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鼻腔盐水冲洗预防新型冠状病毒感染专家共识

Expert consensus on nasal saline irrigation for the prevention of SARS-CoV-2 infection

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【作者】 余少卿杨玉成许元腾孟娟左可军王洪田叶菁王天生石照辉孟粹达王英许成利魏欣杨艳莉陆美萍安云芳许昱杨贵曾明王向东杨钦泰陈建军邱前辉雍军孙亚男张维天李华斌

【Author】 YU Shaoqin;YANG Yucheng;XU Yuanteng;MENG Juan;ZUO Kejun;WANG Hongtian;YE Jing;WANG Tiansheng;SHI Zhaohui;MENG Cuida;WANG Ying;XU Chengli;WEI Xin;YANG Yanli;LU Meiping;AN Yunfang;XU Yu;YANG Gui;ZENG Ming;WANG Xiangdong;YANG Qintai;CHEN Jianjun;QIU Qianhui;YONG Jun;SUN Yanan;ZHANG Weitian;LI Huabin;Department of Otolaryngology Head and Neck Surgery, Tongji Hospital, Tongji University School of Medicine;Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of Chongqing Medical University;Department of Otolaryngology, the First Affiliated Hospital of Fujian Medical University;Department of Otolaryngology Head and Neck Surgery, West China Hospital, Sichuan University;Otorhinolaryngology Hospital, the First Affiliated Hospital of Sun Yat-Sen University;Department of Allergy, Beijing Shijitan Hospital, Capital Medical University;Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of Nanchang University;Department of Otolaryngology Head and Neck Surgery, Third Xiangya Hospital, Central South University;Department of Otolaryngology, Longgang E.N.T Hospital & Shenzhen Key Laboratory of E.N.T, Institute of E.N.T;Department of Otolaryngology Head and Neck Surgery, China Japan Union Hospital of Jilin University;Department of Rhinology, the First Hospital of Zhengzhou University;Department of Otolaryngology Head and Neck Surgery, the Second Affiliated Hospital of Guangxi Medical University;Department of Otolaryngology Head and Neck Surgery, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical University;Department of First Otolaryngology, the First Affiliated Hospital of Kunming Medical University;Department of Otolaryngology, the First Affiliated Hospital of Nanjing Medical University;Department of Otolaryngology, the Second Hospital of Shanxi Medical University;Department of Otolaryngology, Head and Neck Surgery, Renmin Hospital, Wuhan University;Department of Otolaryngology, the Central Hospital of Shenzhen Longgang District;Department of Otolaryngology, Head and Neck Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology;Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University;Department of Otolaryngology Head and Neck Surgery & Department of Allergy, the Third Affiliated Hospital of Sun Yat-sen University;Department of Otolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology;Department of Otolaryngology Head and Neck Surgery, Guangdong Provincial People’s Hospital;Department of Otolaryngology, the First Affiliated Hospital of Xinjiang Medical University;Department of Otolaryngology Head and Neck Surgery, the Second Affiliated Hospital of Harbin Medical University;Department of Otolaryngology Head and Neck Surgery, Sixth People’s Hospital, Shanghai Jiao Tong University;Department of Otolaryngology, Eye & ENT Hospital, Fudan University;Chinese Rhinopathy Research Cooperation Group;

【通讯作者】 余少卿;张维天;李华斌;

