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Study aim
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Comparison the effect of salbutamol via nebulizer, spray with and without spacer on pulmonary function in chronic obstructive pulmonary disease (COPD)
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Design
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The clinical trial with parallel and randomized groups with time series design and measurements will be made at reasonable intervals (based on scientific texts) and consecutively.
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Settings and conduct
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The research area will be the Shohada hospitals in Qaen. In this clinical trial study, 66 patients with COPD will be selected and randomly allocated in three groups of Sprays, Spacer, and Nebulizer by the method of 6-permutation blocks. Before the intervention, lung function indicators will be measured using a spirometry device, the respiratory rate, and the percentage of oxygen saturation of the blood using a pulse oximetry device. Then patients will be given in one group Salbutamol by spray, patients in the second group Salbutamol through a spacer, and the third group Salbutamol through nebulizer. Then, 15, 30, 60, and 90 minutes later, spirometry will be performed again and respiratory indicators will be determined. This will be done on two consecutive days.
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Participants/Inclusion and exclusion criteria
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Patients with COPD between the ages of 40 and 75 who are alert and able to speak and communicate and do not have underlying diseases such as diabetes and kidney and heart failure, etc., and the spirometry test has a ratio of 0.7> FEV1 / FVC.
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Intervention groups
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Then patients in first group will be given Salbutamol by spray, patients in the second group Salbutamol through Spacer and the third group Salbutamol through Nebulizer.
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Main outcome variables
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Lung function "lung volumes and capacities"