糖皮质激素治疗新冠肺炎诱发的低嗅觉和嗅觉缺失

IF 0.2 4区 医学 Q3 Medicine B-Ent Pub Date : 2022-10-27 DOI:10.5152/b-ent.2022.21792
Mohammad Amin Khazeei Tabari, Mohanna Khandan, Razie Mirjalili, Neetu Bhadra, Kanagavalli Mathivathanan, V. Veeramani, N. Rezaei
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引用次数: 1

摘要

目的:低嗅觉和嗅觉缺失是新冠肺炎患者最常见的主诉。它可以在短时间内消失,也可以持续一段未知的时间。找到一种合适的治疗方法来恢复病人的嗅觉。本研究的目的是回顾多种类型的皮质激素对covid -19诱导的低氧和嗅觉缺失的影响。方法:采用记叙性文献复习法,分析不同形式、不同剂量的皮质类固醇治疗新冠肺炎致低嗅觉障碍的效果。结果:关于皮质类固醇对COVID-19引起的低嗅觉和嗅觉缺失的影响的数据并不多;然而,尽管这些药物对COVID-19引起的低嗅觉和嗅觉缺失的疗效的证据很少,但最近的文献报道了它们改善这些症状的效果,无论是口服还是鼻喷雾剂。大多数研究表明,皮质类固醇,无论是鼻用还是全身使用,都不如人们想象的那么有效。结论:局部使用皮质类固醇作为鼻腔喷雾剂或全身使用皮质类固醇无助于改善患者的嗅觉能力。这些方法有时与嗅觉训练等其他方法混合使用,以改善患者的嗅觉。然而,研究结果表明,每种治疗方案的疗效存在差异。在大多数使用嗅觉训练联合皮质类固醇治疗COVID-19诱导的低嗅觉/嗅觉缺失的研究中,嗅觉训练显示出更好的效果。Copyright@Author(年代)。
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Corticosteroids Therapy for COVID-19-Induced Hyposmia and Anosmia
Objective: Hyposmia and anosmia are the most frequent complaints of patients with COVID-19. It can disappear after a short time or can last for an unknown period. Finding a suitable treatment for restoring the patients' smell. The objective of this study is to review the effects of numerous types of corticoids on COVID-19-induced hyposmia and anosmia. Method(s): A narrative literature review was performed to analyze the effects of different forms of corticosteroids in various dosages for the treatment of COVID-19-induced hyposmia and anosmia. Result(s): There is not a lot of data on the effects of corticosteroids on COVID-19-induced hyposmia and anosmia;however, despite little evidence for the efficacy of these drugs in hyposmia and anosmia caused by COVID-19, their effect in improving these symptoms whether in oral or nasal spray forms has been reported in recent literature. Most of the studies show that corticosteroids, whether nasal or systemic, are not as effective as they are thought to be. Conclusion(s): Using topical corticosteroids as nasal sprays or systemic corticosteroids cannot help to improve the patient's ability to smell. These methods were sometimes mixed with other methods such as olfactory training to improve the patient's olfactory sense. However, the results of the studies showed diversity in the efficacies of each treatment plan. In most of the studies which used olfactory training along with corticosteroid therapy as a therapy for hyposmia/anosmia induced by COVID-19, olfactory training showed a better result. Copyright@Author(s).
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来源期刊
B-Ent
B-Ent Medicine-Otorhinolaryngology
CiteScore
0.60
自引率
0.00%
发文量
13
期刊介绍: Throughout its history, the Royal Belgian Society of Oto-rhino-laryngology, Head and Neck Surgery, the home society of B-ENT, aims to disseminate both the scientific and the clinical knowledge of otorhinolaryngology field primarily in Belgium and its regions. In accordance with this aim, publishing a scientific journal has become the number one objective of the Society. Accordingly, B-ENT contributes to the scientific memory of Belgium considering its deep-rooted history.
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