吴龙云. 不同β2受体激动剂及吸入装置对支气管舒张试验的影响[J]. 蚌埠医科大学学报, 2011, 36(4): 356-358.
    引用本文: 吴龙云. 不同β2受体激动剂及吸入装置对支气管舒张试验的影响[J]. 蚌埠医科大学学报, 2011, 36(4): 356-358.
    WU Long-yun. The effects of different β2-receptor agonists and methods of inhalation in bronchodilation test[J]. Journal of Bengbu Medical University, 2011, 36(4): 356-358.
    Citation: WU Long-yun. The effects of different β2-receptor agonists and methods of inhalation in bronchodilation test[J]. Journal of Bengbu Medical University, 2011, 36(4): 356-358.

    不同β2受体激动剂及吸入装置对支气管舒张试验的影响

    The effects of different β2-receptor agonists and methods of inhalation in bronchodilation test

    • 摘要: 目的: 比较2种β2受体激动剂以及不同吸入装置对支气管舒张试验结果的影响。方法: 100例支气管哮喘患者吸药前均测定基础肺功能(FEV1)后随机分3组,A组30例用压力定量气雾吸入器(PMDI)吸入特布他林,B组30例用PMDI吸入沙丁胺醇,C组40例用储雾罐吸入特布他林,15 min后复测肺功能,分别计算FEV1改善率和增加绝对值以及支气管舒张试验阳性率。结果: A组和B组FEV1改善率和绝对值及舒张试验阳性率比较,差异无统计学意义(P>0.05);C组FEV1改善率和绝对值及舒张试验阳性率均高于A组和B组(P<0.01)。结论: 特布他林和沙丁胺醇对支气管舒张试验的作用相似;使用储雾罐吸药,效果优于PMDI,可以增加吸药效率,提高支气管舒张试验阳性检出率,减少支气管哮喘的漏诊。

       

      Abstract: Objective: To compare the effects of two kinds of β2-receptor agonists and different inhalation devices on the result of bronchodilatation testing.Methods: One hundred patients with bronchial asthma were divided into 3 groups:30 patients in group A inhaled terbutaline aerosol via PMDI,30 patients in group B inhaled salbutamol aerosol via PMDI,and 40 patients in group C inhaled terbutaline aerosol by spacer.The pulmonary function was checked after 15 minutes;the improving rate,the increased absolute value and the positive rate of bronchodilatation were calculated.Results: As for the improving rate,the absolute value and the positive rate of FEV1,no differences were detected in Group A and Group B (P>0.05);in Group C the above three rates were averagely higher than those in Group A and B,and the difference was significant (P<0.01).Conclusions: The comparative study shows that the effects of two short acting β2-receptor agonists are similar to salbutamol in bronchodilatation testing;the effect of inhaling by spacer is better than by PMDI,as it can increase the absorption factor,enhance the positive rate of bronchodilatation and reduce the missed diagnosis of bronchial asthma.

       

    /

    返回文章
    返回