一圈标准与讨论中药超声雾化在耳鼻咽喉科临床应用专家共识Expert Consensus on the Clinical Application of Ultrasonic Nebulizationof Traditional Chinese Medicines in Otolaryngology周立，张蓉，张兰，蒋路云，田理，[摘要]中药超声雾化是将古代熏蒸疗法和现代医疗技术相结合的新型治疗手李文元《中药超声雾化在耳鼻咽段，该方法可使药液直接且均匀地作用于病灶，具有起效快、作用时间持久、方便快捷、全身不良反应少等优点。近年来，中药超声雾化已在临床中广泛应喉科临床应用专家共识》编写组用，并在耳鼻咽喉科疾病治疗中取得良好临床疗效。然而，目前中药超声雾化仍遵循既往临床经验，缺乏临床指导与规范。鉴于此，现基于目前国内外临床[基金项目】成都中医药大学“杏林学者”研究证据和专家经验，形成中药超声雾化在耳鼻咽喉科疾病中的临床应用和相学科人才科研提升计划(XKTD2021003)关问题的共识，以期进一步指导耳鼻咽喉科医师在临床中规范实践中药超声雾化，并促进其在耳鼻咽猴科疾病治疗中的合理应用。[作者简介】周立，男。刷主任医师，专业方间：中西医结合鼻科及咽喉科疾病的[关键词]中药；超声雾化；耳鼻咽喉科；临床应用；适应症；意见；建议防治。-mai1:20061063@cdutcm.cdu.Cm。[中图分类号]R276.1[文献标志码]A[文编号]2096-3327(2023)01-012-13张蓉，女，博士研究生，专业方阿：中D0I10.3969/1.issn.2096-3327.2023.01.002西医结合鼻科变态反应性疾病的防治。E-mail:cheung0213@hotmail.[Abstraet Ultrasonic nebulization of traditional Chinese medicine(TCM)is a new treatment methodcombining the anc ient traditional fumigation therapy and the modem advanced medical techndlogy,whichcom.can make the medicinal solution act directly and evenly on the lesion,with the advantages of easy to use,fastonset of action,long-lasting effect time and less systemic adverse reactions.Recently,ultrasonic nebulization[通讯作者】蒋路云，男，主任医师，专therapy of TCM has been widely utilized in clinical practice,and achieved favorable clinical efficacy in the业方间：中西医结合鼻科疾病的防治。treatment of otorhinolaryngological diseases.However,ultrasonic nebulization of TCM still follows theprevious clinical experience and lacks clinical guidance and standardization.Incorporating the availableE-mail:jly666@163.comclinical research evidence and expert experience from domestic and international sources,herein,an expertconsensus was developed regarding the clinical application of ultrasonic nebulized inhalation of TCM in thetreatment of otorhinolaryngological diseases and related issues,aiming to instruct the standardized practice成都中医药大学附属医院，成都610072and rational application of this therapeutic method in otorhinolaryngological diseases.[Key words]traditional Chinese medicine;ultrasonic atomization;otolaryngology;clinical practice;indications;opinions;recommendations中药超声雾化是将古代熏蒸疗法和现代医疗技术相结合的新型治疗手段，即使用超声雾化器将中药药液转换为雾状气溶胶形态，进而输送至病变部位的一种治疗方法。中药超声雾化不仅能将药液的微细颗粒直接且均匀地作用于病灶，提高中药有效成份的利用度【】，充分发挥中医药的优势，ZHOU Li,ZHANG Rong,ZHANG Lan避免口服中药汤剂困难的问题，还能避免肝脏首过效应【，增加病灶药物JIANG Lu-yun',TIAN Li,LI Wen-yuan浓度，提高疗效，而且利于水溶性较差的中药有效成份被病灶黏膜吸收，Expert Consensus on Clinical Applicationof Ultrasonic Nebulization of Traditional具有所需药物剂量小、起效快、方便快捷、全身不良反应少、局部药物浓Chinese Medicine in Otolaryngology度高、雾化产生的雾滴可以湿化呼吸道并清洁分泌物等诸多优点。中药超声雾化在以上呼吸道为病灶的耳鼻咽喉科应用尤其广泛，包括急/慢性鼻Hospital of Chengdu University of TCM,Chengdu 610072,China炎、变应性鼻炎、萎缩性鼻炎、慢性鼻窦炎、急/慢性扁桃体炎、急慢性/0C12中国合理用药深索CHINESE JOURNAL OF RATIONAL DRUG USE
