Details

Philips Respironics System One RemStar Plus CPAP Machine with C-FLEX and Heated Humidifier

Made in USA

Remark: Philips Respironics Fixed CPAP Machine is reimbursable by EPF (KWSP)

 

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√ Light weight, only 1.36kg

√ Low sound levels

√ Good humidity control

√ Good mask fit and seal

√ USA manufactured

 

Overview: 

The Remstar C-Flex is a CPAP (Continuous Positive Airway Pressure) device designed for the treatment of Obstructive Sleep Apnea (OSA). CPAP maintains a constant level of pressure throughout the breathing cycle. The device provides several special features to help make your therapy more comfortable. The ramp function allows you to lower the pressure when you are trying to fall asleep. The air pressure will gradually increase until your prescription pressure is reached. You also have the option of not using the ramp feature at all. 

 

Additionally, the C-Flex and C-Flex+ comfort features provide you with pressure relief when you exhale during therapy. System One gets even smarter with advanced intelligence for optimum care and easier patient management. Industry-leading enhancements and innovations help to improve both the patient and provider/clinician experience. 

 

Philips Respironics has long offered smarter tools that help sleep professionals provide better care and achieve better results. Through advancements in software algorithms and the marriage of proven patient-centric technologies, System One thinks for itself, carefully monitoring patients and recognizing when therapy needs are changing. It then arms providers with the intelligent data needed to make informed patient-care decisions.

 

Features:

• Reduced sound levels: With the addition of our advanced WhisperSmart technology, designed to make our industry-leading Flex Family of pressurerelief technologies operate more quietly, System One is one ofthe quietest devices on the market when it matters most: whenpatients are breathing on it.

 

• Dual modes withremote switching: Now, System One BiPAP Pro and BiPAP Auto devices comeequipped with both bi-level and CPAP capabilities and can be easily switched between modes including remotely via computer – when clinicians and providers need to adjust patient therapy. The convenience of having both options in a single unit is another innovation designed to save providers from having to make additional trips to patients’ homes.

 

• Improved humidityoutput and control: With improved humidity output, System One offers fivepatient-selected relative humidity settings to deliver customizedcomfort while dramatically reducing rainout. In addition,our “classic” mode provides the ability to shut off HumidityControl, if preferred.

 

• Mask fit and sealmonitoring: With the Mask Fit feature, System One Auto devices givepatients the ability to check the seal of their masks in real timeand lets them and their clinicians know what leaks may resultwhen pressures increase from baseline throughout the night.

 

• Easy night-time viewing: A back-lit screen ensures patients will be able tosee System One’s interface even in the dark.

 

• Enhanced filtration design: Packaged with each device, a white, ultra-fine filter providesfiltration that may enhance comfort without increasing noise orchanges in efficacy.

 

• 15 mm tubing option: System One now features both 15 mm and 22 mm tubingoptions that may provide greater patient comfort andcustomization of therapy.

 

• Multilingual display: System One devices can be set to display different languages,depending on the country of use. U.S. models display Englishor Spanish; Canada models display English or French.

 

 

Philips Respironics PR SYSTEM ONE REMSTAR PLUS brings a wide array of proven technologies together with patient focused advancements to create a truly intelligent sleep therapy system.

 

Everything You Expect and More
The System One REMstar PLUS includes all of the features you expect from a sleep therapy system including a wide pressure range (4-20cm), patient adjustable ramp, MANUAL altitude adjustment, SD data card, and a universal power supply. In addition it includes respironics brilliant C-FLEX comfort technologies, basic therapy tracking and compliance reporting capabilities.

 

Flex Family Technologies - The REMstar Plus Features C-FLEX
Respironics natural and clinically-proven "flex" technologies enhance traditional pressure therapy to improve comfort and increase compliance. Thanks to the advanced Digital Auto-Trak algorithm that detects the onset of inspiration and exhalation, the REMstar Plus delivers just the right pressure relief for every breath, making it easier for patients to adapt to therapy.

