变应性鼻炎引起嗅觉障碍的临床分析
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李佩忠,Email:gudongsheng@139.com

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Study of olfactory dysfunction in allergic rhinitis
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    摘要:

    目的分析变应性鼻炎引起嗅觉障碍的发病机制。方法选取216例变应性鼻炎患者作为实验对象,同时选取99例健康志愿者作为对照组。采用嗅棒气味嗅觉测试方法测定两组患者的嗅觉功能;采用酶联免疫吸附法检测鼻腔分泌物中嗜酸性粒细胞阳离子蛋白(eosinophil ationicprotein,ECP)及类胰蛋白酶的含量;应用鼻压计测定鼻气道阻力。结果变应性鼻炎患者鼻气道阻力与对照组比较差异无统计学意义(P>0.05);变应性鼻炎组患者嗅觉功能,鼻腔分泌物ECP和鼻腔分泌物类胰蛋白酶与对照组比较,差异具有统计学意义(P<0.05)。结论嗜酸性粒细胞和肥大细胞的活性增加可能导致了变应性鼻炎患者的嗅觉障碍,而鼻腔阻塞可能不是引起变应性鼻炎患者嗅觉障碍的主要原因。

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    Abstract:ObjectiveTo study the underlying mechanisms of olfactory dysfunction in allergic rhinitis (AR).MethodsIn this study, 217 patients with AR were included,and 99 healtadults were chosen as normal controls. Olfactory function of all cases was detected using the Sniffin Sticks test. Nasal secretion analysis included detection of eosinophilic cationic protein (ECP) and tryptase. Nasal obstruction was evaluated by nasal airway resistance (NAR) examination.ResultsThe nasal airway resistance compared with allergic rhinitis with the control group of patients, no statistically significant differences(P>0.05); the olfactory function, Ecp and tryptase of the nasal secretions in patients with AR compared with the control group of patients, the difference was statistically significant(P<0.05).ConclusionsIncreased activity of eosinophil and mast cell in the olfactory cleft can lead to olfactory dysfunction in patients with AR, while the nasal obstruction caused by inflammation may not give rise to olfactory dysfunction in patients with AR.

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顾东升,李佩忠.变应性鼻炎引起嗅觉障碍的临床分析[J].中国耳鼻咽喉颅底外科杂志,2014,20(1):46-49

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  • 在线发布日期: 2014-02-28
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