Druce H M
Otolaryngol Head Neck Surg. 1990 Nov;103(5 ( Pt 2)):880-3. doi: 10.1177/01945998901030S508.
The basic principles of sinusitis therapy are to treat any infection present, facilitate drainage, and promote drainage both during and after treatment to prevent recurrence. Adjunctive measures promoting ciliary function and drainage through the sinus ostia include the following nonpharmacologic measures: steam, astringents, inhalations, saline, and hot, dry air. Pharmacologic measures include decongestants, topical corticosteroids for chronic sinusitis, mucoevacuants, and analgesics. Antihistamines are indicated for acute sinusitis only when a patient with concomitant allergies is symptomatic during the allergy season or after infection has been ruled out as the primary cause of sinusitis. Sinusitis may be associated with asthma, and some patients do not respond optimally to asthma therapy until their sinusitis is diagnosed and treated.
鼻窦炎治疗的基本原则是治疗存在的任何感染、促进引流，并在治疗期间及之后促进引流以防止复发。促进通过鼻窦开口的纤毛功能和引流的辅助措施包括以下非药物措施：蒸汽、收敛剂、吸入、盐水和热的干燥空气。药物措施包括减充血剂、用于慢性鼻窦炎的局部皮质类固醇、黏液促排剂和镇痛药。仅当伴有过敏的患者在过敏季节出现症状或感染已被排除为鼻窦炎的主要原因时，才使用抗组胺药治疗急性鼻窦炎。鼻窦炎可能与哮喘有关，一些患者在鼻窦炎得到诊断和治疗之前，对哮喘治疗的反应不佳。
