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新冠病毒感染者嗅觉丧失和味觉丧失的客观评估：72 例患者的单中心经验。

Objective evaluation of anosmia and ageusia in COVID-19 patients: Single-center experience on 72 cases.

机构信息

Maxillofacial Surgery Operative Unit, University Hospital of Sassari, Sassari, Italy.

Department of Medical, Surgical and Experimental Sciences, University of Sassari, Sassari, Italy.

出版信息

Head Neck. 2020 Jun;42(6):1252-1258. doi: 10.1002/hed.26204. Epub 2020 Apr 29.

DOI:10.1002/hed.26204
PMID:32342566
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7267244/
Abstract

BACKGROUND: The first European case series are detecting a very high frequency of chemosensitive disorders in COVID-19 patients, ranging between 19.4% and 88%. METHODS: Olfactory and gustatory function was objectively tested in 72 COVID-19 patients treated at University Hospital of Sassari. RESULTS: Overall, 73.6% of the patients reported having or having had chemosensitive disorders. Olfactory assessment showed variable degree hyposmia in 60 cases and anosmia in two patients. Gustatory assessment revealed hypogeusia in 33 cases and complete ageusia in one patient. Statistically significant differences in chemosensitive recovery were detected based on age and distance from the onset of clinical manifestations. CONCLUSION: Olfactory and gustatory dysfunctions represent common clinical findings in COVID-19 patients. Otolaryngologists and head-neck surgeons must by now keep this diagnostic option in mind when evaluating cases of ageusia and nonspecific anosmia that arose suddenly and are not associated with rhinitis symptoms.

摘要

背景：首个欧洲病例系列研究显示，COVID-19 患者中化学敏感性障碍的发生率非常高，范围在 19.4%至 88%之间。

方法：在萨萨里大学医院治疗的 72 名 COVID-19 患者中，我们对嗅觉和味觉功能进行了客观测试。

结果：总体而言，73.6%的患者报告有或曾经有化学敏感性障碍。嗅觉评估显示 60 例存在不同程度的嗅觉减退，2 例存在嗅觉丧失。味觉评估显示 33 例存在味觉减退，1 例存在完全味觉丧失。根据发病时间和临床表现的距离，发现化学敏感性恢复存在统计学显著差异。

结论：嗅觉和味觉功能障碍是 COVID-19 患者的常见临床发现。耳鼻喉科和头颈部外科医生在评估突然出现且与鼻炎症状无关的味觉丧失和非特异性嗅觉丧失病例时，现在必须考虑这种诊断选择。

相似文献

[1]
Objective evaluation of anosmia and ageusia in COVID-19 patients: Single-center experience on 72 cases.

Head Neck. 2020-4-29

[2]
Olfactory and gustatory dysfunctions in 100 patients hospitalized for COVID-19: sex differences and recovery time in real-life.

Eur Arch Otorhinolaryngol. 2020-12

[3]
[Anosmia and ageusia as primary symptoms of COVID-19].

Ugeskr Laeger. 2020-4-27

[4]
Olfactory and gustatory dysfunctions as a clinical presentation of mild-to-moderate forms of the coronavirus disease (COVID-19): a multicenter European study.

Eur Arch Otorhinolaryngol. 2020-4-6

[5]
Do olfactory and gustatory psychophysical scores have prognostic value in COVID-19 patients? A prospective study of 106 patients.

J Otolaryngol Head Neck Surg. 2020-8-6

[6]
Olfactory and gustatory abnormalities in COVID-19 cases.

Eur Arch Otorhinolaryngol. 2020-10

[7]
The Prevalence of Olfactory and Gustatory Dysfunction in COVID-19 Patients: A Systematic Review and Meta-analysis.

Otolaryngol Head Neck Surg. 2020-5-5

[8]
Validation of a self-administered olfactory and gustatory test for the remotely evaluation of COVID-19 patients in home quarantine.

Head Neck. 2020-5-9

[9]
Headache associated with COVID-19: Frequency, characteristics and association with anosmia and ageusia.

Cephalalgia. 2020-11

[10]
Remote psychophysical evaluation of olfactory and gustatory functions in early-stage coronavirus disease 2019 patients: the Bologna experience of 300 cases.

J Laryngol Otol. 2020-7

引用本文的文献

[1]
Unraveling Dysgeusia in SARS-CoV-2 Infection: Clinical and Laboratory Insights from Hospitalized COVID-19 Patients in Romania.

Pathogens. 2025-3-21

[2]
Role and Mechanism of Olfactory Stem Cells in the Treatment of Olfactory Disorders.

Stem Cells Int. 2025-4-24

[3]
Neurological Impact of SARS-CoV-2 Changing Variants: A 4-Year DW-MRI Study on Olfactory and Taste-Related Brain Regions.

Int J Mol Sci. 2025-3-29

[4]
SARS-CoV-2-induced sensory perturbations: A narrative review of clinical phenotypes, molecular pathologies, and possible interventions.

Brain Behav Immun Health. 2025-3-24

[5]
Effects of COVID-19 on vital organs in patients infected with SARS-CoV-2.

GHM Open. 2021-8-31

[6]
Evaluation of nonmotor symptoms in myasthenia gravis patients.

Turk J Med Sci. 2024-10-19

[7]
Post COVID-19 and Long COVID Symptoms in Otorhinolaryngology-A Narrative Review.

J Clin Med. 2025-1-14

[8]
Current update on the neurological manifestations of long COVID: more questions than answers.

EXCLI J. 2024-11-27

[9]
Study of Otorhinolaryngological Manifestations in Symptomatic COVID-19-Positive Patients at Tertiary Health Care Hospital: A Cross-sectional Study.

Int Arch Otorhinolaryngol. 2024-7-5

[10]
COVID-19: Unveiling the Neuropsychiatric Maze-From Acute to Long-Term Manifestations.

Biomedicines. 2024-5-22

本文引用的文献

[1]
Potential pathogenesis of ageusia and anosmia in COVID-19 patients.

Int Forum Allergy Rhinol. 2020-9

[2]
Olfactory and gustatory dysfunctions as a clinical presentation of mild-to-moderate forms of the coronavirus disease (COVID-19): a multicenter European study.

Eur Arch Otorhinolaryngol. 2020-4-6

[3]
Isolated sudden onset anosmia in COVID-19 infection. A novel syndrome?

Rhinology. 2020-6-1

[4]
Anosmia and Ageusia: Common Findings in COVID-19 Patients.

Laryngoscope. 2020-4-15

[5]
Self-reported Olfactory and Taste Disorders in Patients With Severe Acute Respiratory Coronavirus 2 Infection: A Cross-sectional Study.

Clin Infect Dis. 2020-7-28

[6]
Clinical and biochemical indexes from 2019-nCoV infected patients linked to viral loads and lung injury.

Sci China Life Sci. 2020-2-9

[7]
A new coronavirus associated with human respiratory disease in China.

Nature. 2020-2-3

[8]
Evaluation of olfactory function in children with seasonal allergic rhinitis and its correlation with acoustic rhinometry.

Int J Pediatr Otorhinolaryngol. 2018-10

[9]
Age-Related Deficits in Taste and Smell.

Otolaryngol Clin North Am. 2018-8

[10]
Sensory recovery of myomucosal flap oral cavity reconstructions.

Head Neck. 2018-3

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