 

System One Humidity Control with Dry Box Technology
Many CPAP/APAP users find that the addition of heated humidity to their sleep therapy system improves comfort and helps with overall compliance. The optional System One Heated Humidifier delivers optimum humidity, drastically reduces rainout, and provides ultimate comfort throughout the night by analyzing and adjusting to ambient temperature, changing environmental conditions, relative humidity, and therapy flow. Revolutionary Dry Box technology isolates the humidfier's water source from the inner workings of the device to protect against water damage.

 

Standard Therapy Reporting
The System One REMstar PLUS tracks hours of use and provides information on overall patterns of use on screen and via the included SD Data Card.

Flex Family Technology

Flex Technology is designed to enhance traditional CPAP therapy; maintaining effective therapy at minimal pressures. Users new to CPAP equipment find the Flex feature provides airflow at just the right pressure relief for every breath and makes adapting to CPAP therapy easier. The PR Auto comes with both C-Flex and A-Flex modes as well as the new C-Flex Plus technology.

C-Flex offers a comfortable way to deliver sleep therapy by giving pressure relief at exhalation. Pressure is lowered based on a breath-per-breath analysis and provides up to 3 levels of relief based on the patient's expiratory flow.

C-Flex Plus is a new enhancement added to PR Pro and Auto CPAP machines. Similar to C-Flex, the technology provides pressure relief during exhalation based on expiratory flow. C-Flex+ minimizes the pressure transition and provides additional comfort when in fixed-CPAP mode. In addition, C-Flex+ softens the breathing cycle between inhalation to exhalation.

A-Flex is a comfort feature built on top of the REMstar Auto algorithm. If breathing events occur, the algorithm raises the A-Flex pressure profile to eliminate breathing events, while simultaneously making sure that pressure never rises to a level that's unnecessarily or uncomfortably high.

Encore Data Management and Reporting

On-board memory has been added to the CPAP as well as storing information on a generic SD Memory card and reads through any SD card reader. Use EncoreViewer Software to monitor therapy effectiveness through a series of reports. A new Patient Flow and Event report enables users to view a weekly breakdown on per-breath basis. Patient data is used to identify particular conditions and events with specific colors.

 

Important Tips

Respironics listened to the CPAP community and removed the "blue light" LED. The PR was placed in a dark room and the new power light could barely be seen. No more insomnia from excess system lights. The only common parts shared with the M series is the Power Supply. The PR system comes with a separate, external power brick and allows the overall CPAP to stay compact.

 

C-Flex Pressure Relief Technology

C-Flex pressure relief technology makes sleep therapy more comfortable by reducing pressure at the beginning of exhalation and returning to therapeutic pressure just before inhalation. The level of pressure relief varies based on the patient’s expiratory flow and which of the three C-Flex settings has been selected.

 

 

The real brains behind C-Flex is our patented Digital Auto-Trak & Sensitivity. Digital Auto-Trak is a highly sensitive algorithm that tracks each breath and detects the onset of inspiration and expiration – even in the presence of mask leak. It then responds by triggering C-Flex to provide an adaptive pressure relief right when the patient needs it. And delivering the right level of pressure relief when patients need it makes therapy more natural – and more comfortable.

 

One intelligent solution

System One sleep therapy platform gets even smarter with advanced intelligence for optimum care and easier patient management.

 

Industry-leading enhancements and innovations

The enhanced System One features a host of innovative technologies and features that improve both the patient and provider/clinician experience.

 

