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Updated: Jun 16, 2025

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系统性心脏粉症中的嗅觉和味觉障碍:一项前性病例控制研究
Clémentine Hyvrard1, Maxime Fieux2, Thibaud Damy3
1Department of otorhinolaryngology and cervicofacial surgery, Centre Hospitalier Intercommunal de Créteil, 40 Avenue de Verdun, Créteil, France; Department of otorhinolaryngology and cervicofacial surgery, CHU Henri Mondor, 8 rue Gustave Eiffel, 94000 Créteil, France.
American journal of otolaryngology
|May 4, 2025
概括
与对照组相比,心脏粉症 (CA) 患者的嗅觉功能明显受损. 嗅觉功能障碍可以作为诊断CA的早期指标,有助于及时启动治疗.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 粉样性粉症是一种全身性疾病,预后不好.
- 粉样蛋白沉积可能会影响嗅觉和味觉系统.
- 心脏粉症 (CA) 是心力衰竭的一个重要原因.
研究的目的:
- 确定心脏粉症 (CA) 患者嗅觉和味觉障碍的患病率.
- 为了调查粉样蛋白沉积是否影响CA患者的感觉功能.
主要方法:
- 一项涉及38名CA患者 (ATTRv,ATTRwt,AL亚型) 和13名非粉样性心力衰竭的对照者的病例控制研究.
- 使用鼻腔内镜,嗅觉/口味问卷,缩短的嗅棒测试 (sSST) 和味道带条测试.
主要成果:
- 与对照组 (20.3±5.3,p=0.02) 相比,CA患者的sSST得分明显较低 (15.4±6.2).
- 13.1%的CA患者报告嗅觉障碍 (dysosmia),对照组为23.1%.
- 味觉障碍影响了CA患者的64.9%,而对照组的50% (p>0.05).
结论:
- 心脏粉症患者的嗅觉障碍明显大于非粉样性心力衰竭患者.
- 嗅觉功能障碍可能是CA的新型早期诊断标志物.
- 早期识别嗅觉缺陷可能有助于及时诊断和治疗心脏粉症.
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