Crompton G K, Barnes P J, Broeders M, Corrigan C, Corbetta L, Dekhuijzen R, Dubus J C, Magnan A, Massone F, Sanchis J, Viejo J L, Voshaar T
Respiratory Unit, Western General Hospital, Crewe Road, Edinburgh, EH4 2XU, Scotland, UK.
Respir Med. 2006 Sep;100(9):1479-94. doi: 10.1016/j.rmed.2006.01.008. Epub 2006 Feb 21.
Although the principles of asthma management are well established in Europe, the available data indicate that asthma in patients is not well controlled. Many patients derive incomplete benefit from their inhaled medication because they do not use inhaler devices correctly and this may compromise asthma control. The Aerosol Drug Management Improvement Team (ADMIT), incorporating clinicians from the UK, Germany, France, Italy, Spain and The Netherlands, reviewed published evidence to examine ways to improve the treatment of reversible airways disease in Europe. Data indicate that there is a clear need for specific training of patients in correct inhalation technique for the various devices currently available, and this should be repeated frequently to maintain correct inhalation technique. Devices which provide reassurance to patients and their physicians that inhalation is performed correctly should help to improve patient compliance and asthma control. Educational efforts should also focus on primary prescribers of inhaler devices. ADMIT recommends dissemination of information on the correct inhalation technique for each model of device by the use of an accessible dedicated literature base or website which would enable to match the appropriate inhaler to the individual patient. There is also a need for standardisation of prescribing practices throughout Europe. Regular checking of inhalation technique by prescribers is crucial as correct inhalation is one of the keystones of successful asthma management.
尽管哮喘管理原则在欧洲已得到充分确立，但现有数据表明患者的哮喘并未得到良好控制。许多患者吸入药物的疗效不完全，因为他们没有正确使用吸入装置，这可能会影响哮喘控制。由来自英国、德国、法国、意大利、西班牙和荷兰的临床医生组成的气雾剂药物管理改进团队（ADMIT）回顾了已发表的证据，以研究改善欧洲可逆性气道疾病治疗的方法。数据表明，显然需要对患者进行关于当前各种可用装置正确吸入技术的特定培训，并且应该经常重复培训以保持正确的吸入技术。能让患者及其医生放心吸入操作正确的装置应有助于提高患者的依从性和哮喘控制效果。教育工作还应侧重于吸入装置的初级开方者。ADMIT建议通过使用易于获取的专用文献库或网站来传播每种装置正确吸入技术的信息，这将有助于为个体患者匹配合适的吸入器。整个欧洲的处方做法也需要标准化。开方者定期检查吸入技术至关重要，因为正确吸入是成功管理哮喘的关键之一。
