Методология

pulmo

Пульмонология

PULMONOLOGIYA

0869-01892541-9617

Scientific and Practical Journal “PULMONOLOGIYA” LLC

10.18093/0869-0189-2022-32-3-356-392

pulmo-4108

Research Article

КЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИ

CLINICAL GUIDELINES

Хроническая обструктивная болезнь легких: федеральные клинические рекомендации по диагностике и лечению

Federal guidelines on diagnosis and treatment of chronic obstructive pulmonary disease

https://orcid.org/0000-0002-6808-5528

Чучалин

А. Г.

Chuchalin

A. G.

д. м. н., профессор, академик Российской академии наук, заведующий кафедрой госпитальной терапии педиатрического факультета,

117997, Россия, Москва, ул. Островитянова, 1

председатель правления Российского респираторного общества

Doctor of Medicine, Professor, Academician of Russian Academy of Sciences, Head of Department of Hospital Internal Medicine, Pediatric Faculty, ul. Ostrovityanova 1, Moscow, 117997;

Chairman of the Executive Board of Russian Respiratory Society

pulmomoskva@mail.ru

https://orcid.org/0000-0002-5999-2150

Авдеев

С. Н.

Avdeev

S. N.

д. м. н., профессор, академик Российской академии наук, заведующий кафедрой пульмонологии Института клинической медицины имени Н.В.Склифосовского, 119991, Москва, ул. Трубецкая, 8, стр. 2;

ведущий научный сотрудник, 115682, Москва, Ореховый бульвар, 28

Doctor of Medicine, Professor, Academician of Russian Academy of Sciences, Head of the Department of Pulmonology, N.V.Sklifosovsky Institute of Clinical Medicine, ul. Trubetskaya 8, build. 2, Moscow, 119991;

Leading Researcher, Orehovyy bul’var 28, Moscow, 115682

serg_avdeev@list.ru

https://orcid.org/0000-0002-4044-674X

Айсанов

З. Р.

Aisanov

Z. R.

д. м. н., профессор кафедры пульмонологии,

117997, Москва, ул. Островитянова, 1

Doctor of Medicine, Professor, Department of Pulmonology,

ul. Ostrovityanova 1, Moscow, 117997

aisanov@mail.ru

https://orcid.org/0000-0001-6050-724X

Белевский

А. С.

Belevskiy

A. S.

д. м. н., профессор, заведующий кафедрой пульмонологии,

117997, Москва, ул. Островитянова, 1

Doctor of Medicine, Professor, Head of Department of Pulmonology, Faculty of Postgraduate Physician Training, ul. Ostrovityanova 1, Moscow, 117997;

Head of Laboratory of Pulmonary Rehabilitation and Respiratory Health Research

pulmobas@yandex.ru

https://orcid.org/0000-0002-1620-7159

Лещенко

И. В.

Leshchenko

I. V.

д. м. н., профессор кафедры фтизиатрии и пульмонологии, 620028, Екатеринбург, ул. Репина, 3;

главный научный сотрудник, 620039, Свердловская область, Екатеринбург, 22-го Партсъезда, 50

Doctor of Medicine, Professor, Department of Phthisiology and Pulmonology, ul. Repina 3, Ekaterinburg, 620028;

Chief Researcher, ul. 22-go Parts’ezda 50, Ekaterinburg, 620039

leshchenkoiv@yandex.ru

Овчаренко

С. И.

Ovcharenko

S. I.

д. м. н., профессор кафедры факультетской терапии № 1,

119991, Москва, ул. Трубецкая, 8, стр. 2

Doctor of Medicine, Professor, Department No.1 of General Internal Medicine,

ul. Trubetskaya 8, build. 2, Moscow, 119991

svetftk@mail.ru

https://orcid.org/0000-0002-1908-5601

Шмелев

Е. И.

Shmelev

E. I.

д. м. н., профессор, заведующий отделом дифференциальной диагностики туберкулеза легких и экстракорпоральных методов лечения,

107564, Москва, Яузская аллея, 2

Doctor of Medicine, Professor, Head of Differential Diagnosis of Pulmonary Tuberculosis and Extracorporeal Methods of Treatment Department,

Yauzskaya alleya 2, Moscow, 107564

eishmelev@mail.ru

Федеральное государственное автономное образовательное учреждение высшего образования «Российский национальный исследовательский медицинский университет имени Н.И.Пирогова» Министерства здравоохранения Российской ФедерацииРоссияPirogov Russian National Research Medical University (Pirogov Medical University), Ministry of Health of the Russian FederationRussian Federation

