Russian Journal of AllergyRussian Journal of AllergyРоссийский Аллергологический Журнал1810-88302686-682XPublishing House ABV Press31310.36691/RJA313ArticlesСтатьиResearch ArticlePrinciples of selecting therapy for patients with mild asthma. RAACI and RRO agreed recommendationsПринципы выбора терапии для больных легкой астмой Согласованные рекомендации РААКИ и РРОAvdeevS NАвдеевС Нpulmo_fmba@mail.ruAysanovZ RАйсановЗ РArkhipovV VАрхиповВ ВBelevskiyA SБелевскийА СVieselA AВизельА АDemkoI VДемкоИ ВEmelyanovA VЕмельяновА ВIlinaN IИльинаН ИKurbachevaO MКурбачёваО МLeshchenkoI VЛещенкоИ ВNenashevaN MНенашеваН МOvcharenkoS IОвчаренкоС ИFassahovR SФассаховР СFGBU «NRI of pulmonology» FMBA of RussiaФГБУ «НИИ пульмонологии» ФМБА РоссииFGBOU DPO RMAPO Ministry of health of RussiaФГБОУ ДПО РМАНПО Минздрава РоссииRussian national research medical University named after N.I. Pirogov Ministry of health of RussiaФУВ РНИМУ им. Н.И. Пирогова Минздрава РоссииFGBOU VO «Kazan state medical University MOH» Ministry of health of RussiaФГБОУ ВО «Казанский ГМУ МЗ РФ» Минздрава РоссииPO FGBOU VO «Krasnoyarsk state medical University Named after In. F. VoynoYasenetsky» Ministry of health of RussiaПО ФГБОУ ВО «КрасГМУ им. проф. В.Ф. Войно-Ясенецкого» Минздрава РоссииFGBOU VO «Northwestern state medical University Named after I.M. Mechnikov» Ministry of health of RussiaФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.М. Мечникова» Минздрава РоссииInstitute of ImmunologyФГБУ «ГНЦ Институт иммунологии» ФМБА РоссииFGBOU VO «Ural state medical University» Ministry of health of RussiaФГБОУ ВО «Уральский государственный медицинский университет» Минздрава РоссииFGAOU «First MSMU named after I.M. Sechenov» Ministry of health of RussiaФГАОУ «Первый МГМУ им. И.М. Сеченова» Минздрава РоссииGBOU DPO «Kazan state medical Academy» - a branch of FGBOU DPO RMAPO Ministry of health of RussiaГБОУ ДПО «Казанская государственная медицинская академия»15062017143VOL 14, NO3 (2017)ТОМ 14, №3 (2017)556310032020Copyright ©; 2017, Pharmarus Print MediaCopyright ©; 2017, Фармарус Принт Медиа2017Pharmarus Print MediaФармарус Принт Медиаhttps://rusalljournal.ru/raj/article/view/313

The recommendations represent the rating scheme of the assessment and selection of therapy for patients with mild asthma. The variety of therapeutic options for the treatment of easy asthma can provide the achievement of the disease control, or if it is impossible to create a good continuity with the next steps of therapy. Fixed IGX/ KDBA and IGX/DBA combinations increase the compliance and effectiveness of therapy. The creation of therapy algorithms of mild asthma will be an important step to optimize medical care and to attract the attention of doctors to the problem of easy asthma. The goal of recommendations. To provide clinicians with based on the results of controlled clinical trials algorithms for mild asthma treatment.

В настоящих рекомендациях представлена рейтинговая схема оценки и выбора терапии больных легкой астмой. Многообразие терапевтических опций для терапии легкой астмы позволяет чаще добиваться контроля над заболеванием, а если это невозможно, создать хорошую преемственность с последующими шагами терапии. Так, лечение фиксированными комбинациями ингаляционных глюкокортикостероидов (ИГКС) агонистов β2-адренорецепторов короткого действия (КДБА) и ИГКС/агонистов β2-адренорецепторов длительного действия (ДДБА) позволяет увеличить комплаентность, повысить эффективность терапии и создать у больного навыки для возможного перехода на прием ИГКС/формотерола в режиме единого ингалятора. Авторы полагают, что создание детальных алгоритмов терапии легкой астмы станет важным шагом для оптимизации медицинской помощи и дополнительно привлечет внимание врачей к проблеме легкой астмы. Цель рекомендаций. Предоставить врачам разных специальностей современные, взвешенные и основанные на результатах контролируемых клинических исследований рекомендации по выбору фармакотерапии больных легкой астмой. В зависимости от методологии исследования к легкой астме можно отнести от 50 до 75% от общего числа больных.

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