鼻用减充血剂的临床应用暨药物性鼻炎的诊治专家共识(2022,北京)  

Expert consensus on clinical application of nasal decongestant and management of rhinitis medicamentosa(2022,Beijing)

作　　者：王洪田 杨钦泰[2] 安云芳[3] 孟娟[4] 王天生[5] 陆美萍[6] 邱前辉[7] 王向东[8] 徐睿[9] 刘锋[4] 陈建军[10] 叶菁 孟粹达[12] 谢志海[13] 孙悦奇[14] 曾明[15] 许成利 王英[17] 杨玉成[18] 张维天[19] 唐隽[20] 左可军[9] 杨艳莉 喻国冻 石照辉 魏欣[24] 叶惠平 孙亚男[26] 余少卿[27] 张天虹[28] 雍军[29] 杭伟[30] 杨贵 许元腾[32] 许昱[33] 李华斌 中国鼻病研究协作组 WANG Hongtian;YANG Qintai;AN Yunfang;MENG Juan;WANG Tiansheng;LU Meiping;QIU Qianhui;WANG Xiangdong;XU Rui;LIU Feng;CHEN Jianjun;YE Jing;MENG Cuida;XIE Zhihai;SUN Yueqi;ZENG Ming;XU Chengli;WANG Ying;YANG Yucheng;ZHANG Weitian;TANG Jun;ZUO Kejun;YANG Yanli;YU Guodong;SHI Zhaohui;WEI Xin;YE Huiping;SUN Yanan;YU Shaoqing;ZHANG Tianhong;YONG Jun;HANG Wei;YANG Gui;XU Yuanteng;XU Yu;LI Huabin;Chinese Rhinopathy Research Cooperation Group(Department of Allergy,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China;Department of Otolaryngology Head and Neck Surgery&Department of Allergy,the Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China;Department of Otolaryngology,the Second Hospital of Shanxi Medical University,Taiyuan 030001,China;Department of Otolaryngology Head and Neck Surgery,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Otolaryngology Head and Neck Surgery,Third Xiangya Hospital,Central South University,Changsha 410013,China;Department of Otolaryngology,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China;Department of Otolaryngology Head and Neck Surgery,Guangdong Provincial People's Hospital,Guangzhou 510080,China;Department of Otolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;Otorhinolaryngology Hospital,the First Affiliated Hospital of Sun Yat-Sen University,Guangzhou 510080,China;Department of Otolaryngology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China;Department of Otolaryngology Head and Neck Surgery,the First Affiliated Hospital of Nanchang University,Nanchang 330006,China;Department of Otolaryngology Head and Neck Surgery,China-Japan Friendship Hospital,Jilin University,Changchun 130033,China;Department of Otolaryngology Head and Neck Surgery,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Otolaryngology,the Seventh Affiliated Hospital of Sun Yat-sen Unive

机构地区：[1]首都医科大学附属北京世纪坛医院变态反应科,北京100038 [2]中山大学附属第三医院耳鼻咽喉头颈外科和变态反应(过敏)科,广东广州510630 [3]山西医科大学第二医院耳鼻咽喉科,山西太原030001 [4]四川大学华西医院耳鼻咽喉头颈外科,四川成都610041 [5]中南大学湘雅三医院耳鼻咽喉头颈外科,湖南长沙410013 [6]南京医科大学第一附属医院耳鼻咽喉科,江苏南京210029 [7]广东省人民医院耳鼻咽喉头颈外科,广东广州510080 [8]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 [9]中山大学附属第一医院耳鼻咽喉科医院,广东广州510080 [10]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 [11]南昌大学附属第一医院耳鼻咽喉头颈外科,江西南昌330006 [12]吉林大学中日联谊医院耳鼻咽喉头颈外科,吉林长春130033 [13]中南大学湘雅医院耳鼻咽喉头颈外科,湖南长沙410008 [14]中山大学附属第七医院耳鼻咽喉科,广东深圳518107 [15]华中科技大学同济医学院附属同济医院耳鼻咽喉头颈外科,湖北武汉430030 [16]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 [17]郑州大学第一附属医院鼻科,河南郑州450052 [18]重庆医科大学附属第一医院耳鼻咽喉头颈外科,重庆400016 [19]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 [20]中山大学附属佛山市第一人民医院耳鼻咽喉科,广东佛山528000 [21]昆明医科大学第一附属医院耳鼻咽喉科,云南昆明650032 [22]贵州医科大学附属医院耳鼻咽喉科,贵州贵阳550001 [23]深圳市龙岗区耳鼻喉医院耳鼻咽喉科,广东深圳518116 [24]海南省人民医院耳鼻咽喉科医院,海南海口570311 [25]贵州省人民医院耳鼻咽喉科,贵州贵阳550002 [26]哈尔滨医科大学附属第二医院耳鼻咽喉头颈外科,黑龙江哈尔滨150001 [27]同济大学附属同济医院耳鼻咽�

出　　处：《中国耳鼻咽喉颅底外科杂志》2022年第4期1-7,共7页Chinese Journal of Otorhinolaryngology-skull Base Surgery

基　　金：国家自然科学基金杰出青年基金(81725004);国家自然科学基金(81670901,81371074,81873689,81873690,82171104,81870706,82071014,81870700);上海市科委优秀学科带头人项目(20MC920200);上海市耳鼻咽喉疾病临床中心重大专项(20MC920200)。

摘　　要：鼻用减充血剂可以快速缓解鼻塞,但长期过量使用可导致药物性鼻炎。目前临床上对鼻用减充血剂的使用和药物性鼻炎的治疗还存在很多误区。鉴于此,中国鼻病研究协作组召集国内中青年鼻科专家,基于临床经验和循证医学证据制订了鼻用减充血剂的临床应用暨药物性鼻炎的诊治专家共识。本共识系统总结了临床应用鼻用减充血剂治疗鼻塞的注意事项及药物性鼻炎的治疗原则,旨在指导并规范临床应用鼻用减充血剂,并正确有效地治疗药物性鼻炎。Nasal decongestant is known to relieve nasal congestion rapidly and effectively.However,overdose and long-term use of nasal decongestant may cause rhinitis medicamentosa.Currently,there are still some controversial issues in the clinical use of nasal decongestant and management of rhinitis medicamentosa.For this reason,the Chinese Rhinopathy Research Cooperation Group convened domestic young and middle-aged rhinology experts to formulate an expert consensus on clinical use of nasal decongestant and management of rhinitis medicamentosa based on clinical experience and evidence-based medicine.This consensus systematically summarizes the relevant issues in order to guide and standardize clinicians to use nasal decongestant and treat rhinitis medicamentosa.

关 键 词：药物性鼻炎 减充血剂 鼻用 手术 不良反应 

分 类 号：R765.21[医药卫生—耳鼻咽喉科]