Study On The Relationship Between Obstructive Sleep Apnea Hypopnea Syndrome And Cardiovascular Diseases In Traditional Chinese And Western Medicine

Objective:By collecting the relevant data of patients with obstructive sleep apnea hypopnea syndrome(OSAHS)complicated with cardiovascular disease,this paper discusses the correlation between phlegm and blood stasis and OSAHS complicated with cardiovascular disease,and explores the impact of OSAHS and OSAHS combined with related factors on cardiovascular disease,so as to make a beneficial exploration for the prevention and treatment of OSAHS on cardiovascular disease.Methods:From January 2016 to September 2021,441 patients who were hospitalized and outpatiently treated in the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine and diagnosed with OSAHS by polysomnography monitoring were selected,and their clinical data were counted,such as gender,age,height,body mass index(BMI),smoking history,drinking history,AHI and other indicators.Results:1.Comparison of correlation factors between the classification of PATIENTS with OSAHS and hypertension:(1)AHI index: Three-level group>Two-level group>One-level group,there was a statistical difference.(2)BMI index: Three-level group> Two-level group,One-level group,there are statistical differences.(3)Smoking history: Three-level group,Two-level group>One-level group,there are statistical differences.(4)There were no statistical differences in the comparison of age,sex,and drinking history.2.Comparison of the correlation factors between the cardiac function classification of patients with OSAHS and heart failure:(1)AHI index:ivory group,iii group> ii group> I group,there were statistical differences.(2)BMI index: IV group,III group> II group,there are statistical differences.(3)There were no statistical differences in age,sex,smoking history,and drinking history.3.Comparison of related factors between the classification of patients with OSAHS and coronary heart disease:(1)AHI index: unstable angina > stable angina,there is a statistical difference.(2)BMI index:unstable angina > stable angina,there is a statistical difference.(3)There were no statistical differences in age,sex,smoking history,and drinking history.4.Comparison of correlated factors between the classification of patients with OSAHS and arrhythmias:(1)AHI index: ventricular arrhythmia> sinus arrhythmia,atrial arrhythmia,junctional arrhythmia,there is a statistical difference.(2)There were no statistical differences in BMI index,age,sex,smoking history,and drinking history.5.Distribution of traditional Chinese medicine certificates in patients with OSAHS and hypertension: 60 cases(35.1%)of sputum dampness,49 cases(28.7%)of hepatic hyperactivity,43 cases(25.1%),and 19 cases(11.1%)of yin and yang deficiency.6.(1)Comparing the AHI index between TCM syndromes with OSAHS and hypertension,the sputum wet syndrome was significantly higher than that of other types,and there was a statistical difference.(2)There was a statistical difference in the BMI index between the TCM models with OSAHS and hypertension,and the sputum wetness was significantly higher than that of other types.(3)There were no statistical differences in the comparison of age,sex,smoking history and drinking history between TCM types with OSAHS and hypertension.7.Distribution of traditional Chinese medicine certificates in patients with OSAHS combined with heart failure: 59 cases(53.2%)of qi deficiency and blood stasis,37 cases(33.3%)of yang deficiency water,15 cases(13.5%),and 0 cases of asthma and destasis.8.(1)Comparison of AHI index between TCM certificates in patients with OSAHS combined with heart failure: Qi deficiency blood stasis > Qi yin and yin deficiency,there is a statistical difference.(2)Comparison of BMI index between TCM certificates in patients with OSAHS combined with heart failure: there are statistical differences between qi deficiency and blood stasis> yang deficiency and water pan-evidence,and qi and yin deficiency.(3)There were no statistical differences in the comparison of age,sex,smoking history and drinking history between TCM types in patients with OSAHS and heart failure.9.Distribution of traditional Chinese medicine certificates in patients with OSAHS and coronary heart disease: 35 cases(41.6%)of sputum occlusion obstruction,16 cases(19.0%),12 cases of cardiac and thoracic evidence of stagnation of qi(14.3%),12 cases of qi and yin deficiency(14.3%),4 cases of heart and kidney yang deficiency(4.8%),3 cases of cold coagulation heart pulse evidence(3.6%),2 cases of heart and kidney yin deficiency(2.4%),and 0 cases of positive deficiency and yang deficiency.10.(1)Comparison of AHI index between TCM certificates in patients with OSAHS and coronary heart disease: sputum occlusion occlusion >cardiothoracostemological evidence,there is a statistical difference.(2)Comparison of BMI index between TCM certificates in patients with OSAHS and coronary heart disease: cardiac blood stasis obstruction,sputum occlusion obstruction> qi and yin,there are statistical differences.(3)There were no statistical differences in the comparison of age,sex,smoking history and drinking history between TCM types in patients with OSAHS and coronary heart disease.11.The distribution of TCM certificates in patients with OSAHS and arrhythmias was 30 cases(40.0%),16 cases(21.3%)of stasis heart pulse evidence,13 cases(17.4%),11 cases(14.7%),3 cases(4%),1 case(1.3%)of heart weakness and timidity,and 1 case(1.3%).12.(1)Comparison of AHI index between TCM cardiac certificates in patients with OSAHS and arrhythmias: Sputum fire disturbance cardiac evidence is significantly higher than other cardiac types,and there are statistical differences.(2)There were no statistical differences in BMI index,age,sex,smoking history,and drinking history between TCM patients with OSAHS and arrhythmias.Conclusion:1.Patients with OSAHS with obesity and smoking history have higher levels of hypertension.2.Patients with OSAHS complicated with obesity have more severe heart failure and coronary heart disease.3.The increase of AHI will aggravate the severity of hypertension,coronary heart disease,heart failure and arrhythmia.4.The most common TCM syndrome type of OSAHS patients with hypertension is phlegm dampness syndrome;Qi deficiency and blood stasis syndrome is the most common syndrome in patients with OSAHS complicated with heart failure;The most common TCM syndrome type of OSAHS patients with coronary heart disease is phlegm turbidity and obstruction syndrome;Phlegm fire disturbing heart syndrome is the most common TCM syndrome in patients with OSAHS complicated with arrhythmia.5.Among OSAHS patients with hypertension,the degree of sleep apnea in phlegm dampness syndrome is the most serious;In OSAHS patients with heart failure,the degree of sleep apnea in Qi deficiency and blood stasis syndrome is more serious than that in Qi Yin deficiency syndrome;In patients with OSAHS complicated with coronary heart disease,the degree of sleep apnea in phlegm turbidity blocking syndrome is more serious than that in Qi stagnation cardiothoracic syndrome;Among the patients with OSAHS complicated with arrhythmia,the degree of sleep apnea of phlegm fire disturbing the heart is the most serious.6.OSAHS patients with obesity are more common in phlegm dampness excess syndrome of hypertension,Qi deficiency and blood stasis syndrome of heart failure,heart blood stasis syndrome and phlegm turbidity blockage syndrome of coronary heart disease.7.Phlegm and blood stasis are the key factors of OSAHS complicated with cardiovascular disease.