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新冠病毒感染后味觉功能障碍:运用功能近红外光谱技术进行分析

Taste dysfunction after COVID-19: Analysis with functional near-infrared spectroscopy.

作者信息

Jezierska Karolina, Lietz-Kijak Danuta, Gronwald Helena, Oleksy Barbara, Gronwald Barbara Janina, Podraza Wojciech

机构信息

Pomeranian Medical University, Department of Medical Physics, Szczecin, Poland.

Pomeranian Medical University, Department of Propaedeutics, Physical Diagnostics and Dental Physiotherapy, Szczecin, Poland.

出版信息

Otolaryngol Pol. 2023 Nov 26;78(1):14-19. doi: 10.5604/01.3001.0053.7423.

DOI:10.5604/01.3001.0053.7423
PMID:38332707
Abstract

<br><b>Introduction:</b> According to official data, COVID-19 emerged in China in December 2019 and has spread worldwide since then.</br> <br><b>Aim:</b> The aim of this study was to investigate differences in functional near-infrared spectroscopy (fNIRS) recordings between convalescent COVID-19 patients and a healthy control group, which could help to clarify the pathomechanism of dysgeusia in COVID-19.</br> <br><b>Material and methods:</b> The study included 16 participants, comprised of 8 convalescent COVID-19 patients and 8 healthy controls. All participants were examined with fNIRS. The amplitude of changes in oxyhemoglobin (oxyHb) concentration in the cerebral cortex was analyzed statistically (for the test and control groups after stimulation with a taste stimulus - citric acid solution).</br> <br><b>Results:</b> The differences in the amplitude of changes in oxyHb concentration in the cerebral cortex were not statistically significant between the groups. Discussion: Using fNIRS, a strong stimulation of the visual cortex was discovered in response to the taste stimulus, consisting of large, repetitive changes in oxyHb concentration occurring in parallel with stimulation of areas of the taste cortex. This phenomenon has not, to our knowledge, been described previously in the scientific literature. The exact location of the primary taste cortex is controversial, but to date the occipital cortex has not been considered to be involved.</br> <br><b>Conclusions: No difference was observed in the dynamics of changes in oxyHb in the examined areas of the cerebral cortex between convalescent COVID-19 patients and healthy controls. However, the determination of the role of the occipital cortex in the perception of taste requires further research.</br&gt.

摘要


引言:根据官方数据,2019年12月新型冠状病毒肺炎(COVID-19)在中国出现,此后已传播至全球。

目的:本研究旨在调查康复期COVID-19患者与健康对照组之间功能近红外光谱(fNIRS)记录的差异,这有助于阐明COVID-19中味觉障碍的发病机制。

材料和方法:该研究纳入了16名参与者,包括8名康复期COVID-19患者和8名健康对照。所有参与者均接受fNIRS检查。对大脑皮层中氧合血红蛋白(oxyHb)浓度变化的幅度进行统计学分析(在味觉刺激——柠檬酸溶液刺激后对试验组和对照组进行分析)。

结果:两组之间大脑皮层中oxyHb浓度变化幅度的差异无统计学意义。讨论:使用fNIRS发现,对味觉刺激有强烈的视觉皮层刺激,表现为oxyHb浓度的大量、重复性变化,与味觉皮层区域的刺激同时发生。据我们所知,这一现象此前在科学文献中尚未被描述。初级味觉皮层的确切位置存在争议,但迄今为止枕叶皮层尚未被认为与之有关。

结论:在康复期COVID-19患者和健康对照的大脑皮层检查区域中,未观察到oxyHb变化动态的差异。然而,枕叶皮层在味觉感知中的作用仍需进一步研究。

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