		Reduced sound levels		With the addition of our advanced WhisperSmart technology, designed to make our industry-leading Flex Family of pressure relief technologies operate more quietly, System One is one of the quietest devices on the market when it matters most: when patients are breathing on it.
		Dual modes with remote switching		Now, System One BiPAP Pro and BiPAP Auto devices come equipped with both bi-level and CPAP capabilities and can be easily switched between modes – including remotely via computer – when clinicians and providers need to adjust patient therapy. The convenience of having both options in a single unit is another innovation designed to save providers from having to make additional trips to patients’ homes.
		Improved humidity output and control		With improved humidity output, System One offers five patient-selected relative humidity settings to deliver customized comfort while dramatically reducing rainout. In addition, our “classic” mode provides the ability to shut off Humidity Control, if preferred.
		Mask fit and seal monitoring		With the Mask Fit feature, System One Auto devices give patients the ability to check the seal of their masks in real time and lets them and their clinicians know what leaks may result when pressures increase from baseline throughout the night.
		Easy night-time viewing		A back-lit screen ensures patients will be able to see System One’s interface even in the dark.
		Enhanced filtration design		Packaged with each device, a white, ultra-fine filter provides filtration that may enhance comfort without increasing noise or changes in efficacy.
		15 mm tubing option		System One now features both 15 mm and 22 mm tubing options that may provide greater patient comfort and customization of therapy.
		Multilingual display		System One devices can be set to display different languages, depending on the country of use. U.S. models display English or Spanish; Canada models display English or French.

 

One intelligent package

Our enhanced System One sleep therapy platform brings a number of key intelligent technologies together in a single device.

 

Philips Respironics has long offered smarter tools that help sleep professionals provide better care and achieve better results. Now, based on more than a year of customer use and input, we’re delivering an even higher level of sophistication in an intelligent therapy device that operates exactly the way you’ve told us it should.   Through advancements in software algorithms and the marriage of proven patient-centric technologies, System One thinks for itself, carefully monitoring your patient and recognizing when therapy needs are changing. It then arms you with the intelligent data you need to make informed patient-care decisions.

 

 

		Five components of intelligent therapy		1		System One Humidity Control and Dry Box technologies Industry-best humidification management to prevent rainout* and water damage.   System One Humidity Control is a breakthrough technology that maintains consistent and optimum humidity levels – even in changing conditions – by analyzing ambient temperature, relative humidity and patient flow. With five settings, using either an improved humidity control that minimizes the potential for rainout in the patient circuit, or “classic” mode that lets patients turn off Humidity Control altogether, System One delivers customized comfort. And our Dry Box technology isolates the humidifier’s water source from the inner workings of the device during normal, and most uncommon, conditions.		System One knows: • When, why, and how changes should be made to consistently and continually provide optimum therapy • How to maximize patient comfort for improved long-term compliance • The essential data you need and how to get it to you in a useable format System One is a thinking platform that puts all-new levels of control, compliance and efficiency right at your fingertips… one more way we’re committed to working with you to arrive at better solutions for better living.
2		System One Resistance Control Optimized pressure delivery, no matter which mask is used.   System One Resistance Control achieves complete system comfort by enabling the device and mask to work optimally together. Through simple settings, the technology instructs the device to compensate for variable resistance characteristics related to different masks. The result is synchronous pressure delivery and the assurance that patients can enjoy the full benefits of our Flex comfort technologies no matter which Philips Respironics mask is used.		3		Advanced event detection Identification of complicated and changing conditions that may indicate alternative therapy.   System One addresses advanced sleep assessment parameters, including AHI, leak, flow limitation and RERAs to provide optimum therapy for obstructive sleep apnea (OSA). Now, in one of our most exciting advancements, System One’s intelligent advanced detection technology detects when patients are experiencing symptoms beyond those of classic OSA – including such conditions as clear airway apneas and periodic breathing – immediately indicating the potential need for specialized therapy. Clinicians and providers can verify events by viewing detailed patient flow waveform data captured by the system, which even features a setting that automatically monitors mask fit and seal in real time.
4		Flex Family technologies Improved patient comfort with proven pressure relief.   Our natural and clinically-proven, patented technologies that enhance traditional pressure therapy – C-Flex, Bi-Flex, A-Flex, and now C-Flex+ in our fixed-CPAP mode advanced units – are an excellent way to establish increased patient comfort and compliance. And since our advanced Digital Auto-Trak algorithm detects the onset of inspiration and exhalation, our flow-based Flex technologies deliver just the right pressure relief for every breath, making it easier for patients to adapt to therapy. Each Flex-enabled System One device has an on-board Flex Demo mode to allow patients to feel the difference for themselves at the push of a button.		5		Encore data management and reporting Intelligent patient management for improved compliance.   The best intelligence is only valuable if it’s easily accessible. That’s why we’ve made sure vital patient information is available through multiple options of data transfer and reporting, including memory cards and modems.** System One now includes on-board data memory along with our available wireless modem technology, which allows for patient data to be uploaded automatically on a daily basis. EncoreAnywhere data management software enables patient data to be viewed virtually anywhere through a secure website, accessible from any computer. Putting more patient intelligence in your hands is a key component of effective patient therapy and compliance management.

