{"id":27700,"date":"2023-04-27T15:43:00","date_gmt":"2023-04-27T08:43:00","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27700"},"modified":"2023-04-27T15:43:00","modified_gmt":"2023-04-27T08:43:00","slug":"bach-cau","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/27\/bach-cau\/","title":{"rendered":"B\u1ea1ch c\u1ea7u \u00e1i toan v\u00e0 vai tr\u00f2 trong \u0111\u00e1p \u1ee9ng ICS \u1edf b\u1ec7nh nh\u00e2n COPD"},"content":{"rendered":"<p><strong>B\u1ea1ch c\u1ea7u \u00e1i toan l\u00e0 m\u1ed9t lo\u1ea1i t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch c\u00f3 vai tr\u00f2 quan tr\u1ecdng trong ph\u1ea3n \u1ee9ng vi\u00eam. Trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD), b\u1ea1ch c\u1ea7u \u00e1i toan\u00a0 \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y nh\u01b0 l\u00e0 m\u1ed9t ch\u1ec9 s\u1ed1 quan tr\u1ecdng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n v\u00e0 d\u1ef1 \u0111o\u00e1n \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb ICS.<\/strong><\/p>\n<h1>1. T\u1ed5ng quan<\/h1>\n<p>S\u1ef1 kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t c\u1ee7a b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD) t\u1ea1o ra nhi\u1ec1u th\u00e1ch th\u1ee9c trong ch\u1ea9n \u0111o\u00e1n, ti\u00ean l\u01b0\u1ee3ng, \u0111i\u1ec1u tr\u1ecb v\u00e0 qu\u1ea3n l\u00fd, v\u00ec c\u01a1 ch\u1ebf b\u1ec7nh sinh c\u1ee7a COPD r\u1ea5t ph\u1ee9c t\u1ea1p v\u00e0 c\u00e1c c\u01a1 ch\u1ebf t\u1ebf b\u00e0o v\u00e0 ph\u00e2n t\u1eed c\u01a1 b\u1ea3n v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c hi\u1ec3u r\u00f5. M\u1ed9t d\u1ea5u \u1ea5n sinh h\u1ecdc \u0111\u00e1ng tin c\u1eady, d\u1ec5 \u0111o l\u01b0\u1eddng, c\u00f3 li\u00ean quan \u0111\u1ebfn l\u00e2m s\u00e0ng s\u1ebd l\u00e0 v\u00f4 gi\u00e1 \u0111\u1ec3 c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 cho b\u1ec7nh nh\u00e2n. H\u01b0\u1edbng d\u1eabn qu\u1ed1c t\u1ebf v\u00e0 qu\u1ed1c gia v\u1ec1 COPD g\u1ee3i \u00fd s\u1eed d\u1ee5ng s\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u \u00e1i toan trong m\u00e1u nh\u01b0 m\u1ed9t d\u1ea5u \u1ea5n sinh h\u1ecdc \u0111\u1ec3 gi\u00fap \u01b0\u1edbc t\u00ednh kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng v\u1edbi corticosteroid d\u1ea1ng h\u00edt (ICS) v\u00e0, c\u00f3 kh\u1ea3 n\u0103ng, \u0111\u1ec3 h\u1ed7 tr\u1ee3 c\u00e1c chi\u1ebfn l\u01b0\u1ee3c qu\u1ea3n l\u00fd hi\u1ec7u qu\u1ea3. Tuy nhi\u00ean, v\u1edbi c\u01a1 ch\u1ebf li\u00ean quan gi\u1eefa n\u1ed3ng \u0111\u1ed9 b\u1ea1ch c\u1ea7u \u00e1i toan cao h\u01a1n v\u00e0 hi\u1ec7u \u1ee9ng ICS ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5, vi\u1ec7c s\u1eed d\u1ee5ng s\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u \u00e1i toan trong m\u00e1u trong COPD ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c c\u1ed9ng \u0111\u1ed3ng h\u00f4 h\u1ea5p tranh lu\u1eadn r\u1ed9ng r\u00e3i.