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一项关于异基因造血细胞移植幸存者迟发性味觉障碍的横断面研究。

A cross-sectional study on late taste disorders in survivors of allogeneic hematopoietic cell transplantation.

作者信息

Sato Tomoko, Konuma Takaaki, Miwa Yoriko, Sugihara Nozomi, Tsuru Yukari, Narita Hatsuko, Kiriyama Satomi, Kato Seiko, Oiwa-Monna Maki, Kobayashi Koji, Takahashi Satoshi, Tojo Arinobu

机构信息

Department of Nursing, Research Hospital, The Institute of Medical Science, The University of Tokyo, Tokyo, Japan.

Department of Hematology/Oncology, The Institute of Medical Science, The University of Tokyo, 4-6-1, Shirokanedai, Minato-ku, Tokyo, 108-8639, Japan.

出版信息

Ann Hematol. 2017 Nov;96(11):1841-1847. doi: 10.1007/s00277-017-3087-6. Epub 2017 Aug 16.

Abstract

Taste disorders are one of the most common complications in patients undergoing allogeneic hematopoietic cell transplantation (HCT). They persist in some patients as a late complication 3 months or more after HCT. Therefore, we conducted a cross-sectional study to evaluate the prevalence and predictive factors of late taste disorders, with the help of a self-reporting and closed-ended questionnaire, which was distributed among 91 patients in our institute. The median age at this study was 50 (range, 25-69) years. The median follow-up period was 54 (range, 3-234) months after HCT. Taste disorders were observed in 43 patients (47%). The most frequent form of late taste disorders was reduced appetite in 18 patients (20%). The most frequent form of decline of basic taste was umami, which was observed in 12 patients (13%). Almost all taste disorders were mild in their severity. Multivariate logistic regression analyses showed that the duration of less than 1 year post HCT and the presence of oral chronic graft-versus-host disease are important risk factors for late taste disorders in survivors of HCT. These data suggested that taste disorders usually return to normal levels more than a year after HCT in most recipients.

摘要

味觉障碍是同种异体造血细胞移植(HCT)患者最常见的并发症之一。在一些患者中,味觉障碍会作为HCT后3个月或更长时间出现的晚期并发症持续存在。因此,我们进行了一项横断面研究,借助一份自填式封闭式问卷,对晚期味觉障碍的患病率和预测因素进行评估,该问卷在我们研究所的91名患者中进行了发放。本研究的中位年龄为50岁(范围25 - 69岁)。HCT后的中位随访期为54个月(范围3 - 234个月)。43名患者(47%)出现味觉障碍。晚期味觉障碍最常见的形式是18名患者(20%)食欲减退。基本味觉下降最常见的形式是鲜味,12名患者(13%)出现这种情况。几乎所有味觉障碍的严重程度都较轻。多因素逻辑回归分析显示,HCT后不到1年的时间以及口腔慢性移植物抗宿主病的存在是HCT幸存者晚期味觉障碍的重要危险因素。这些数据表明,大多数接受者的味觉障碍在HCT后一年多通常会恢复到正常水平。

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