中医药治疗儿童慢性鼻窦炎临床研究进展

Advances in Clinical Research on Traditional Chinese Medicine for Pediatric Chronic Rhinosinusitis

摘要: 儿童慢性鼻窦炎(CRS)是临床高发的鼻部慢性炎症性疾病，具有病程绵长、反复发作、难以根治的特点，对患儿的日常生活与心理健康造成显著不良影响。目前现代医学以抗生素、糖皮质激素、鼻腔冲洗等为主要治疗手段，但存在不良反应多、复发率高等问题。中医药秉持整体诊疗理念，采用内服外治结合的方式干预CRS，通过中药汤剂、针灸、中药熏洗等多种疗法实现标本兼顾，是临床治疗该病的有效路径。本文通过梳理近年中医药治疗儿童CRS的相关研究成果，系统总结中医对该病的病因病机认知及临床诊疗方案，为儿童CRS的中医临床规范化应用提供参考。

Abstract: Pediatric chronic rhinosinusitis (CRS) is a highly prevalent chronic inflammatory nasal disease in clinical practice, characterized by a protracted course, recurrent episodes, and difficulty in radical cure, which exerts a significant adverse impact on children’s daily life and mental health. At present, modern medicine mainly adopts antibiotics, glucocorticoids, nasal irrigation and other therapies, yet these approaches are associated with frequent adverse reactions and a high recurrence rate. Adhering to the holistic diagnostic and therapeutic philosophy, traditional Chinese medicine (TCM) intervenes in CRS through a combination of oral administration and external treatment. Multiple therapies such as Chinese herbal decoctions, acupuncture, and herbal fumigation and washing achieve both symptomatic relief and root cause regulation, making TCM an effective approach for clinical treatment of this disease. By sorting out relevant research achievements on TCM treatment of pediatric CRS in recent years, this paper systematically summarizes TCM understanding of the etiology and pathogenesis as well as clinical diagnosis and treatment regimens of the disease, aiming to provide references for the standardized clinical application of TCM in pediatric CRS.