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新冠病毒感染病例中的嗅觉和味觉异常

Olfactory and gustatory abnormalities in COVID-19 cases.

作者信息

Altin Fazilet, Cingi Cemal, Uzun Tankut, Bal Cengiz

机构信息

Department of Otorhinolaryngology, University of Health Sciences, Haseki Training and Research Hospital, Istanbul, Turkey.

Medical Faculty, ENT Department, Eskişehir Osmangazi University, Eskişehir, Turkey.

出版信息

Eur Arch Otorhinolaryngol. 2020 Oct;277(10):2775-2781. doi: 10.1007/s00405-020-06155-9. Epub 2020 Jun 23.

Abstract

PURPOSE

At the time of writing, there is a pandemic affecting virtually every country on Earth. There is considerable discussion amongst clinicians as well as lay people about anosmia and ageusia in COVID-19 sufferers. We aimed to report the results from comprehensive olfactory and gustatory testing in a series of hospital in-patients.

METHODS

The prospective study evaluated 81 individuals with a COVID-19 infection, as confirmed by 2019 n-cov Real-Time PCR laboratory testing. The control group consisted of forty individuals with COVID-19 negative. Olfactory and gustatory testings were carried out by an examiner utilizing stringent safety standards and wearing full personal protective equipment. The results obtained in the case group were then compared with those obtained for the controls.

RESULTS

In the case group, 41(50.6%) of patients were male and 40 (49.4%) were female, mean age of 54.16 ± 16.98 years (18-95). In the control group, 21 (52.5%) of subjects were male and 19 (47.5%) were female, and mean age was 55 ± 15.39 years (18-90). Fifty (61.7%) COVID-19-positive patients had complaints related to olfaction. The distribution of olfactory symptoms in the case group differed at the level of statistical significance from the control group (p < 0.001). Turning to gustatory abnormalities, within the case group, 22 individuals (27.2%) had taste malfunction. A statistically significant difference was found in the distribution of gustatory abnormalities between cases and controls (p < 0.001).

CONCLUSIONS

Olfactory and gustatory dysfunctions are strongly associated with SARS-CoV-2 infection. Hyposmia with or without hypogeusia is potentially a reliable indicator of latent COVID-19.

摘要

目的

在撰写本文时,一场大流行病几乎影响到地球上的每个国家。临床医生和普通民众都在广泛讨论新冠病毒感染者的嗅觉丧失和味觉丧失问题。我们旨在报告一系列住院患者全面嗅觉和味觉测试的结果。

方法

这项前瞻性研究评估了81名经2019新型冠状病毒实时聚合酶链反应实验室检测确诊为新冠病毒感染的个体。对照组由40名新冠病毒检测呈阴性的个体组成。嗅觉和味觉测试由一名检查人员进行,该检查人员采用严格的安全标准并穿戴全套个人防护装备。然后将病例组获得的结果与对照组的结果进行比较。

结果

病例组中,41名(50.6%)患者为男性,40名(49.4%)为女性,平均年龄为54.16±16.98岁(18 - 95岁)。对照组中,21名(52.5%)受试者为男性,19名(47.5%)为女性,平均年龄为55±15.39岁(18 - 90岁)。50名(61.7%)新冠病毒检测呈阳性的患者有嗅觉相关主诉。病例组嗅觉症状的分布与对照组在统计学意义上存在差异(p < 0.001)。至于味觉异常,在病例组中,22名个体(27.2%)有味觉功能障碍。病例组和对照组之间味觉异常的分布存在统计学显著差异(p < 0.001)。

结论

嗅觉和味觉功能障碍与严重急性呼吸综合征冠状病毒2感染密切相关。伴有或不伴有味觉减退的嗅觉减退可能是潜伏性新冠病毒感染的可靠指标。

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