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味觉障碍:日本所采用的检查方法与治疗手段的调查

Taste disorders: a survey of the examination methods and treatments used in Japan.

作者信息

Ikeda Minoru, Aiba Tsunemasa, Ikui Akihiro, Inokuchi Akira, Kurono Yuichi, Sakagami Masafumi, Takeda Noriaki, Tomita Hiroshi

机构信息

Department of Otorhinolaryngology, Nihon University School of Medicine, Tokyo, Japan.

出版信息

Acta Otolaryngol. 2005 Nov;125(11):1203-10. doi: 10.1080/00016480510040173.

DOI:10.1080/00016480510040173
PMID:16353402
Abstract

CONCLUSIONS

In Japan, the number of patients seeking treatment for taste disorders from otolaryngologists is approximately 240 000/year, and this number has almost doubled in the last 13 years. Taste examinations are routinely conducted in almost all university hospitals; testing is not as common in private clinics. Administration of zinc is the main treatment for taste disorders in Japan.

OBJECTIVES

To investigate the number of patients who visited otolaryngologists for treatment of taste disorders between 2000 and 2002. In addition to determining changes in the number of patients that had occurred in the 13 years since the last study in 1990, the survey also sought to find out what types of taste examination were used to diagnose taste disorders in Japan and what therapies were used to treat them.

MATERIAL AND METHODS

A questionnaire was mailed to 1559 members of the Japan Society of Stomato-pharyngology.

RESULTS

The average number of patients with taste disorders who visited otolaryngological clinics between 2000 and 2002 was 244 858/year. This number is 1.77-fold greater than the number of patients reported by the last study in 1990 (138 575). Electrogustometry was used in 99% of university hospitals and in 20% of private clinics. The filter-paper disk method was also used in 57% of university hospitals and in 27% of private clinics. The main treatment was zinc administration. Most doctors (70%) prescribed polaprezinc, a zinc-containing drug that is used to treat peptic ulcers. Of these doctors, 78% stated that it effectively treated taste disorders and 11% that it did not.

摘要

结论

在日本,每年因味觉障碍前往耳鼻喉科医生处就诊的患者人数约为24万,这一数字在过去13年中几乎翻了一番。几乎所有大学医院都会定期进行味觉检查;而在私人诊所中,这种检查并不常见。在日本,补锌是治疗味觉障碍的主要方法。

目的

调查2000年至2002年间因味觉障碍前往耳鼻喉科医生处就诊的患者人数。除了确定自1990年上次研究以来13年中患者人数的变化外,该调查还试图了解日本用于诊断味觉障碍的味觉检查类型以及用于治疗这些障碍的疗法。

材料与方法

向日本口腔咽科学会的1559名成员邮寄了一份调查问卷。

结果

2000年至2002年间前往耳鼻喉科诊所就诊的味觉障碍患者平均人数为每年244858人。这一数字比1990年上次研究报告的患者人数(138575人)高出1.77倍。99%的大学医院和20%的私人诊所使用了电味觉测试法。57%的大学医院和27%的私人诊所也使用了滤纸圆盘法。主要治疗方法是补锌。大多数医生(70%)开的是聚普瑞锌,一种用于治疗消化性溃疡的含锌药物。在这些医生中,78%表示它能有效治疗味觉障碍,11%表示不能。

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