Hess Dean R
Department of Respiratory Care, Massachusetts General Hospital, and Harvard Medical School, Boston, Massachusetts 02114, USA.
Respir Care. 2005 Oct;50(10):1376-83.
Inhaled drug delivery is an important part of the armamentarium of clinicians caring for patients with pulmonary disease. An increasing variety of metered-dose inhalers and dry powder inhalers are becoming available. This has been driven by the development of new formulations and the impending ban on chlorofluorocarbon propellants. The result is a proliferation of devices, resulting in a confusing number of choices for the clinician, as well as confusion for patients trying to use these devices correctly. The presenters at this conference included many of the world's authorities on metered-dose inhalers and dry powder inhalers, and were an appropriate mix of academic aerosol scientists, clinician researchers with an interest in aerosol therapy, and aerosol scientists working for industry. Improper inhaler technique is common among patients. One of the important take-home messages of this conference is the importance of clinicians knowledgeable in the use of aerosol delivery devices and clinicians' ability to teach patients how to use these devices correctly. Respiratory therapists are uniquely positioned to provide this service, and there is evidence that respiratory therapists may do this better than others. The proceedings of this conference provide the current state of the art of metered-dose inhalers and dry powder inhalers.
吸入药物递送是肺病患者临床护理手段的重要组成部分。越来越多的定量吸入器和干粉吸入器可供使用。这是由新配方的研发以及即将禁止使用氯氟烃推进剂所推动的。结果是设备激增，给临床医生带来了令人困惑的众多选择，也让试图正确使用这些设备的患者感到困惑。本次会议的演讲者包括世界上许多定量吸入器和干粉吸入器方面的权威人士，他们是学术气溶胶科学家、对气溶胶疗法感兴趣的临床研究人员以及在行业工作的气溶胶科学家的适当组合。患者中吸入器使用技术不当很常见。本次会议的一个重要关键信息是临床医生了解气溶胶递送设备使用方法的重要性以及临床医生教导患者正确使用这些设备的能力。呼吸治疗师具有提供此项服务的独特优势，并且有证据表明呼吸治疗师在这方面可能比其他人做得更好。本次会议的论文集提供了定量吸入器和干粉吸入器的当前技术水平。
