后COVID-19嗅觉功能障碍的嗅觉训练:对效率和组合疗法的元分析
Ali Alsuheel Asseri1, Mona Aldukain2, Ali Aldukain2
1Department of Child Health, College of Medicine, King Khalid University, Abha 62521, Saudi Arabia.
Journal of clinical medicine
|September 27, 2025
概括
嗅觉训练 (OT) 有效地治疗COVID-19后的嗅觉功能障碍. 将OT与PEA-luteolin等疗法结合起来,可以提高嗅觉缺陷的恢复结果.
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COVID-19嗅觉功能障碍是SARS-CoV-2感染的常见后果.
- 正在研究标准化嗅觉训练 (OT) 协议的有效性.
- 需要系统地评估OT的有效性与各种比较器.
研究的目的:
- 系统地审查和元分析嗅觉训练 (OT) 对COVID-19后嗅觉功能障碍的有效性.
- 将OT与没有治疗,安慰剂或替代疗法进行比较.
- 通过验证的气味测试来评估嗅觉功能的改善.
主要方法:
- 在PubMed,Web of Science和Ovid Medline的系统文献搜索到2025年2月.
- 包括八个随机对照试验 (RCT),遵循PRISMA指南.
- 使用RevMan和Open Meta-Analyst进行的元分析,具有偏差评估风险.
主要成果:
- 与对照组相比,嗅觉训练显著改善了嗅觉得分.
- 与PEA-luteolin的联合治疗显示出最大的改善 (MD = 4.62).
- 组合疗法与更高的康复率有关 (RR = 1.65).
结论:
- 嗅觉训练是COVID-19后嗅觉功能障碍的有效治疗方法.
- 辅助疗法,特别是PEA-luteolin,可以促进恢复.
- 建议进一步进行大规模的标准化RCT,以优化治疗方案.
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