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1、·1352·中華中醫(yī)藥雜志(原中國(guó)醫(yī)藥學(xué)報(bào))2016年4月第31卷第4期CJTCMP,April2016,Vol.31,No.4·標(biāo)準(zhǔn)與規(guī)范·中醫(yī)兒科臨床診療指南·小兒鼻鼽112汪受傳，李輝，徐玲12（南京中醫(yī)藥大學(xué)，南京210029；鹽城市中醫(yī)院，江蘇鹽城224001）摘要：通過(guò)文獻(xiàn)檢索、文獻(xiàn)評(píng)價(jià)、文獻(xiàn)總結(jié)，兩輪專家問(wèn)卷調(diào)查，專家論證會(huì)，專家質(zhì)量方法學(xué)評(píng)價(jià)和臨床一致性評(píng)價(jià)，制定《中醫(yī)兒科臨床診療指南·小兒鼻鼽》，提出小兒鼻鼽診療指南的范圍、術(shù)語(yǔ)和定義、診斷；辨證分為肺氣虛寒證、肺經(jīng)伏熱證、脾氣虛弱證、
2、腎陽(yáng)不足證4種證候，推薦了中醫(yī)藥分證論治、中成藥、針灸治療方法；以及本病的預(yù)防和調(diào)護(hù)。關(guān)鍵詞：中醫(yī)兒科；臨床診療指南；小兒鼻鼽基金資助：國(guó)家中醫(yī)藥管理局2014年中醫(yī)藥部門公共衛(wèi)生服務(wù)補(bǔ)助資金中醫(yī)藥標(biāo)準(zhǔn)制修訂項(xiàng)目ClinicalguidelinesfordiagnosisandtreatmentofpediatricdiseasesinChinesemedicine:Allergicrhinitisinchildren112WANGShou-chuan,LIHui,XULing12(NanjingUni
3、versityofChineseMedicine,Nanjing210029,China;HospitalofTraditionalChineseMedicineofYanchengCity,Yancheng224001,China)Abstract:ClinicalguidelinesfordiagnosisandtreatmentofpediatricdiseasesinChinesemedicine:Allergicrhinitisinchildrenisformulatedthroughthel
4、iteraturesearch,evaluationoftheliterature,theliteraturesummary,tworoundsofexpertquestionnaireinvestigations,expertargumentation,andtheexpertqualitymethodologyassessmentandclinicalconsistencyevaluation.Theexpertsproposedthescope,terms,de?nitionsanddiagnos
5、isofallergicrhinitisinchildren.InTCMsyndromedifferentiation,children’sallergicrhinitiscanbedividedintofoursyndromes,thesyndromeofdeficiencycoldoflungqi,thesyndromeofhiddenheatinthelung,thesyndromeofspleenqideficiency,andthesyndromeofkidneyyangdeficiencys
6、yndrome.Intheguidelines,theexpertsrecommendTCMsyndromedifferentiationandtreatment,Chineseproprietarymedicines,acupunctureandmoxibustiontherapy,aswellastheTCMpreventionandregulatingofthedisease.Keywords:PediatricsofTCM;Clinicalguidelinesfordiagnosisandtre
7、atment;AllergicrhinitisinchildrenFunding:TCMStandardsRevisionProjectoftheGrant-basedFundingofPublicHealthServicesintheChineseMedicineSectorin2014oftheStateAdministrationofTraditionalChineseMedicine范圍診斷本指南提出了小兒鼻鼽的診斷、辨證、治療、預(yù)防和調(diào)護(hù)建1.病史本病可常年發(fā)病，亦可呈季節(jié)性發(fā)作，春、秋、冬議
8、。本指南適用于18周歲以下人群鼻鼽的診斷和防治。本指南三季多發(fā)。具有反復(fù)發(fā)作的病史，部分患兒可有蕁麻疹、濕疹、[2-3]適合中醫(yī)科、兒科等相關(guān)臨床醫(yī)師使用。支氣管哮喘等過(guò)敏性疾病史或家族史。術(shù)語(yǔ)和定義2.臨床表現(xiàn)癥狀：鼻癢、噴嚏、清水樣涕、鼻塞等癥狀[1-4]下列術(shù)語(yǔ)和定義適用于本指南。出現(xiàn)2項(xiàng)及2項(xiàng)以上，每天癥狀持續(xù)或累計(jì)1h以上?？砂橛醒?.小兒鼻鼽（allergicrhinitisinchildren）小兒鼻鼽是常癢、結(jié)膜充血等眼部癥
