以鼻过敏症状为主诉的慢性鼻炎患者嗅觉障碍的调查研究  

Investigation of olfactory dysfunction in patients with chronic rhinitis complaining of nasal allergy symptoms

作　　者：王伟伟[1] 董保成[1] 孙海丽 张丽川[2] WANG Weiwei;DONG Baocheng;SUN Haili;ZHANG Lichuan(Department of Otolaryngology Head and Neck Surgery,Beijing Friendship Hospital,Capital Medical University,Beijing,100050,China;Department of Otolaryngology Head and Neck Surgery,Beijing Anzhen Hospital,Capital Medical University,Beijing,100029,China)

机构地区：[1]首都医科大学附属北京友谊医院耳鼻咽喉头颈外科,北京100050 [2]首都医科大学附属北京安贞医院耳鼻咽喉头颈外科,北京100029

出　　处：《中国耳鼻咽喉头颈外科》2022年第6期350-353,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的调查以鼻过敏症状为主诉的慢性鼻炎患者发生嗅觉障碍的情况。方法前瞻性选取2019年以鼻痒、喷嚏等为主诉来院就诊的慢性鼻炎患者70例,对其进行血清特异性IgE检测、Sniffin'sticks嗅觉功能检测、鼻阻力检测和声反射鼻腔测量等。结果70例慢性鼻炎患者中,嗅觉减退者27例(38.57%)。过敏性鼻炎亚组中嗅觉障碍的发生率为30.56%,嗅觉障碍组的总容积0~6 cm、总容积2~5 cm、总吸气和总呼气较嗅觉正常组存在统计学差异;非过敏性鼻炎亚组中,嗅觉障碍的发生率为47.06%,两组间年龄存在统计学差异。结论非过敏性鼻炎和过敏性鼻炎患者嗅觉障碍的发生率均较高,但两者发生嗅觉障碍的原因可能不同,过敏性鼻炎患者的鼻腔通气情况与嗅觉障碍的发生有关,而非过敏性鼻炎患者的嗅觉障碍与年龄有关。OBJECTIVE To investigate the occurrence of olfactory dysfunction in patients with chronic rhinitis who complain of allergic symptoms of the nose.METHODS 70 patients with chronic rhinitis who came to our hospital with the main complaints of nasal itching and sneezing in 2019 were prospectively selected,and serum-specific IgE detection,Sniffin'sticks olfactory function detection,nasal resistance detection and acoustic reflex nasal measurement were performed on them.RESULTS Among the 70 patients with chronic rhinitis,27 patients(38.57%)developed hyposmia.The incidence of olfactory dysfunction in the allergic rhinitis subgroup was 30.56%.In the olfactory dysfunction group,the total volume of 0-6 cm,total volume of 2-5 cm,total inhalation and total exhalation were significantly different from those in the normal olfactory group;In the non-allergic rhinitis subgroup,the incidence of olfactory dysfunction was 47.06%,and there was a statistically significant difference in age between the two groups.CONCLUSION Both non-allergic rhinitis and allergic rhinitis patients have a higher incidence of olfactory dysfunction,but the reasons for the two may be different.The nasal ventilation in patients with allergic rhinitis is related to the occurrence of olfactory dysfunction,but for non-allergic rhinitis patients,the occurrence of olfactory dysfunction is related to age.

关 键 词：鼻炎 嗅觉障碍 过敏症状 

分 类 号：R765.21[医药卫生—耳鼻咽喉科]