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Педиатрическая фармакология

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Современные рекомендации по ведению пациентов с бронхиальной астмой

https://doi.org/10.15690/pf.v22i4.2938

Аннотация

Клинические рекомендации по бронхиальной астме представляют собой изложение систематизированного подхода к диагностике и лечению этого хронического воспалительного заболевания дыхательных путей для достижения контроля над ним. В статье подробно описаны современные методы диагностики, включая анамнез, физикальное обследование, функциональные пробы легких и определение уровня воспаления. Особое внимание уделяется индивидуализации терапии с учетом степени тяжести и контроля над заболеванием, а также наличия сопутствующих состояний. Авторами подчеркивается важность использования ингаляционных глюкокортикоидов как основы долгосрочного контроля и назначения бронхолитиков быстрого действия для симптоматического облегчения. Также рассматриваются нефармакологические меры: избегание контакта с аллергенами, изменение образа жизни, обучение пациентов правильному использованию ингаляторов и самостоятельному контролю за симптомами. Важной частью являются стратегия «поддерживающей терапии» и план действий при обострениях, что способствует своевременному реагированию и снижению риска тяжелых состояний. Авторы подчеркивают необходимость регулярного мониторинга эффективности лечения и коррекции терапии в зависимости от динамики заболевания. Данные клинические рекомендации направлены на повышение качества медицинской помощи пациентам с бронхиальной астмой, снижение частоты обострений болезни и улучшение качества жизни больных за счет внедрения современных доказательных методов диагностики и терапии.

Об авторах

C. Н. Авдеев
Научно-исследовательский институт пульмонологии ; Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский Университет)
Россия

Москва 


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З. Р. Айсанов
Российский национальный исследовательский медицинский университет им. Н.И. Пирогова (Пироговский Университет)
Россия

Москва


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В. В. Архипов
Российская медицинская академия непрерывного профессионального образования
Россия

Москва


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Н. Г. Астафьева
Саратовский государственный медицинский университет им. В.И. Разумовского
Россия

Саратов


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А. А. Баранов
Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский Университет) ; НИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»
Россия

Москва


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А. С. Белевский
Российский национальный исследовательский медицинский университет им. Н.И. Пирогова (Пироговский Университет)
Россия

Москва


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И. В. Бухтияров
Научно-исследовательский институт медицины труда им. акад. Н.Ф. Измерова
Россия

Москва


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О. С. Васильева
Российский национальный исследовательский медицинский университет им. Н.И. Пирогова (Пироговский Университет)
Россия

 

Москва


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Е. А. Вишнева
Российский национальный исследовательский медицинский университет им. Н.И. Пирогова (Пироговский Университет) ; НИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»
Россия

Москва


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Н. А. Геппе
Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский Университет)
Россия

Москва


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И. В. Демко
Красноярский государственный медицинский университет им. проф. В.Ф. Войно-Ясенецкого
Россия

Красноярск


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А. В. Емельянов
Северо-Западный государственный медицинский университет им. И.И. Мечникова
Россия

Санкт-Петербург


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Г. Л. Игнатова
Южно-Уральский государственный медицинский университет
Россия

Челябинск


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Н. И. Ильина
Государственный научный центр «Институт иммунологии»
Россия

Москва


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Н. П. Княжеская
Российский национальный исследовательский медицинский университет им. Н.И. Пирогова (Пироговский Университет)
Россия

 

Москва


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О. М. Курбачева
Государственный научный центр «Институт иммунологии» ; Московский государственный медико-стоматологический университет им. А.И. Евдокимова
Россия

Москва


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Ю. Г. Левина
Российский национальный исследовательский медицинский университет им. Н.И. Пирогова (Пироговский Университет) ; НИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»
Россия

Москва


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И. В. Лещенко
Уральский государственный медицинский университет
Россия

Екатеринбург


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А. Б. Малахов
Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский Университет)
Россия

Москва


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Н. Н. Мещерякова
Научно-исследовательский институт пульмонологии
Россия

 

Москва


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Л. С. Намазова-Баранова
Российский национальный исследовательский медицинский университет им. Н.И. Пирогова (Пироговский Университет) ; НИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»
Россия

