吸入器技术,关键错误和COPD患者的有效启发性流动:一项前性研究,比较65岁以上和65岁以下的患者
Abraham Bohadana1, Amir Jarjoui1, Rona Lujan2
1Respiratory Research Unit (RUPI), Pulmonary Institute, Department of Medicine, Shaare Zedek Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
概括
患有慢性阻塞性肺病 (COPD) 的老年患者经常滥用吸入器,特别是多种设备. 即使使用良好的技术,也会发生关键错误,强调个性化的评估,而不仅仅是分数.
科学领域:
- 肺部病理学 肺部病理学
- 老年病的医生 老年病的医生
- 药理学 药理学是指药理学的学科.
背景情况:
- 适当的吸入器技术对于治疗慢性阻塞性肺病 (COPD) 至关重要.
- 年龄显著影响正确使用吸入器设备的能力.
- 吸入器设备包括压力计量剂量吸入器 (pMDIs),干粉吸入器 (DPIs) 和软雾吸入器 (SMIs).
研究的目的:
- 评估老年COPD患者的吸入器技术和关键错误.
- 评估不同年龄组吸入器激活所需的最大吸入流量 (PIF).
- 为了确定吸入器滥用的年龄相关差异.
主要方法:
- 研究了81名使用pMDIs,DPIs或SMIs的COPD患者 (≤65岁和>65岁).
- 通过检查清单评估吸入器技术;发现了关键错误.
- 使用内置检查拨号仪器测量的峰值吸入流量 (PIF).
主要成果:
- 老年患者 (>65岁) 的技术得分较低,错误更严重.
- 使用多个吸入器的患者表现出更差的技术和更高的错误率.
- 即使在技术得分好/高的患者中,也发生了关键错误.
- 几乎所有患者都获得了足够的PIF来激活吸入器.
结论:
- 老年COPD患者表现出滥用吸入器的倾向,特别是在多种设备上.
- 调查关键错误的性质至关重要,无论整体技术得分如何.
- 确保足够的峰值吸气流 (PIF) 对于大多数患者来说是可以实现的,无论年龄或疾病严重程度如何.
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