嗅觉视觉综合训练对病毒后嗅觉功能障碍的有效性:一项随机对照试验
Zhenni Tian1,2, Xi Wang2, Jiadi He2
1Department of Otorhinolaryngology, Smell and Taste Clinic, TU Dresden, Dresden, Germany.
概括
嗅觉训练与视觉刺激相结合,在后病毒性嗅觉功能障碍患者中快速改善了嗅觉功能. 高等教育和女性性别与更好的嗅觉训练结果有关.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 感官科学 感官科学
背景情况:
- 后病毒性嗅觉功能障碍 (PVOD) 是嗅觉丧失的常见原因之一.
- 嗅觉训练 (OT) 是对嗅觉功能障碍的标准治疗方法,涉及重复暴露于气味,以再生嗅觉通路.
- 确定最有效的OT方法对于改善患者的治疗结果至关重要.
研究的目的:
- 在病毒后嗅觉功能障碍 (PVOD) 患者中比较不同嗅觉训练 (OT) 方法的有效性.
- 研究嗅觉视觉联合刺激对嗅觉功能恢复的影响.
- 探索影响OT有效性的因素,如教育水平和性别.
主要方法:
- 120名PVOD患者被随机分为四组:OT-4 (4种气味),OT-8 (8种气味),OT-4+VS (4种带有视觉刺激的气味) 和OT-0 (无气味控制).
- 培训包括六个月的每天两次5分钟的课程.
- 嗅觉功能使用中国嗅觉识别测试 (CSIT),嗅觉视觉模拟量表 (VAS),嗅觉裂内镜评分 (OCES),嗅觉障碍问卷 (QOD) 和患者健康问卷-9 (PHQ-9) 进行评估.
主要成果:
- 所有三个OT组 (OT-4,OT-8,OT-4+VS) 的CSIT与对照组相比显著改善 (p < 0.05).
- OT-4+VS组表现出最快,最有效的嗅觉改善.
- 虽然OT-4和OT-8没有显著的CSIT差异,但OT-8在研究后半年有所改善. OT-4和OT-4+VS显著改善了VAS得分 (p < 0.05).
- 在任何组中都没有观察到OCES,QOD或PHQ-9分数的显著改善.
- 高等教育水平与更大的嗅觉功能的改善相关 (p < 0.01),女性患者报告了更好的CSIT和VAS分数 (p < 0.01,p < 0.001).
结论:
- 与传统的OT相比,联合嗅觉视觉刺激提供了一种快速有效的方法来改善PVOD患者的嗅觉功能.
- 教育水平和性别可能在嗅觉培训干预措施的成功中发挥作用.
- 进一步的研究可能会探索优化嗅觉视觉训练协议,以促进恢复.
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