摘要
鼻及鼻竇炎（簡稱鼻竇炎）是耳鼻喉科門診常見的疾病之一，根據1997年美國耳鼻喉頭頸外科醫學會對於鼻竇炎的分類可分爲急性鼻竇炎(acute rhinosinusitis)、亞急性鼻竇炎(subacute rhinosinusitis)、復發性急性鼻竇炎(recurrent acute rhinosinusitis)、慢性鼻竇炎(chronic rhinosinusitis)及漫性鼻竇炎急性發作(chronic rhinosinusitis with acute infection)。絕大部分的急性鼻竇炎都可以內科療法得到很好的治療結果，亦有報告指出，口服類固醇及類固醇鼻噴劑對於慢性鼻竇炎及鼻息肉有相當的療效，由此可知內科療法在鼻竇炎的治療上佔有重要的角色，本篇文章將對鼻竇炎的藥物治療作－概略性的介紹。
並列摘要
Rhinosinusitis is a common disease in ENT field. Most of rhinosinusitis is due to viral infection. Only 0.5%~2% of viral rhinosinusitis developed to secondary bacterial infection. The most common bacterial species isolated from the maxillary sinuses of patients with acute bacterial rhinosinusitis are Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis. When selecting antibiotic therapy for acute bacterial rhinosinusitis, the clinician should consider the severity of the disease, the rate of progression of the disease, and recent antibiotic exposure. The extensive use of antibiotics may be associated with the development and spread of resistant microorganisms. Except antibiotics treatment, there are some supported treatments for relieved symptoms of rhinosinusitis, including oral/local decongestants, mucolytic agent, nasal irrigation or systemic/local steroids. It is controversial for the role of antihistamine in the treatment of rhinosinusitis.