在 CPAP 治疗中通过下颌运动分析进行漏气表型分析:对从业人员的重要启示。

IF 0.8 Q4 RESPIRATORY SYSTEM Respirology Case Reports Pub Date : 2024-09-24 eCollection Date: 2024-09-01 DOI:10.1002/rcr2.70030
Jean-Benoit Martinot, Lorent Hostaux, Atul Malhotra, Dennis Hwang, Jean-Louis Pépin
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引用次数: 0

摘要

在阻塞性睡眠呼吸暂停(OSA)的持续气道正压(CPAP)治疗中,监测无意漏气对治疗成功至关重要。虽然漏气通常是由于面罩密封不当造成的,但口腔开口也可能导致漏气,因此需要进行干预。最近的研究表明,睡眠期间的下颌运动(MJM)信号模式与呼吸事件和睡眠阶段有关。分析 CPAP 治疗期间的下颌下颌运动可发现,在阻塞事件发生时,漏气峰值与下颌下颌运动的最大振幅相吻合,而在唤醒时,漏气峰值与下颌下颌运动的最大振幅相吻合,而漏气峰值与唤醒时的漏气峰值相吻合。使用 MJM 检查漏气情况可为了解漏气的起源提供有价值的信息,并可能为 CPAP 管理开辟新的途径。
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Air leak phenotyping by mandibular jaw movement analysis in CPAP therapy: Key insights for practitioners.

Monitoring unintentional air leaks in continuous positive airway pressure (CPAP) treatment for obstructive sleep apnea (OSA) is essential for therapy success. While leaks are often attributed to improperly sealed masks, mouth openings may also cause them, requiring interventions. Recent studies demonstrated distinctive mandibular jaw movement (MJM) signal patterns during sleep related to respiratory events and sleep stages. Analysing MJM during CPAP treatment reveals air leak peaks coinciding with maximal MJM amplitude during obstructive events, and air leak decreases corresponding to arousals. Examining leaks with MJM offers valuable insights into their origins and might open new avenues for CPAP management.

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来源期刊
Respirology Case Reports
Respirology Case Reports RESPIRATORY SYSTEM-
CiteScore
1.40
自引率
0.00%
发文量
178
审稿时长
8 weeks
期刊介绍: Respirology Case Reports is an open-access online journal dedicated to the publication of original clinical case reports, case series, clinical images and clinical videos in all fields of respiratory medicine. The Journal encourages the international exchange between clinicians and researchers of experiences in diagnosing and treating uncommon diseases or diseases with unusual presentations. All manuscripts are peer-reviewed through a streamlined process that aims at providing a rapid turnaround time from submission to publication.
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