抗生素在儿童鼻窦炎治疗中的地位

doi:10.6040/j.issn.1673-3770.1.2019.056

摘要/Abstract

摘要： 儿童时期患病毒性上呼吸道感染容易导致鼻窦炎发病率高且易反复发作,是常见病之一。抗生素在以往的中外鼻窦炎诊疗指南中,均被放到一线治疗地位。然而儿童与成人在解剖学、病理生理过程以及伴发疾病等各因素的比较上均存在明显差异,因此近年在儿童鼻窦炎的诊疗过程中抗生素是否属于一线治疗一直存在争议。现回顾国内外文献,对抗生素治疗儿童鼻窦炎的作用进行讨论。

关键词: 儿童, 鼻窦炎, 抗生素

Abstract: Pediatric sinusitis is one of the most common childhood diseases. Recurrent upper respiratory infections are associated with its high incidence and relapse rates, which increases the burden on families and society. In the past, the use of antibiotics has been advised in Chinese and foreign guidelines for the treatment of sinusitis as the first-line response. However, differences between children and adults in anatomy, pathophysiology, and associated diseases have led to controversy regarding antibiotic treatment for pediatric sinusitis. Further, in recent years, there have been debates about the use of antibiotics as the first-line therapy. This paper reviews the efficacy of antibiotics in the treatment of pediatric sinusitis.

Key words: Pediatric, Sinusitis, Antibiotics

中图分类号:

R765

李勇. 抗生素在儿童鼻窦炎治疗中的地位[J]. 山东大学耳鼻喉眼学报, 2019, 33(6): 20-24.

LI Yong. The role of antibiotics for pediatric sinusitis[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(6): 20-24.

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