睡眠呼吸暂停综合征中医证候要素分布与AHI、BMI指数相关性

The Correlation between TCM Syndrome Elements Distribution of Sleep Apnea Syndrome and Index of AHI and BMI

目的综合分析睡眠呼吸暂停综合征(obstructive sleep apnea ayndrome,OSAS)中医证候要素分布与呼吸暂停-呼吸浅慢活动度指数(AHI)、体质指数(BMI)等指数的相关性。方法选取我院在2010年6月—2013年3月诊治的睡眠呼吸暂停综合征患者临床资料97例。结果中医证候要素中的痰湿为第一位,频次有44次,占45.36%;气虚为第二位,频次有29次,占29.90%;血瘀为第三位,频次有26次,占26.80%;最后一位为气滞,频次有2次,占2.06%;中医证候要素与重度AHI(AHI>30,38例患者)的排序比例第一位为血瘀,占52.63%(20/38);第二为气虚,占23.68%(9/38);第三位为痰湿,占13.16%(5/38);最后一位为气滞,占0.0%(0/38),数据比较差异有统计学意义(P<0.05);中医证候要素中的痰湿、血瘀与BMI升高指数呈正相关。结论睡眠呼吸暂停综合征患者中中医证候要素主要以痰湿为主。

Objective To comprehensively analyze the correlation between of TCM syndrome elements distribution of sleep apnea syndrome （obstructive sleep apnea ayndrome, OSAS） and apnea-hypopnea activity index （AHI） , body mass index （BMI） and other indices. Methods clinical data of 97 cases of patients with sleep apnea syndrome in our hospital from June 2010 toMarch 2013 were selected. Results The phlegm-dampness of TCM syndrome elements was the first, and the frequency was 44 times, accounting for 45.36%. Qi deficiency was the second place, and the frequency was 29 times, accounting for 29.90%. Blood stasis was the third place, and the frequency was 26 times, accounting for 26.80%. The last one is qi stagnation, and the frequency was 2 times, account- ing for 2.06%. The the first of syndrome elements and sorting proportion of severe AHI （AHI〉 30, 38 patients） is blood stasis, ac- counting for 52.63% （20/38） , the second is qi deficiency, accounting for 23.68% （9/38） , the third is phlegm-dampness, accounting for 13.16% （5/38） , the last one is qi stagnation, accounting for 0.0% （0/38） , and the data had statistically significant difference （P 〈0.05） . The phlegm-dampness and blood stasis of TCM syndrome elements and increased BMI was positively correlated. Conclusion In patients with obstructive sleep apnea syndrome, the main factors of TCM syndrome are mainly phlegm-dampness.