关键词: AHI Cardiopulmonary Function N95 mask ODI Sleep Surgical mask

来  源:   DOI:10.1016/j.amjmed.2024.06.013

Abstract:
BACKGROUND: In certain situations, masks are worn during sleep to prevent respiratory infections. However, the effects of mask wearing on cardiopulmonary function during sleep are unknown. This study aimed to determine whether wearing masks during sleep has an impact on cardiopulmonary function, including in patients with obstructive sleep apnea.
METHODS: This was a prospective, randomized crossover-controlled trial. The effects of wearing surgical masks or N95 respirators on cardiopulmonary function were measured in healthy subjects and patients with mild-moderate obstructive sleep apnea. Sleep breathing parameters were monitored during nocturnal sleep using a sleep monitor, and subjective feelings about mask wearing were assessed using a questionnaire.
RESULTS: Wearing masks during sleep at night did not significantly impact sleep breathing parameters. Furthermore, there were no significant differences in heart rate, blood oxygenation, and blood pressure before and after wearing masks. However, wearing masks wearing, especially the N95 mask, had an adverse impact on sleep quality, and masks were found to be subjectively uncomfortable.
CONCLUSIONS: Wearing masks during sleep at night does not adversely affect cardiopulmonary function but they can be uncomfortable, especially the N95 mask. Thus, in circumstances where wearing N95 masks during nocturnal sleep proves intolerable, we recommend the use of surgical masks as a more comfortable alternative.
摘要:
背景:在某些情况下,在睡眠期间戴口罩以防止呼吸道感染。然而,睡眠期间戴口罩对心肺功能的影响尚不清楚。这项研究旨在确定睡眠期间戴口罩是否对心肺功能有影响。包括阻塞性睡眠呼吸暂停患者。
方法:这是一个前瞻性的,随机交叉对照试验。在健康受试者和轻度-中度阻塞性睡眠呼吸暂停患者中测量了戴口罩或N95呼吸器对心肺功能的影响。使用睡眠监测器在夜间睡眠期间监测睡眠呼吸参数,使用问卷评估了戴口罩的主观感受。
结果:晚上睡觉时戴口罩对睡眠呼吸参数没有显著影响。此外,心率没有显著差异,血液氧合,戴口罩前后的血压。然而,戴口罩,尤其是戴着N95面具,对睡眠质量有不利影响,主观上不舒服。
结论:晚上睡觉时戴口罩不会对心肺功能产生不利影响,但不舒服,尤其是N95口罩。因此,在夜间睡眠期间戴N95口罩证明无法忍受的情况下,我们建议使用手术口罩作为更舒适的选择。
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