Çocukların Kuru Tozlu İnhalerleri Kullanma Yetileri

Year 2015, , 74 - 77, 01.04.2015

Zeynep Tamay Deniz Özçeker Nermin Güler Ülker Öneş

https://doi.org/10.5222/j.child.2015.074

Abstract

Amaç: İnhalerlerin çalıştırılmasıyla inhalasyon arasında koordinasyona gerek olmadığı ve cihazlar kolayca taşındığı için kuru tozlu inhalerler KTİ’ler giderek artan sıklıkta kullanılmaktadırGereç ve Yöntemler: Bu çalışmanın amacı, 6-8 yaş arası 20 astım hastası 5 kız ve 15 erkek çocuk ve ve 39 sağlıklı okul çocuğunda 15 kız ve 24 erkek çocuk tepe inspiratuar akım hızının TİAH ölçümüyle bu yaş grubunda KTİ’lerin uygulanabilirliğini değerlendirmekti. Çalışmaya hafif-orta derecede astımı olanlar alınmıştır. TİA’ların ölçümleri In-Check Dial Clement Clarke International, UK cihazıyla değerlendirilmiştir. FEV1 ve PEF’yi de içeren akciğer fonksiyon testleri gerçekleştirilmiştir.Bulgular: Astımlı grup için ortanca FEV1, PEF ve PIF ve yüzdeleri sırasıyla 91.6, %28,5; 82.4, %21.1 ve 78.8, 26.4 L/dk. idi. Sağlıklı kontroller için karşıt ölçümler sırasıyla 89,5, %14.7, 81.7 %16.0 ve 81.2 2, 0.2 L/dk. idi. PIF aralıkları astımlılar için 40 L/dk. 120 L/dk., sağlıklı kontroller için 45 120 L/dk. idi. Her iki grupta PIF ie FEV1 arasında pozitif bir korelasyon gözlenmiştir p

Keywords

Astım, çocuk, kuru tozlu inhaler

The Ability of Children to Use Dry Powder Inhalers

Abstract

Objective: Dry powder inhalers DPIs are used in children with increased frequency, since no coordination between actuation and inhalation is required and the devices can easily be carried around.Material and Methods: The aim of this study was to measure the peak inspiratory flow PIF in 20 asthmatic 5F, 15M and 39 15 F, 24 M healthy school children aged 6 to 8 years, and to evaluate the applicability of DPI in this age group. Children with mild to moderate asthma were included in the study. PIF was performed by means of In-Check Dial Clement Clarke International, UK . Pulmonary function tests including FEV1 and PEF were performed. Results: For the asthmatic group median FEV1, PEF and PIF and related percentages were 91.6 28.5% , 82.4 21.1% and 78.8 26.4 L/min, respectively. For the healthy controls, the respective measurements were 89.5 14.7% , 81.7 16.0% and 81.2 20.2 L/min. Ranges for the asthmatics were 40 L/min to 120 L/min, and 45 to 120 for the healthy controls A positive correlation between PIF and FEV1 p

Keywords

Asthma, child, dry powder inhaler

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