[Chinese expert consensus on stepwise treatment of pediatric allergic rhinitis].

Allergic rhinitis (AR) is one of the most common allergic diseases in children. Stepwise approach targeting to minimize impact of disease with optimized treatment should be the most practical approach, whilst there have been neither systematic and detailed recommendations for the stepwise treatment of AR nor related consensus documents to provide guidance for its specific application in clinical practice. Thus, the expert panel draft the consensus through literature review and two rounds of Delphi voting, which selects and focuses on the critical clinical questions in stepwise treatment, provides targeted therapeutic regimen basing on symptom type and severity of AR as well as assessment recommendations, and discusses key issues including the time point and criteria for assessment and step-up/down regimen. This consensus aims to provide a specific and practical guidance for the general practitioners, specialists, pharmacists and nurses, and promote the standardization of AR treatment in pediatric population.过敏性鼻炎（allergic rhinitis，AR）是儿童常见的过敏性疾病。阶梯治疗强调用最适宜的药物最大限度地控制症状，是具有实用价值的治疗方法。但临床尚缺乏系统的、详细的阶梯治疗建议，也无相关共识性文件以指导阶梯治疗方案在临床的具体运用。为此，共识专家组通过查阅文献和两轮德尔菲法投票制定本共识，遴选并重点阐述了阶梯治疗中的临床关键问题，根据患儿的症状类型和疾病严重程度提出有针对性的阶梯治疗方案及疗效评估方法，在评估时间点、评估标准及升降级治疗方案等关键问题上进行了论述，以期为基层医师、专科医师以及临床药师、护师提供具体且可行的方案指导，推动儿童AR治疗的规范化。.