School of Engineering, RMIT University , Bundoora, Australia .
J Aerosol Med Pulm Drug Deliv. 2017 Oct;30(5):359-372. doi: 10.1089/jamp.2016.1299. Epub 2017 May 2.
A key issue in pulmonary drug delivery is improvement of the delivery device for effective and targeted treatment. Pressurized metered dose inhalers (pMDIs) are the most popular aerosol therapy device for treating lung diseases. This article studies the effect of spray characteristics: injection velocity, spray cone angle, particle size distribution (PSD), and its mass median aerodynamic diameter (MMAD) on drug delivery.
An idealized oral airway geometry, extending from mouth to the main bronchus, was connected to a pMDI device. Inhalation flow rates of 15, 30, and 60 L/min were used and drug particle tracking was a one-way coupled Lagrangian model.
The results showed that most particles deposited in the pharynx, where the airway has a reduced cross-sectional area. Particle deposition generally decreased with initial spray velocity and with increased spray cone angle for 30 and 60 L/min flow rates. However, for 15 L/min flow rate, the deposition increased slightly with an increase in the spray velocity and cone angle. The effect of spray cone angle was more significant than the initial spray velocity on particle deposition. When the MMAD of a PSD was reduced, the deposition efficiency also reduces, suggesting greater rates of particle entry into the lung. The deposition rate showed negligible change when the MMAD was more than 8 μm.
Spray injection angle and velocity change the drug delivery efficacy; however, the efficiency shows more sensitivity to the injection angle. The 30 L/min airflow rate delivers spray particles to the lung more efficiently than 15 and 60 L/min airflow rate, and reducing MMAD can help increase drug delivery to the lung.
肺部药物输送的一个关键问题是改进输送装置,以实现有效和靶向治疗。压力定量吸入器(pMDI)是治疗肺部疾病最受欢迎的气溶胶治疗装置。本文研究了喷雾特性对药物输送的影响:喷射速度、喷雾锥角、粒径分布(PSD)及其质量中值空气动力学直径(MMAD)。
将理想化的口腔气道几何形状从口腔延伸到主支气管,与 pMDI 装置相连。使用 15、30 和 60 L/min 的吸气流量,药物颗粒跟踪采用单向耦合拉格朗日模型。
结果表明,大多数颗粒沉积在咽部,该处气道的横截面积减小。对于 30 和 60 L/min 的流量,颗粒沉积通常随着初始喷雾速度的降低和喷雾锥角的增加而降低。然而,对于 15 L/min 的流量,随着喷雾速度和锥角的增加,沉积略有增加。喷雾锥角的影响比初始喷雾速度对颗粒沉积的影响更为显著。当 PSD 的 MMAD 减小时,沉积效率也降低,表明更多的颗粒进入肺部。当 MMAD 大于 8 µm 时,沉积速率几乎没有变化。
喷雾喷射角度和速度改变药物输送效率;然而,效率对喷射角度更敏感。30 L/min 的气流速率比 15 和 60 L/min 的气流速率更有效地将喷雾颗粒输送到肺部,并且减小 MMAD 可以帮助增加肺部的药物输送。