|
|
Investigation on awareness of olfactory function and related diseases among the elderly in a community in Beijing |
ZHANG Lin1,2 SHAO Shuang1 YAO Linyin3 DU Juan1 ZHAO Yali1▲ |
1.Department of General Medicine and Management, School of General Practice and Continuing Education of Capital Medical University, Beijing 100069, China; 2.Department of General Medicine, Wangjiayuan Community Health Station of Dongcheng District in Beijing, Beijing 100027, China;
3.Department of Otorhinolaryngology Head and Neck Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China |
|
|
Abstract Objective To understand the cognitive status and importance of olfactory function and olfactory dysfunction in community residents, and to provide research basis for the feasibility and promotion of olfactory function in predicting aging-related diseases at the grass-roots level in the future. Methods A total of 550 people over 60 years old residents in Grongti Community of Dongzhimen Street, Dongcheng District in Beijing were selected from October 2018 to April 2019 by random number table method for investigation of the understanding of olfactory dysfunction, including the importance and impact of olfactory functions in daily life, the awareness of olfactory dysfunction and related diseases. Results A total of 406 valid questionnaires were collected, and the effective collection rate was 73.8%. 315 people (77.6%) believed that olfactory function plays an important role in daily life. 309 people (76.1%) thought that the sense of smell was important for the alarm, 185 people (45.6%) and 259 people (63.8%) thought that olfactory function had no effect or unclear effect on emotional and cognitive abilities, respectively. The number of residents thought that colds and allergic rhinitis affecting olfactory function was the highest, with 351 people (86.5%) and 288 people (70.9%), respectively. 290 people (71.4%) believed that hyposmia was an olfactory dysfunction, 306 people (75.4%) thought that anosmia was an olfactory dysfunction. Only 27 people (6.7%) had paid attention to olfactory knowledge. 184 people (45.3%) indicated that if they had hyposmia, they would not go to the hospital for professional treatment, and 71 people (17.5%) said that they would not go to the hospital for treatment even they had anosmia. Conclusion Residents have low awareness rate of olfactory effects on digestion, cognition, and regulation of emotions. The awareness rate of olfactory function caused by trauma and neurological diseases is significantly lower than that of viral infection and nasal-sinus disease. They have low attention to olfactory-related knowledge and insufficient attention to olfactory dysfunction disease.
|
|
|
|
|
[1] 高旭栋,崔娜,安立峰,等.嗅觉障碍常见病因、治疗及预后[J].临床耳鼻咽喉头颈外科杂志,2014,28(20):1623-1627.
[2] 李楠,徐心.嗅觉障碍及其临床检测方法[J].中华临床医师杂志:电子版,2013,7(21):9759-9761.
[3] 中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组,中华医学会耳鼻咽喉头颈外科学分会鼻科学组.嗅觉障碍诊断和治疗专家共识(2017年)[J].中华耳鼻咽喉头颈外科杂志,2018,53(7):484-494.
[4] Holbrook EH,Leopold DA. An updated review of clinical olfaction [J]. Curr Opin Otolaryngol Head Neck Surg,2006, 14(1):23-28.
[5] 王斌,李勇.嗅觉障碍和嗅觉功能检查的研究进展[J].浙江医学,2016,38(1):67-69.
[6] Hakyemez HA,Veyseller B,Ozer F,et al. Relationship of olfactory function with olfactory bulbus volume,disease duration and Unified Parkinson′s disease rating scale scores in patients with early stage of idiopathic Parkinson′s disease [J]. J Clin Neurosci,2013,20(10):1469-1470.
[7] 程志娟,赵敬堃,赵继巍,等.嗅觉障碍与神经系统变性疾病[J].神经疾病与精神卫生,2016,16(6):706-708.
[8] 李春华,黄忠华,黎黎.嗅觉障碍病因研究进展[J].临床耳鼻咽喉科杂志,2004,18(11):695-698.
[9] Doty RL. The olfactory system and its disorders [J]. Semin Neurol,2009,29(1):74-81.
[10] 石姣姣,梁珍,左萍萍.嗅觉障碍与早期神经退行性疾病的研究进展[J].中国康复理论与实践,2014(4):327-330.
[11] 陈贲.伴嗅觉损害的老年抑郁症患者的认知功能及多模态磁共振影像研究[D].广州:南方医科大学,2017.
[12] 杭天依,李光武,徐金勇.嗅觉通路与大脑关联作用的研究进展[J].立体定向和功能性神经外科杂志,2013, 26(2):125:128.
[13] Devanand DP,Liu X,Tabert MH,et al. Combining early markers strongly predicts conversion from mild cognitive impairment to Alzheimer's disease [J]. Biol Psychiatry,2008,64(10):871-879.
[14] 霍丽涛,吴庆文,黄星会.嗅觉障碍与神经退行性疾病关系研究进展[J].中国老年学杂志,2014(24):7126-7129.
[15] 周小燕,王晓明.神经退行性疾病的嗅觉障碍[J].中华临床医师杂志:电子版,2016,10(16):2488-2491.
[16] 兰希福,周永红,张美增,等.轻度认知功能障碍病人嗅觉功能减退的临床研究[J].青岛大学医学院学报,2009,45(5):459-461,464.
[17] 庞灵恩,张扬,管得宁.帕金森病的嗅觉障碍[J].医学综述,2015(7):1237-1240.
[18] 胡庆东,牛利华,唐敏,等.嗅觉障碍检测对轻度认知功能损害诊断价值的研究[J].安徽医药,2010,14(6):671-672.
[19] 王美华,翁秋燕.40例帕金森病患者非运动症状的时序性分析[J].中国现代医生,2017,55(8):94-97,封3.
[20] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2017年版)[J].中华糖尿病杂志,2018,10(1):4-67.
[21] 欧艺,连勇军,赵亚丽,等.2型糖尿病认知功能障碍与BDNF、胰岛素抵抗的相关性研究[J].现代医院,2018, 18(3):420-422.
[22] 曹燕娟,麦合权,胡仁山,等.社区干预对2型糖尿病患者疾病认知和血糖控制的影响[J].中国医学创新,2018, 15(19):95-97.
[23] 刘惠,马雅军,胡志灏,等.糖尿病与认知障碍关系的研究进展[J].实用心脑肺血管病杂志,2019,27(6):1-4. |
|
|
|