Москва


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Н. М. Ненашева
Российская медицинская академия непрерывного профессионального образования
Россия

Москва


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Г. А. Новик
Санкт-Петербургский государственный педиатрический медицинский университет
Россия

Санкт-Петербург


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К. С. Павлова
Государственный научный центр «Институт иммунологии»
Россия

Москва


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А. Н. Пампура
Российский национальный исследовательский медицинский университет им. Н.И. Пирогова (Пироговский Университет)
Россия

Москва


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Л. Р. Селимзянова
Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский Университет) ; Российский национальный исследовательский медицинский университет им. Н.И. Пирогова (Пироговский Университет) ; НИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»
Россия

Селимзянова Лилия Робертовна, кандидат медицинских наук, заведующая отделом стандартизации и изучения основ доказательной медицины НИИ педиатрии и охраны здоровья детей; врач-пульмонолог 

119333, Москва, ул. Фотиевой, д. 10, тел.: +7 (499) 400-47-33 


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Л. А. Стрижаков
Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский Университет)
Россия

Москва


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Д. С. Фомина
Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский Университет) ; Городская клиническая больница № 52
Россия

Москва


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М. Р. Хаитов
Российский национальный исследовательский медицинский университет им. Н.И. Пирогова (Пироговский Университет) ; Государственный научный центр «Институт иммунологии»
Россия

Москва


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А. Г. Чучалин
Российский национальный исследовательский медицинский университет им. Н.И. Пирогова (Пироговский Университет)
Россия

Москва


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И. Н. Шишиморов
Волгоградский государственный медицинский университет
Россия

Волгоград


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Л. А. Шпагина
Новосибирский государственный медицинский университет
Россия

Новосибирск


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К. Е. Эфендиева
Российский национальный исследовательский медицинский университет им. Н.И. Пирогова (Пироговский Университет) ; НИИ педиатрии и охраны здоровья детей НКЦ №2 ФГБНУ «РНЦХ им. акад. Б.В. Петровского»
Россия

Москва


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Рецензия

Для цитирования:


Авдеев C.Н., Айсанов З.Р., Архипов В.В., Астафьева Н.Г., Баранов А.А., Белевский А.С., Бухтияров И.В., Васильева О.С., Вишнева Е.А., Геппе Н.А., Демко И.В., Емельянов А.В., Игнатова Г.Л., Ильина Н.И., Княжеская Н.П., Курбачева О.М., Левина Ю.Г., Лещенко И.В., Малахов А.Б., Мещерякова Н.Н., Намазова-Баранова Л.С., Ненашева Н.М., Новик Г.А., Павлова К.С., Пампура А.Н., Селимзянова Л.Р., Стрижаков Л.А., Фомина Д.С., Хаитов М.Р., Чучалин А.Г., Шишиморов И.Н., Шпагина Л.А., Эфендиева К.Е. Современные рекомендации по ведению пациентов с бронхиальной астмой. Педиатрическая фармакология. 2025;22(4):432-494. https://doi.org/10.15690/pf.v22i4.2938

For citation:


Avdeev S.N., Aysanov Z.R., Arkhipov V.V., Astaphieva N.G., Baranov A.A., Belevskiy A.S., Bukhtiyarov I.V., Vasilyeva O.S., Vishneva E.A., Geppe N.A., Demko I.V., Emel’yanov A.V., Ignatova G.L., Il’ina N.I., Knyazheskaya N.P., Kurbacheva O.M., Levina Yu.G., Leshchenko I.V., Malakhov A.B., Meshcheryakova N.N., Namazova-Baranova L.S., Nenasheva N.M., Novik G.A., Pavlova K.S., Pampura A.N., Selimzyanova L.R., Strizhakov L.A., Fomina D.S., Haitov M.R., Chuchalin A.G., Shishimorov I.N., Shpagina L.A., Efendieva K.E. Asthma Management Current Guidelines. Pediatric pharmacology. 2025;22(4):432-494. (In Russ.) https://doi.org/10.15690/pf.v22i4.2938

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