EXPERT TACTICS ALGORITHM FOR COPD STAGE II PATIENTS BASED ON THE INSOMNIA AND USING MELATONIN
UDC 616.24-008.47; 615.357
A. V. Budnevsky, L. N. Tsvetikova, D. V. Vasilenko, E. A. Kudashova, E. S. Ovsyannikov,
A. N. Popova
Insomnia is one of the contributing factors for COPD. The study included 28 people with stage II COPD diagnosed with sleep quality disturbances that against the background of traditional therapy of COPD received within 12 months of 4 courses for 14 days melatonin 3 mg 30-40 minutes before bedtime. As a result, significantly improved performance psychological quality scale component life and improved quality of sleep. It was developed to an algorithm specialist tactics in patients with stage II COPD. In view of the findings can suggest the following modification of the algorithm expert tactics. The algorithm includes the first phase of clinical and instrumental examination in accordance with the GOLD criteria and evaluation of the quality of sleep. If the patient has a diagnosis of stage II COPD and sleep index exceeds 9 units, it becomes expedient administration of melatonin 3 mg 1 time per day (14 days) on a background of standard therapy of COPD.
Keywords: COPD, melatonin, insomnia, quality of life, algorithm.