南京中医药大学学报2023年3月第39卷第3期-274J Nanjing Unis Tradit Chin Med Vol.39 No.3 Mar.2023·临床诊疗标准研究·儿童变应性鼻炎中西医结合诊疗指南赵霞，张杰2，秦艳虹3，王孟清4，李琦，张葆青6，薛征？，田曼5，李兰8，陈波蓓9，潘青云，徐天泓(1.南京中医药大学附属医院，江苏南京210029：2.首都医科大学附属北京儿童医院，北京100045：3.山西中医药大学附属医院，山西太原030024：4.湖南中医药大学第一附属医院，湖南长沙410021：5.南京医科大学附属儿童医院，江苏南京210008:6.山东中医药大学附属医院，山东济南250011；7.上海市中医医院儿科，上海200071：8.深圳市儿童医院耳鼻喉科，深圳518026：9.温州医科大学附属第二医院，浙江温州325000)摘要：基于文献检索及评价、专家访谈、组内讨论、专家论证会、公开征求意见等制订流程，形成《儿童变应性鼻炎中西医结合诊疗指南》。此次制订提出指南适用范围、规范性引用文件、术语和定义、诊断、治疗，旨在为儿童变应性鼻炎中西医结合临床实践、诊疗规范和质量评价提供重要参考。关键词：中西医；儿童；变应性鼻炎；诊疗指南；标准中图分类号：272.6文献标志码：A文章编号：1672-0482(2023)03-0274-11D0L:10.14148/j.isn.1672-0482.2023.0274引文格式：赵霞，张杰，秦艳虹，等.儿童变应性鼻炎中西医结合诊疗指南[J].南京中医药大学学报，2023,39(3)：274-284.Guideline for the Diagnosis and Treatment of Allergic Rhinitis in Children with Integrated Traditional Chinese and WesternMedicineZHAO Xia',ZHANG Jie',QIN Yan-hong',WANG Meng-qing',LI Qi,ZHANG Bao-qing,XUE Zheng',TIAN Man',LILan',CHEN Bo-bei",PAN Qing-yun',XU Tian-hong'(1.The Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China;2 Beijing Children's Hospital,CapitalMedical University,Beijing 100045,China;3.The Affiliated Hospital of Shanxi University of Chinese Medicine,Taiyuan 030024,Chi-na:4.The First Affiliated Hospital of Hunan University of Chinese Medicine,Changsha 410021,China;5.The Affiliated Children'sHospital of Nanjing Medical University,Nanjing 210008,China:6.The Affiliated Hospital of Shandong University of Traditional Chi-nese Medicine,Jinan 250011,China:7.Department of Pediatrics,Shanghai Hospital of Chinese Medicine,Shanghai 200071,China;8.Department of Otolaryngology,Shenzhen Children's Hospital,Shenzhen 518026 China;9.The Second Hospital of Wenzhou MedicalUniversity,Wenzhou 325000,China)ABSTRACT:Based on literature search and evaluation,expert interviews,group discussions,expert reasoning conference,referringto the general public for comments and other processes,the Guideline for the diagnosis and treatment of allergic rhinitis in children withintegrated traditional Chinese and western medicine was formed.The guideline proposed the scope of application,normative citationdocuments,terminology definition,diagnosis,and treatment,aiming to provide valuable reference for clinical practice,diagnosis andtreatment norms,as well as quality evaluation of integrated traditional Chinese and western medicine for children with allergic rhinitis.KEYWORDS:integrated Chinese and western medicine;children;allergic rhinitis;guideline for diagnosis and treatment;standards1背景国内外各种版本的变应性鼻炎临床诊疗指南已儿童变应性鼻炎是常见的呼吸道慢性炎性疾更新数次，但在实际应用中仍存在诊断和治疗的不病，严重影响患儿的生活质量，引发全球关注。规范，不仅影响疗效，也造成医疗费用的消耗。西医2001一2021年中国儿童变应性鼻炎青少年总体患治疗强调在避免接触过敏原及健康教育的同时，通病率为18.46%：2012一2021年与2001一2011年相过抗组胺药、鼻用糖皮质激素、白三烯受体拮抗剂、比儿童变应性鼻炎患病率有上升趋势，且与全球整减充血剂等药物治疗及免疫治疗等综合治疗方案进体趋势一致)。行干预)。药物治疗在较快速改善患儿症状的同收稿日期：2023-01-25基金项目：中华中医药学会团体标准项目(20220415-BZ-CACM)通信作者：赵霞，女，教授，主任中医师，主要从事中医药防治小儿肺脾系疾病、儿童体质、中医药标准化研究，E-mail:小aoxiahy@126.com
