求诊患者嗅觉障碍的临床特征。
Clinical features of olfactory disorders in patients seeking medical consultation.
机构信息
Department of Otolaryngology-Head and Neck Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
出版信息
Med Sci Monit. 2013 Jun 10;19:444-50. doi: 10.12659/MSM.883938.
BACKGROUND
Olfactory disorders are common complaints in ENT clinics. We investigated causes and relevant features of olfactory disorders and the need for gustatory testing in patients with olfactory dysfunction.
MATERIAL/METHODS: A total of 140 patients seeking medical consultations were enrolled. All patients were asked about their olfactory disorders in a structured interview of medical history and underwent thorough otolaryngologic examinations and imaging of the head.
RESULTS
Causes of olfactory disorders were classified as: upper respiratory tract infection (URTI), sinonasal diseases (NSD), head trauma, idiopathic, endoscopic sinus surgery, congenital anosmia, and other causes. Each of the various causes of olfactory dysfunction had its own distinct clinical features. Nineteen of 54 patients whose gustation was assessed had gustatory disorders.
CONCLUSIONS
The leading causes of olfactory dysfunction were URTI, NSD, head trauma, and idiopathic causes. Gustatory disorders were fairly common in patients with olfactory dysfunction. High priority should be given to complaints of olfactory disorders.
背景
嗅觉障碍是耳鼻喉科门诊常见的主诉。我们调查了嗅觉障碍患者的病因及相关特征，以及味觉测试的必要性。
材料/方法：共纳入 140 名寻求医疗咨询的患者。所有患者均通过结构化的病史访谈报告嗅觉障碍，并接受了全面的耳鼻喉科检查和头部影像学检查。
结果
嗅觉障碍的病因分类为：上呼吸道感染（URTI）、鼻-鼻窦疾病（NSD）、头部创伤、特发性、内镜鼻窦手术、先天性嗅觉缺失和其他原因。嗅觉功能障碍的各种病因都有其独特的临床特征。在接受味觉评估的 54 名患者中，有 19 名存在味觉障碍。
结论
嗅觉功能障碍的主要原因是 URTI、NSD、头部创伤和特发性原因。嗅觉障碍患者味觉障碍较为常见。对于嗅觉障碍的主诉应给予高度重视。
Zotero 插件