摘要
目的 探讨慢性阻塞性肺疾病（COPD）患者正确使用定量型气雾剂的必要性和可行性. 方法 对120例COPD患者使用定量型气雾剂,按使用的7个步骤进行初试记录.出院前复试,出院后2周再次复试.比较患者在初、复试中的正确使用率. 结果 初始时,120例COPD患者中能正确使用定量型气雾剂者18例（15%）,常见的错误为：先按压后吸气（90例次）、连喷几次后再吸气（30例次）、吸气后无屏气（28例次）、吸人激素后无漱口（20例次）、使用前无摇匀（18例次）、先吸入糖皮质激素后再吸入β2受体激动剂（80例次）.出院前复试时总的正确使用率增至88例（73%）.出院2周第二次复试时总的正确使用率降至56%（68例）. 结论 定量型气雾剂在COPD患者中使用的正确率低影响疗效.建立规范化的指导和定期培训才能保证使用的正确性和有效性.
Objective To explore the essentiality and feasibility of metered dose inhaler for patients with chronic obstructive pulmonary disease（COPD）. Methods Totally 120 COPD patients were applied metered dose inhaler.Preliminary application according to the 7-step procedure was recorded and records of application were repeated when patients got out of hospital and two weeks after discharge. Results Eighteen patient in 120（15%）had correctly used metered dose inhaler in preliminary application.The mistakes in the application were inhalation after press（90 times）,repeated-consperge before inhalation（30 times）,no breath-holding after inhalation（28 times）,no mouth-rinse after inhalation（20 times）,no shaking before application（18 times）and glucocorticosteroid inhalation ahead β2 receptor agonist（80 times）.When discharged,patients with correct usage increased to 88（73%）. Conclusions Therapeutic effect is depressed by incorrect use of metered dose inhaler in COPD patients,which can be improved by regular and standardized guidance.
出处
《中国医药》
2010年第11期985-986,共2页
China Medicine
关键词
肺疾病
慢性阻塞性
定量雾化吸入器
因素分析
统计学
Pulmonary disease,chronic obstructive
Metered dose inhalers
Factor analysis,stastical
