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COVID-19患者味觉障碍的定量分析:对咸味的超敏反应

Quantitative analysis of taste disorder in COVID-19 patients, the hypersensitivity to salty quality.

作者信息

Asadi M Mahdi, Shankayi Z, Bahrami F, Mohammadzadeh T, Amini H, Naderi M

机构信息

Students' Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran.

Neuroscience Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.

出版信息

New Microbes New Infect. 2021 Sep;43:100919. doi: 10.1016/j.nmni.2021.100919. Epub 2021 Jul 17.

Abstract

Recently, many of the studies have illustrated that the new pandemic SARS-CoV-2 can affect Central Nervous System through the olfactory bulb. In addition to investigating anosmia or hyposmia induced by this virus, a quantitative analysis was needed to clarify the taste and smell disorder of the new coronavirus. The four basic taste quality with five concentrations for sweet, sour, bitter, and salty were administered to 75 subjects divided into three groups: COVID-19 patients with taste disorder, COVID-19 patients without taste disorder, and control group. The results indicated the increment of sweet (2.68 ± 0.14), sour (3.34 ± 0.12) and bitter (3.39 ± 0.2) thresholds in COVID-19 patients with taste disorder in comparison with patients without taste disorder that the threshold were: 2 ± 0.16, 2.11 ± 0.2 and 2.55 ± 0.5 for sweet, sour, and bitter respectively. On the other hand, the patients inversely showed a significant decrease in the salty taste threshold (0.51 ± 0.03) compared to COVID-19 positive control groups (1.11 ± 0.11). Additionally, despite taste disorder in almost all of the patients with smell deficiency, only 30% of cases with taste disorder reported smell deficiency. It may be concluded that some of the taste disorders in patients with COVID-19 disorder could be associated with taste receptors dysfunction or the spread of infection to the cranial nerves responsible for the conduction of tastes sensation.

摘要

最近,许多研究表明,新型冠状病毒SARS-CoV-2可通过嗅球影响中枢神经系统。除了调查这种病毒引起的嗅觉丧失或嗅觉减退外,还需要进行定量分析以阐明新型冠状病毒的味觉和嗅觉障碍。将四种基本味觉品质(甜、酸、苦、咸,每种有五种浓度)施用于75名受试者,这些受试者分为三组:有味觉障碍的COVID-19患者、无味觉障碍的COVID-19患者和对照组。结果表明,有味觉障碍的COVID-19患者的甜(2.68±0.14)、酸(3.34±0.12)和苦(3.39±0.2)阈值相较于无味觉障碍的患者有所增加,后者的甜、酸和苦阈值分别为:2±0.16、2.11±0.2和2.55±0.5。另一方面,与COVID-19阳性对照组(1.11±0.11)相比,这些患者的咸味阈值显著降低(0.51±0.03)。此外,尽管几乎所有嗅觉减退的患者都有味觉障碍,但只有30%有味觉障碍的病例报告有嗅觉减退。可以得出结论,COVID-19患者的一些味觉障碍可能与味觉受体功能障碍或感染扩散到负责传导味觉的颅神经有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/767e/8371208/4be903cac538/gr1.jpg

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