摘要
支气管哮喘是儿童期最常见的慢性气道疾病,吸入性糖皮质激素是哮喘抗炎治疗的首选,通过吸入装置给药可以在气道达到较高的药物浓度,更快地达到药物效果,减少全身不良反应。常见的吸入装置包括压力定量气雾器、干粉吸入器、雾化吸入器。吸入装置的有效使用依赖于正确的吸入技术,是哮喘患者教育和自我管理的重要组成部分。然而多数患儿不能掌握正确的吸入技术,导致哮喘控制不佳,哮喘急性发作的风险增加,严重影响其生活质量。因此,医务人员有必要为患儿选择合适的吸入装置,亲自展示和教授患儿吸入装置的使用方法,告知注意事项,每次随访时均要评估和纠正患儿的吸入技术。
Asthma is a common, chronic respiratory disease in childhood.Inhaled corticosteroids are the key anti-inflammatory treatment of asthma.Delivery of respiratory medications by inhalation achieves a higher concentration in the airways, more rapid onset of action, and fewer systemic adverse effects.Inhaler devices include pressurized metered-dose inhaler, dry powder inhaler and nebulizer.Effective use of inhalers requires proper inhaler techniques, which is an important part of education and self-management of asthmatic children.However, the majority of children cannot master proper inhaler techniques, which leads to poor asthma control and increased risk of exacerbations and hospital visits, and seriously affects their quality of life.Therefore, health care professionals should choose the most appropriate inhaler device for children, show how to use the device correctly with a physical demonstration, and inform them of the do′s and don′ts and re-check and correct their inhaler technique at every follow-up.
作者
闫雪雯(综述)
刘长山(审校)
Yan Xuewen;Liu Changshan(Department of Pediatrics, the Second Hospital of Tianjin Medical University, Tianjin 300211, China)
出处
《国际儿科学杂志》
2019年第4期272-276,共5页
International Journal of Pediatrics
基金
天津市卫生行业重点攻关项目(16KGl16).
关键词
吸入性糖皮质激素
吸入装置
吸入技术
哮喘
儿童
Inhaled corticosteroids
Inhaler device
Inhaler technique
Asthma
Children
