ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2024, Vol. 16 ›› Issue (5): 399-403.doi: 10.3969/j.issn.1674-3865.2024.05.009

• 专家共识 • 上一篇    下一篇

儿童咽炎、扁桃体炎中西医结合诊治专家共识

王雪峰, 尚云晓, 熊磊, 张建华, 秦艳红, 刘长山, 张葆青, 曹玲, 许华, 王力宁, 杨男, 李淼, 杨运刚, 张秀英
  

  1. 110032 沈阳，辽宁中医药大学附属医院（王雪峰，张秀英）；110000 沈阳，中国医科大学附属盛京医院（尚云晓，杨男，李淼）；650500 昆明，云南中医药大学（熊磊）；200000 上海，上海交通大学医学院附属新华医院（张建华）；030000 太原，山西中医药大学附属医院（秦艳红）；300211 天津，天津医科大学第二医院（刘长山）；250000 济南，山东中医药大学附属医院（张葆青）；100000 北京，首都儿科研究所附属儿童医院（曹玲）；510000 广州，广州中医药大学第一附属医院（许华）；530000 南宁，广西中医药大学第一附属医院（王力宁）；361000 福建 厦门，厦门大学附属第一医院（杨运刚）

  • 收稿日期:2024-10-08 修回日期:2024-10-10 出版日期:2024-10-25 上线日期:2024-10-25
  • 通讯作者: 尚云晓，E-mail：shangyunx@sina.com；王雪峰，E-mail：lnzywxf@163.com

Expert consensus on the diagnosis and treatment of pharyngitis and tonsillitis in children

WANG Xuefeng1，SHANG Yunxiao2，XIONG Lei3，ZHANG Jianhua4，QIN Yanhong5，LIU Changshan6，ZHANG Baoqing7，CAO Ling8，XU Hua9，WANG Lining10，YANG Nan2，LI Miao2，YANG Yungang11，ZHANG Xiuying1   

  1. 1Affiliated Hospital of Liaoning University of Traditional Chinese Medicine，Shenyang 110032，China;
    2Shengjing Hospital Affiliated to China Medical University，Shenyang 110000，China;3Yunnan University of Traditional Chinese Medicine，Kunming 650500，China;4Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine，Shanghai 200000，China;5Affiliated Hospital of Shanxi University of Traditional Chinese Medicine，Taiyuan 030000，China;6The Second Hospital of Tianjin Medical University，Tianjin 300211，China;7Affiliated Hospital of Shandong University of Traditional Chinese Medicine，Jinan 250000，China;8Children′s Hospital Affiliated to Capital Institute of Pediatrics，Beijing 100000，China;9The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine，Guangzhou 510000，China;10The First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine，Nanning 530000，China;11The First Affiliated Hospital of Xiamen University，Xiamen 361000，China

  • Received:2024-10-08 Revised:2024-10-10 Published:2024-10-25 Online:2024-10-25
  • Contact: SHANG Yunxiao，E-mail：shangyunx@sina.com;WANG Xuefeng，E-mail：lnzywxf@163.com

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摘要： 咽炎、扁桃体炎是儿童期较常见的呼吸道感染性疾病,在春秋季节高发，可分为急性期及慢性期。急性期具有起病急,病情进展快等特点，严重者可出现声音嘶哑，甚至呼吸困难。慢性期因未得到良好的治疗导致病情迁延不愈。反复咽炎及扁桃体炎会导致儿童出现声音的改变。目前能够有效治疗儿童咽炎、扁桃体炎的西药较少，主要以抗生素类药物为主，中药用于清咽利喉的药物种类虽然很多，但西医儿科医生对中药的选择、辨证及应用尚不规范。因此，探讨儿童咽炎、扁桃体炎的中西医联合治疗尤为重要。本共识首先系统梳理了儿童咽炎、扁桃体炎的中西医认识；其次对其分期、病因及主要危险因素进行了论述；再次明确了其诊断标准；最后重点对儿童咽炎、扁桃体炎中西结合治疗原则、中西医治疗方法进行了详尽的阐述。本共识为中西医儿科医生，尤其是西医医生提供了中西医结合治疗思路，进一步规范了中西医药物的合理选择及应用。

关键词: 咽炎, 扁桃体炎, 专家共识, 儿童

Abstract: Pharyngitis and tonsillitis are common respiratory infectious diseases in childhood,and are highly prevalent in spring and fall.They can be categorized into acute and chronic stages.The acute stage is characterized by rapid onset and progression of the disease,and in severe cases,hoarseness and even respiratory difficulties may occur.In the chronic stage,the disease is prolonged due to the lack of proper treatment.Repeated pharyngitis and tonsillitis can lead to voice changes in children.At present,there are not many western medicines that can effectively treat childhood pharyngitis and tonsillitis,which are mainly antibiotic drugs,and although there are many types of traditional Chinese medicines used to clear the throat,western pediatricians are not standardized in the selection,syndrome differentiation and application of traditional Chinese medicines.Therefore,it is particularly important to explore the treatment for pharyngitis and tonsillitis in children with integrated Chinese and western medicine.This consensus firstly systematizes the Chinese and western medical understanding of pharyngitis and tonsillitis in children;secondly,it discusses its staging,etiology and main risk factors;thirdly,it clarifies its diagnostic criteria;finally,it gives a detailed elaboration on the principle of integrated Chinese and western medicine treatment for pharyngitis and tonsillitis in children and the Chinese and western medicine treatment methods.This consensus provides Chinese and western pediatricians,especially western physicians,with ideas on integrated Chinese and western medicine treatment,and further standardizes the rational selection and application of Chinese and western medicines.

Key words: Pharyngitis, Tonsillitis, Expert consensus；Child