儿童鼻窦炎治疗新技术  

New technology for treating sinusitis in children

作　　者：刘佳[1] 付勇[1] LIU Jia;FU Yong(Children's Hospital Afiliated to Zhejiang University School of Medicine,National Clinical Research Center for Children's Health,Hangzhou 310051,China)

机构地区：[1]浙江大学医学院附属儿童医院,国家儿童健康临床研究中心,浙江杭州310051

出　　处：《中国实用儿科杂志》2025年第2期117-121,共5页Chinese Journal of Practical Pediatrics

基　　金：国家中心自主设计项目一重点项目(S20A0001)。

摘　　要：儿童鼻窦炎是耳鼻咽喉头颈外科的常见疾病,反复的鼻窦炎加重下气道炎症如肺炎、哮喘等疾病的治疗难度,成为儿童耳鼻咽喉科的难题。儿童鼻窦炎的临床特点和转归与成人有着显著的差异。大多数成人鼻窦炎的循证治疗方法,在儿童鼻窦炎治疗中并无证据。由于缺乏足够关注,儿童鼻窦炎目前的治疗尚存在一些问题。近年来,学者们不断研究更好的治疗方式,例如寻求更优的局部给药方式来使用抗生素及糖皮质激素,从而改善鼻腔鼻窦局部药物浓度不足,同时减少全身用药带来的副反应等问题;儿童鼻窦手术效果的预测评估,手术的方式、时机和阶梯手术治疗的选择等;中医治疗和免疫调节剂的使用逐渐薪露头角。该文在总结国内外最新研究文献的基础上,结合科室的临床经验,总结了儿童鼻窦炎治疗新技术。旨在提高儿童鼻窦炎临床治疗效果,提升临床疗效和满意度,节省临床支出并减少不良反应的发生。Sinusitis in children is a common disease in the department of otolaryngology,head and neck surgery.Repeated sinusitis increases the treatment difficulty of lower airway inflammation,such as pneumonia and asthma,which becomes a difficult problem in pediatric otolaryngology department.The clinical characteristics and outcomes of sinusitis in children are significantly different from those in adults.Most evidence-based treatments for sinusitis in adults have no evidence of treatment for sinusitis in children.Due to the lack of sufficient attention,there are still some problems in the current treatment of sinusitis in children.In recent years,scholars have been studying better treatment methods,for example,seeking better local administration of antibiotics and glucocorticoids so as to improve the insufficient local drug concentration in the nasal cavity and sinuses and reduce the side effects of systemic medication;the prediction and evaluation of the effect of sinus surgery in children,and the choice of surgical method and timing and staged surgical treatment;the emerging application of TCM treatment and immunomodulators.Based on the summary of the latest research literature at home and abroad and through the combination with the clinical experience of the department,this paper summarizes the new treatment technology for sinusitis in children.The aim is to improve the clinical treatment effect on sinusitis in children,improve the clinical efficacy and satisfaction,save clinical expenditure,and reduce the occurrence of adverse reactions.

关 键 词：儿童鼻窦炎 治疗新技术 局部用药 中医治疗 免疫调节剂 

分 类 号：R72[医药卫生—儿科]