 

* Under most conditions.

** Not available in all countries.

 

System One: the Intelligent Choice   With its enhancements and innovations plus unmatched service and support, it’s easy to see why the industry’s most intelligent sleep therapy system is the smart choice for patients and an equally smart business decision for providers and clinicians. To learn more about the System One, contact your Philips Respironicsrep resentative.

Additional Information

What does CPAP therapy do?

CPAP therapy provides a constant airflow which holds the airway open so that uninterrupted breathing is maintained during sleep. It is traditionally provided through a nasal mask that seals around the nose to maintain the pressure level.

Why might I prefer an APAP machine?

Some CPAP users find it more pleasant to breath with APAP than with CPAP because the pressure automatically changes as needed to deliver the minimal pressure needed. With a CPAP, on the other hand, the pressure is set at the highest necessary to keep the airway open, even though the high pressure is needed only a fraction of the time.

What comes with my machine?

Machines come with a six foot hose, power cord, at least one filter, and manuals. Most manufacturers include a carrying case which is designed specifically for their equipment. CPAP / BiPAP / APAP machines do not come with a delivery system or mask. CPAP Masks must be purchased separately. 

Which CPAP masks work on which machines?

All CPAP masks work with all machines.

What does an APAP prescription need to say?

• Contains one of the following words or phrases "APAP", "AutoPAP", "AutoSet", "Auto CPAP", "Auto Adjusting CPAP", "Self Adjusting CPAP", "CPAP" or "Continuous Positive Airway Pressure" or similar term.
• Contains your physician's contact information
• Contains your physician's signature
• Contains the patient's full name
• Contains your pressure range (Optional, Not Required)
  • Example: 4-20 CM/H20
  • Example: 4-20
  • Example: 6-18 CM/H2O
  • Example: 6-18

CPAP prescriptions are accepted for Auto Adjusting (APAP) Machines.

What is ramp?

The ramp button on a machine is a feature that allows for a gradual pressure build-up to your prescribed pressure. The feature is enjoyed by those with high pressures because they ease up to their pressure.

What is exhalation relief?

Exhalation relief is a comfort feature offered by two manufactures which reduces the air flow at the time of exhalation making the breathing process more natural.

• Respironics = C-Flex, C-Flex+, A-Flex and Bi-Flex
• Resmed = EPR (Expiratory Pressure Relief)

What maintenance is required on machines?

The only care required for machines is to clean or change the filters at the air intake of the machine to keep the internal parts from accumulating dust. 

There are other suggested actions to care for your machine:

• Keep the area around your machine clean. Remove any dust from around your machine to improve the air quality delivered to your machine.
• Keep the air intake of the machine unblocked. Curtains, bedding, and papers can easily block the air intake of your machine, reducing the airflow to your machine.
• If you have a humidifier, it is suggested that you do not pick up the machine with the humidifier attached. With most machines, it is easy to spill water from the humidifier into the machine and cause damage. To avoid this, it is suggested to remove the machine from the humidifier instead of transporting them together.
• If you have a humidifier, it is also suggested that you empty the water from the chamber every morning. Accidents happen. If a family pet, or family member moves the machine and humidifier, when there is water in the chamber, it is more likely an accident could happen where water is spilled into your machine.

What are the CPAP, BiPAP and Sleep Apnea related billing codes?

