阻塞性睡眠呼吸暂停综合症(Osas)对嗅觉和味觉能力的影响

IF 2.8 4区 心理学 Q1 BEHAVIORAL SCIENCES Chemical Senses Pub Date : 2024-01-01 DOI:10.1093/chemse/bjae022
Eleonora M C Trecca, Pier Gerardo Marano, Ferruccio Madaro, Francesca Fortunato, Daniela R Frisotti, Vito Carlo Alberto Caponio, Matteo Vocale, Michele Cassano
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引用次数: 0

摘要

只有少数研究利用心理物理测试对阻塞性睡眠呼吸暂停综合症(OSAS)患者的嗅觉功能进行了调查,而现有文献中有关味觉评估的数据也很少。本研究的主要目的是评估 OSAS 患者的嗅觉和味觉,并探讨症状严重程度与感官知觉之间的相关性。研究共招募了 85 名 OSAS 患者和由 81 名受试者组成的对照组。初步评估包括询问病史、鼻内窥镜检查和填写问卷(埃普沃斯嗜睡量表、视觉模拟量表、嗅觉障碍问卷和嗅觉重要性问卷)。OSAS 的诊断由多导睡眠监测仪确认,鼻气流则通过鼻测量仪进行评估。嗅觉评估采用嗅棒测试,并计算阈值-辨别-识别(TDI)得分。使用味觉条对一组参与者(42 名患者,38 名对照组)进行了味觉评估。OSAS 患者的平均 TDI 分数为 31 ± 5.6,对照组为 35 ± 4.6,两者差异显著(p
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Impact of obstructive sleep apnea syndrome on olfactory and gustatory capacity.

Only a few studies have investigated olfactory function in patients with obstructive sleep apnea syndrome (OSAS) using psychophysical testing, and there is a scarcity of data regarding taste evaluation in the existing literature. The primary objectives of this study were to assess both smell and taste in patients with OSAS and to explore the correlation between the severity of symptoms and sensory perception. A total of 85 OSAS patients and a control group comprising 81 subjects were enrolled. Initial assessments included anamnesis, nasal endoscopy, and the completion of questionnaires (Epworth Sleepiness Scale, Visual Analogue Scale, Questionnaire of Olfactory Disorders, and the importance of olfaction questionnaire). The diagnosis of OSAS was confirmed by polysomnography, while nasal airflow was evaluated using rhinomanometry. Olfaction was assessed using the Sniffin' Sticks test, and the Threshold-Discrimination-Identification (TDI) score was calculated. Taste evaluation was conducted in a subgroup of participants (42 patients, 38 controls) using taste strips. The mean TDI score was 31 ± 5.6 for OSAS patients and 35 ± 4.6 for controls, indicating a significant difference (P < 0.001). Similarly, the taste score was 7 ± 3.0 for OSAS patients and 12.6 ± 3.2 for controls (P < 0.001). No correlations were observed between TDI and Apnea Hypopnea Index (AHI) (r = -0.12; P = 0.28), as well as between the taste score and AHI (r = -0.31; P = 0.22). However, a weak but significant correlation between TDI score and Epworth Sleepiness Scale was detected (r = -0.05; P = 0.002). The study revealed a significant decrease in sensory perception among patients with OSAS, though open questions persist about the pathophysiology.

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来源期刊
Chemical Senses
Chemical Senses 医学-行为科学
CiteScore
8.60
自引率
2.90%
发文量
25
审稿时长
1 months
期刊介绍: Chemical Senses publishes original research and review papers on all aspects of chemoreception in both humans and animals. An important part of the journal''s coverage is devoted to techniques and the development and application of new methods for investigating chemoreception and chemosensory structures.
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