<\/p>\n<p>Nhi\u1ec1u nghi\u00ean c\u1ee9u v\u00e0 2 ph\u00e2n t\u00edch t\u1ed5ng h\u1ee3p cho th\u1ea5y b\u1ea1ch c\u1ea7u \u00e1i toan trong m\u00e1u ngo\u1ea1i vi c\u00f3 th\u1ec3 t\u01b0\u01a1ng quan t\u1ed1t v\u1edbi kh\u1ea3 n\u0103ng t\u0103ng kh\u1ea3 n\u0103ng gi\u1ea3m \u0111\u1ee3t c\u1ea5p c\u1ee7a ICS trong COPD. Tuy nhi\u00ean, c\u00e1c nghi\u00ean c\u1ee9u kh\u00e1c nhau v\u1ec1 thi\u1ebft k\u1ebf v\u00e0 th\u1eddi gian v\u00e0 theo \u0111\u00f3 m\u1ee9c \u0111\u1ed9 b\u1ea1ch c\u1ea7u \u00e1i toan \u0111\u01b0\u1ee3c coi l\u00e0 d\u1ef1 \u0111o\u00e1n v\u1ec1 kh\u1ea3 n\u0103ng ph\u1ea3n \u1ee9ng ICS. N\u00f3i chung, ph\u1ea3n \u1ee9ng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y khi m\u1ee9c b\u1ea1ch c\u1ea7u \u00e1i toan l\u00e0 100 &#8211; 300 t\u1ebf b\u00e0o\/\u00b5L (ho\u1eb7c cao h\u01a1n). M\u1ed9t s\u1ed1 th\u00e0nh c\u00f4ng v\u1edbi li\u1ec7u ph\u00e1p nh\u1eafm m\u1ee5c ti\u00eau interleukin-5 cho th\u1ea5y ki\u1ec3u h\u00ecnh b\u1ea1ch c\u1ea7u \u00e1i toan c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t \u0111\u1eb7c \u0111i\u1ec3m c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c.<\/p>\n<figure id=\"attachment_27701\" aria-describedby=\"caption-attachment-27701\" style=\"width: 1280px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-27701 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/thoraxjnl-2021-February-76-2-188-F2.large_.jpg\" alt=\"\" width=\"1280\" height=\"684\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/thoraxjnl-2021-February-76-2-188-F2.large_.jpg 1280w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/thoraxjnl-2021-February-76-2-188-F2.large_-300x160.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/thoraxjnl-2021-February-76-2-188-F2.large_-1024x547.jpg 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/thoraxjnl-2021-February-76-2-188-F2.large_-768x410.jpg 768w\" sizes=\"(max-width: 1280px) 100vw, 1280px\" \/><figcaption id=\"caption-attachment-27701\" class=\"wp-caption-text\"><strong>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Ngu\u1ed3n<\/strong>: <em>Eosinophilic inflammation in COPD: from an inflammatory marker to a treatable trait.<\/em><\/figcaption><\/figure>\n<h2>2. \u0110\u00e1p \u1ee9ng v\u1edbi corticosteroids li\u00ean quan \u0111\u1ebfn s\u1ed1 l\u01b0\u1ee3ng\u00a0 b\u1ea1ch c\u1ea7u \u00e1i toan<\/h2>\n<p>S\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u \u00e1i toan trong m\u00e1u r\u1ea5t h\u1eefu \u00edch \u0111\u1ec3 d\u1ef1 \u0111o\u00e1n \u0111\u00e1p \u1ee9ng v\u1edbi ICS, v\u00e0 c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t \u0111\u1eb7c \u0111i\u1ec3m