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[行政体检中使用嗅觉棒识别测试(OSIT-J)进行嗅觉障碍筛查]

[Olfactory disturbance screening with the odor stick identification test (OSIT-J) in executive checkups].

作者信息

Shiga Hideaki, Miwa Takaki, Tsukatani Toshiaki, Kinoshita Yayoi, Saito Sachiko, Kobayakawa Tatsu, Deguchi Yuichi, Furukawa Mitsuru

机构信息

Department of Otorhinolaryngology, Kanazawa University Graduate School of Medical Science, Kanazawa.

出版信息

Nihon Jibiinkoka Gakkai Kaiho. 2007 Aug;110(8):586-91. doi: 10.3950/jibiinkoka.110.586.

Abstract

The odor stick identification test for Japanese (OSIT-J) has been shown to be useful for detecting and evaluating olfactory disturbances in Japanese people. We studied the usefulness of OSIT-J in screening for olfactory disturbances in 83 Japanese participants (49 male, 34 female) participating in an executive checkup at NTT West Kanazawa Hospital in Japan. The olfactory ability was self-reported on a grade scale. Olfactory function was then evaluated with a three-odors OSIT-J (rose, curry and sweaty socks). Participants with low self-reported olfactory ability or less-than-full scores in the three-odor test were evaluated with an additional 10 odors of OSIT-J. Eight or less points are considered to be lower than average in the 13-odor test of OSIT-J (Saito S, et al.). Eleven of the 83 participants had low self-reported olfactory ability. Four participants with a full score in the three odors test with low self-reported olfactory ability scored more than eight points in the 13-odor test. Thirty-eight participants scored less than three points in the three-odor test. Seven of 29 participants with two points in the three-odor test scored eight or less in the 13-odor test. In the 29 participants, subjects with low self-reported olfactory ability scored significantly lower scores than those without a low self-reported olfactory ability in the 13-odor test. The self-reported olfactory ability was not related to the score in the 13-odor test in the nine participants with one point or less in the three-odor test. Males scored significantly lower scores than females in the three-odor test. However, gender was not significantly related to the rate of olfactory disability estimated based on the 13-odor test. Use of a three-odor OSIT-J along with a self-administered questionnaire pertaining to olfactory disability is useful for olfactory disturbance screening during executive health checkups.

摘要

日本气味棒识别测试(OSIT-J)已被证明可用于检测和评估日本人的嗅觉障碍。我们研究了OSIT-J在日本金泽NTT西医院参加高管体检的83名日本参与者(49名男性,34名女性)中筛查嗅觉障碍的有用性。嗅觉能力通过等级量表进行自我报告。然后使用三气味OSIT-J(玫瑰、咖喱和汗脚袜)评估嗅觉功能。自我报告嗅觉能力低或三气味测试得分未达满分的参与者,会再用10种气味的OSIT-J进行评估。在OSIT-J的13种气味测试中,8分及以下被认为低于平均水平(斋藤S等人)。83名参与者中有11人自我报告嗅觉能力低。4名在三气味测试中得满分但自我报告嗅觉能力低的参与者在13种气味测试中得分超过8分。38名参与者在三气味测试中得分低于3分。在三气味测试中得2分的29名参与者中,有7人在13种气味测试中得分8分及以下。在这29名参与者中,自我报告嗅觉能力低的受试者在13种气味测试中的得分显著低于没有自我报告嗅觉能力低的受试者。在三气味测试中得1分及以下的9名参与者中,自我报告的嗅觉能力与13种气味测试的得分无关。男性在三气味测试中的得分显著低于女性。然而,性别与基于13种气味测试估计的嗅觉残疾率没有显著相关性。使用三气味OSIT-J以及一份关于嗅觉残疾的自我管理问卷,有助于在高管健康体检期间进行嗅觉障碍筛查。

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