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ХОБЛ

ХОБЛ тяжелое 
течение 
с 
осложнениями 
основного 
заболевания и 
дыхательной 
недостаточность
ю 
J44.8 
J44.9
Профилакти
ка 
обострений 
заболевания 
2-4 раза 

Физикальное 
обследование. 

Анализ крови 

Анализ 
крови 
на сахар 

Флюорография 
или 
рентгенография 
органов грудной 
клетки в 2-х 
проекциях – 1 
раз в год 

Спирография 
Пульсоксиметри
я 

Электрокардиог
рафия 
(по 
показаниям) 

Компьютерная 
томография 
высокого 
разрешения органов 
грудной клетки. 

Спирография с 
бронхолитическим 
тестом 

Пульсоксиметрия 

Эхокардиография 
(по показаниям) 


Критерии оценки качества медицинской помощи 
№ 
 
Критерии качества 
Уровень 
достоверности 
доказательств 
Уровень 
убедительности 
рекомендаций 
Этап постановки диагноза

Выполнен общий физикальный осмотр 

Выполнена спирометрия с бронходилатационным 
тестом 

Выполнена оценка симптомов по шкале mMRC 
или CAT 

Выполнена рентгенография органов грудной 
клетки 

Выполнен общий анализ крови с подсчетом 
лейкоцитарной формулы 

Выполнена КТ органов грудной клетки при 
наличии показаний 



10
Лечение стабильной ХОБЛ 

Выполнено назначение комбинации ДДАХ/ДДБА 
пациенту с выраженными симптомами

Выполнено 
назначение 
бронходилататора 
длительного действия пациенту с легкими 
симптомами 

Проведена 
оценка 
симптомов 
и 
частоты 
обострений через … месяцев

Выполнена спирометрия через 1 месяц 
Лечение обострения ХОБЛ 

 









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