Clinical Study On The Correlation Between TCM Syndrome Types Of OSAHS And Polysomnography Monitoring Indicators

ObjectiveTo conduct polysomnography monitoring in 90 adult obstructive sleep apnea hypopnea syndrome(OSAHS),collect four diagnosis data,and classify the syndromes of traditional Chinese medicine,and explore the correlation between the syndromes of traditional Chinese medicine and polysomnography monitoring indexes of OSAHS.Method:A total of 90 patients with obstructive sleep apnea hypopnea syndrome diagnosed by polysomnography(PSG)in the second Department of Respiratory Medicine,Yan ’an Hospital,Kunming City from January 2021 to December 2022 were collected.Compare the distribution of TCM syndrome types of patients and the differences among AHI,LSp O2,ESS,neck circumference,awakening index,BMI and other clinical monitoring indicators among different syndrome types,and carry out statistical analysis between different syndrome types and each observation index,and finally find out whether the difference between the two is statistically significant,so as to analyze the correlation.Results1.In this study,there were 62 male patients,accounting for 68.9% of the total number,and 28 female patients,accounting for 31.1% of the total number;2.The age of onset was mainly 40 ～ 49 years old,with 31 cases,accounting for 34.4% of the total number.The largest proportion of patients were overweight,followed by obese patients and the smallest proportion of normal-weight patients.2.Tongue quality is light white tongue,fat tongue,tongue coating is thin white moss,and pulse is mainly slides.3.Among the 90 patients with OSAHS,27 had normal sleep,accounting for 30% of the total;A total of 63 patients had daytime sleepiness,accounting for 70% of the total.Most patients had severe OSAHS obstruction.4.The traditional Chinese medicine syndrome of OSAHS can be divided into five syndroms: phlegm-dampness obstructing the lung,phlegm-heat obstructing the lung,spleen-kidney Yang deficiency,liver-fire exuberation,qi and blood stasis,among which 25 cases of phlegm-dampness obstructing the lung > 18 cases of phlegm-heat obstructing the lung > 17 cases of spleenkidney Yang deficiency > 16 cases of liver-fire exuberation > 14 cases of qi deficiency and blood stasis.5.Multiple versions of Kruskal-Wallis H test showed that the distribution of TCM syndrome types of OSAHS was correlated with age,neck circumference,BMI,ESS and AHI.Bonferroni multiple mean comparison results showed that the age of patients with spleen-kidney Yang deficiency syndrome was larger than those with phlegm-dampness-obstructing lung syndrome,phlegm-heat obstructing lung syndrome,liver-fire exuberation syndrome,qi deficiency and blood stasis syndrome.Most patients with phlegm-dampness obstructive lung syndrome were obese,and most of them had daytime sleepiness.There were significant differences in AHI,BMI and neck circumference between Qi deficiency and blood stasis syndrome and phlegm-dampness obstructing lung syndrome and phlegm-heat obstructing lung syndrome(P < 0.001).LSp O2 and arousal index were both P > 0.05,with no statistical significance.Conclusions1.The main group of OSAHS patients are middle-aged and elderly males,who are mainly obese;the neck circumference of male patients is larger than that of female patients;the patients with spleen-kidney Yang deficiency syndrome are older;the patients with vigorous liver fire syndrome are younger.2.According to the syndrome differentiation of OSAHS,syndrome elements are mainly phlegm and deficiency,and the disease sites are more common in lung,spleen,kidney and liver,suggesting that the disease is closely related to the dysfunction of viscera.3.Severe obstruction in OSAHS patients is more common in syndrome of phlegm-dampness obstructing lung,syndrome of phlegm-heat obstructing lung and syndrome of spleen-kidney Yang deficiency,while the degree of obstruction in syndrome of qi deficiency and blood stasis and syndrome of vigorous liver fire is less severe.4.Patients with phlegm-dampness obstructive lung syndrome and phlegm-heat obstructing lung syndrome mostly have daytime sleepiness,which affects life and work.5.The minimum oxygen saturation and awakening index have little guiding significance for the dialectical classification of OSAHS.6.The differences between TCM syndromes of OSAHS and age,BMI,ESS and AHI were all P < 0.001,with significant statistical significance,which has a certain degree of significance for guiding TCM syndrome differentiation of OSAHS.