代谢综合征合并鼾症的临床观察和病机分析.pdfVIP

提 要 目的：探讨代谢综合征与鼾症的临床联系及相关因素，在此基础上进一步探讨两 病病机的共性及其演变，以拓展对中风病一级、二级预防的思路。方法：通过临床采 集代谢综合征和鼾症患者的相关信息，运用统计学方法对各组患者的症状体征及相关 资料进行分析，初步探讨代谢综合征和鼾症的危险因素和病机特点；在此基础上，结 合中医理论分析两病的病机及其演变，进一步明确两病与中风病的关系。结果：代谢 综合征与鼾症患者具有共同的危险因素，症状体征及其他一般资料情况构成无明显差 异，两病的舌苔、脉象无明显差异，提示痰热是两病共同的病理因素。结论：代谢综 合征与鼾症以“实则阳明，虚则太阴”为基本病机，形盛气衰是两病共同的病机特征； 痰热是两病共同的病理因素，也是两病与中风病机联系。 关键词 代谢综合征；鼾症；中风；病机；痰热 Clinical Observation and Pathogenesis Analysis of Metabolic Syndrome with Sleep Apnea Syndrome Speciality: the study of neuro-medical disease clinical of TCM Author: Xiao Feng Tutor: Prof. Ding Yuanqing Abstract Objective: To explore the relationship and correlative factors between metabolic syndrome and sleep apnea syndrome, then explore prevention about apoplexy further with which new thought would be supplied. Method: By collecting clinical information of the patients suffering from metabolic syndrome and sleep apnea syndrome, and analyzing symptoms and signs with the statistic methods, generally explore dangerous factor and characteristics about metabolic syndrome and sleep apnea syndrome; On this basis, analyze the pathogenesis and development of them, furthering clear and definite relationship with apoplexy.Result: There are the same dangerous factors between metabolic syndrome and sleep apnea syndrome, and no obvious differences in signs and personal information. The phlegm is the common pathological factor because there is no apparent discrepancy of tongue and pulse between these two groups.Conclusion: “Stomach excess and spleen asthenia” is the common pathogenesis for both metabolic syndrome and sleep apnea syndrome. The characteristic is deficiency-excess mixing. The phlegm is the common pathological factor, which is the pathogenesis of relationship with