)。

無創呼(hu)吸(xi)(xi)機(ji)使(shi)用(yong)(yong)(yong)注(zhu)意事項一、使(shi)用(yong)(yong)(yong)前準備(bei)1.嚴格(ge)(ge)評估適(shi)應證：適(shi)用(yong)(yong)(yong)于輕中度(du)呼(hu)吸(xi)(xi)衰竭、慢阻(zu)肺急(ji)性(xing)加重、心源性(xing)等(deng)患者(zhe)。嚴重意識障礙、呼(hu)吸(xi)(xi)道分泌物多、血(xue)流動力(li)(li)學不穩定(ding)者(zhe)禁用(yong)(yong)(yong)。2.設(she)備(bei)檢查：確認呼(hu)吸(xi)(xi)機(ji)管(guan)路連(lian)接正確，濕(shi)化(hua)器水(shui)(shui)量充足（建議使(shi)用(yong)(yong)(yong)無菌蒸(zheng)餾(liu)水(shui)(shui)），面(mian)(mian)罩(zhao)(zhao)/鼻(bi)罩(zhao)(zhao)完好無破損(sun)，避免(mian)漏氣(qi)(qi)。二、使(shi)用(yong)(yong)(yong)過(guo)程規范1.佩(pei)戴(dai)要求：-選擇合(he)適(shi)尺寸的(de)面(mian)(mian)罩(zhao)(zhao)，松緊度(du)以可插入1-2指(zhi)為宜-先開機(ji)送氣(qi)(qi)后再佩(pei)戴(dai)，避免(mian)患者(zhe)窒息感-優先選擇半臥位(wei)(wei)（30-45度(du)）2.參(can)數管(guan)理：-初始壓力(li)(li)設(she)置需(xu)(xu)遵(zun)醫(yi)(yi)囑(zhu)（通常E4-6cmH2O，I10-12cmH2O）-禁止自行調(diao)整參(can)數，需(xu)(xu)醫(yi)(yi)護(hu)人(ren)員根據血(xue)氧(yang)、血(xue)氣(qi)(qi)結果調(diao)節3.呼(hu)吸(xi)(xi)配合(he)：-指(zhi)導患者(zhe)閉口用(yong)(yong)(yong)鼻(bi)呼(hu)吸(xi)(xi)-出(chu)現(xian)不適(shi)時(shi)(shi)(shi)通過(guo)手勢溝(gou)通，勿強行摘面(mian)(mian)罩(zhao)(zhao)-餐后需(xu)(xu)間隔1小時(shi)(shi)(shi)再使(shi)用(yong)(yong)(yong)三、預防1.皮(pi)膚護(hu)理：每(mei)(mei)2小時(shi)(shi)(shi)調(diao)整面(mian)(mian)罩(zhao)(zhao)位(wei)(wei)置，鼻(bi)梁/面(mian)(mian)部受壓處貼水(shui)(shui)膠體敷料(liao)2.減少腹脹(zhang)：避免(mian)張口呼(hu)吸(xi)(xi)，出(chu)現(xian)腹脹(zhang)可暫時(shi)(shi)(shi)調(diao)低壓力(li)(li)3.氣(qi)(qi)道管(guan)理：濕(shi)化(hua)溫度(du)保(bao)持(chi)(chi)32-35℃，及時(shi)(shi)(shi)清理冷凝(ning)水(shui)(shui)防止誤吸(xi)(xi)四(si)、監測(ce)與維護(hu)1.持(chi)(chi)續監測(ce)血(xue)氧(yang)飽和度(du)（目標＞90%），記錄(lu)呼(hu)吸(xi)(xi)頻率(lv)(lv)、心率(lv)(lv)變化(hua)2.每(mei)(mei)日(ri)更(geng)換濕(shi)化(hua)水(shui)(shui)，每(mei)(mei)周消毒管(guan)路，每(mei)(mei)月更(geng)換空氣(qi)(qi)濾網(wang)3.出(chu)現(xian)以下(xia)情況立即停用(yong)(yong)(yong)：嘔(ou)吐、嚴重躁動、血(xue)氧(yang)持(chi)(chi)續下(xia)降、發(fa)(fa)紺加重五、特(te)殊情況處理1.使(shi)用(yong)(yong)(yong)需(xu)(xu)有醫(yi)(yi)護(hu)人(ren)員在場觀(guan)察(cha)30分鐘2.長(chang)期(qi)使(shi)用(yong)(yong)(yong)者(zhe)應定(ding)期(qi)復(fu)查血(xue)氣(qi)(qi)分析(xi)3.突發(fa)(fa)停電(dian)時(shi)(shi)(shi)立即解開面(mian)(mian)罩(zhao)(zhao)固定(ding)帶，保(bao)持(chi)(chi)氣(qi)(qi)道通暢(chang)注(zhu)意：本文僅供(gong)參(can)考，家用(yong)(yong)(yong)呼(hu)吸(xi)(xi)機(ji)維修，具體操作需(xu)(xu)嚴格(ge)(ge)遵(zun)循醫(yi)(yi)療機(ji)構的(de)操作規程和醫(yi)(yi)囑(zhu)執(zhi)行。

飛(fei)利浦呼(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)機(ji)(ji)作為的(de)品牌(pai)產品，其(qi)功(gong)效(xiao)在(zai)睡眠呼(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)障礙治療(liao)和呼(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)支持領域(yu)具有(you)顯(xian)(xian)著(zhu)(zhu)優(you)勢。該(gai)設(she)(she)(she)備通過(guo)智(zhi)能(neng)化壓(ya)力(li)(li)調節(jie)技(ji)術(shu)，能(neng)夠有(you)效(xiao)改(gai)善(shan)(shan)阻(zu)塞(sai)(sai)性(xing)睡眠呼(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)暫停（OSA）、慢性(xing)阻(zu)塞(sai)(sai)性(xing)肺疾病（COPD）等(deng)患(huan)(huan)者(zhe)(zhe)的(de)呼(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)功(gong)能(neng)，在(zai)臨(lin)床(chuang)應用(yong)中展(zhan)現出多重價值。