c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c \u0111\u1ed1i v\u1edbi t\u1ea7n su\u1ea5t \u0111\u1ee3t c\u1ea5p v\u1edbi ICS\/LABA \u1edf b\u1ec7nh nh\u00e2n COPD v\u00e0 c\u00f3 ti\u1ec1n s\u1eed \u0111\u1ee3t c\u1ea5p trung b\u00ecnh\/n\u1eb7ng. Trong c\u00e1c b\u1ec7nh l\u00fd h\u00f4 h\u1ea5p kh\u00e1c, m\u1ed1i li\u00ean h\u1ec7 gi\u1eefa s\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u \u00e1i toan v\u00e0 ph\u1ea3n \u1ee9ng corticosteroid c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh.<\/p>\n<p>Shim v\u00e0 c\u1ed9ng s\u1ef1 l\u00e0 m\u1ed9t trong s\u1ed1 nh\u1eefng nh\u00e0 nghi\u00ean c\u1ee9u \u0111\u1ea7u ti\u00ean ch\u1ec9 ra r\u1eb1ng t\u0103ng b\u1ea1ch c\u1ea7u \u00e1i toan \u0111\u01b0\u1eddng th\u1edf cho th\u1ea5y kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng v\u1edbi corticosteroid. Trong m\u1ed9t th\u1eed nghi\u1ec7m nh\u1ecf \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb vi\u00eam ph\u1ebf qu\u1ea3n m\u00e3n t\u00ednh, \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng prednisolone ho\u1eb7c gi\u1ea3 d\u01b0\u1ee3c, nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u \u00e1i toan t\u0103ng c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng v\u1edbi corticosteroid h\u01a1n (p&lt;0,001). K\u1ec3 t\u1eeb \u0111\u00f3, ph\u00e1t hi\u1ec7n n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c l\u1eb7p l\u1ea1i nhi\u1ec1u l\u1ea7n v\u00e0 nh\u00ecn chung , \u00e1p d\u1ee5ng cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 b\u1ea1ch c\u1ea7u \u00e1i toan \u0111\u01b0\u1eddng th\u1edf &gt;3% m\u1eafc b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh \u1ed5n \u0111\u1ecbnh.<\/p>\n<p>Pavord v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 ti\u1ebfn h\u00e0nh ph\u00e2n t\u00edch h\u1eadu ki\u1ec3m 3 nghi\u00ean c\u1ee9u ng\u1eabu nhi\u00ean c\u00f3 \u0111\u1ed1i ch\u1ee9ng, m\u1ed7i nghi\u00ean c\u1ee9u k\u00e9o d\u00e0i \u00edt nh\u1ea5t 1 n\u0103m v\u00e0 nh\u1eadn th\u1ea5y r\u1eb1ng c\u00f3 ph\u1ea3n \u1ee9ng t\u1ed1t h\u01a1n v\u1edbi ICS\/ LABA so v\u1edbi gi\u1ea3 d\u01b0\u1ee3c ho\u1eb7c LAMA, \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 m\u1ee9c b\u1ea1ch c\u1ea7u \u00e1i toan trong m\u00e1u tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb \u22652% (RR=0,75 v\u00e0 0,63; p=0,006 v\u00e0 &lt;0,001) so v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 m\u1ee9c &lt;2% (RR=0,75 v\u00e0 0,63; p=0,006 v\u00e0 &lt;0,001).