Seeto L, Lim S
Department of Thoracic Medicine, Concord Repatriation General Hospital, New South Wales.
Aust Fam Physician. 2001 Jun;30(6):557-61.
Inhalation therapy is the most effective drug administration route for the treatment of asthma and chronic obstructive pulmonary disease (COPD). The range of available inhaler devices is wide and choosing the right one for your patient can be difficult.
This article reviews the available evidence on the pros and cons of various inhaler devices, in order to encourage a more tailored choice.
Of the currently available devices, we believe the Autohaler is probably the most clinically effective and user friendly. Although nebulisers are also clinically effective, they are costly and less easily portable. For most situations, the acceptable alternative to a nebuliser is an aerosolised metered dose inhaler attached to a spacer. Regardless of inhaler device choice, your patient must be able to use the device easily, maintain it, and derive clinical benefit. The cornerstone of good asthma and COPD management is continual clinical reassessment, including inhaler technique.
吸入疗法是治疗哮喘和慢性阻塞性肺疾病（COPD）最有效的给药途径。现有的吸入装置种类繁多，为患者选择合适的装置可能具有挑战性。
本文回顾了各种吸入装置利弊的现有证据，以鼓励做出更具针对性的选择。
在目前可用的装置中，我们认为自动吸入器可能是临床上最有效且用户友好的。尽管雾化器在临床上也有效，但它们成本高且便携性较差。在大多数情况下，雾化器的可接受替代方案是连接储雾罐的定量气雾剂。无论选择何种吸入装置，患者都必须能够轻松使用该装置、进行维护并获得临床益处。哮喘和COPD良好管理的基石是持续的临床重新评估，包括吸入技术。
