数字医疗从战略上利用数字技术,使患者能够管理疾病,降低健康风险并促进健康。我们医疗保健系统内的数字创新时代为管理慢性病,及早诊断疾病和促进预防提供了新的选择。数字健康的广泛范围涵盖了诸如移动健康(mHealth)应用,支持人工智能(AI)的医疗设备以及智能连接设备等技术。1  

一种新兴技术—smart inhalers—正在成为临床药学参与的最大机会之一。长期以来,传统的吸入器一直是慢性呼吸道疾病患者的主要治疗手段。他们已经将药物(即支气管扩张药和皮质类固醇)直接输送到肺部并显着减少全身性不良反应的能力已经确立,这使其成为一种有效而理想的治疗选择。2

但是,医疗保健专业人员仍面临与管理呼吸系统疾病(例如哮喘和慢性阻塞性肺疾病(COPD))相关的若干挑战。吸入器的功效会因吸入器技术不正确和依从性差而受到负面影响。最近的一项研究显示呼吸困难加重,健康状况恶化,吸入器技术不正确和不依从引起的加重发作频率增加。3

此外,错误的吸入器技术和不依从性给呼吸系统疾病患者的医疗保健成本带来了沉重负担。在美国的慢性病患者中,仅与不依从相关的额外费用每年估计为3000亿美元。4 建议对呼吸系统疾病的管理和预防是现有的最具成本效益的卫生干预措施之一;但是,许多患者并未优化药物治疗。5

因此,吸入器技术不足或对药物的依从性可能会导致呼吸道疾病患者病情恶化和不必要的医疗保健费用。 CDC指出,如果所有COPD患者完全服药,则病情恶化每年可减少25%至30%,每年可节省40亿美元。6

智能吸入器有可能解决患者和医疗保健专业人员在呼吸系统疾病管理中面临的挑战。通过设计用于与移动应用程序连接的数字功能,智能吸入器和移动应用程序可同时工作,以监控用药时间表和后续剂量。智能吸入器可以监控依从性;准确记录每次给药的时间,日期和位置;发送剂量提醒;并通过蓝牙提供对易于共享的数据的访问。几种智能设备或者在吸入器的主体中内置传感器,或者提供可以连接到传统吸入器的外部传感器。7

随着智能吸入器市场的增长,药剂师将需要发展使用数字技术的基线水平,以通过呼吸疾病管理工具为患者和医疗保健专业人员提供支持。尽管如此,使用智能吸入器治疗呼吸系统疾病的方法应得到临床结果的支持,被设计为具有成本效益的系统,并反映患者和医疗保健专业人员的需求,然后才能被广泛接受。8

以下是一些目前在美国市场上出售的智能吸入器:




国际上提供的智能吸入器:




正在开发的智能吸入器:



参考
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  3. Ngo CQ,Phan DM,Vu GV等。越南慢性阻塞性肺疾病急性加重患者的吸入器技术和吸入药物的依从性。 国际公共卫生学院。 2019; 16(2):185。 2019年1月10日发布。doi:10.3390 / ijerph16020185
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  6. Pal S. Epidemiology of Chronic Lung Diseases. Uspharmacist.com. //www.uspharmacist.com/article/epidemiology-of-chronic-lung-diseases. Published 2020. Accessed November 7, 2020.
  7. An Analysis Of The Smart Inhalers Market. Medical Product Outsourcing. //www.mpo-mag.com/contents/view_online-exclusives/2020-06-09/an-analysis-of-the-smart-inhalers-market/. Published 2020. Accessed November 7, 2020.
  8. Blakey JD,Bender BG,Dima AL,Weinman J,Safioti G,Costello RW。数字技术和对呼吸系统疾病的依从性:前进的道路。 Eur Respir J。 2018; 52(5):1801147。 2018年11月22日发布doi:10.1183 / 13993003.01147-2018
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