The invention provides a pharmaceutical composition preparation. The pharmaceutical composition preparation comprises an anticholinergic 
drug tiotropium or a 
hydrate thereof, a beta 2-
receptor agonistarformoterol or a salt thereof, and an inhaled 
glucocorticoid fluticasone or an ester derivative thereof; 
tiotropium bromide acts on a muscarinic 
receptor on bronchial smooth muscles, the cholinergiceffect of 
acetylcholine released by the 
tail ends of parasympathetic nerves can be inhibited, and 
muscular tension is blocked; the arformoterol acts on a beta 2-
receptor on an 
airway smooth muscle cell membrane, so that the release of 
degranulation and media of mast cells and basophils is reduced, the permeability of capillaries is reduced, and swinging of 
airway epithelial cilia is increased; the 
fluticasone is an effective anti-inflammatory 
drug, and when the three drugs are combined for use, the three mechanisms jointly exert the 
bronchus relaxing effect and the anti-inflammatory effect; the application range of the triple therapy is wider on the important clinical indexes of reducing acute 
exacerbation of patients suffering from chronic obstructive 
pulmonary disease, reducing total-cause 
mortality rate, improving the 
lung function of the patients suffering from chronic obstructive 
pulmonary disease, improving the living quality and the like.