伊拉克巴格达新冠病毒肺炎患者嗅觉功能障碍评估

Evaluation of Olfactory Dysfunction Among COVID-19 Patients in Baghdad, Iraq.

作者信息

Kasim Mohammad F, Abbas Azzam M

机构信息

Otolaryngology, Ninveha Health Directorate, Mosul, IRQ.

Otolaryngology, College of Medicine, University of Baghdad and Martyr Ghazi Al-Hariri Teaching Hospital, Baghdad Medical City, Baghdad, IRQ.

出版信息

Cureus. 2024 Feb 6;16(2):e53721. doi: 10.7759/cureus.53721. eCollection 2024 Feb.

Abstract

Background SARS‑CoV‑2 (COVID-19) causes olfactory dysfunction which is characterized by anosmia or hyposmia. Characterization of olfactory dysfunction has added value to the diagnosis and prognosis of the disease. Nevertheless, scarce information exists about COVID-19 patients suffering from olfactory dysfunction in Iraq. This study aimed to identify olfactory dysfunction (anosmia or hyposmia) in Iraqi COVID-19 patients and examine their response to smell exercise at Baghdad Medical City Complex, Baghdad, Iraq. Methodology This case series prospective study involving 300 patients (160 males and 140 females) with COVID-19 infection was conducted from June 1, 2020, to October 1, 2021. We recorded signs and symptoms of COVID-19 among patients by examining olfactory dysfunction, n-butanol olfaction test, and smell test exercise. Results Anosmia and hyposmia were found in 69.3% and 30.7% of the patients, respectively; of these, 65.7% were of sudden onset. The association between olfactory dysfunction and smoking was not significant. The most frequent signs and symptoms of COVID-19 were fatigue, fever, loss of taste, myalgia, headache, sore throat, cough, depressed appetite, dyspnea, nausea, abdominal pain, and diarrhea. The highest frequencies of occurrence of anosmia (30.7%) and hyposmia (13.3%) were in the age group of 31-40 years. The majority (47.7%) of patients with olfactory dysfunction recovered within one month of COVID-19 onset. The rest of the patients recovered within one month to 16 months. The most commonly encountered ear, nose, and throat symptoms were nasal obstruction, rhinorrhea, and facial/ear pain. The percentages of patients with anosmia and hyposmia recovering with smell exercise were significant at 64.7% and 25.3%, respectively. Conclusions The prognosis of olfactory dysfunction in COVID-19 patients was good as most cases recovered within a short period with concomitant smell exercise. Olfactory dysfunction in the majority of COVID-19 patients was self-limiting in young age groups, albeit in association with the non-severity of the disease. Being an important public health issue, examining olfactory dysfunction aspects should be considered in the diagnosis, prognosis, and treatment protocols of COVID-19 patients. In-depth exploration is needed to examine olfactory and gustatory dysfunction in patients suffering from severe COVID-19.

摘要

背景

严重急性呼吸综合征冠状病毒2(SARS-CoV-2,即新冠病毒)会导致嗅觉功能障碍,其特征为嗅觉丧失或嗅觉减退。嗅觉功能障碍的特征对于该疾病的诊断和预后具有附加价值。然而,关于伊拉克新冠病毒感染患者中嗅觉功能障碍的信息却很匮乏。本研究旨在确定伊拉克新冠病毒感染患者中的嗅觉功能障碍(嗅觉丧失或嗅觉减退),并在伊拉克巴格达医疗城综合医院研究他们对嗅觉训练的反应。

方法

本病例系列前瞻性研究纳入了300例新冠病毒感染患者(160例男性和140例女性),研究时间为2020年6月1日至2021年10月1日。我们通过检查嗅觉功能障碍、正丁醇嗅觉测试和嗅觉测试训练来记录患者的新冠病毒感染体征和症状。

结果

分别有69.3%和30.7%的患者存在嗅觉丧失和嗅觉减退;其中,65.7%为突然发病。嗅觉功能障碍与吸烟之间的关联不显著。新冠病毒感染最常见的体征和症状为疲劳、发热、味觉丧失、肌痛、头痛、咽痛、咳嗽、食欲减退、呼吸困难、恶心、腹痛和腹泻。嗅觉丧失(30.7%)和嗅觉减退(13.3%)发生率最高的年龄组为31 - 40岁。大多数(47.7%)嗅觉功能障碍患者在新冠病毒感染发病后1个月内康复。其余患者在1个月至16个月内康复。最常见的耳、鼻、喉症状为鼻塞、流涕和面部/耳部疼痛。嗅觉训练后嗅觉丧失和嗅觉减退患者的康复比例分别为64.7%和25.3%,差异有统计学意义。

结论

新冠病毒感染患者嗅觉功能障碍的预后良好,因为大多数病例在进行嗅觉训练的同时能在短时间内康复。大多数新冠病毒感染患者的嗅觉功能障碍在年轻年龄组中是自限性的,尽管这与疾病的非严重性相关。作为一个重要的公共卫生问题,在新冠病毒感染患者的诊断、预后和治疗方案中应考虑检查嗅觉功能障碍方面。对于重症新冠病毒感染患者的嗅觉和味觉功能障碍,需要进行深入探究。

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