富血小板血浆对病毒后长期嗅觉功能障碍的疗效:病例系列。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-11-01 Epub Date: 2024-07-11 DOI:10.1007/s00405-024-08816-5
Jerome R Lechien, Sven Saussez
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引用次数: 0

摘要

目的研究富血小板血浆(PRP)对病毒后长期嗅觉障碍(LPOD)患者的疗效:前瞻性地招募了 43 名连续的病毒后长期嗅觉障碍患者。在双侧嗅裂注射 1 mL PRP。通过嗅觉障碍问卷(ODQ)和阈值、辨别力和识别力(TDI)测试,评估了注射 PRP 后 6 个月嗅觉的变化:43名患者接受了双侧PRP注射(24名女性)。患者的平均年龄为(58.9 ± 16.8)岁。LPOD的平均持续时间为8.7年。注射前到注射后 6 个月的平均 TDI 从 10.3 ± 10.2 显著提高到 20.12 ± 12.07(p = 0.001)。平均 ODQ 从 29.8 ± 13.0 显著降至 23.4 ± 11.3(p = 0.013)。TDI和ODQ的平均变化分别为9.8和6.4。年龄与6个月阈值得分成反比:PRP似乎是治疗病毒后长期OD的一种很有前景的治疗策略。我们的研究结果支持在这类患者中开展随机对照试验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Effectiveness of platelet-rich plasma in long-lasting post-viral olfactory dysfunction: a case-series.

Objective: To investigate the platelet-rich plasma (PRP) effectiveness in patients with a long-lasting postviral olfactory dysfunction (LPOD).

Methods: Forty-three consecutive patients with a long-lasting postviral OD were prospectively recruited. The injection of 1 mL of PRP was carried out in both olfactory clefts. The pre- to 6-month post-PRP injection change in olfaction was assessed with the olfactory disorder questionnaire (ODQ) and the threshold, discrimination, and identification (TDI) tests.

Results: Forty-three patients received bilateral PRP injections (24 females). The mean age of patients was 58.9 ± 16.8 years. The mean duration of LPOD was 8.7 years. The pre to 6-month post-injection mean TDI significantly improved from 10.3 ± 10.2 to 20.12 ± 12.07 (p = 0.001). The mean ODQ significantly decreased from 29.8 ± 13.0 to 23.4 ± 11.3 (p = 0.013). The average change of the TDI and the ODQ were 9.8 and 6.4, respectively. Age was inversely associated with the 6-month threshold score.

Conclusion: PRP appears to be a promising therapeutic strategy for long-lasting postviral OD. Our findings support the conduction of controlled randomized trial in this population of patients.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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