儿童急性鼻窦炎中西医诊治与疗效评价专家共识

doi:10.20274/j.cnki.issn.1674-3865.2026.05.001

Abstract

Abstract:

The consensus has been developed to clarify the integrated traditional Chinese and Western medicine approach to the diagnosis，treatment，and clinical evaluation of pediatric acute rhinosinusitis. The development methods of the consensus included the RAND/UCLA Appropriateness Method，which comprised two rounds of expert questionnaire surveys and one face-to-face expert panel discussion. The main content covers scope，terms and definitions，overview，Western medicine diagnosis，traditional Chinese medicine syndrome differentiation，integrated Chinese and Western treatment，and assessments of therapeutic efficacy and safety. The consensus is intended to provide a practical reference for standardized clinical diagnosis and treatment of pediatric acute rhinosinusitis，offer methodological support for high-quality clinical research，and promote the translation and development of novel Chinese herbal medicines for children.

Key words: Acute rhinosinusitis, Integrated traditional Chinese and Western medicine diagnosis and treatment, Efficacy evaluation, Consensus, Child

CLC Number:

R725.6

Siyuan HU, Qinglong GU, Xuefeng WANG, Fengying QIAO, Rong MA, Daxin LIU, Qiuhan CAI, Yan CHEN. Expert consensus on the diagnosis, treatment and efficacy evaluation of pediatric acute rhinosinusitis in integrated traditional Chinese and Western medicine[J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2026, 18(5): 369-375.

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References 26

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症状	0分	1分	2分	3分
鼻塞	无	偶有鼻塞或呼吸不利	交替性或间歇性鼻塞	双侧鼻腔持续性鼻塞，张口呼吸
鼻涕	无	鼻涕量少或不易擤出	鼻涕量多，须不断擤出	鼻涕量多，自行流出鼻外，或涕多须用力擤后方能通气
鼻音重浊	无	轻微	明显	严重
头痛/颜面疼痛	无	轻微	明显	严重
咳嗽	无	偶尔	间断，不影响生活	频繁，影响生活
咳痰	无	偶尔	间断	频繁
发热	无	37.5～38.0 ℃	38.1～39.0 ℃	>39.0 ℃
恶风	无	轻微	明显	严重
嗅觉减退	无	轻微	明显	严重
口苦	无	轻微	明显	严重
咽干	无	咽干不适	咽干灼热	咽干灼热难忍
目眩（眼花或眼前发黑）	无	偶尔	间断	频繁
急躁易怒	无	偶尔	时有	频繁
倦怠乏力	无	轻微	明显	严重
胸脘痞闷	无	轻微	明显	严重
头闷头胀	无	轻微	明显	严重
纳呆	无	食欲差，食量减少<1/3	食欲差，食量减少1/3～1/2	食欲差，食量减少>1/2
小便黄赤	无	尿色偏黄	尿量或次数减少，尿色黄	尿量或次数明显减少，尿色深黄

Expert consensus on the diagnosis, treatment and efficacy evaluation of pediatric acute rhinosinusitis in integrated traditional Chinese and Western medicine

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