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评估儿科患者嗅觉的方法:来自国际 YO-IFOS 研究组的系统评价。

Methods to assess olfaction in pediatric patients: a systematic review from the international YO-IFOS study group.

机构信息

Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS) Study Group, Paris, France.

Service of Otolaryngology, Hospital Complex of Santiago de Compostela, Travesía de Choupana, s/n, 15706, Santiago de Compostela, Spain.

出版信息

Eur Arch Otorhinolaryngol. 2020 Feb;277(2):313-321. doi: 10.1007/s00405-019-05705-0. Epub 2019 Oct 31.

Abstract

OBJECTIVE

Olfaction is an important sense in children, but its measurement is usually disregarded or neglected. There has been increasing interest in olfaction in recent years, and many olfaction assessment tests have been developed to assess pediatric patients. In this systematic review, we identify and compare different olfaction assessment tests used in the pediatric population DATA SOURCES: Pubmed (Medline), the Cochrane Library, EMBASE and Trip Database.

REVIEW METHODS

The main outcome was review of the tests used to assess olfaction. The secondary outcomes were review of differences between tests regarding sex, age, exercises and odorants.

RESULTS

A total of 18 articles fulfilled the established inclusion criteria.

CONCLUSIONS

Olfaction assessment in children should combine different methods of evaluation, and not rely only on identification tasks. There are still many questions to answer. There is a great need for a specific test for children under 5 years old. Also, there is not a real cutoff value to define hyposmia yet; real cutoff values and values adapted to children's development are keenly needed.

摘要

目的

嗅觉是儿童的重要感觉,但通常被忽视或忽略。近年来,人们对嗅觉的兴趣日益增加,开发了许多嗅觉评估测试来评估儿科患者。在本系统评价中,我们确定并比较了儿科人群中使用的不同嗅觉评估测试。

资料来源

PubMed(医学索引在线)、Cochrane 图书馆、EMBASE 和 Trip 数据库。

审查方法

主要结果是审查用于评估嗅觉的测试。次要结果是审查测试之间在性别、年龄、练习和气味剂方面的差异。

结果

共有 18 篇文章符合既定的纳入标准。

结论

儿童嗅觉评估应结合不同的评估方法,而不仅仅依赖于识别任务。仍有许多问题需要回答。非常需要为 5 岁以下儿童制定特定的测试。此外,目前还没有确定嗅觉减退的真正截断值;迫切需要真正的截断值和适应儿童发育的数值。

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