常用吸入药物的使用与注意事项教学课件

L/O/G/O常用吸入药物的使用及注意事项呼吸内科Valadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL课程目标1吸入疗法的定义及优点2吸入药物的种类各种吸入装置的使用及注意事项影响吸入疗法的因素themegallenycomValadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL呼吸系统疾病的用药方法口口服给药口胃肠外给药口吸入给药手控定量吸入(MDI)今干粉吸入(DPI)雾化吸入(Nebulizer)themegallenycomValadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL吸入疗法定义口药物以气溶胶、干粉或雾化溶液形式口通过呼吸道吸入口作用于呼吸道黏膜和(或)肺泡种给药方法themegallenycomValadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL吸入药物的药物动力学吸入药量肺利用度定量剂量典肝门静脉肠道全身利用度首过代谢themegallenycomValadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL药物给药途径比较口服/注射血循环肺吸入肺血循环themegallenycomValadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL吸入疗法的优点口药物直接到靶器官口起效快口用药量少口副作用小themegallenycomValadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL吸入疗法的现状口吸入疗法是目前预防和治疗慢性气道疾病最有效的给药方法口普及率<5%口病人使用错误率70~80%口依从性低themegallenycomValadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL吸入药物口B2受体激动剂:兴奋气道平滑肌和肥大细胞膜表面的β2受体√万托林气雾剂ˇ万托林溶液√奥克斯都保口M受体拮抗剂:降低迷走神经张力而舒张支气管爱喘乐气雾剂ˇ爱喘乐溶液ˇ思力华干粉剂口表面激素:具有高效局部抗炎作用√普米克溶液√普米克都保themegallenycomValadononry.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL吸入药物口复合剂型可必特:沙丁胺醇100ug,溴化异丙托品2ug,ˇ舒利迭:沙美特罗50ug,氟替卡松250-500ug√信必可:福莫特罗4.5ug,布地奈德160ugthemegallenycomValadononry.chAsposeslidesforNET4o