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[新型冠状病毒肺炎相关味觉障碍的机制与管理]

[Mechanisms and Management of COVID-19-Associated Taste Disorders].

作者信息

Zheng Xin, Xu Xin, Zhou Xue-Dong, Peng Xian

机构信息

State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.

出版信息

Sichuan Da Xue Xue Bao Yi Xue Ban. 2023 Mar;54(2):334-341. doi: 10.12182/20230260306.

Abstract

The taste buds in the human tongue contain specialized cells that generate taste signals when they are stimulated. These signals are then transmitted to the central nervous system, allowing the human body to distinguish nutritious substances from toxic or harmful ones. This process is critical to the survival of humans and other mammals. A number of studies have shown that dysgeusia, or taste disorder, is a common complication of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, which can severely affect patients' nutritional intake and quality of life. Based on the physiological process of taste perception, the direct causes of dysgeusia include dysfunction of taste receptors and damage to the taste nervous system, while indirect causes include genetic factors, aging-related changes, bacterial and viral infections, and cancer treatments such as radiotherapy and chemotherapy. The pathogenic factors of dysgeusia are complicated, further research is needed to fully understand the underlying mechanisms, and some of the reported findings and conclusions still need further validation. All these form a great challenge for clinical diagnosis of the cause and targeted treatment of dysgeusia. Herein, we reviewed published research on the physiological process of taste perception, the potential mechanisms of taste disorders related to SARS-CoV-2 infection, and strategies for prevention and treatment, providing theoretical support for establishing and improving the comprehensive management of COVID-19 complicated by taste disorders.

摘要

人类舌头上的味蕾含有特殊细胞,这些细胞受到刺激时会产生味觉信号。然后这些信号被传输到中枢神经系统,使人体能够区分营养物质与有毒或有害物质。这一过程对人类和其他哺乳动物的生存至关重要。多项研究表明,味觉障碍是由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染引起的2019冠状病毒病(COVID-19)的常见并发症,会严重影响患者的营养摄入和生活质量。基于味觉感知的生理过程,味觉障碍的直接原因包括味觉受体功能障碍和味觉神经系统损伤,而间接原因包括遗传因素、与衰老相关的变化、细菌和病毒感染以及放疗和化疗等癌症治疗。味觉障碍的致病因素复杂,需要进一步研究以充分了解其潜在机制,一些已报道的发现和结论仍需进一步验证。所有这些都给味觉障碍病因的临床诊断和针对性治疗带来了巨大挑战。在此,我们综述了已发表的关于味觉感知生理过程、与SARS-CoV-2感染相关的味觉障碍潜在机制以及预防和治疗策略的研究,为建立和完善COVID-19合并味觉障碍的综合管理提供理论支持。

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