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评估胶囊透明度在干粉吸入装置中的重要性。

Evaluation of the Importance of Capsule Transparency in Dry Powder Inhalation Devices.

机构信息

Unidad Médico-Quirúrgica de Enfermedades Respiratorias. Instituto de Biomedicina de Sevilla (IBiS). Hospital Universitario Virgen del Rocío/Universidad de Sevilla, Seville, Spain.

Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.

出版信息

Ann Fam Med. 2024 Sep-Oct;22(5):417-420. doi: 10.1370/afm.3147.

DOI:10.1370/afm.3147
PMID:39313335
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11419709/
Abstract

The aim of this work is to test whether the use of a transparent capsule affects the residual capsule weight after inhalation as a surrogate of the inhaled delivered dose for patients with non-reversible chronic airway disease. Researchers conducted an observational cross-sectional study with patients using a single-dose dry powder inhaler. The weight of the capsule was measured with a precision microbalance before and after inhalation. Ninety-one patients were included, of whom 63 (69.2%) used a transparent capsule. Inhalation with a transparent capsule achieved a weight decrease of 30.1% vs 8.6% for devices with an opaque capsule ( <0.001). These data reinforce the need to provide patients with mechanisms that verify the correct inhalation technique.

摘要

本研究旨在测试透明胶囊的使用是否会影响吸入后胶囊的残留重量,以此作为替代不可逆性慢性气道疾病患者吸入药物传递剂量的指标。研究人员对使用单剂量干粉吸入器的患者进行了一项观察性的横断面研究。使用精密微量天平在吸入前后测量胶囊的重量。共纳入 91 例患者,其中 63 例(69.2%)使用透明胶囊。与不透明胶囊(<0.001)相比,使用透明胶囊可使胶囊重量减少 30.1%,而使用不透明胶囊则减少 8.6%。这些数据进一步强调了为患者提供验证正确吸入技术的机制的必要性。

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本文引用的文献

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Global Initiative for Chronic Obstructive Lung Disease 2023 Report: GOLD Executive Summary.慢性阻塞性肺疾病全球倡议2023年报告:GOLD执行摘要。
Arch Bronconeumol. 2023 Apr;59(4):232-248. doi: 10.1016/j.arbres.2023.02.009. Epub 2023 Mar 1.
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Understanding the Importance of Capsules in Dry Powder Inhalers.了解胶囊在干粉吸入器中的重要性。
Pharmaceutics. 2021 Nov 16;13(11):1936. doi: 10.3390/pharmaceutics13111936.
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Inhaler Devices for Delivery of LABA/LAMA Fixed-Dose Combinations in Patients with COPD.用于慢性阻塞性肺疾病患者递送长效β2受体激动剂/长效毒蕈碱拮抗剂固定剂量组合的吸入装置
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Recent advances in capsule-based dry powder inhaler technology.基于胶囊的干粉吸入器技术的最新进展。
Multidiscip Respir Med. 2017 May 22;12:11. doi: 10.1186/s40248-017-0092-5. eCollection 2017.
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Eur Respir J. 2017 Feb 15;49(2). doi: 10.1183/13993003.01794-2016. Print 2017 Feb.
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Pharmacokinetic Bioequivalence of Two Inhaled Tiotropium Bromide Formulations in Healthy Volunteers.两种吸入用噻托溴铵制剂在健康志愿者中的药代动力学生物等效性
Clin Drug Investig. 2016 Sep;36(9):753-762. doi: 10.1007/s40261-016-0441-8.
8
What the pulmonary specialist should know about the new inhalation therapies.肺部专家应该了解的新型吸入疗法。
Eur Respir J. 2012 Apr;39(4):1054-5; authhor reply 1055-1056. doi: 10.1183/09031936.00210911.
9
Effect of incorrect use of dry powder inhalers on management of patients with asthma and COPD.干粉吸入器使用不当对哮喘和慢性阻塞性肺疾病患者管理的影响。
Respir Med. 2008 Apr;102(4):593-604. doi: 10.1016/j.rmed.2007.11.003. Epub 2007 Dec 20.