A SYSTEMATIC APPROACH TO THE EFFECTIVE MANAGEMENT OF VASOMOTOR RHINITIS

Vasomotor rhinitis (VMR) is a prevalent condition causing significant nasal airway obstruction and remains one of the most common problems encountered in outpatient and primary care settings. This article reviews the two principal clinical forms of vasomotor rhinitis—allergic and neurovegetative—with special attention to practical therapeutic strategies suitable for general practitioners and internists. Modern management includes pharmacological therapy, physiotherapeutic methods, and surgical options when indicated. An individualized, stepwise, and systematic treatment plan is essential, guided by symptom severity, duration, patient-specific factors, and response to initial conservative measures. The article emphasizes the value of a comprehensive, multimodal approach to achieve optimal symptom control, enhance quality of life, and prevent complications related to chronic nasal obstruction.血管运动性鼻炎（Vasomotor rhinitis, VMR）是一种高发疾病，可引发显著的鼻腔气道阻塞，仍是门诊与基层医疗场景中最常见的临床问题之一。本文综述了血管运动性鼻炎的两种主要临床分型——变应性与神经营养性——并着重探讨了适用于全科医师与内科医师的实用治疗策略。现代治疗方案包括药物治疗、物理疗法，以及有指征时的外科干预手段。个体化、阶梯化且系统化的治疗方案至关重要，其制定需参考症状严重程度、病程时长、患者个体特征及初始保守治疗的反应。本文强调采用全面的多模式诊疗策略，以实现最佳症状控制、提升患者生活质量，并预防慢性鼻腔阻塞相关并发症。