【机构】 同济大学附属同济医院耳鼻咽喉头颈外科重庆医科大学附属第一医院耳鼻咽喉头颈外科福建医科大学附属第一医院耳鼻咽喉科四川大学华西医院耳鼻咽喉头颈外科中山大学附属第一医院耳鼻咽喉科医院耳鼻喉科首都医科大学附属北京世纪坛医院变态反应科南昌大学第一附属医院耳鼻咽喉头颈外科中南大学湘雅三医院耳鼻咽喉头颈外科深圳市耳鼻咽喉研究所/深圳市龙岗区耳鼻咽喉医院耳鼻咽喉头颈外科吉林大学中日联谊医院耳鼻咽喉头颈外科郑州大学第一附属医院鼻科广西医科大学第二附属医院耳鼻咽喉头颈外科海南省人民医院/海南医学院附属海南医院耳鼻咽喉头颈外科昆明医科大学第一附属医院耳鼻喉一科南京医科大学第一附属医院耳鼻喉科山西医科大学第二医院耳鼻喉科武汉大学人民医院耳鼻咽喉头颈外科深圳市龙岗区中心医院耳鼻喉科华中科技大学同济医学院附属同济医院耳鼻咽喉头颈外科首都医科大学附属北京同仁医院耳鼻咽喉头颈外科中山大学附属第三医院耳鼻咽喉头颈外科和变态反应(过敏)科华中科技大学同济医学院附属协和医院耳鼻喉科广东省人民医院耳鼻咽喉头颈外科新疆医科大学第一附属医院耳鼻喉科哈尔滨医科大学附属第二医院耳鼻咽喉头颈外科上海交通大学附属第六人民医院耳鼻咽喉头颈外科复旦大学附属眼耳鼻喉科医院耳鼻喉科中国鼻病研究协作组

【摘要】 面对新型冠状病毒肺炎(COVID-19)疫情在世界范围内大流行的严峻局面,加强个人防护成为抗击疫情的重要一环。在疫情流行的现阶段,以鼻腔为代表的上呼吸道病毒感染的预防与治疗已成为防控重点,除了规范佩戴口罩外,鼻腔盐水冲洗作为常用的鼻腔局部物理疗法,能减少病毒感染并加快炎症恢复,成本低且副作用小,可作为防治新型冠状病毒(SARS-CoV-2,简称新冠病毒,又称2019-nCoV)感染的经济、有效手段。为了有力抗击疫情,维护人民健康,中国鼻病研究协作组召集国内中青年鼻科专家,基于临床经验和循证医学证据制订了鼻腔盐水冲洗预防新冠病毒感染的专家共识。本共识在系统总结鼻腔生理功能和鼻腔盐水冲洗治疗机制的基础上,提出了一系列规范化操作建议,旨在指导鼻腔盐水冲洗的临床应用,以期更经济、有效地防治新冠病毒感染。

【Abstract】 Personal protection has become an important part of fighting against the COVID-19worldwide epidemic. At the present stage of epidemic situation, the prevention and therapy of virus infection in the upper respiratory tract such as nasal cavity has vital role in blocking COVID-19 spread. In addition to using face mask regularly, nasal saline irrigation is suggested as a local nasal physical therapy with advantage to reduce viral infection and to accelerate the recovery of inflammation with low cost and few side effects. It has become one of the economic and effective means for the prevention and control of COVID-19. In order to effectively combat the epidemic and safeguard people’s health, the Chinese Rhinopathy Research Cooperation Group convened young and middle-aged rhinology experts to formulate a expert consensus for the prevention and treatment of SARS-CoV-2 infection by nasal saline irrigation based on clinical experience and evidencebased medical evidence. This consensus systematically summarizes the physiological functions of nasal cavity,treatment mechanisms and establishes standardized operation procedure of nasal saline irrigation to guide and standardize the clinical application of nasal saline irrigation and to improve better prevention and treatment of SARS-CoV-2 infection.

【基金】 国家自然科学基金杰出青年基金(81725004);国家自然科学基金(81670901、81873689、81873690、81870700、82071014、82171104、82171120);上海市科学技术委员会优秀学科带头人项目(19XD4010000);上海市耳鼻咽喉疾病临床中心重大专项(20MC920200);上海市科学技术委员会项目(20MC920200、19XD4010000);上海市促进市级医院临床技能与临床创新能力三年行动计划项目(SHDC2020CR4090);上海申康医学发展中心临床科技创新项目(SHDC12019X07);上海市卫生健康委先进适宜技术推广项目(2019SY071)
  • 【文献出处】 中国眼耳鼻喉科杂志 ,Chinese Journal of Ophthalmology and Otorhinolaryngology , 编辑部邮箱 ,2022年04期
  • 【分类号】R563.1
  • 【被引频次】1
  • 【下载频次】893
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