沙美特罗/氟替卡松吸入剂(舒利迭)在慢性阻塞性肺疾病中的使用情况  

Application of salmeterol/fluticasone inhalation for adult COPD patients

作　　者：张金龙[1] 谭亚萍[1] 叶青[1] 史思淑 

机构地区：[1]绵阳市中医医院机关分院,四川绵阳621000

出　　处：《临床肺科杂志》2015年第9期1684-1686,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的为进一步规范慢性阻塞性肺疾病患者正确使用沙美特罗/氟替卡松吸入剂。方法采用问卷调查法,对106例慢阻肺患者进行沙美特罗/氟替卡松吸入剂使用情况的调查。结果操作基本正确的68例,正确率为64.15%;操作不正确的38例,错误率为35.85%。常见的错误有使用前未摇匀准纳器(46.23%)、吸药时未用力按下准纳器顶部(29.25%)、吸药前未深呼气(24.53%)、吸药后未屏气或屏气不10秒(22.64%)、吸药时未及时或不正确漱口(20.75%)、吸药时未深吸(19.81%)、口含准纳器时有漏气(10.38%)等。年龄较小及文化程度越高的正确率较高,在医药护指导下使用正确率较高,年龄较大及文化程度较低的患者使用正确率较低。结论沙美特罗/氟替卡松吸入剂在慢阻肺患者中正确使用情况不容乐观,应采取相应措施提高其使用正确率。Objective To further standardize the application of salmeterol/ fluticasone inhalation for adult COPD patients. Methods 106 COPD patients were given questionnaire survey method to investigate the situation of salmeterol/ fluticasone inhalation. Results 68 cases were correctly operated, and the correct rate was 64. 15% . 38 cases without the proper use of inhalants, and the wrong use was 35. 85% . The common mistakes included diskus shaken unevenly before use （46. 23% ）, the top of diskus pushed weakly during inhalation （29. 25% ）, breathing lightly before inhalation （24. 53% ）, holding breath less than 10 seconds after inhalation （22. 64% ）, wrong gargle （20. 75% ）, breathing lightly during inhalation （19. 81% ）, and air leakage when diskus was in mouth （10. 38% ）. Those patients who ere younger and with high education had higher correct use than those patients who were older and with low education under physicians′ guidance. Conclusion The correct use of salmeterol/ fluticasone inhalation is not optimistic in COPD patients, and the corresponding measures should be taken to improve its correct use.

关 键 词：沙美特罗/ 氟替卡松 吸入剂 慢性阻塞性肺疾病 

分 类 号：R563.9[医药卫生—呼吸系统]