Отмена ингаляционных глюкокортикостероидов у пациентов с хронической обструктивной болезнью легких

Роль ингаляционных глюкокортикостероидов (иГКС) в терапии пациентов с хронической обструктивной болезнью легких (ХОБЛ) в со - временных клинических рекомендациях ограничена. Хотя оптимальное соотношение польза / риск и может быть достигнуто в специфических популяциях этих больных, однако в реальной клинической практике врачи зачастую не следуют клиническим рекомендациям и многие пациенты с ХОБЛ получают иГКС необоснованно. Наряду с отсутствием эффективности применение иГКС может быть связано с возможными рисками, которые могут превосходить потенциальную пользу от применения препаратов этого класса у больных ХОБЛ. Эти данные диктуют необходимость разработки простого и удобного алгоритма для врачей по отмене иГКС у пациентов, которым применение препаратов этого класса не показано. В настоящей статье анализируются исследования, посвященные эффективности и безопасности иГКС, а также доступные данные по отмене иГКС у пациентов с ХОБЛ. На основании актуальных данных международной группой экспертов разработан простой и удобный алгоритм по отмене иГКС у больных ХОБЛ.

хроническая обструктивная болезнь легких, ингаляционные препараты, ингаляционные глюкокортикостероиды, отмена ингаляционных глюкокортикостероидов, бронходилататоры длительного действия, алгоритм отмены ингаляционных глюкокортикостероидов,

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