<\/p>\n<p>Trong khi c\u00e1c ph\u00e2n t\u00edch h\u1eadu \u0111\u1ecbnh n\u00e0y s\u1eed d\u1ee5ng ng\u01b0\u1ee1ng nh\u1ecb ph\u00e2n cho m\u1ee9c b\u1ea1ch c\u1ea7u \u00e1i toan, m\u1ed9t ph\u00e2n t\u00edch h\u1eadu \u0111\u1ecbnh g\u1ea7n \u0111\u00e2y c\u1ee7a Bafadhel v\u00e0 c\u1ed9ng s\u1ef1 \u00a0bao g\u1ed3m m\u1ed9t b\u1ed9 d\u1eef li\u1ec7u l\u1edbn t\u1eeb 3 nghi\u00ean c\u1ee9u ng\u1eabu nhi\u00ean c\u00f3 \u0111\u1ed1i ch\u1ee9ng so s\u00e1nh ICS\/LABA v\u1edbi LABA \u1edf b\u1ec7nh nh\u00e2n v\u1edbi COPD, cho th\u1ea5y s\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u \u00e1i toan l\u00e0 m\u1ed9t bi\u1ebfn s\u1ed1 li\u00ean t\u1ee5c. H\u01a1n n\u1eefa, c\u00e1c t\u00e1c gi\u1ea3 n\u00e0y \u0111\u00e3 b\u00e1o c\u00e1o hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb \u0111\u00e1ng k\u1ec3 \u0111\u1ed1i v\u1edbi ICS (p=0,015) t\u0103ng l\u00ean c\u00f9ng v\u1edbi s\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u \u00e1i toan trong m\u00e1u t\u1eeb &gt;100 t\u1ebf b\u00e0o\/\u00b5L.<\/p>\n<p>Vi\u1ec7c s\u1eed d\u1ee5ng s\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u \u00e1i toan \u0111\u1ec3 h\u1ed7 tr\u1ee3 vi\u1ec7c ra quy\u1ebft \u0111\u1ecbnh l\u00e2m s\u00e0ng li\u00ean quan \u0111\u1ebfn \u0111i\u1ec1u tr\u1ecb ICS \u0111\u01b0\u1ee3c th\u1ea5y trong nghi\u00ean c\u1ee9u c\u00e1c khuy\u1ebfn ngh\u1ecb GOLD 2021 g\u1ea7n \u0111\u00e2y, theo \u0111\u00f3 nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 s\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u \u00e1i toan trong m\u00e1u &gt;300 t\u1ebf b\u00e0o\/\u00b5L c\u00f3 c\u01a1 h\u1ed9i \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ICS t\u1ed1t. Tuy nhi\u00ean, vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p do b\u1ea1ch c\u1ea7u \u00e1i toan kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng \u0111\u00e1p \u1ee9ng v\u1edbi ICS. M\u1eb7c d\u00f9 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ICS, nhi\u1ec1u b\u1ec7nh nh\u00e2n b\u1ecb hen suy\u1ec5n t\u0103ng b\u1ea1ch c\u1ea7u \u00e1i toan n\u1eb7ng c\u00f3 vi\u00eam \u0111\u01b0\u1eddng th\u1edf dai d\u1eb3ng lo\u1ea1i 2.<\/p>\n<p>Nghi\u00ean c\u1ee9u ISOLDE69 \u0111\u00e3 nghi\u00ean c\u1ee9u t\u1ed1c \u0111\u1ed9 gi\u1ea3m th\u1ec3 t\u00edch th\u1edf ra g\u1eafng s\u1ee9c trong m\u1ed9t gi\u00e2y (FEV1) khi s\u1eed d\u1ee5ng ICS. V\u00ec nghi\u00ean c\u1ee9u n\u00e0y di\u1ec5n ra tr\u01b0\u1edbc khi LABA \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i, n\u00f3 \u0111\u1ed9c \u0111\u00e1o \u1edf ch\u1ed7 n\u00f3 ch\u1ec9 ph\u00e2n t\u00edch t\u00e1c d\u1ee5ng c\u1ee7a ICS ch\u1ee9 kh\u00f4ng ph\u1ea3i k\u1ebft h\u1ee3p v\u1edbi c\u00e1c lo\u1ea1i thu\u1ed1c h\u00edt kh\u00e1c. Ph\u00e2n t\u00edch l\u1ea1i d\u1eef li\u1ec7u ISOLDE c\u1ed1t l\u00f5i70 cho th\u1ea5y vi\u1ec7c s\u1eed d\u1ee5ng ICS \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 s\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u \u00e1i toan trong m\u00e1u cao h\u01a1n (\u22652%) c\u00f3 li\u00ean quan \u0111\u1ebfn t\u1ed1c \u0111\u1ed9 gi\u1ea3m FEV1 ch\u1eadm h\u01a1n (tuy