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ID 14899
Eprint ID
14899
FullText URL
Title Alternative
Considering peak inspiratory flow in selection of inhalation device
Author
Konuma, Toshimitsu
Kawasaki, Yoichi
Katsube, Risa
Nawa, Hideki
Abstract
気管支喘息や慢性閉塞性肺疾患の治療において、適切に吸入薬を使用することが重要である。本症例は60歳代女性で、労作時呼吸困難を訴え入院となった。点滴による治療、内服薬服用と同時に吸入薬の使用開始となったが、呼吸機能検査値が低値であり、製薬企業供与の吸入チェック器具により吸入できていないことが判明した。そこで、吸入薬を変更し吸入できていることを確認した。吸気流量が十分得られない場合は積極的にチェック器具により確認を行い、アドヒアランスの改善に努めることが重要である。
Abstract Alternative
In the treatment of bronchial asthma and chronic obstructive pulmonary disease, it is important to use inhalation therapy adequately. A 60’s woman was admitted to our hospital due to exertional dyspnea. She was diagnosed as having exacerbation of asthma. Although she was treated with intravenous, oral, and inhalation administration simultaneously after admissi on, her symptom did not improve enough, and her pulmonary function was still low. Application of the inhalation check device supplied by the medicine manufacture company grant demonstrated that she failed to inhale effectively . Therefore the inhaled glucocorticosteroid was changed, and it was confirmed that she was able to inhale successfully. Her successful inhalation resulted in the improvement of her respiratory symptom and pulmonary function. It is suggested that the manipulation is very important factor on inhalation therapy, and it is necessary to strive to improve the adherence for the treatment of bronchial asthma and chronic obstructive pulmonary disease.
Keywords
気管支喘息
アドヒアランス向上
吸気流量
ピークフロー
Published Date
2008-03-01
Publication Title
岡大三朝医療センター研究報告
Publication Title Alternative
Annual reports of Misasa Medical Center, Okayama University Medical School / Misasa Medical Center, Okayama University Medical School
Volume
volume76
Publisher
岡山大学医学部附属病院三朝医療センター
Publisher Alternative
Okayama University Medical School / Misasa Medical Center, Okayama University Medical School
Start Page
49
End Page
52
ISSN
1348-1258
NCID
AA11840279
Content Type
Departmental Bulletin Paper
language
日本語
File Version
publisher
Refereed
False
Eprints Journal Name
mmc