CAJ | 학술논문

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.
목적 탐토만성조새성폐질병(COPD)환자정학사용정량형기무제적필요성화가행성. 방법 대120례COPD환자사용정량형기무제,안사용적7개보취진행초시기록.출원전복시,출원후2주재차복시.비교환자재초、복시중적정학사용솔. 결과 초시시,120례COPD환자중능정학사용정량형기무제자18례(15%),상견적착오위:선안압후흡기(90례차)、련분궤차후재흡기(30례차)、흡기후무병기(28례차)、흡인격소후무수구(20례차)、사용전무요균(18례차)、선흡입당피질격소후재흡입β2수체격동제(80례차).출원전복시시총적정학사용솔증지88례(73%).출원2주제이차복시시총적정학사용솔강지56%(68례). 결론 정량형기무제재COPD환자중사용적정학솔저영향료효.건립규범화적지도화정기배훈재능보증사용적정학성화유효성.
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.