鼻炎分类和诊断及鼻腔用药方案的专家共识  

Expert consensus on classification, diagnosis and intranasal medication of rhinitis

作　　者：李华斌 王向东[2] 王洪田[3] 谭国林[4] 陈建军[5] 徐睿[6] 孟娟[7] 张维天[8] 杨钦泰[9] 邱前辉 唐隽[11] 叶菁 孟粹达[13] 许元腾[14] 余少卿[15] 谢志海[16] 许成利 孙斌[18] 杨玉成[19] 张天虹[20] 喻国冻 王德辉[1] 无 LI Hua-bin;WANG Xiang-dong;WANG Hong-tian;TAN Guo-lin;CHEN Jian-jun;XU Rui;MENG Juan;ZHANG Wei-tian;YANG Qin-tai;QIU Qian-hui;TANG Jun;YE Jing;MENG Cui-da;XU Yuan-teng;YU Shao-qing;XIE Zhi-hai;XU Cheng-li;SUN Bin;YANG Yu-cheng;ZHANG Tian-hong;YU Guo-dong;WANG De-hui;无(Department of Otorhinolaryngology,Affiliated Ophthalmology and Otolaryngology Hospital of Fudan University,Shanghai 200031,China;Department of Otolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;Department of Otolaryngology Head and Neck Surgery,General Hospital of the People's Liberation Army,Beijing 100853,China;Department of Otolaryngology Head and Neck Surgery,Third Xiangya Hospital,Central South University,Changsha 410013,China;Department of Otolaryngology,Affiliated Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China;Department of Otolaryngology,Affiliated First Hospital,Sun Yat-Sen University,Guangzhou 510080,China;Department of Otolaryngology Head and Neck Surgery,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Otolaryngology Head and Neck Surgery,Sixth People's Hospital,Shanghai Jiaotong University,Shanghai 200233,China;Department of Otolaryngology Head and Neck Surgery,Affiliated Third Hospital,Sun Yat-sen University,Guangzhou 510630,China;Center of Otolaryngology,Zhujiang Hospital Affiliated to Southern Medical University,Guangzhou 510515,China;Department of Otolaryngology Head and Neck Surgery,Affiliated First People's Hospital of Foshan City,Sun Yat-Sen University,Foshan 528000,China;Department of Otolaryngology Head and Neck Surgery,the First Hospital Affiliated to Nanchang University,Nanchang 330006,China;Department of Otolaryngology Head and Neck Surgery,China Japan Friendship Hospital,Jilin University,Changchun 130033,China;Department of Otolaryngology,the First Affiliated Hospital of Fujian Medical University,Fuzhou 350004,China;Department of Otolaryngology Head and Neck Surgery,Tongji Hospital Af

机构地区：[1]复旦大学附属眼耳鼻咽喉科医院耳鼻咽喉科,上海200031 [2]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,北京100730 [3]中国人民解放军总医院耳鼻咽喉头颈外科,北京100853 [4]中南大学湘雅三医院耳鼻咽喉头颈外科,湖南长沙410013 [5]华中科技大学同济医学院附属协和医院耳鼻咽喉科,湖北武汉430022 [6]中山大学附属第一医院耳鼻咽喉科医院,广东广州510080 [7]四川大学华西医院耳鼻咽喉头颈外科,四川成都610041 [8]上海交通大学附属第六人民医院耳鼻咽喉头颈外科,上海200233 [9]中山大学附属第三医院耳鼻咽喉头颈外科,广东广州510630 [10]南方医科大学附属珠江医院耳鼻咽喉科中心,广东广州510515 [11]中山大学附属佛山市第一人民医院耳鼻咽喉头颈外科,广东佛山528000 [12]南昌大学附属第一医院耳鼻咽喉头颈外科,江西南昌330006 [13]吉林大学中日联谊医院耳鼻咽喉头颈外科,吉林长春130033 [14]福建医科大学附属第一医院耳鼻咽喉科,福建福州350004 [15]同济大学附属同济医院耳鼻咽喉头颈外科,上海200065 [16]中南大学湘雅医院耳鼻咽喉头颈外科,湖南长沙410008 [17]广西医科大学第二附属医院耳鼻咽喉头颈外科,广西南宁530007 [18]西安交通大学第二附属医院耳鼻咽喉头颈外科病院,陕西西安710004 [19]重庆医科大学附属第一医院耳鼻咽喉头颈外科,重庆400016 [20]哈尔滨医科大学附属第一医院耳鼻咽喉头颈外科,黑龙江哈尔滨150001 [21]贵州医科大学附属医院耳鼻咽喉科,贵州贵阳550001 [22]中国鼻病研究协作组

出　　处：《中国耳鼻咽喉颅底外科杂志》2019年第6期573-577,共5页Chinese Journal of Otorhinolaryngology-skull Base Surgery

基　　金：国家杰出青年基金(81725004);国家自然科学基金(81271056,81670908,81860182,81873690,81870700);上海市科委优秀学术带头人项目(19XD1401000);四川省科技厅国际合作项目(2018HH0097);贵州省科学技术厅攻关项目(sy2011-3064)

摘　　要：本文基于临床经验和循证医学证据制定的鼻炎(萎缩性鼻炎除外)分类和诊疗的专家共识,其中在治疗方面重点关注了鼻腔局部用药的临床应用,旨在进一步规范鼻炎尤其是慢性鼻炎的诊疗,明确鼻腔局部用药如鼻用糖皮质激素、鼻用抗组胺药和鼻腔盐水盥洗等在鼻炎治疗中的临床地位及注意事项,以便指导临床医师进行合理用药,提高鼻炎的疗效和患者的满意度。This document is a rhinitis consensus organized by the youth nasal experts from the Nasal Health Group of China to address the classification, diagnosis and treatment of rhinitis(except for atrophic rhinitis). In the treatment section, the consensus focuses on the clinical use of intranasal medications. The aim of this consensus is to standardize the treatment of chronic rhinitis and emphasize the clinical importance and points for attention of intranasal glucocorticoids, intranasal anti-histamines and nasal saline irrigation, etc. so as to instruct the optimal medication for clinicians and improve the efficacy and satisfactions of all patients.

关 键 词：鼻炎 急性 鼻炎 慢性 鼻腔用药 糖皮质激素 抗组胺药 不良反应 

分 类 号：R765.21[医药卫生—耳鼻咽喉科]