【摘要】 目的:探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者中医证型的分布情况及相关影响因素。方法:采用多导睡眠监测对确诊为OSAHS的患者进行观察,分析各年龄段、病程区间及不同病情程度的中医证型分布。结果:95例OSAHS患者确立了5个基本证型,分别为:痰热型、痰湿型、痰瘀互结型、脾气虚型、肾阳虚型等;各组在各年龄段的分布无差异(P>0.05),40岁以下则实证病例(痰热、痰湿、痰瘀)有42例,虚证14例;40岁以上实证19例,虚证20例。实证主要集中在40岁以下,而虚证以40岁以上年龄多见。各证型与病程分布,差异无显著性意义(P>0.05);各证型组在轻度与中度分布比较,差异无显著性意义(P>0.05),但痰瘀互结组的病例重度程度所占的比例要高于其他4组,差异有显著性意义(P<0.05)。结论:OSAHS的中医证型与痰有密切的关系;40岁以下的OSAHS患者多为实证;痰瘀互结型的OSAHS患者病情程度最为严重。更多还原

【Abstract】 Objective:To explore the traditional Chinese medical(TCM) syndrome differentiation of obstructive sleep apnea hypopnea syndrome(OSAHS) and its associated factors.Methods:The OSAHS patients were classi observed according to the results of multiple-channel sleep analysis monitor,and the tribution of syndrome patterns in different age groups,disease courses and illness degrees were analyzed. Results:The syndrome patterns in 95 OSAHS were classified into 5 kinds:phlegm heat,phlegm dampness,phlegm accumulating with blood stasis,spleen Qi deficiency, and kidney yang deficiency.The distribution of syndrome patterns was insignificant among different age groups(P>0.05).There were 42 patients with excess syndrome (phlegm heat,phlegm dampness,and phlegm stasis) and 14 with deficiency syndrome below 40 years old;over 40 years old,there were 19 with excess syndrome and 20 with deficiency syndrome;the excess syndrome was dominated in the age group below 40,while the deficiency syndrome was dominated in the age group over 40.The difference between syndrome pattern distribution and disease course was insignificant (P>0.05).So did the syndrome pattern distribution in mild-and moderate -degree patients(P>0.05).However,the percentage of phlegm accumulating with blood stasis in severe patients was higher than that of other 4 patterns(P<0.05).Conclusion:The pattern of TCM syndrome of OSAHS is characterized by phlegm.The OSAHS patients below 40 years old mainly show the excess syndrome, and the pattern of phlegm accumulating with blood stasis is usually shown in severe patients.更多还原