阻塞性睡眠呼吸暂停低通气综合征辨证治疗研究概述-环球中医药杂志.pdfVIP

环球中医药2016年5月第9卷第5期摇 Global Traditional Chinese Medicine,May2016,Vol郾9,No郾5 摇摇641 ·综述 · 阻塞性睡眠呼吸暂停低通气综合征辨证 治疗研究概述 白志冬摇 孟宪栋摇 魏千程摇 王煜摇 党涛摇 乔树州摇 刘丽华 揖摘要铱摇 阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome, OSAHS)病机复杂,发病率较高,近年来,已引起医学界的广泛重视。 目前,中医对OSAHS进行辨证 论治取得较大进展。 本文主要对OSAHS的病机特点进行分析,归纳各中医学家对本病中医辨证分 型、辨证治疗及中医非药物辨证论治的文献,并对OSAHS的病因病机、中医辨证分型、中医药物及中 医非药物治疗的辨证论治进行研究概述。 总结中医治疗OSAHS 的优势与不足,为今后更有效的临 床治疗方法提供依据,现予以综述如下。 揖关键词铱摇 中医证候;摇 阻塞性睡眠呼吸暂停低通气综合征;摇 概述 揖中图分类号铱摇 R242摇 揖文献标识码铱摇 A摇 doi:10郾3969/ j郾issn郾1674鄄1749郾2016郾05郾034 Research review of differential treatment in obstructive sleep apnea hypopnea syndrome摇 BAI Zhi鄄 dong,MENG Xian鄄dong, WEI Qian鄄cheng,et al. Lanzhou General Hospital of Lanzhou Military Area Command,Lanzhou 730050,China Corresponding author:BAI Zhi鄄dong,E鄄mail:baizhidong1108@ 揖Abstract铱摇 The pathogenesis of obstructive sleep apnea hypopnea syndrome (OSAHS) is complex and the incidence rate is high. and OSAHS has attracted extensive attention of the medical profession in recent years. This paper focuses on the characteristics of the pathogenesis of OSAHS, summarizes the literature about TCMdifferentiationtypes,differentialtreatmentandNon鄄drugtreatmentbasedonsyndrome differentiation in TCM. And the etiology and pathogenesis, TCM syndrome differentiation, traditional Chinese medicine and the non鄄drug treatment based on syndrome differentiation of OSAHS was summarized. The advantages and disadvantages of traditional Chinese medicine in treatment of OSAHS is summarized to provide the basisfor a more effective therapy in thefuture,summarized asfollows. 揖Key words铱摇 TCM syndromes;摇 Obstructive sleep apnea hypopnea syndrome;摇 Overview 摇 摇 阻塞性睡眠呼吸暂停低通气综合征(obstructive 病,脉沉细,但怠惰嗜卧冶,认为鼻鼾多为阴阳两虚, sleep apnea hypopnea syndrome,OSAHS)在成人中的 神明失养所致。 《医学心语》中曰:“鼾眠者,鼻中有 [1]