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嗅觉训练对COVID-19诱导的嗅觉丧失的影响
E J A Schepens1, C J M de Haas2, E M Postma3
1Department of Otorhinolaryngology- Head and Neck Surgery, University Medical Center Utrecht, Utrecht, the Netherlands; Brain Center, University Medical Center Utrecht, Utrecht, the Netherlands.
Rhinology
|March 6, 2024
概括
嗅觉训练在COVID-19引起的嗅觉丧失患者中显著改善了嗅觉功能. 然而,遵守训练方案与嗅觉改善没有相关性.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
- 传染性疾病 传染性疾病
背景情况:
- 后病毒性嗅觉功能障碍是COVID-19的一个常见症状.
- 嗅觉训练对COVID-19相关的嗅觉丧失的有效性尚未得到充分证实.
研究的目的:
- 为了研究COVID-19导致嗅觉丧失的患者嗅觉训练的有效性.
主要方法:
- 一项病例对照研究比较了一组执行12周嗅觉训练 (n=111) 的队列与对照组 (n=50).
- 嗅觉功能使用嗅探棒测试 (SST) 进行评估,在基线和12周后测量值,歧视和识别 (TDI) 评分.
- 每天监测治疗坚持,并分析其与TDI得分的关联.
主要成果:
- 在嗅觉训练组和对照组之间观察到心理物理嗅觉功能的显著差异.
- 两组之间的TDI得分差异中位数为2.00.
- 坚持嗅觉训练和嗅觉功能的改善之间没有发现显著的关联.
结论:
- 嗅觉训练在COVID-19诱导的嗅觉障碍患者中对心理物理嗅觉功能的显著中等益处.
- 虽然嗅觉训练似乎有利,但粘附水平与嗅觉功能的恢复程度没有相关性.
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