Федеральное государственное автономное образовательное учреждение высшего образования «Первый Московский государственный медицинский университет имени И.М.Сеченова» Министерства здравоохранения Российской Федерации (Сеченовский Университет); Федеральное государственное бюджетное учреждение «Научно-исследовательский институт пульмонологии» Федерального медико-биологического агентстваРоссияFederal State Autonomous Educational Institution of Higher Education I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University); Federal Pulmonology Research Institute, Federal Medical and Biological Agency of RussiaRussian Federation

Федеральное государственное бюджетное образовательное учреждение высшего образования «Уральский государственный медицинский университет» Министерства здравоохранения Российской Федерации; Уральский научно-исследовательский институт фтизиопульмонологии – филиал федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр фтизиопульмонологии и инфекционных заболеваний» Министерства здравоохранения Российской ФедерацииРоссияFederal State Budget Educational Institution of Higher Education “Ural State Medical University” of the Ministry of Health of the Russian Federation; Ural Federal Research Institute of Phthisiology and Pulmonology – A Branch of National Medical Research Center for Phthisiology, Pulmonology and Infectious Diseases, Healthcare Ministry of RussiaRussian Federation

Федеральное государственное автономное образовательное учреждение высшего образования «Первый Московский государственный медицинский университет имени И.М.Сеченова» Министерства здравоохранения Российской Федерации (Сеченовский Университет)РоссияFederal State Autonomous Educational Institution of Higher Education I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)Russian Federation

Федеральное государственное бюджетное научное учреждение «Центральный научно-исследовательский институт туберкулеза»РоссияFederal State Scientific Institution “Central Research Institute of Tuberculosis”Russian Federation

2022

14072022

323

Спецвыпуск

356392

2022

Чучалин А.Г., Авдеев С.Н., Айсанов З.Р., Белевский А.С., Лещенко И.В., Овчаренко С.И., Шмелев Е.И.

Chuchalin A.G., Avdeev S.N., Aisanov Z.R., Belevskiy A.S., Leshchenko I.V., Ovcharenko S.I., Shmelev E.I.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://journal.pulmonology.ru/pulm/article/view/4108

В настоящее время хроническая обструктивная болезнь легких (ХОБЛ) является глобальной проблемой и одной из ведущих причин смерти в мире. Терапия ХОБЛ включает фармакологические и нефармакологические подходы, которые позволяют существенно уменьшить клинические симптомы и снизить частоту обострений заболевания.

Методология

Методология. Целевой аудиторией данных клинических рекомендаций являются врачи-терапевты, врачи общей практики, врачи-пульмонологи. Каждый тезис-рекомендация по проведению диагностических и лечебных мероприятий оценивается по шкалам уровней достоверности доказательств от 1 до 5 и шкале оценки уровней убедительности рекомендаций по категориям А, В, С. Клинические рекомендации содержат также комментарии и разъяснения к указанным тезисам-рекомендациям, алгоритмы по тактике ведения пациентов с ХОБЛ.

Заключение

Заключение. В представленных клинических рекомендациях приводятся современные сведения об этиологии и патогенезе, клинических проявлениях, диагностике, лечении ХОБЛ. Одобрены решением Научно-практического совета Министерства здравоохранения Российской Федерации (2021).

Currently, chronic obstructive pulmonary disease (COPD) is a global health issue and one of the leading causes of death in the world. COPD therapy includes pharmacological and non-pharmacological approaches that can significantly improve clinical symptoms and reduce frequency of exacerbations of the disease.

Methodology

Methodology. The target audience of these clinical recommendations are therapists, general practitioners, and pulmonologists. Each thesis-recommendation about diagnostic and therapeutic procedures was graded according to the scales of classes of recommendations from 1 to 5 and the A, B, C scale of the levels of evidence. The clinical recommendations also contain comments and explanations to the theses together with algorithms for the diagnosis and treatment of COPD.

Conclusion

Conclusion. The presented clinical guidelines cover the latest information about the etiology and pathogenesis, clinical manifestations, diagnosis, treatment, and prevention of chronic obstructive pulmonary disease. These guidelines were approved by the Scientific and Practical Council of the Ministry of Health of the Russian Federation in 2021.

хроническая обструктивная болезнь легкихспирометрияэмфиземакурениебронходилататорыингаляционная терапиярекомендации

chronic obstructive pulmonary diseasespirometryemphysemasmokingbronchodilatorsinhalation therapyguidelines

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The authors declare that there are no conflicts of interest present.