稳定期慢性气道疾病吸入装置规范应用中国专家共识(2023版)  

Chinese expert consensus on standardized inhaler device application in stable chronic airway diseases(2023)

作　　者：中国医学装备协会呼吸病学专委会吸入治疗与呼吸康复学组 郑则广[2] 梁宗安[3] 陈荣昌 宋元林 陈燕 肖伟 游一中 曹洁 林英翔 时国朝 Inhalation Therapy and Respiratory Rehabilitation Group,Respiratory Equipment Committee of China Association of Medical Equipment;Zheng Zeguang;Liang Zong'an;Chen Rongchang(不详;Department of Respiratory and Critical Care Medicine,The First Affiliated Hospital of Guangzhou Medical University,National Center for Respiratory Medicine,National Clinical Medical Research Center for Respiratory Disease,State Key Laboratory of Respiratory Disease,Guangzhou Institute of Respiratory Health,Guangzhou 510260,China;Department of Respiratory and Critical Care Medicine,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Respiratory and Critical Care Medicine,Shenzhen People's Hospital Shenzhen Institute of Respiratory Disease,Shenzhen 518020,China)

机构地区：[1]不详 [2]广州医科大学附属第一医院呼吸与危重症医学科、国家呼吸医学中心国家呼吸系统疾病临床医学研究中心呼吸疾病、国家重点实验室广州呼吸健康研究院,广州510260 [3]四川大学华西医院呼吸与危重症医学科,成都610041 [4]深圳市人民医院呼吸与危重症医学科深圳市呼吸疾病研究所,深圳518020

出　　处：《中华结核和呼吸杂志》2023年第11期1055-1067,共13页Chinese Journal of Tuberculosis and Respiratory Diseases

基　　金：国家十三五重点研发项目(2016YFC1304600);国家重点实验室课题(B195004001009);广东省基础与应用基础研究基金自然科学基金面上项目(2021A1515012201);广东省卫生健康委员会委托项目(29003002);国家重点研发计划(2021YFF0604000)。

摘　　要：我国慢性气道疾病的发病率逐年上升,疾病负担沉重。吸入疗法作为慢性气道疾病的一线基础疗法临床应用广泛,然而吸入装置的个性化选择及其使用方法均普遍存在不正确的现象,直接影响疾病控制及预后,甚至造成医疗资源的浪费。为了帮助医生和患者合理选择吸入装置和正确掌握吸入装置的使用方法,提高吸入治疗的疗效和患者的依从性,本共识立足最新循证医学证据,结合临床诊疗经验,在《稳定期慢性气道疾病吸入装置规范应用中国专家共识(2019版)》的基础上进行了修订,不仅阐明了不同类型吸入装置的特性及其工作原理,帮助医务人员进行个体化选择,同时对患者进行吸入方法的培训,有助于患者疗效最大化,提高患者吸入治疗依从性。The incidence of chronic airway diseases in China has been increasing every year,resulting in a high burden of disease.Inhalation therapy is widely used as a basic first-line treatment for such diseases.However,inappropriate selection of inhalation devices and usage methods is common,leading to poor disease control and prognosis,as well as a waste of medical resources.In order to facilitate the reasonable selection and appropriate use of inhaler devices,improve the efficacy of inhalation therapy,and increase patient compliance,the Inhalation Therapy and Respiratory Rehabilitation Group,Respiratory Equipment Committee of China Association of Medical Equipment,and Chinese Chronic Obstructive Pulmonary Disease Coalition organized experts to revise the Chinese expert consensus on standardized inhaler device application in stable chronic respiratory disease patients(2019 Edition)based on the latest evidence-based medical evidence and clinical diagnosis and treatment experience.Chronic airway diseases can affect the anatomical and physiological structure of the respiratory tract,which can affect the inhalation and delivery of drugs.In order to achieve the maximum effect of inhaled drugs,it is necessary for the drugs to be completely released from the device and to be deposited in the peripheral airways.Therefore,inhaler devices,patients,and medical staff can have a significant impact on the effectiveness of inhalation administration.The effectiveness of inhalation administration is influenced by several factors related to the inhaler device itself,including active or passive release,aerosol characteristics,and internal device resistance.For patients,the inhalation ability,the correct use of inhaler devices(inhalation technique),and regular and quantitative inhalation(treatment compliance)are essential to achieve the desired therapeutic effect.Medical staff can influence the efficacy and compliance of patients through proper assessment of their inhalation capacity and preferences,knowledge of different inhaler device ch

关 键 词：吸入疗法 循证医学证据 吸入方法 吸入装置 医疗资源 吸入治疗 疾病控制 个性化选择 

分 类 号：R56[医药卫生—呼吸系统]