TY-Jour T1 - 肺部专家应该了解新的吸入治疗疗法JF - 欧洲呼吸期刊Jo - Eur Respir J SP - 1055 LP - 1056 Do - 10.1183 / 09031936.00020512 VL - 39是 - 4 Au - Janssens，H.1。Au - Laube，B.L.Y1 - 2012/04/01 UR - //www.qdcxjkg.com/content/39/4/1055.abstract N2 - From the authors:The European Respiratory Society/International Society of Aerosols in Medicine Task Force thanks J.P. Mitchell for his comments. We agree with his point that the pressurised metered-dose inhaler (pMDI) and spacer, or valved holding chamber (VHC), form a unique system. In the consensus statement [1], we state that “changing the spacer in effect represents a change in the delivery system”. We also agree that a different spacer or VHC should not be substituted from that specified by the recommending clinician. We also agree that there can be significant differences in drug output with various commercially available spacers and this may have implications for efficacy, especially with inhaled corticosteroids (ICS) … ER -