Gao Jinming, Pleasants Roy A
Department of Respiratory Diseases, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, People's Republic of China.
Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Duke University Medical Center, Durham, NC, USA.
Int J Chron Obstruct Pulmon Dis. 2015 Apr 15;10:775-89. doi: 10.2147/COPD.S80656. eCollection 2015.
Chronic obstructive pulmonary disease (COPD) and asthma are common airway disorders characterized by chronic airway inflammation and airflow obstruction, and are a leading cause of morbidity and mortality in the People's Republic of China. These two diseases pose a high economic burden on the family and the whole of society. Despite evidence-based Global Initiative for Chronic Obstructive Lung Disease and Global Initiative for Asthma guidelines being available for the diagnosis and management of COPD and asthma, many of these patients are not properly diagnosed or managed in the People's Republic of China. The value of combination therapy with inhaled corticosteroids and long-acting β2-agonists has been established in the management of asthma and COPD globally. Combinations of inhaled corticosteroids and long-acting β2-agonists such as fluticasone and salmeterol, have been shown to be effective for improving symptoms, health status, and reducing exacerbations in both diseases. In this review, we discuss the efficacy and safety of this combination therapy from key studies, particularly in the People's Republic of China.
慢性阻塞性肺疾病(COPD)和哮喘是常见的气道疾病,其特征为慢性气道炎症和气流阻塞,是中华人民共和国发病和死亡的主要原因。这两种疾病给家庭和整个社会带来了沉重的经济负担。尽管有基于证据的慢性阻塞性肺疾病全球倡议和哮喘全球倡议指南可用于COPD和哮喘的诊断和管理,但在中华人民共和国,许多此类患者并未得到正确的诊断或管理。吸入性糖皮质激素和长效β2受体激动剂联合治疗在全球哮喘和COPD管理中的价值已得到确立。吸入性糖皮质激素和长效β2受体激动剂的组合,如氟替卡松和沙美特罗,已被证明对改善两种疾病的症状、健康状况和减少病情加重有效。在本综述中,我们将从关键研究,特别是在中华人民共和国进行的研究,来讨论这种联合治疗的疗效和安全性。