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慢性鼻窦炎患者的嗅觉功能障碍

Olfactory dysfunction in patients with chronic rhinosinusitis.

作者信息

Sánchez-Vallecillo María V, Fraire María E, Baena-Cagnani Carlos, Zernotti Mario E

机构信息

Otolaryngology Department, Sanatorio Allende, Independencia 757 3rd Floor, Nueva Córdoba. Córdoba CP 5000, Argentina.

出版信息

Int J Otolaryngol. 2012;2012:327206. doi: 10.1155/2012/327206. Epub 2012 May 20.

Abstract

Objectives. To measure the prevalence of and identify the clinical characteristics associated with olfactory decline in patients with chronic rhinosinusitis. Methods and Materials. There is analytical, prospective, and observational study in adult patients with a diagnosis of chronic rhinosinusitis. The olfactory test used was the Connecticut Chemosensory Clinical Research Center (CCCRC). Results. They are 33 patients total. Within the group of patients aged 18 to 39, 9% had normosmia, 73% hyposmia, and 18% anosmia (P < 0.001). Between 40 and 64 years old, there was no patient with normosmia, 63% hyposmia, and 37% anosmia (P < 0.001). Of patients older than 65 years old, 33% showed mild hyposmia, 34% severe hyposmia, and 33% anosmia (P < 0.001). 52% were females, and 48% were males. Conclusion. Nasal polyposis, asthma, septal deviation, turbinate hypertrophy, tobacco, and allergic rhinitis are predicting factors of olfactory dysfunction. Antecedents of previous endoscopic surgeries, age, and gender would not be associated with olfactory loss.

摘要

目的。测量慢性鼻窦炎患者嗅觉减退的患病率,并确定与之相关的临床特征。方法与材料。对诊断为慢性鼻窦炎的成年患者进行分析性、前瞻性观察研究。所使用的嗅觉测试为康涅狄格化学感觉临床研究中心(CCCRC)测试。结果。总共有33例患者。在18至39岁的患者组中,9%嗅觉正常,73%嗅觉减退,18%嗅觉丧失(P<0.001)。在40至64岁之间,没有嗅觉正常的患者,63%嗅觉减退,37%嗅觉丧失(P<0.001)。在65岁以上的患者中,33%表现为轻度嗅觉减退,34%为重度嗅觉减退,33%为嗅觉丧失(P<0.001)。52%为女性,48%为男性。结论。鼻息肉、哮喘、鼻中隔偏曲、鼻甲肥大、吸烟和变应性鼻炎是嗅觉功能障碍的预测因素。既往内镜手术史、年龄和性别与嗅觉丧失无关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a54/3363990/3b127ec92b66/IJOL2012-327206.001.jpg

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