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慢阻肺月报202101

作者:深水静流 来源:慢阻肺手抄本 日期:2021-01-31
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         慢阻肺月报202101

关键字:  慢阻肺 

        European Respiratory Journal. 2020 Dec 17;

        The Effect of Low Dose Corticosteroids and Theophylline on the Risk of Acute Exacerbations of COPD. The TASCS Randomised Controlled Trial.

        Christine R Jenkins, Fu-Qiang Wen, Allison Martin, et al

        TASCS是第一项大样本研究低剂量茶碱口服治疗稳定期慢阻肺疗效和安全性的RCT,可以看到入组后三组患者在中重度急性加重方面都较入组前(0.7次)有减少,茶碱组的降低更为明显;尽管脱落率较高(26%),且茶碱组对照安慰剂组在包括轻度AE的所有急性加重上没有显著性下降。另外,原文未见数据三组间支扩剂的使用情况,不能评价是否均衡。因此,笔者认为,低剂量茶碱用于慢阻肺稳定期无效,这个判断还不能定论。WHO的中低收入地区慢阻肺一揽子措施中仍把茶碱列为一个治疗选项WHO推荐的慢阻肺基本干预措施有哪些?,当然,这是没有长效支扩剂情况下的选择。

        JAMA. 2021 Jan 5; 325 (1) : 59-68.

        Prevalence of Pulmonary Embolism Among Patients With COPD Hospitalized With Acutely Worsening Respiratory Symptoms.

        Francis Couturaud, Laurent Bertoletti, Jean Pastre, et al.

        PMID: 33399840

        Thorax. 2020 Dec 18;

        DNA methylation is associated with air flow obstruction in patients living with HIV.

        Ana I Hernandez Cordero, Chen Xi Yang, Maen Obeidat, et al.

        PMID: 33443234

        European Respiratory Journal. 2020 Dec 24;

        Childhood maltreatment and lung function: Findings from the general population.

        Carsten Spitzer, Ralf Ewert, Henry Völzke, et al.

        PMID: 33361099

        Chest. 2021 Jan 9;

        Palliative care needs and integration of palliative care support in chronic obstructive pulmonary disease (COPD): aqualitative study.

        Yu Fu, Anne Mason, Alison C Boland, et al.

        PMID: 33434498

        European Respiratory Journal. 2021 Jan 14;

        Exercise Training in Chronic ObstructivePulmonary Disease: Muscle O 2 Transport Plasticity.

        Ryan M Broxterman, Peter D Wagner, Russell S Richardson

        PMID: 33446612

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