Department of Digestive Disease Information and Research, Kurume University School of Medicine, Kurume 830-0011, Japan.
Med Sci Monit. 2010 Apr;16(4):PI7-12.
Patients with chronic liver diseases have a taste disorder and altered zinc metabolism. We investigated the effects of a supplement enriched with branched-chain amino acids (BCAA) (Aminofeel) on sensitivity to different tastes in patients with hepatitis C virus (HCV) infected liver disease.
MATERIAL/METHODS: Nine patients (mean age 63.3+/-9.1 years) with HCV-related liver diseases were identified and examined for sensitivity to different tastes. Eight patients had no awareness of taste disorders, and 3 patients had oral lichen planus. We examined 4 tastes (sweet, salty, sour, and bitter) using a Taste Disk and sensitivity to different tastes was rated on a 6-point scale (I, II, III, IV, V, and VI). Each patient was given one sachet of Aminofeel after breakfast and another at bedtime for 90 days.
Only one patient was aware of a taste disorder before administration of Aminofeel, but 4 patients had decreased gustatory sensitivity in the sour taste test, and 2 had it in the bitter taste test. Sensitivity to sour tastes significantly increased after the administration of Aminofeel(R) (P=0.03). Sensitivity to sweet tastes increased after the administration of Aminofeel (P=0.06). Zinc value significantly increased after the administration of Aminofeel (P=0.02).
Patients with HCV-infected liver disease have decreased sensitivity to different tastes and decreased zinc levels. Some patients were unaware that they had a taste disorder. Aminofeel improved sensitivity to different tastes and increased zinc values. Thus, Aminofeel is a useful therapeutic agent for taste disorders.
慢性肝脏疾病患者存在味觉障碍和锌代谢改变。我们研究了富含支链氨基酸(BCAA)的补充剂(Aminofeel)对丙型肝炎病毒(HCV)感染性肝病患者不同味觉敏感性的影响。
材料/方法:确定了 9 例(平均年龄 63.3+/-9.1 岁)患有 HCV 相关肝病的患者,并检查了他们对不同味觉的敏感性。8 例患者没有味觉障碍的意识,3 例患者患有口腔扁平苔藓。我们使用 Taste Disk 检查了 4 种味道(甜、咸、酸和苦),并使用 6 分制(I、II、III、IV、V 和 VI)对不同味觉的敏感性进行评分。每位患者在早餐后和睡前各服用一包 Aminofeel,持续 90 天。
只有 1 例患者在服用 Aminofeel 前意识到味觉障碍,但 4 例患者在酸味测试中味觉敏感性降低,2 例在苦味测试中降低。Aminofeel 给药后酸味敏感性显著增加(P=0.03)。Aminofeel 给药后甜味敏感性增加(P=0.06)。Aminofeel 给药后锌值显著增加(P=0.02)。
HCV 感染性肝病患者对不同味觉的敏感性降低,锌水平降低。一些患者没有意识到自己有味觉障碍。Aminofeel 改善了对不同味觉的敏感性并增加了锌值。因此,Aminofeel 是治疗味觉障碍的有效治疗剂。