Kortikosteroide in der Behandlung des Asthmas und der COPD

T. Rothe
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Abstract

The data situation for the use of ICS in asthma is clear. In the case of COPD, on the other hand, where in recent years the pendulum has moved away from ICS towards a dual therapy based on LABA / LAMA, the discussion is open again thanks to new work. However, it would certainly be wrong to recommend ICS as a meaningful therapy for all COPD patients at this point in time, since therapy with ICS is associated with side effects, in particular an increase in the risk of developing pneumonia or osteoporosis. However, there is no doubt that patients with asthma COPD overlap require ICS therapy.
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哮喘治疗中的皮质类固醇
ICS治疗哮喘的数据情况是明确的。另一方面,在慢性阻塞性肺病的情况下,近年来,人们已经从ICS转向基于LABA / LAMA的双重治疗,由于新的研究,讨论再次开放。然而,在这个时间点上,推荐ICS作为所有COPD患者的有意义的治疗方法肯定是错误的,因为ICS治疗与副作用有关,特别是增加患肺炎或骨质疏松症的风险。然而,毫无疑问,哮喘COPD重叠患者需要ICS治疗。
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