フルタイド^<[O!R]>導入による吸入ステロイドのコンプライアンスの改善 : 第1報患者アンケートを中心として

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It is generally known that the regular use of inhalation steroids plays an important role in asthma treatment. However, when giving instructions for the inhalation of beclomerasone dipropionate using Inspire Ease^<O!R> spacers (BDP + IE), difficulty of inhalation techniques may sometimes lead to a reduction in patient compliance. The inhalation of fluticasone propionate (FP) using Diskhaler^<O!R>, which was newly introduced in Japan in December I 998, shows a stronger antiinflammatory action and thus requires a simpler inhalation technique. It is thus considered that switching from BDP+IE to FP might therefore improve patient compliance with inhalation steroids. To investigate the patient preference for both inhalation agents, we conducted a questionnaire survey in 95 asthmatic patients in whom BDP+IE was switched to FP. Furthermore, we examined whether or not any improvement in the pulmonary functions was observed in the patient evaluation. As a result, 76.8% of the patients preferred FP because of its easier portability, it was easier to use and required a smaller numbers of inhalations. The subjective symptoms improved in 58.9% of the patients while the pulmonary functions improved in most patients. However, some elderly patients reported BDP+IE to be preferable mainly due to the fact that they were accustomed to the procedure. We conclude the use of FP improves compliance since 76.8% of the patients preferred it to BDP+IE which thus increased patient compliance which therefore resulted in an improvement of pulmonary functions.
日本医療薬学会の論文
2001-04-10

フルタイド^<[O!R]>導入による吸入ステロイドのコンプライアンスの改善 : 第1報患者アンケートを中心として

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フルタイド^<[O!R]>導入による吸入ステロイドのコンプライアンスの改善 : 第1報 患者アンケートを中心として

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フルタイド^<[O!R]>導入による吸入ステロイドのコンプライアンスの改善 : 第1報患者アンケートを中心として