Evaluating the Clinical Usefulness of Structured Questions in Parosmia Assessment
Evaluating the Clinical Usefulness of Structured Questions in Parosmia Assessment
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DOI：
10.1002/lary.20955
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发表时间：
2010-08-01
期刊：
影响因子：
2.6
通讯作者：
Hummel, Thomas
中科院分区：
文献类型：
--
作者：
Landis, Basile N.;Frasnelli, Johannes;Hummel, Thomas
目的/假设：嗅觉异常和幻嗅觉与扭曲的气味感知有关。关于其临床意义知之甚少。测量幻嗅觉和嗅觉倒错仍然是不可能的。今天，嗅觉异常或幻嗅觉的评估主要依赖于病人的面谈和医生的经验。因此，我们调查了四个结构化的问题，比较患者的历史，他们的准确性方面的存在气味distortions.Study Design：三级保健中心门诊clinic analysis.Methods：从193例患者的反应进行了分析。所有患者均接受了完整的嗅觉检查（耳、鼻、喉检查，嗅棒测试，脑结构成像），并填写了一份问卷，其中包括4个嗅觉异常问题和6个关于嗅觉异常特征和严重程度的问题。结果：嗅觉异常患者的嗅觉异常评分明显低于正常人（P
Objectives/Hypothesis: Parosmia and phantosmia relate to distorted odor perceptions. Little is known about their clinical significance. Measuring phantosmia and parosmia is still not possible. Today, assessment of parosmia or phantosmia relies mainly upon the patient's interview and the physician's experience. Therefore, we investigated the clinical usefulness of four structured questions in comparison to the patient's history regarding their accuracy in terms of the presence of odor distortions.Study Design: Tertiary care center outpatient clinic analyses.Methods: Responses from 193 patients were analyzed. All patients underwent full olfactory work-up (ear, nose, and throat examination, Sniffin' Sticks testing, structural brain imaging) and filled in a questionnaire with four parosmia questions and six questions regarding characteristics and severity of the parosmia. These responses formed the bases of a numerical parosmia score.Results: Patients with parosmia showed significantly lower parosmia scores (P