Sovremennyy podkhod k vyboru lecheniya bol'nykh khronicheskoy obstruktivnoy bolezn'yu legkikh


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Abstract

The article discusses the basic position of the last revision of the Global Initiative for Chronic Obstructive Pulmonary Disease (COPD) -GOLD-2011. GOLD-2011 revision offers a new classification of COPD with the identification of the four categories of patients (A, B, C, and D) depending on the severity of the clinical symptom, frequency and severity of exacerbations of bronchial obstruction. The new revision of the GOLD divides all medical drugs into first- and second-line therapy. Therapy is determined by clinical course of the disease, that is, belonging to a particular category - A, B, C or D. Approaches to the choice of treatment of COPD depending on the category of the patient are presented. In general, pharmacotherapy should be aimed at reducing the symptoms of COPD, reducing the frequency and severity of exacerbations, improving exercise tolerance and general state of patent.

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About the authors

S. I Ovcharenko

Email: svetftk@mail.ru

References

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