• EO601 RR is CPAP rental
• E0601 NU is CPAP purchase
• A7034 is CPAP mask
• A7032 is CPAP Nasal mask cushion
• A7033 is CPAP Nasal pillows
• A7030 is CPAP Full Face mask
• A7031 is CPAP Full Face mask cushion
• A7044 is CPAP Oral Interface
• A7027 is CPAP Hybrid mask
• A7028 is CPAP Hybrid mask cushion
• A7029 is CPAP Hybrid mask nasal pillow
• A7046 is CPAP Humidifier Chamber
• A7037 is CPAP tubing, long and short hoses
• A4604 is CPAP Heated tubing
• A7038 is CPAP disposable filter
• A7039 is CPAP gross particle (foam) filter
• A7035 is CPAP headgear
• A7036 is CPAP chinstrap
• E0561 NU is CPAP Passover Humidifier
• E0562 NU is CPAP Heated Humidifier
• E0470 RR is BiPAP rental
• E0470 NU is BiPAP purchase
• E0471 RR is BiPAP-ST rental
• E0471 NU is BiPAP-ST purchase

Other CPAP items are listed under E1399, which is miscellaneous.

Do all CPAPs use filters?

Yes, all CPAPs use at least one filter that is usually a type of foam material and washable. Some CPAPs offer finer filtration with the addition of a disposable paper filter. 

Cleaning and changing filters is the only maintenance required for a CPAP machine. 

The filters are located at the back of the machine at the air intake. The image below shows the black foam filter at the back of the Everest 3 CPAP Machine. 

How do I change the pressure setting of my machine?

When a physician orders a pressure change, or a patient moves to an area with a very different altitude and does not have an altitude compensating machine, there are a number of ways to ensure you are receiving CPAP therapy at the correct pressure. 

Sleep laboratories and sleep disorder centers may be willing to make this pressure change. Just call a big local hospital or ask you physician for sleep lab phone numbers. Be sure to take your prescription. 

A second way is to do it yourself. We sell manometers that are very portable, accurate, and simple to use. All the machines we sell come with instructions on how to set pressure to physician orders. Most patients have little trouble doing this themselves.

It is the law and good common sense to run all sleep disorder devices at the prescribed pressure. If you think your prescribed pressure is wrong, talk to your physician.

How do I use a battery to operate my CPAP?

First you need to determine if your machine is configured to operate on DC power and has a DC power outlet. If your machine does have a DC power outlet and you want to run your marine battery, then you will need the correct DC cable for your machine and an adapter cable that fits over the cigarette lighter plug and ends in alligator clips. 

CPAP.com sells complete battery kits with everything you need for your machine including the right cables for your machine and the battery. You can find the right battery kit for your machine here. 

If your machine does not have a DC power outlet, then you will also need an inverter to be able to run your machine on battery power. 

How do I prepare for power outages with CPAP?

There are a lot of back up battery choices out there that can give you peace of mind in case of a power outage. Some machines offer the option of an integrated battery which will automatically fail over to battery power if the power goes out.

What is the difference between C-Flex and A-flex?

C-flex drops the pressure on exhale only. A-flex drops the pressure on the exhale but also helps with the transition from inhale to exhale.

1.我想买一个睡眠呼吸机，请问买多少钱的合适？

 答：首先请您到医院做完睡眠监测，然后我们会根据医生的处方或睡眠监测报告，向您推荐适合您自身具体情况的品牌和机型，以达到最佳的治疗效果。

2.请问哪种品牌的呼吸机比较好？

答：我们提供的睡眠呼吸机都是世界最知名的呼吸机生产厂商生产的，美国伟康是双水平呼吸机的发明者，这厂商所生产的睡眠呼吸机都是该领域的领导品牌，睡眠呼吸暂停患者可以根据自身的具体情况选择适合自己的机型。

3.我每晚睡觉都打鼾，需要使用睡眠呼吸机吗？

 答：使用睡眠呼吸机后，能够有效地消除鼾声。我们建议您应立刻去医院进行睡眠监测，如果检查出为睡眠呼吸暂停综合征，那么就一定要接受适当的治疗。如果长时间的不予治疗，会引发心脑血管等一系列的疾病，严重者会发生睡眠中猝死或交通事故。

