Denyer J, Nikander K, Smith N J
Profile Therapeutics, Bognor Regis, West Sussex, PO22 9SL, UK.
Expert Opin Drug Deliv. 2004 Nov;1(1):165-76. doi: 10.1517/17425247.1.1.165.
Jet nebulisers have, since the 1920s, been used for delivery of inhaled drugs for the treatment of asthma, chronic-obstructive pulmonary disease and pulmonary infections. During the last two decades, recognition of the shortcomings of conventional nebulisers has led to the development of new "intelligent" nebulisers such as the Adaptive Aerosol Delivery (AAD), Profile Therapeutics, a Respironics company) systems. Diseases of the airways have traditionally been logical candidates for treatment with inhaled drugs. The introduction of the "intelligent" nebulisers has, however, broadened the possibilities for inhaled treatment to include drugs targeted for systemic diseases. These nebulisers offer the possibility to deliver more precise doses of drug, maximise lung deposition, enhance adherence to treatment and compliance with the device through feedback to the patient, and last but not least, offer the possibility to reduce nebulisation times.
自20世纪20年代以来,喷射雾化器一直用于输送吸入药物,以治疗哮喘、慢性阻塞性肺疾病和肺部感染。在过去二十年中,人们认识到传统雾化器的缺点,从而促使了新型“智能”雾化器的开发,如自适应气溶胶输送(AAD,飞利浦伟康公司的Profile Therapeutics系统)。传统上,气道疾病一直是吸入药物治疗的合理选择。然而,“智能”雾化器的出现拓宽了吸入治疗的可能性,将用于全身性疾病的药物也纳入其中。这些雾化器能够更精确地给药,使肺部沉积最大化,通过向患者反馈来提高治疗依从性和对设备的顺应性,最后但同样重要的是,还有可能缩短雾化时间。