福斯科林作为COVID-19后慢性嗅觉功能障碍的有希望的治疗方法的有效性
Mohamed H Abdelazim1, Faisal Alsenani2, Mohammed Alnuhait3
1Department of Otolaryngology, Faculty of Medicine, Al-Azhar University, Damietta, Egypt.
概括
口服福斯科林显著改善了COVID-19幸存者的嗅觉功能障碍. 这种治疗增强了气味识别和区分,为慢性气味丧失的恢复提供了希望.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 药理学 药理学是指药理学的学科.
背景情况:
- 嗅觉功能障碍是COVID-19感染后的一个普遍和令人痛苦的症状.
- 周期性腺单酸盐 (cAMP) 和周期性关单酸盐 (cGMP) 的降低水平与慢性嗅觉功能障碍有关.
- 一项前性随机临床试验旨在研究一种新的治疗方法.
研究的目的:
- 为了评估口服福斯科林的疗效,一个腺环酶激活剂,在治疗COVID-19后持续的嗅觉功能障碍.
- 为了比较福斯科林治疗与安慰剂在改善嗅觉功能的效果.
主要方法:
- 该研究包括285名患有COVID-19后嗅觉功能障碍的参与者.
- 参与者被随机分配,接受口服福斯科林 (n=165) 或安慰剂 (n=120) 囊.
- 嗅觉功能使用"嗅探棒"测试进行评估,测量值,歧视和识别分数治疗前后.
主要成果:
- 福斯科林组在复合TDI (值,歧视和识别) 评分上显示出显著的改善.
- 在福斯科林组内,在歧视和识别得分上观察到特定的增强.
- 与安慰剂相比,福斯科林组的值得分没有显著变化.
结论:
- 口服福斯科林显示出作为治疗剂的潜力,可以改善COVID-19中康复的个体的慢性嗅觉功能障碍.
- 这些发现表明,调节细胞内cAMP水平可能是治疗嗅觉障碍的可行策略.
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