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
1
Выполнен общий физикальный осмотр
2
Выполнена спирометрия с бронходилатационным
тестом
3
Выполнена оценка симптомов по шкале mMRC
или CAT
4
Выполнена рентгенография органов грудной
клетки
5
Выполнен общий анализ крови с подсчетом
лейкоцитарной формулы
6
Выполнена КТ органов грудной клетки при
наличии показаний
7
8
9
10
Лечение стабильной ХОБЛ
1
Выполнено назначение комбинации ДДАХ/ДДБА
пациенту с выраженными симптомами
2
Выполнено
назначение
бронходилататора
длительного действия пациенту с легкими
симптомами
3
Проведена
оценка
симптомов
и
частоты
обострений через … месяцев
4
Выполнена спирометрия через 1 месяц
Лечение обострения ХОБЛ
1
2
3
4
5
6
7
8
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