Oliver S, Rees P J
Sherman Education Centre, Guy's Hospital, London, UK.
Int J Clin Pract. 1997 Oct;51(7):443-5.
Inhaler technique is a common problem, particularly in the elderly. We have assessed the ability to use seven common inhaler devices in 20 patients with chronic obstructive pulmonary disease (COPD). Techniques were taught in a standard fashion in random order and assessed immediately and one hour later by two observers. Fourteen patients had a fault that would result in no drug delivery at some time during the study, and such a fault occurred at some point for each inhaler device. These faults were most common with the diskhaler. Accuhaler, autohaler and turbohaler scored highest and diskhaler lowest. Overall scores declined by one hour after instruction. Patients ranked the metered dose inhaler and accuhaler highest for ease of use and preference. These results show that it is useful to have a small range of devices for patients with COPD and that it is important to review inhaler technique regularly.
吸入器使用技巧是一个常见问题，在老年人中尤为如此。我们评估了20名慢性阻塞性肺疾病（COPD）患者使用七种常见吸入器装置的能力。以标准方式按随机顺序教授技巧，并由两名观察者在立即和一小时后进行评估。14名患者存在在研究期间某个时间会导致无药物递送的故障，并且每种吸入器装置在某个时间点都出现了这样的故障。这些故障在准纳器中最为常见。都保、自动吸入器和碟式吸入器得分最高，准纳器得分最低。总体得分在指导后一小时下降。患者将定量吸入器和都保评为使用便利性和偏好方面最高。这些结果表明，为COPD患者配备少量的装置是有用的，并且定期复查吸入器使用技巧很重要。