在(zai)治療(liao)功(gong)能(neng)方(fang)面，飛(fei)利浦呼(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)機(ji)(ji)搭載的(de)Auto-Adjust算法可(ke)實時監(jian)(jian)測(ce)用(yong)戶(hu)呼(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)頻(pin)率(lv)、氣(qi)(qi)(qi)流阻(zu)力(li)(li)等(deng)參數(shu)，自動調節(jie)輸出壓(ya)力(li)(li)水(shui)平。對于(yu)OSA患(huan)(huan)者(zhe)(zhe)，該(gai)技(ji)術(shu)能(neng)在(zai)睡眠中動態維(wei)持氣(qi)(qi)(qi)道正(zheng)壓(ya)，減少呼(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)暫停事件(jian)發(fa)生頻(pin)率(lv)達80%以上(shang)，同時提(ti)(ti)升(sheng)血氧(yang)飽和度至正(zheng)常范(fan)圍（95%-100%）。針對COPD患(huan)(huan)者(zhe)(zhe)，雙水(shui)平壓(ya)力(li)(li)支持模(mo)式(shi)（Bi）通過(guo)差異化的(de)吸(xi)(xi)氣(qi)(qi)(qi)壓(ya)（I）和呼(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)氣(qi)(qi)(qi)壓(ya)（E）設(she)(she)(she)置(zhi)，家(jia)用(yong)呼(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)機(ji)(ji)保(bao)養，顯(xian)(xian)著(zhu)(zhu)降低呼(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)做功(gong)，改(gai)善(shan)(shan)肺泡通氣(qi)(qi)(qi)效(xiao)率(lv)。舒適性(xing)設(she)(she)(she)計是該(gai)設(she)(she)(she)備的(de)突(tu)出特點。Flex壓(ya)力(li)(li)釋放技(ji)術(shu)可(ke)在(zai)呼(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)氣(qi)(qi)(qi)階段(duan)智(zhi)能(neng)降低壓(ya)力(li)(li)，使患(huan)(huan)者(zhe)(zhe)呼(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)更符合(he)生理(li)規律，臨(lin)床(chuang)研(yan)究顯(xian)(xian)示(shi)可(ke)提(ti)(ti)升(sheng)治療(liao)依從性(xing)40%。配(pei)合(he)加(jia)熱加(jia)濕系(xi)統(tong)(tong)，能(neng)保(bao)持氣(qi)(qi)(qi)道濕潤度在(zai)30-35mg/L的(de)理(li)想(xiang)區間，有(you)效(xiao)預防鼻腔(qiang)干燥(zao)和黏膜損傷(shang)。靜音(yin)馬達技(ji)術(shu)將運行噪音(yin)控制在(zai)26分貝以下，接近圖書(shu)館(guan)環(huan)境聲(sheng)級，保(bao)障睡眠質量(liang)(liang)。智(zhi)能(neng)管(guan)理(li)系(xi)統(tong)(tong)延伸(shen)了設(she)(she)(she)備功(gong)效(xiao)。通過(guo)云端數(shu)據(ju)平臺，醫生可(ke)遠程監(jian)(jian)測(ce)AHI指(zhi)(zhi)數(shu)（呼(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)暫停低通氣(qi)(qi)(qi)指(zhi)(zhi)數(shu)）、漏氣(qi)(qi)(qi)量(liang)(liang)等(deng)關鍵指(zhi)(zhi)標，實現評估。對于(yu)復雜病例，設(she)(she)(she)備可(ke)記錄存儲(chu)90天治療(liao)數(shu)據(ju)，為個性(xing)化參數(shu)調整提(ti)(ti)供依據(ju)。部(bu)分型號(hao)配(pei)備血氧(yang)監(jian)(jian)測(ce)模(mo)塊，實現呼(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)治療(liao)與(yu)生命體征監(jian)(jian)測(ce)的(de)整合(he)管(guan)理(li)。在(zai)安全(quan)性(xing)方(fang)面，飛(fei)利浦呼(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)機(ji)(ji)通過(guo)ISO13485認證，家(jia)用(yong)呼(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)機(ji)(ji)租(zu)賃，具備斷電報警、管(guan)路阻(zu)塞(sai)(sai)監(jian)(jian)測(ce)等(deng)防護(hu)機(ji)(ji)制。臨(lin)床(chuang)數(shu)據(ju)顯(xian)(xian)示(shi)，規范(fan)使用(yong)可(ke)使事件(jian)風險(xian)降低56%，日間嗜睡改(gai)善(shan)(shan)率(lv)超過(guo)75%。對于(yu)特殊群(qun)體如肥胖(pang)患(huan)(huan)者(zhe)(zhe)（BMI≥30），設(she)(she)(she)備大壓(ya)力(li)(li)支持可(ke)達25cmH2O，確保(bao)有(you)效(xiao)通氣(qi)(qi)(qi)。總體而言，飛(fei)利浦呼(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)機(ji)(ji)憑借的(de)壓(ya)力(li)(li)調節(jie)、舒適的(de)使用(yong)體驗和智(zhi)能(neng)化管(guan)理(li)系(xi)統(tong)(tong)，在(zai)改(gai)善(shan)(shan)呼(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)功(gong)能(neng)、預防方(fang)面具有(you)顯(xian)(xian)著(zhu)(zhu)臨(lin)床(chuang)價值，已成為呼(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)(hu)吸(xi)(xi)支持治療(liao)的(de)重要(yao)工具。