Study On Traditional Chinese Medical Syndrome Types Of Obstructive Sleep Apnea Hypopnea In 96 Cases

Objective:Based on 96 cases of obstructive sleep apnea hypopnea syndrome patients with polysomnography,and collect data on the main clinical manifestation,classify patients with TCM syndrome type,to investigate the effect of obstructive sleep apnea hypopnea syndrome of TCM syndrome classification and influencing factors.Objective to study the correlation between TCM syndrome types and polysomnography index,so as to provide objective basis for syndrome differentiation and further guide clinical differentiation and treatment.Method:From January 2016 to January 2017 in our department of polysomnography in the clinic,according to the inclusion criteria with a total of 96 cases of hypopnea syndrome patients with obstructive sleep apnea,treated by TCM discrimination.TCM syndrome can be identified into five types,including phlegm heat obstructing lung syndrome,qi stagnation blood stasis syndrome,qi deficiency syndrome of spleen and lung,spleen and kidney two deficiency syndrome,phlegm dampness syndrome.Record the age.sex and occupation,BMI,duration,complications,clinical symptoms,tongue and pulse,and sleep apnea monitoring measured total time,apnea of the long time,the lowest oxygen saturation,AHI index.To analyze the influencing factors of obstructive sleep apnea hypopnea syndrome,the TCM syndrome differentiation and the correlation between TCM syndrome type and sleep monitoring index,and to investigate and analyze the data by SPSS20.0 software.Result:1.The ratio of male to female was 1.5:1,indicated higher incidence in males.Higher incidence was found in 40-59-year-old patients.Male patients of 40 to 49-year-old and females of 50 to 59-year-old shared higher incidence.Occupational labor.BMI,duration of disease,drinking,smoking impacted the disease occurrence.Patients with obstructive sleep apnea hypopnea syndrome commonly were complicated with 2 to 3 diseases such as hypertension or coronary heart disease.Main clinical manifestations comprised snoring,night to wake up,lethargy,forgetfulness,dizziness,body puffiness,weakness and other symptoms.2.TCM syndrome can be divided into phlegm heat obstructing lung syndrome,qi stagnation blood stasis syndrome,qi deficiency syndrome of spleen and lung,spleen and kidney two deficiency syndrome,phlegm dampness syndrome,among which phlegm dampness syndrome,qi deficiency syndrome of spleen and lung and qi stagnation blood stasis syndrome are the main types.3.Sleep apnea monitoring index in different TCM syndrome of comparison between two group,including AHI P<0.05,the difference was statistically significant,while LSaO2,the longest pause time,total pause time is P>0.05,the difference was not statistically significant.Conclusion:1.Correlation between obstructive sleep apnea syndromes and age,hypopnea syndrome occupation labor,BMI,duration of disease,life style,AHI and other indicators of TCM syndrome differentiation has guiding significance.2.TCM syndrome type of OSAHS distribution:phlegm dampness syndrome>qi deficiency syndrome of spleen and lung>qi stagnation blood stasis syndrome>spleen and kidney two deficiency syndrome>phlegm heat obstructing lung syndrome and its pathogenesis is related to the dysfunction of the five internal organs in TCM.3.In patients with OSAHS,the course of disease of qi deficiency syndrome of spleen and lung,spleen and kidney two deficiency syndrome and qi stagnation blood stasis syndrome are long.4.In patients with OSAHS,spleen and kidney two deficiency syndrome and qi deficiency syndrome of spleen and lung were more tend to middle-aged and elderly patients.5.In patients with OSAHS,phlegm heat obstructing lung syndrome and phlegm dampness syndrome are especially high in BMI.6.In patients with OSAHS,qi deficiency syndrome of spleen and lung and spleen and kidney two deficiency syndrome were more serious,the phlegm dampness syndrome and phlegm heat obstructing lung syndrome were less obstructive,and were positively related to the duration of disease.7.AHI has certain guiding significance for the classification of TCM syndromes,which suggests that the correlation between OSAHS TCM syndrome differentiation and the monitoring indexes of sleep breathing is worthy of further study.