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稳定期 COPD 的药物治疗:需要简化方法。

Pharmacological treatment of stable COPD: need for a simplified approach.

机构信息

5th Pulmonary Department, "Sotiria" Chest Diseases Hospital, Athens, Greece.

2nd Respiratory Medicine Department, University of Athens, Attikon Hospital, Athens, Greece.

出版信息

Postgrad Med. 2020 Mar;132(2):126-131. doi: 10.1080/00325481.2019.1706996. Epub 2020 Jan 11.

Abstract

Chronic obstructive pulmonary disease (COPD) is one of the most common diseases worldwide. Although different guidelines regarding therapeutic algorithms exist, the most widely adopted approach is the one suggested by the Global Initiative in Chronic Obstructive Lung Disease in which patients are stratified according to their dyspnea severity and their exacerbation history during the previous year. This combined assessment of COPD, which takes into consideration all aforementioned characteristics of COPD patients as well as the number of blood eosinophils, results in a proposed therapeutic algorithm which is complex and hard to memorize. This complexity is probable one of the causes that most health care professionals are not adherent to the guidelines when treating COPD patients. Here, we propose a simplified therapeutic algorithm for the treatment of COPD patients taking into consideration the current evidence on the use of bronchodilators and inhaled corticosteroids.

摘要

慢性阻塞性肺疾病(COPD)是全球最常见的疾病之一。尽管存在不同的治疗方案指南,但最广泛采用的方法是全球慢性阻塞性肺疾病倡议(GOLD)建议的方法,根据呼吸困难严重程度和前一年的加重史对患者进行分层。这种综合评估 COPD 的方法考虑了 COPD 患者的所有上述特征以及血液嗜酸性粒细胞的数量,提出了一种治疗方案,该方案复杂且难以记忆。这种复杂性可能是大多数医疗保健专业人员在治疗 COPD 患者时不遵守指南的原因之一。在这里,我们提出了一种简化的 COPD 患者治疗方案,该方案考虑了目前关于使用支气管扩张剂和吸入皮质类固醇的证据。

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