4.请问使用睡眠呼吸机多久后，我能感觉到症状的改善？

 答：当您开始使用呼吸机后，各种症状马上就会很快得到改善。睡眠呼吸机在睡眠中能够不断改善您身体的各种脏器技能，从而避免出现其它恶性的慢性疾病。

5.使用睡眠呼吸机后，可以改变我白天嗜睡犯困的毛病吗？

答：使用睡眠呼吸机后，能解决您睡眠过程中出现的呼吸暂停和低通气，保证您良好的深睡眠状态，从而大大提高您的睡眠质量。因此，肯定能大大改善您白天嗜睡犯困的毛病，让您第二天拥有良好的精力和精神状态。

6.请问我需要每天都使用呼吸机吗？

 答：是的。睡眠呼吸暂停患者建议每次睡眠的时候都要使用呼吸机，否则，睡眠呼吸暂停或低通气现象还会出现。

7.感冒的时候，我可以继续使用呼吸机治疗吗？

答：当您出现上呼吸道感染、中耳炎或鼻窦炎的时候，应及时到医院治疗，最好在炎症消除后再继续使用睡眠呼吸机。如果您的医生同意您继续使用，则要保证在此期间经常清洗面罩和管道，防止感染加重。

8.请问我可以不用加温湿化器吗？

答：一般我们建议每位睡眠呼吸暂停患者都使用加温湿化器，这样会大大提高您使用呼吸机的舒适程度，避免使用过程中出现口腔、鼻腔和喉咙干燥，或打喷嚏、鼻塞和流涕等过敏性不适状况。

9.我使用呼吸机的时候，嘴部漏气怎么办？

答：从嘴部泄漏的气流将降低治疗效果。如果您使用鼻面罩，在治疗过程中要尽量保持嘴部闭合。您也可以使用口鼻面罩或下颌系带来有效地解决嘴部漏气的问题。另外，在佩戴面罩之前，洗去脸部的油脂，将有助于更好地佩戴面罩，并延长面罩软垫的寿命。

10.我应该多长时间更换一次空气滤膜？

答：正常使用情况下，空气滤膜应该每3－6个月更换一次，以保证呼吸机良好的治疗效果。如果您的使用环境灰尘较多，则空气滤膜的更换周期应该相应缩短一些。我们建议您每个月都要检查一次呼吸机背部的空气滤膜，查看滤膜的微孔中是否存有吸附的灰尘。

飞利浦伟康REMstar Plus C-Flex单水平呼吸机是美国伟康公司最新推出的治疗睡眠呼吸暂停的家用型产品，家用睡眠呼吸机,家用无创呼吸机,家用有创呼吸机,家用呼吸机价格,家用双水平呼吸机,国产家用呼吸机,家用呼吸机的使用,家用呼吸机说明书,睡眠呼吸机价格,睡眠呼吸机4S,睡眠呼吸机报价,全自动睡眠呼吸机.

适用范围：
对于治疗普通“轻度睡眠呼吸暂停”的患者比较适合，建议选择美国飞利浦伟康REMstar Plus C-Flex单水平呼吸机。

产品说明：
Plus C-Flex单水平呼吸机是美国伟康公司最新推出的治疗睡眠呼吸暂停的家用型产品，属于手动单压力调节设置的机器，是一款基于伟康公司前一代呼吸机改良的产品。伟康呼吸机REMstar Plus C-Flex CPAP在其外形、算法和功能作了大幅优化，使用更为舒适便捷，体积更小，重量更轻，功能更智能！伟康呼吸机REMstar Plus C-Flex CPAP小巧便携、易于使用。美国伟康独创的C-Flex呼气压力释放功能，大大增强了机器的舒适度。呼吸机在患者呼气开始时暂时降低压力，方便患者呼出，在呼气结束时压力回到设定压力。

优势：
伟康呼吸机REMstar Plus C-Flex CPAP的压力释放量取决于患者呼气流速和设定的C-Flex水平。C-Flex水平一般有三档可调，患者可以依据舒适度自我调节。患者使用具有C-Flex功能的伟康呼吸机REMstar Plus C-Flex CPAP，舒适度大大增加，并且伟康呼吸机REMstar Plus C-Flex CPAP平均每晚使用时间比常规CPAP呼吸机多1小时42分钟，进而可得到更好的治疗依从性。 

