鼻用糖皮质激素治疗变应性鼻炎专家共识(2021,上海)  

Expert consensus on the management of allergic rhinitis with intranasal corticosteroid(2021,Shanghai)

作　　者：杨钦泰[1] 陈建军[2] 谭国林[3] 王向东[4] 徐睿[5] 余少卿[6] 孟娟[7] 张维天[8] 邱前辉[9] 唐隽[10] 孟粹达[11] 许元腾[12] 谢志海[13] 许成利 孙斌[15] 杨玉成[16] 喻国冻 叶菁 张天虹[19] 王洪田 李华斌 中国鼻病研究协作组 YANG Qintai;CHEN Jianjun;TAN Guolin;WANG Xiangdong;XU Rui;YU Shaoqing;MENG Juan;ZHANG Weitian;QIU Qianhui;TANG Jun;MENG Cuida;XU Yuanteng;XIE Zhihai;XU Chengli;SUN Bin;YANG Yucheng;YU Guodong;YE Jing;ZHANG Tianhong;WANG Hongtian;LI Huabin;Chinese Rhinopathy Research Cooperation Group(Department of Otolaryngology Head and Neck Surgery&Department of Allergy,Affiliated Third Hospital,Sun Yat-sen University,Guangzhou 510630,China;Department of Otolaryngology,Affiliated Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China;Department of Otolaryngology Head and Neck Surgery,Third Xiangya Hospital,Central South University,Changsha 410013,China;Department of Otolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;Hospital of Otolaryngology,Affiliated First Hospital,Sun Yat-Sen University,Guangzhou 510080,China;Department of Otolaryngology Head and Neck Surgery,Tongji Hospital Affiliated to Tongji University,Shanghai 200065,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,Guangdong Provincial People’s Hospital,Guangzhou 510080,China;Department of Rhinology,Affiliated First People’s Hospital of Foshan City,Sun Yat-Sen University,Foshan 528000,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,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Otolaryngology Head and Neck Surgery,the Second Affiliated Hospital of Guangxi Medical University,Nanning 530007,China;Hospital of Otolaryngology Head and Neck Surgery,the Secon

机构地区：[1]中山大学附属第三医院耳鼻咽喉头颈外科/变态反应(过敏)科,广东广州510630 [2]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 [3]中南大学湘雅三医院耳鼻咽喉头颈外科,湖南长沙410013 [4]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 [5]中山大学附属第一医院耳鼻咽喉科医院,广东广州510080 [6]同济大学附属同济医院耳鼻咽喉头颈外科,上海200065 [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]广东省人民医院耳鼻咽喉头颈外科,广东广州510080 [10]中山大学附属佛山市第一人民医院鼻科,广东佛山528000 [11]吉林大学中日联谊医院耳鼻咽喉头颈外科,吉林长春130033 [12]福建医科大学附属第一医院耳鼻咽喉科,福建福州350004 [13]中南大学湘雅医院耳鼻咽喉头颈外科,湖南长沙410008 [14]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 [15]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 [16]重庆医科大学附属第一医院耳鼻咽喉头颈外科,重庆400016 [17]贵州医科大学附属医院耳鼻咽喉科,贵州贵阳550001 [18]南昌大学附属第一医院耳鼻咽喉头颈外科,江西南昌330006 [19]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 [20]首都医科大学附属北京世纪坛医院变态反应科,北京100038 [21]复旦大学附属眼耳鼻咽喉科医院耳鼻咽喉科,上海200031 [22]不详

出　　处：《中国耳鼻咽喉颅底外科杂志》2021年第4期365-371,共7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(U20A20399,81271056,81670908,81860182,81873690,81870700,81870704,81873690,81873689,81970853,81873693,81670901,81870700,82071014);上海市科委优秀学术带头人项目(19XD1401000);福建省自然科学基金(2020J01981);福建省卫生教育联合攻关项目(2019-wj-25)。

摘　　要：本文系中国鼻病研究协作组召集国内青年鼻科专家,基于临床经验和循证医学证据制订的鼻用糖皮质激素治疗变应性鼻炎的专家共识。本共识从鼻用糖皮质激素的作用原理、药理特点和临床应用等方面系统总结了鼻用糖皮质激素在治疗变应性鼻炎中的作用、临床应用要旨和注意事项,旨在进一步规范变应性鼻炎的诊疗,指导医师进行合理的用药,以提高变应性鼻炎的治疗疗效和患者的就医满意度。This document is an expert consensus on the management of allergic rhinitis with intranasal corticosteroid,which was reached by a panel of youth experts from Chinese Rhinopathy Research Cooperation Group on the basis of clinical experience and evidence medicine.The consensus focuses on the mechanisms,pharmacology and clinical uses of intranasal corticosteroid in the management of allergic rhinitis,so as to instruct the optimal medications for clinicians and improve the efficacy and satisfaction.

关 键 词：鼻炎 变应性 鼻腔用药 糖皮质激素 不良反应 

分 类 号：R765.21[医药卫生—耳鼻咽喉科]