試題詳解

42. 一位65歲長期抽煙病人，肺功能檢查為FEV₁/FVC=0.60，FEV₁=60%預測值，去年有一次急性發作，但沒有住院，病人運動時會有呼吸困難，COPD assessment test (CAT)為20分，根據2014年版GOLD指引，其治療藥物選擇，應以下列哪一項為首選
(A) Short-acting anticholinergic or Short-acting beta2-agonist prn
(B) Long-acting anticholinergic or Long-acting beta2-agonist
(C) Inhaled corticosteroid + Long-acting beta2-agonist or Long-acting anticholinergic
(D) Inhaled corticosteroid+ Long-acting beta2-agonist and/or Long-acting anticholinergic