技术参数：
1． 超小外形：19 cm x 12.7 cm x 7.9 cm；

2． 超轻重量：1公斤；

3． 改良算法使呼吸更舒适；

4． 超静音设计；

5． 友好的按钮设计。

温馨提示

如果不使用加湿器或呼吸机的情况下，请一定要倒干水盒中的水，并将加湿器与呼吸机分离，以免机器进水，影响您正常使用。

睡眠呼吸暂停综合征的治疗

药物治疗：目前尚无疗效肯定的药物。

CPAP睡眠呼吸机治疗：临床实践证明，该方法可以很好的消除睡眠呼吸暂停病人夜间打鼾、呼吸暂停和低通气，纠正夜间低氧血症，明显改善或消除白天嗜睡、头痛、记忆力下降、性功能减退等症状，是目前公认的首选治疗方法，尤其适用于重度患者、过度肥胖、老年人和手术后效果不佳或术后复发的患者。其特点是疗效高、安全、无痛苦，操作使用方便，仅在夜间使用，不影响白天工作和生活。CPAP睡眠呼吸机在治疗睡眠呼吸暂停的同时，对患者的心肺功能产生良好影响。

口腔矫正器治疗：原理是通过矫正器使下颌前移，使颏舌肌的肌肉的张力增大，从而使舌根部及舌骨前移，最终扩大上气道，减轻上气道阻塞，总的评价是对轻度的阻塞型睡眠呼吸暂停综合征病人有较好的效果。但下颌关节不适、唾液分泌增多等副作用较明显。对中枢性睡眠呼吸暂停无效。

手术治疗：如果患者存在手术可以彻底解除的明显的解剖阻塞，又无禁忌证的情况下，可考虑手术治疗。但应仔细评价手术方法对患者的综合效用，切不可盲目开刀。对大多数成人患者来说，手术仅仅能达到部分疗效，远期复发率较高。对于重度睡眠呼吸暂停、过度肥胖、高龄或伴有心肺合并症的患者通常应首选CPAP睡眠呼吸机治疗。总之，CPAP睡眠呼吸机治疗配合减肥、戒酒，是目前治疗中重度阻塞型睡眠呼吸暂停综合征的首选方法。我们的体会是，该病容易发现和确诊，关键要充分了解它的巨大危害，提高对它的重视程度；越早治疗，效果越好；CPAP睡眠呼吸机是中重度患者的首选治疗方法。

CPAP睡眠呼吸机简介

CPAP是Continuous Postive Airway Pressure（持续气道正压通气）的英文缩写，目前各种睡眠呼吸机的治疗原理基本相同，都是通过鼻（面）罩将呼吸机与患者相连，呼吸机持续产生正压气流，作用于患者上气道，使上气道在睡眠过程中保持开放状态，从而避免呼吸暂停和缺氧的发生。按照无创睡眠呼吸机模式分为三种类型：单水平呼吸机（CPAP）治疗压力需要手工设定，设定后整个治疗过程，压力不再变化，是功能最简单的一种睡眠机。其优点是价格相对便宜，缺点是患者需要较高的治疗压力，舒适度较差。

全自动单水平呼吸机（Auto-CPAP）又称智能型呼吸机，这种机器的最大特点是可以在治疗中持续监测患者气道阻塞程度，并根据气道阻塞程度随时调整治疗压力。这是一种智能的呼吸机通气模式，它是在普通CPAP模式的基础上，在呼气相开始时，压力在短时内进行一定程度的下调，使患者呼气变得更加容易和舒适。这种呼吸机特别适合于治疗压力较高和伴有慢性心衰的患者。其优势是平均治疗压力较低，患者感觉更舒适和治疗依从性也更高。

