Efficacy of anti-inflammatory treatment with benacort of patients with chronic obstructive pulmonary disease in exacerbation


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Abstract

Aim. To determine a course and prognostic effectiveness of corticosteroid therapy of chronic obstructive
pulmonary disease (COPD).
Material and methods. Long-term therapy with broncholytics (berodual) and benacort was given to
25 patients in non-infectious exacerbation, 20 patients received broncholitics of 45 COPD patients
with mild and moderate ventilation disorders. Follow-up lasted for 2.5 years. Treatment effectiveness
was judged by clinical indices, external respiration function, parameters of systemic immunity, cyto-
gram of induced sputum and concentration of inflammatory markers in the sputum.
Results. An immediate effect of two-month therapy with benacort of COPD exacerbations manifested
with positive clinical dynamics and relief of endobronchial inflammation. Prognostic efficacy - with a
significant reduction of the frequency of COPD exacerbations and of their mean duration more than
3-fold.
Conclusion. The results of long-term follow-up support validity of inhalation corticosteroids use for
eradication and prevention of noninfectious exacerbations of COPD.

About the authors

V V Kolesnikov

I S Korolchuk

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