在患有不受控制的慢性鼻炎的患者中嗅觉障碍的模式
Junsheng Hong1,2, Zhenlin Wang1, Dawei Wu3
1Department of Otolaryngology-Head and Neck Surgery, Xuanwu Hospital Capital Medical University, Beijing, People's Republic of China.
The Laryngoscope
|February 16, 2024
概括
无法控制的慢性鼻炎 (CRS) 会显著损害嗅觉功能,特别是嗅觉值. 较低的气味值预测无法控制的CRS,强调其在疾病管理中的重要性.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 鼻科 鼻科是指鼻科的专家.
- 嗅觉科学 嗅觉科学
背景情况:
- 根据EPOS指南,自我报告的嗅觉功能障碍是慢性鼻炎 (CRS) 控制的标准.
- 在不受控制的CRS中缺乏对嗅觉功能的客观评估.
- 这项研究使用Sniffin' Sticks测试来调查不受控制的CRS中嗅觉障碍模式.
研究的目的:
- 客观地评估不同领域的嗅觉功能,在不控制的CRS患者.
- 为了确定与不受控制的CRS相关的客观嗅觉参数.
- 为了确定嗅觉功能测试对CRS疾病控制的预测价值.
主要方法:
- 79名CRS患者使用EPOS标准进行了疾病控制评估.
- 嗅觉功能使用嗅探棒测试 (气味值,识别,TDI) 进行评估.
- 还获得了嗅觉裂CT得分,OCES,QOD-NS和SNOT-22;物流回归确定了危险因素.
主要成果:
- 26%的CRS患者患有无法控制的疾病.
- 不受控制的CRS患者的气味值 (OT),气味识别 (OI) 和TDI得分显著降低.
- 无氧,较高的嗅觉裂CT得分,OCES,QOD-NS和SNOT-22在不受控制的CRS中也增加了.
- 低OT (<5.950) 是失控CRS的唯一独立预测因子.
结论:
- 患有失控CRS的患者表现出明显的嗅觉障碍模式.
- 降低的嗅觉值与不受控制的CRS有很强的关联,并且具有预测性.
- 客观的嗅觉测试,特别是OT,对于评估CRS控制至关重要.
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