medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2019-6-52-57medsovet-2976Research ArticleБРОНХОПУЛЬМОНОЛОГИЯ, ЛОРBRONCHOPULMONOLOGY, ENTБронхиальная астма: простые решения сложных вопросовBronchial asthma: simple solutions of complex issuesЛещенкоИ. В.LeshchenkoI. V.

Лещенко Игорь Викторович – доктор медицинских наук, профессор кафедры фтизиатрии, пульмонологии и торакальной хирургии Федерального государственного бюджетного образовательного учреждения высшего образования «Уральский государственный медицинский университет» Министерства здравоохранения Российской Федерации, научный руководитель ООО «Медицинское объединение «Новая больница»

620028, г. Екатеринбург, ул. Репина, д. 3, 620109, г. Екатеринбург, ул. Заводская, д. 29

Leshchenko Igor Viktorovich – Dr. of Sci. (Med), Professor of the Department of Phthisiology, Pulmonology and Thoracic Surgery of the Federal State Budgetary Educational Institution of Higher Education «Ural State Medical University» of the Ministry of Health of the Russian Federation, Scientific Director of LLC «Medical Association «New Hospital»

620028, Sverdlovsk region, Ekaterinburg, 3 Repina str., 

 620109, Ekaterinburg, 29, Zavodskaya str.

leshchenkoiv@yandex.ruБарановаИ. И.BaranovaI. I.

Баранова Илона Игоревна – кандидат медицинских наук, ассистент кафедры фтизиатрии, пульмонологии и торакальной хирургии Федерального государственного бюджетного образовательного учреждения высшего образования «Уральский государственный медицинский университет» Министерства здравоохранения Российской Федерации, врач-пульмонолог ООО «Медицинское объединение «Новая больница»

620028, г. Екатеринбург, ул. Репина, д. 3, 620109, г. Екатеринбург, ул. Заводская, д. 29

Baranova Ilona Igorevna – Candidate of Medical Sciences, Assistant of the Department of Phthisiology, Pulmonology and Thoracic Surgery of the Federal State Budgetary Educational Institution of Higher Education «Ural State Medical University» of the Ministry of Health of the Russian Federation, Pulmonologist of LLC «Medical Association «New Hospital»

620028, Sverdlovsk region, Ekaterinburg, 3 Repina str., 

 620109, Ekaterinburg, 29, Zavodskaya str.

Федеральное государственное бюджетное образовательное учреждение высшего образования «Уральский государственный медицинский университет» Министерства здравоохранения Российской Федерации; Общество с ограниченной ответственностью «Медицинское объединение «Новая больница»РоссияFederal State Budgetary Educational Institution of Higher Education «Urals State Medical University» of the Ministry of Healthcare of the Russian Federation; LLC Medical Association New HospitalRussian Federation201925042019065257Copyright © Лещенко И.В., Баранова И.И., 20192019Лещенко И.В., Баранова И.И.Leshchenko I.V., Baranova I.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/2976

Проблема достижения контроля бронхиальной астмы (БА) независимо от тяжести сохраняет свою актуальность. Применение экстрамелкодисперсной ФК беклометазона/формотерола (ЭМД ФК БДП/ФОР) в соответствии с концепцией «Maintenance and Reliever Therapy» (MART) имеет клинические преимущества по сравнению с традиционной базисной терапией в сочетании с симптоматическими препаратами. В исследованиях установлены фенотипы БА для применения ЭМД ФК БДП/ФОР: БА у курящих пациентов, БА с гиперинфляцией и БА у лиц старшего возраста и длительностью заболевания более 10 лет. Представлены клинические случаи лечения ЭМД ФК БДП/ФОР в соответствии с концепцией MART у больных старшего возраста с неконтролируемой БА на фоне сопутствующей патологии и стойкой бронхиальной обструкцией, у которых доказан положительный эффект и контролируемое течение астмы.

The problem of achieving control of bronchial asthma (BA), regardless of severity, remains relevant. The use of extra-finely dispersed Beclomethasone/Formoterol FC (EMB FC BDP/FOR) according to the concept of Maintenance and Reliever Therapy (MART) has clinical advantages over traditional basal therapy in combination with symptomatic drugs. In the studies, BA Phenotypes for the use of EMD-FC BDP/FOR: BA in smoking patients, asthma with hyperinflation and asthma in older people and with a disease duration of more than 10 years were established. Clinical cases of treatment of EMD FC BDP/FOR are presented in accordance with the MART concept in older patients with uncontrolled asthma on the background of comorbidities and persistent bronchial obstruction, which have a positive effect and controlled asthma.

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