阻塞性睡眠呼吸暂停低通气综合征中医证型与局部体征关系研究
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R766

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Study on Relationship Between Chinese Medicine Syndrome Types and Local Signs of Obstructive Sleep Apnea Hypopnea Syndrome
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    摘要:

    目的:研究分析阻塞性睡眠呼吸暂停低通气综合征 (Obstructive sleep apnea hypopnea syndrome,OSAHS)中医证型与鼻、咽局部体征的关系。方法:对因有打鼾病史求诊的患者行多导睡眠监测检查,对确诊为 OSAHS 的患者,由专门的中医师根据本研究拟定的的中医辨证标准,对其审证、察色、望舌、诊脉,辨出证候,确定证型。同时予常规的口咽部检查及电子鼻咽喉镜检查,记录鼻及咽部的局部体征。将数据录入电脑,采用 SPSS(Version 19.0)统计学软件进行统计分析。结果:共纳入统计的患者 95 例,痰热型 20 例,痰湿型 22 例,痰瘀互结型 19 例,脾气虚型 18 例,肾阳虚型 16 例。在局部体征与中医证型关系方面,仅发现少数局部体征与中医证型有一定的相关性:脓性色黄的鼻腔分泌物多见于痰热型患者(P<0.05),脓性色白的鼻腔分泌物多见于肾阳虚型的患者(P<0.05),会厌抬举功能差多见于脾气虚型与肾阳虚型的患者(P<0.05)。结论:鼻及咽的部分局部体征可以作为 OSAHS 中医辨证分型的参考依据,但仍需做进一步的研究验证结论的可靠性。

    Abstract:

    Abstract:Objective:To study and analyze the relationship between Chinese medicine syndrome types and local signs of nose and pharynx in patients with obstructive sleep apnea hypopnea syndrome(OSAHS). Methods:Patients with snoring history were examined by polysomnography,and patients who diagnosed with OSAHS were further examined by special Chinese medicine doctors according to the Chinese medicine syndrome differentiation standard drawn up in this study. Signs and syndrome types were determined after inquiry,inspection of the complexion,tongue inspection,and pulse diagnosis. At the same time,routine oropharyngeal examination and electronic nasopharyngolaryngoscopy were performed to record the local signs of nose and pharynx. The data were input and analyzed by SPSS(version 19.0) statistical software. Results:A total of 95 cases of patients were enrolled,involving 20 cases of phlegm-heat type,22 of phlegm-dampness type,19 of phlegm-stasis binding type,18 of the spleen qi deficiency type,and 16 of the kidney yang deficiency type. In terms of the relationship between local signs and Chinese medicine syndrome types,only a few local signs were found to have a certain correlation with Chinese medicine syndrome types:purulent yellow nasal secretions were more common in patients with phlegm-heat type (P<0.05),purulent white nasal secretions were more common in patients with the kidney yang deficiency type(P<0.05), and poor epiglottic lifting function was more common in patients with the spleen qi deficiency type and the kidney yang deficiency type(P<0.05). Conclusion:Some local signs of nose and pharynx can be used as the reference basis for Chinese medicine syndrome differentiation of OSAHS,but further research is still needed to verify the reliability of the conclusion.

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王培源.阻塞性睡眠呼吸暂停低通气综合征中医证型与局部体征关系研究[J].新中医,2022,54(14):31-35

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  • 在线发布日期: 2022-07-21
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