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[联合治疗ICS/LABA——哮喘和慢性阻塞性肺疾病患者的新治疗趋势]

[Combined therapy ICS/LABA--new therapeutical trends in patients with asthma and chronic obstructive pulmonary disease].

作者信息

Chazan Ryszarda

出版信息

Pol Merkur Lekarski. 2010 Apr;28(166):251-5.

Abstract

Clinical study results showed that combined therapy--inhaled glucocorticosteroid (ICS) plus long-acting 32-agonists (LABA)--allows for better control of asthma and chronic obstructive pulmonary disease, reducing the number of exacerbations. There are strong scientific evidence for the use of both drugs in one inhaler, because they exhibit complementary and synergy of clinical activity at the molecular level. SMART therapy, ie one inhaler used for chronic and on-demand allows for better control of the disease than the use of on-demand short-acting beta2-agonists. Analysis of the results of several multicenter clinical trial failed to demonstrate the impact of LABA on ICS and reduce the value of the natural forced expiratory volume in one second. Nevertheless, the results of almost all studies have shown benefits in such indicators as the frequency of exacerbations, improved quality of life and other exponents of health.

摘要

临床研究结果表明,联合治疗——吸入性糖皮质激素(ICS)加长效β2受体激动剂(LABA)——能更好地控制哮喘和慢性阻塞性肺疾病,减少急性加重次数。有强有力的科学证据支持将这两种药物用于同一吸入器,因为它们在分子水平上展现出临床活性的互补性和协同作用。SMART疗法,即使用一个吸入器进行长期和按需治疗,比使用按需短效β2受体激动剂能更好地控制疾病。对多项多中心临床试验结果的分析未能证明LABA对ICS有影响,也未降低一秒用力呼气量的自然数值。然而,几乎所有研究的结果都显示,在急性加重频率、生活质量改善以及其他健康指标方面有获益。

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