medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2018-15-28-37medsovet-2668Research ArticleХроническая обструктивная болезнь легкихChronic obstructive pulmonary diseaseНовые возможности фармакотерапии хронической обструктивной болезни легкихNew possibilities of pharmacotherapy for chronic obstructive pulmonary diseaseСинопальниковА. И.SinopalnikovA. I.

Синопальников Александр Игоревич – доктор медицинских наук, профессор, завкафедрой пульмонологии.

Москва

Moscow

РомановскихА. Г.RomanovskikhA. G.

Романовских Анна Геннадьевна – кандидат медицинских наук, доцент.

Москва

Moscow

БелоцерковскаяЮ. Г.BelotserkovskayaYu. G.

Белоцерковская Юлия Геннадьевна – кандидат медицинских наук, доцент.

Москва

Moscow

ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииРоссияRussian Medical Academy of Continuing Postgraduate Education of the Ministry of Health of RussiaRussian Federation2018111020180152837Copyright © Синопальников А.И., Романовских А.Г., Белоцерковская Ю.Г., 20182018Синопальников А.И., Романовских А.Г., Белоцерковская Ю.Г.Sinopalnikov A.I., Romanovskikh A.G., Belotserkovskaya Y.G.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/2668

Ведущей терапевтической стратегией при лечении хронической обструктивной болезни легких (ХОБЛ) до настоящего времени остается применение бронходилататоров (БД), при этом наиболее перспективным представляется назначение фиксированных комбинаций длительно действующих бронхорасширяющих препаратов. Вместе с тем активно обсуждаются и вопросы противовоспалительной терапии ХОБЛ, в первую очередь целесообразность широкого использования фиксированных комбинаций ингаляционных глюкокортикостероидов (ИГКС) с длительно действующими β2-агонистами (ДДБА). Последние годы характеризуются появлением на фармацевтическом рынке значительного числа новых БД, противовоспалительных препаратов и их комбинаций. Роль и место новых препаратов в лечении ХОБЛ стабильного течения рассматриваются в представленной статье.

The use of bronchodilators (DB) remains up to the present day the leading therapeutic strategy for the treatment of chronic obstructive pulmonary disease (COPD), in which case administration of fixed-dose combinations of long-acting bronchodilators seem the most promising. At the same time, the issues of anti-inflammatory therapy of COPD are also actively discussed, first of which is feasibility for the wide use of fixed-dose combinations of inhaled glucocorticosteroids (IHGC) with long-acting β2-agonists (LABA). Recent years are characterized by the launch of a significant number of new BDs, anti-inflammatory drugs and their combinations to the pharmaceutical market. The article considers the role and place of new drugs in the treatment of COPD having a stable course.

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