Sleep Apnea Syndrome Of Tcm Syndrome Analysis And The Correlation Between Metabolic Syndrome And Study

Objective:To investigate the etiology, pathogenesis and typing of sleep apnea syndrome (snore evidence) as well as the relationship between snore evidence and metabolic syndrome, via investigating related cases and evolution.Method:174cases in sleep apnea monitoring unit of Beijing Hospital MOH were collected, with duration from December2008to march2012. After an investigation of syndrome, BMI, blood pressure, TC, blood glucose of the cases, the characters and evidence of sleep apnea syndrome were summed up. The Correlation between sleep apnea syndrome and metabolic syndrome was explored by analyzing the related data.Result:1Investigation in TCM evidence of sleep apnea syndrome151cases were collected in the study, averaged age (55.39±11.91), including123male patients(81.5%)and28female patients(18.5%).The TCM typing in151cases shows that phlegm syndrome takes the majority part (50cases,33.1%), followed by qi-stagnation&blood stasis&phlegm syndrome (41cases,27.2%). The main symptoms of SAS were snoring(88.7%). thirst (78.1%), fatigue (67.5%), hypersomnia (64.2%), forgetery(57.0%), and frequent micturition (51.7%). Among the patients with snoring, most of the young and middle-aged ones are empirical, accounted for75.9%,54.7%respectively.54.5%elderly patients are found deficiency. There was significant difference between above two groups (X2=9.385,P<0.05).48.1%young subjects were found phlegm syndrome.29.7%middle-aged subject suffered qi-stagnation&blood stasis&phlegm syndrome.33.3%senior patients have deficiency with kidney and liver yin. Snore evidence has correlation with age, with significant difference (X2=22.015,P<0.05).2The correlation between sleep apnea syndrome and metabolic syndrome104cases were involved in the study. Among them, there were81cases with SAS in SAS group (identified as SAS group, averaged age54.05±12.52years), and23cases without SAS in control group(identified as control group, age55.39±11.91years). There are no difference in ages and gender between two groups(P>0.05).The incidence of MS in SAS (63.0%) is higher than the control group,(34.8%),with significance (x2=5.575,P<0.05). There is correlation between them. The incidence of MS was of no difference between among mild, moderate and severe arm SAS(X2=3.514,P>0.05). For patients with snoring, the occurrence of SAS in obese group was90.4%, higher than other group (36.5%).It shows a significant difference (x2=32.510,P<0.01).Conclusion:Most patients with snore evidence are men. Phlegm syndrome and qi-stagnation&blood stasis&phlegm syndrome have higher incidence, and phlegm, stasis are the most important factors for snore. The types of evidence vary in patients with different age. The young patients always have empirical, with phlegm syndrome and qi-stagnation&blood stasis&phlegm syndrome. The senior patients have deficiency, with kidney and liver yin and spleen and kidney yang. There is correlation between SAS and MS. We should note the patients with metabolic syndrome and ask their sleep position to prevent sleep apnea syndrome missed in clinical work. Patients suffering from sleep apnea syndrome should also be concerned about the inspection of the relevant indicators of the metabolic syndrome. Active treatment should be taken to reduce the risk of cardiovascular disease risk. BMI can be used as the diagnosis of snoring in patients with SAS.