Molnár András, Maihoub Stefani, Mavrogeni Panayiota, Krasznai Magdolna, Tamás László, Kraxner Helga
Department of Otorhinolaryngology and Head and Neck Surgery, Faculty of Medicine, Semmelweis University, Szigony u. 36, 1083 Budapest, Hungary.
Tóth Ilona Health Service Clinical Medical Institute, Görgey Artúr tér 8, 1212 Budapest, Hungary.
J Clin Med. 2023 Jan 29;12(3):1041. doi: 10.3390/jcm12031041.
After a severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection, smell disorders frequently occur, significantly affecting patients' quality of life (QoL).
110 patients with persistent olfactory disorder after coronavirus infection were enrolled. These patients underwent chemosensory testing using the Sniffin' Sticks test, and completed the Questionnaire of Olfactory Disorders (QOD).
30% of the patients reported anosmia, and 70% reported hyposmia. Upon comparing subjective and chemosensory testing categories, good category matching was observed in 75.3% (i.e., anosmia based on both methods in 10 and hyposmia in 48 cases). Statistical analysis using the Chi-square test revealed a significant result ( = 0.001 *). Between the TDI (i.e., Threshold, Discrimination, Identification) results of the three subjective report groups (i.e., hyposmia, anosmia, and parosmia), no significant differences were observed. When the TDI and QOD results were compared, no consistent significant correlations were found in most TDI and QOD outcomes. Between the TDI and Scale 2 results, a significant, although slight correlation was observed by the Spearman's ( = 0.213, = 0.027 *) and Pearson's ( = 0.201, = 0.037 *) tests.
The nonsignificant correlation between objective and subjective methods suggests that these results should be interpreted independently. Moreover, adequate management is essential even in mild cases.
严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染后,嗅觉障碍频繁发生,严重影响患者的生活质量(QoL)。
纳入110例冠状病毒感染后持续存在嗅觉障碍的患者。这些患者使用嗅棒测试进行化学感觉测试,并完成嗅觉障碍问卷(QOD)。
30%的患者报告嗅觉丧失,70%的患者报告嗅觉减退。在比较主观和化学感觉测试类别时,75.3%的患者观察到良好的类别匹配(即10例两种方法均显示嗅觉丧失,48例显示嗅觉减退)。使用卡方检验的统计分析显示结果具有显著性(=0.001*)。在三个主观报告组(即嗅觉减退、嗅觉丧失和嗅觉异常)的TDI(即阈值、辨别力、识别力)结果之间,未观察到显著差异。当比较TDI和QOD结果时,在大多数TDI和QOD结果中未发现一致的显著相关性。在TDI和量表2结果之间,Spearman检验(=0.213,=0.027*)和Pearson检验(=0.201,=0.037*)观察到显著但微弱的相关性。
客观和主观方法之间无显著相关性表明,这些结果应独立解释。此外,即使在轻度病例中,适当的管理也至关重要。