双水平呼吸机（BiPAP）该种机器的特点是将吸气相和呼气相的压力可以分别调节，即吸气时睡眠机送出较高的预设吸气压，帮助患者将更多的气体吸入体内；呼气时，呼吸机自动转换至预设的较低的呼气压，患者易于将肺内的气体呼出。治疗压力需要有经验的专业人员根据病情进行设定。双水平呼吸机适用于伴有心肺功能不全，或患者所需治疗压力过高者。机器与呼吸保持同步，该机器适合各类睡眠呼吸暂停综合症病人及所有需用无创通气治疗的病人，尤其是一些危重病人，双水平呼吸机（BiPAP ST）是目前功能最全面、顺应性最好的无创呼吸机。

家用呼吸机的使用治疗时应注意以下几项：

※ 首先要坚持治疗，不能半途而废。

※ 睡眠机要摆放于平整坚固的桌面，远离热源及火源。

※ 选择大小合适、材料柔软的鼻（面）罩。质量好的鼻罩价格较高，但从长期治疗舒适性和有效性方面考虑，还是值得的。

※ 如果使用湿化器，要特别注意不要将水倒灌到机器里面。关机时，务必同时关掉加温湿化器的电源。

※ 长期不用呼吸机时，一定要将呼吸机和湿化器之间的连接管道分离开。注意经常更换机器进气口的过滤片，海绵状过滤膜一般每周清洗一次，一次性超净滤膜一般每个月需要更换一次。应尽可能使用低压细菌过滤器，可使吸入的气体最大程度地净化。

睡觉的时候打鼾很常见，据统计，20%--30%的人有习惯性打鼾，而且大多数人认为打鼾不是病，甚至认为睡眠过程中打鼾是睡的香的表现，其实这种认识是不正确的。一般来说，偶尔的、轻微的打鼾或许并不要紧，而一旦发展成为大声的、断断续续的间歇性打鼾，也就是临床所谓的阻塞性睡眠呼吸暂停低通气综合症，简称为睡眠呼吸暂停综合症，就应认真对待了，以为它预示你的生命可能正在受到威胁。CPAP 治疗打鼾的原理持续正压通气机（CPAP）主要原理是通过睡眠时配戴一小型CPAP机，使面罩与呼吸机相连，给呼吸道一个持续正压，将咽部狭窄的部分扩大。CPAP机可以明显提高血中氧的含量，适用于中重度打鼾及其它治疗方法失败的病人。是世界通用治疗呼吸暂停最有效的，也是目前能为大家公认的治疗手段。

问：打呼噜的发病原因是什么？

专家：很多人都知道打鼾是因为肥胖引起的，却不知道打呼噜也会预示着许多疾病的发生，通过我们和国外的专家多年的研究和临床发现，打呼噜会引发一百多种疾病。对打呼噜的病因分析大致定为几种：

1.上气道解剖狭窄：比如：a. 鼻、咽、息肉、粘膜充血；b. 软腭低垂、神经失误；c. 悬雍垂增粗、增大；d.舌体肥厚、舌根后坠；e. 咽喉部软组织肥厚、脂肪沉积；

2. 呼吸系统疾病:如慢性支气管炎、肺气肿等；

3. 内分泌系统疾病：肥胖、甲状腺功能减退、肢端肥大症、肾上腺皮质增生、全垂体、机能减退；

4.自主神经功能不全与中枢神经系统疾病。如，心脏血管系统机能减退；

5.遗传因素。问：打鼾会威胁到生命是不是危言耸听？专家：这决不是危言耸听，因为人体在新陈代谢的过程中必须要有氧参加，而患者打鼾时会带来大脑和血液严重缺氧，阻碍了代谢的正常进行，导致部分细胞死亡，日积月累就会损害身体各脏器官，导致一百多种疾病发生，甚至引发重度睡眠呼吸暂停综合症，导致人睡眠时窒息死亡。

问：呼吸暂停综合症的临床判定标准是什么？

 专家：在医院可通过多导睡眠监测仪测定。标准是：患者在睡眠时7 小时内出现30 次以上呼吸暂停，每次的暂停时间大于10秒，即可判定为患有呼吸暂停综合症。