Van der Schans Cess P
Hanze University, University for Applied Sciences, PO Box 3109, 9701 DC Groningen, The Netherlands.
Respir Care. 2007 Sep;52(9):1150-6; discussion 1156-8.
Effective clearance of inhaled particles requires mucus production and continuous mucus transport from the lower airways to the oropharynx. Mucus production takes place mainly in the peripheral airways. Mucus transport is achieved by the action of the ciliated cells that cover the inner surface of the airways (mucociliary transport) and by expiratory airflow. The capacity for mucociliary transport is highest in the peripheral airways, whereas the capacity for airflow transport is highest in the central airways. In patients with airways disease, mucociliary transport may be impaired and airflow transport may become the most important mucus transport mechanism.
有效清除吸入颗粒需要产生黏液并将黏液从下呼吸道持续输送至口咽。黏液主要在周边气道产生。黏液输送通过覆盖气道内表面的纤毛细胞的作用(黏液纤毛运输)以及呼气气流来实现。黏液纤毛运输能力在周边气道最高,而气流运输能力在中央气道最高。在气道疾病患者中,黏液纤毛运输可能受损,气流运输可能成为最重要的黏液运输机制。