Narushima M, Tomita S, Tsuzura Y, Kasai T, Endo S, Kaneko N, Yamada M, Ohtsuka H, Akizawa T, Suzuki H
Department of Respiratory Internal Medicine, Showa University, Fujigaoka Hospital.
Arerugi. 1998 May;47(5):493-9.
Inhaled antiasthmatic agents can be effective, but their efficacy depends on the delivery system and on inhalation technique, especially in metered-dose inhalers (MDI). To find out whether inhalation therapy for asthmatics had been performed correctly, we studied inspiratory flow in the slow matter in healthy subjects and bronchial asthma patients. About half of 30 patients studied inspired more than 1 L/sec inspiratory flow rate, especially in male. Inspiratory flow in the fast matter (peak inspiratory flow; PIF) is important in the use of dry powder inhaler, so we studied the correlationship between PIF and expiratory flow and volume parameters. PIF correlated with PEFR, FEV1 and FEV1% in female, FVC and %FVC in male, respectively. In summary, we must recognize slow inspiratory flow can not be gotten easily, and asthmatic patients always have to use MDI carefully in inspiratory flow. Some expiratory parameters of spirometry can accurately predict PIF. The analysis of inspiratory flow-volume curve gives us beneficial data in inhalation therapy.
吸入性抗哮喘药物可能有效,但其疗效取决于给药系统和吸入技术,在定量气雾剂(MDI)中尤为如此。为了弄清楚哮喘患者的吸入治疗是否正确实施,我们研究了健康受试者和支气管哮喘患者在慢流速时的吸气流量。在研究的30例患者中,约一半患者的吸气流量速率超过1升/秒,尤其是男性。在使用干粉吸入器时,快流速时的吸气流量(吸气峰流量;PIF)很重要,因此我们研究了PIF与呼气流量和容积参数之间的相关性。PIF在女性中分别与呼气峰流速(PEFR)、第1秒用力呼气容积(FEV1)和FEV1%相关,在男性中分别与用力肺活量(FVC)和FVC%相关。总之,我们必须认识到慢吸气流量不易获得,哮喘患者在吸气流量时始终必须小心使用MDI。肺量计的一些呼气参数可以准确预测PIF。吸气流量-容积曲线分析为我们的吸入治疗提供了有益的数据。