Laroche C M, Harries A V, Newton R C, Britton M G
Br Med J (Clin Res Ed). 1985 Jun 1;290(6482):1611-3. doi: 10.1136/bmj.290.6482.1611.
Fifty three patients who were found to be using a home nebuliser for asthma completed a questionnaire. The results showed some confusion about the criteria for recommending whether a patient should buy a nebuliser and for its correct use. Twelve patients had not received any instruction on the use of their nebuliser, and only 11 of those old enough used a peak flow meter in conjunction with it. Eight patients aged 7-15 were using inhaled sympathomimetic aerosols only at the time of buying a nebuliser as compared with most of the older patients, who were using regular oral steroids. Forty nine patients assessed their asthma as moderate to severe, but eight of these were not attending a hospital clinic. Several patients were using 20 mg salbutamol or more every day, and on occasion doses of up to 50 mg a day were reported. It is recommended that patients should be assessed before they buy a nebuliser and advice given on correct use by a district nebuliser service, organised either by respiratory function technicians or in physiotherapy departments for adults together with a paediatric health visitor for children.
五十三名被发现正在使用家用雾化器治疗哮喘的患者完成了一份调查问卷。结果显示，在推荐患者是否应该购买雾化器以及正确使用雾化器的标准方面存在一些困惑。十二名患者未接受过任何关于使用雾化器的指导，并且在年龄足够大的患者中，只有11人同时使用了峰流速仪。与大多数老年患者（他们正在使用常规口服类固醇）相比，八名7至15岁的患者在购买雾化器时仅使用吸入性拟交感神经气雾剂。四十九名患者将他们的哮喘评估为中度至重度，但其中八人未前往医院诊所就诊。几名患者每天使用20毫克或更多的沙丁胺醇，并且偶尔报告有每天高达50毫克的剂量。建议在患者购买雾化器之前对其进行评估，并由地区雾化器服务机构提供关于正确使用的建议，该服务机构可由呼吸功能技术人员组织，或在理疗科为成人提供，同时为儿童配备儿科健康访视员。