nhi\u00ean, \u0111i\u1ec1u b\u1ea5t th\u01b0\u1eddng l\u00e0 d\u01b0\u1eddng nh\u01b0 kh\u00f4ng c\u00f3 t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn t\u1ed1c \u0111\u1ed9 \u0111\u1ee3t c\u1ea5p). Tuy nhi\u00ean, hi\u1ec7u \u1ee9ng n\u00e0y kh\u00f4ng \u0111\u01b0\u1ee3c th\u1ea5y trong t\u1ea5t c\u1ea3 c\u00e1c nghi\u00ean c\u1ee9u. Nh\u1eefng ng\u01b0\u1eddi h\u00fat thu\u1ed1c, cho d\u00f9 h\u1ecd b\u1ecb hen suy\u1ec5n hay COPD, th\u01b0\u1eddng kh\u00f4ng \u0111\u00e1p \u1ee9ng t\u1ed1t v\u1edbi ICS nh\u01b0 nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng h\u00fat thu\u1ed1c. Tuy nhi\u00ean, nh\u1eefng ph\u00e1t hi\u1ec7n t\u1eeb c\u00e1c ph\u00e2n t\u00edch h\u1eadu \u0111\u1ecbnh c\u1ee7a c\u00e1c th\u1eed nghi\u1ec7m ng\u1eabu nhi\u00ean c\u00f3 \u0111\u1ed1i ch\u1ee9ng v\u1ec1 ICS\/LABA65 v\u00e0 ICS\/LABA\/LAMA72 \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng m\u1ee9c \u0111\u1ed9 \u0111\u00e1p \u1ee9ng v\u1edbi ICS \u1edf nh\u1eefng ng\u01b0\u1eddi h\u00fat thu\u1ed1c, trong b\u1ed1i c\u1ea3nh gi\u1ea3m \u0111\u1ee3t c\u1ea5p, l\u00e0 l\u1edbn nh\u1ea5t \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 m\u1ee9c b\u1ea1ch c\u1ea7u \u00e1i toan cao h\u01a1n. Ngay c\u1ea3 \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n COPD kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi ICS, c\u00e1c b\u00e1c s\u0129 ch\u0103m s\u00f3c ban \u0111\u1ea7u c\u00f3 th\u1ec3 mi\u1ec5n c\u01b0\u1ee1ng ng\u1eebng thu\u1ed1c n\u00e0y, c\u00f3 th\u1ec3 ph\u1ea3n \u00e1nh \u1ea3nh h\u01b0\u1edfng c\u1ee7a h\u01b0\u1edbng d\u1eabn qu\u1ed1c gia tr\u01b0\u1edbc \u0111\u00e2y.<\/p>\n<p><strong>Ngu\u1ed3n tham kh\u1ea3o<\/strong>:<\/p>\n<p>Eosinophilic inflammation in COPD: from an inflammatory marker to a treatable trait<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ea1ch c\u1ea7u \u00e1i toan l\u00e0 m\u1ed9t lo\u1ea1i t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch c\u00f3 vai tr\u00f2 quan tr\u1ecdng trong ph\u1ea3n \u1ee9ng vi\u00eam. Trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD), b\u1ea1ch c\u1ea7u \u00e1i toan\u00a0 \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y nh\u01b0 l\u00e0 m\u1ed9t ch\u1ec9 s\u1ed1 quan tr\u1ecdng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n v\u00e0 d\u1ef1 \u0111o\u00e1n \u0111\u00e1p [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>B\u1ea1ch c\u1ea7u \u00e1i toan v\u00e0 vai tr\u00f2 trong \u0111\u00e1p \u1ee9ng ICS \u1edf b\u1ec7nh nh\u00e2n COPD<\/title>\n<meta name=\"description\" content=\"B\u1ea1ch c\u1ea7u \u00e1i toan l\u00e0 m\u1ed9t lo\u1ea1i t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch c\u00f3 vai tr\u00f2 quan tr\u1ecdng trong ph\u1ea3n \u1ee9ng vi\u00eam. 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