中西医治疗急性鼻窦炎的临床研究进展

Clinical Research Advances in the Treatment of Acute Rhinosinusitis with Integrated Traditional Chinese and Western Medicine

摘要: 急性鼻窦炎(Acute Rhinosinusitis, ARS)是鼻腔和鼻窦的一种急性感染性炎症，常见症状为鼻塞、流涕、头痛或面部疼痛等，给患者的生活带来困扰。中医认为ARS多属实证，因外邪侵袭，引起肺、脾胃、胆病变而发病，治疗多以清热利湿通窍为主，常用方法有中药口服、熏蒸、针刺、艾灸等。西医认为ARS主要是由于细菌或病毒感染所致，治疗上以控制感染为主，改善鼻腔通气和鼻窦引流，包括药物口服、鼻喷剂、手术治疗等。文章就近年来中西医治疗ARS的相关研究进行综述，以期找到更为合适的治疗方法。

Abstract: Acute Rhinosinusitis (ARS) is an acute infectious inflammation affecting the nasal cavity and paranasal sinuses, commonly characterized by symptoms such as nasal congestion, rhinorrhea, headache, or facial pain, which cause significant patient discomfort. Traditional Chinese Medicine (TCM) attributes ARS predominantly to excess patterns arising from the invasion of external pathogens, leading to disorders of the lung, spleen-stomach, and gallbladder. Treatment primarily focuses on clearing heat, resolving dampness, and unblocking the orifices, employing methods including oral herbal medicine, fumigation, acupuncture, and moxibustion. Modern medicine identifies bacterial or viral infections as the main etiology of ARS, with treatment centered on infection control, improvement of nasal ventilation, and sinus drainage through oral medications, nasal sprays, and surgical interventions. This article reviews recent research advances in both TCM and modern medical approaches to ARS management, aiming to identify more effective therapeutic strategies.