Watford General Hospital, Watford, UK
City & Hackney GP Confederation, London, UK.
Clin Med (Lond). 2018 Oct;18(5):387-390. doi: 10.7861/clinmedicine.18-5-387.
Inhaled corticosteroids represent the mainstay of pharmacological treatment for reversible airways disease, and traditionally have had widespread use in non-reversible chronic obstructive pulmonary disease (COPD). However, use in this group may expose patients to an increased risk of pneumonia, without significant benefit to symptoms or exacerbation frequency. Here we provide a guide to the use of inhaled therapy in COPD for the general physician.
吸入性皮质类固醇是治疗可逆性气道疾病的主要药物,传统上广泛用于不可逆性慢性阻塞性肺疾病(COPD)。然而,在该人群中使用可能会增加患者患肺炎的风险,而对症状或加重频率没有显著益处。在这里,我们为普通医生提供了 COPD 吸入治疗的使用指南。