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2型糖尿病合并糖尿病性神经病变嗅觉功能障碍的高压氧治疗及糖尿病嗅觉病新定义

Hyperbaric oxygen therapy of olfactory dysfunction in diabetic neuropathy with type 2 diabetes mellitus and a new definition Diabetic Olfactopathy.

作者信息

Veyseller B, Dogan R, Yenigun A, Aksoy F, Tugrul S, Dogan E E, Ozturan O

机构信息

Acibadem University, Faculty of Medicine, Department of Otorhinolaryngology, Istanbul, Turkey.

Bezmialem Vakif University, Faculty of Medicine, Department of Otorhinolaryngology, Fatih, Istanbul, Turkey.

出版信息

Rhinology. 2016 Aug 31;54(3):273-277. doi: 10.4193/Rhino15.314.

Abstract

BACKGROUND

Hyperbaric Oxygen therapy is recommended as an adjuvant therapy for diabetic neuropathy. To investigate olfactory dysfunction and show the effectiveness of hyperbaric oxygen treatment in patients with type 2 diabetic neuropathy.

MATERIAL AND METHODS

Patients diagnosed with Type 2 DM and diabetic neuropathy were included in the group 1. Patients of Group 1 were administered with a hyperbaric oxygen therapy for 30 sessions and patients who returned for a check up following 30 sessions were incorporated into the Group 2. Healthy volunteers with no medical problems were included in the study as a control group (Group 3). Connecticut Chemosensory Clinical Research (CCCRC) test and the subjective visual analog scale (VAS; 0-100) were utilized to evaluate the olfactory function.

RESULTS

There was a statistically significant difference both between the control group and the patient group as well as before and after the HBO therapy in terms of total CCCRC scoring averages and VAS Scoring averages.

CONCLUSION

When compared to normal individuals, type 2 diabetic neuropathy can cause an olfactory dysfunction, and a statistically significant improvement in olfaction can be obtained with HBO therapy. This is the first study demonstrating that the HBO therapy can play a role in treating olfactory dysfunctions suffered by the patients with diabetic olfactory neuropathies.

摘要

背景

高压氧疗法被推荐作为糖尿病神经病变的辅助治疗方法。旨在研究2型糖尿病神经病变患者的嗅觉功能障碍,并证明高压氧治疗的有效性。

材料与方法

被诊断为2型糖尿病和糖尿病神经病变的患者纳入第1组。第1组患者接受30次高压氧治疗,30次治疗后回来复查的患者纳入第2组。无健康问题的健康志愿者作为对照组纳入研究(第3组)。采用康涅狄格化学感觉临床研究(CCCRC)测试和主观视觉模拟量表(VAS;0 - 100)评估嗅觉功能。

结果

在CCCRC总分平均值和VAS评分平均值方面,对照组与患者组之间以及高压氧治疗前后均存在统计学显著差异。

结论

与正常个体相比,2型糖尿病神经病变可导致嗅觉功能障碍,高压氧治疗可使嗅觉得到统计学上的显著改善。这是第一项证明高压氧治疗可在治疗糖尿病嗅觉神经病变患者的嗅觉功能障碍中发挥作用的研究。

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