Chinese Medicine Treatment Of Obstructive Sleep Apnea Hypopnea Syndrome In The Literature

Obstructive sleep apnea-hypopnea syndrome (OSAHS) with cardio-cerebral vascular diseases and multiple organ injuries, seriously endanger the health of people, is the only began to be concerned about the frequently occurring illnesses in recent years. Ventilator is the best treatment of OSAHS which lack of effective drugs at present. Traditional Chinese medicine on the disease and no medicine, but in recent years, the Chinese medicine practitioners continue to explore and on the etiology and pathogenesis of the disease, differential treatment has a certain degree of understanding, and have achieved certain effects, but due to many factors, its efficacy has not been widely recognized.Evidence-based medicine (Evidence-based medicine EBM) was born in in the 1990 of the 20th century, is combining modern Informatics and clinical epidemiology and clinical medicine model. Evidence-based medicine stressed the perfect combination of best evidence experiences with doctors and patients'wishes, for clinical medical research and health care policy provide a sound scientific basis.This article includes literature reviews, literature studies and OSAHS in clinical research and analysis of the usage of traditional Chinese medicine with Western medicine in three parts.Literature review summary basis sleep respiratory diseases of the respiratory diseases branch of Chinese medical association established by the Group of the diagnosis and treatment of obstructive sleep apnea-hypopnea syndrome Guide, combined with Western medicine study on the disease in recent years, OSAHS from definition, etiology, pathogenesis and pathophysiology, diagnosis and treatment of disease indexing and do a more detailed introduction. Literature review summarizes the second Chinese medicine awareness of ancient and modern Chinese medical literature on the disease, including Chinese ancient awareness of this disease, pathogenesis, syndrome differentiation and treatment study.Literature researchPurpose:follow the theory of medicine, principles and methods for evaluating system, clinical research literature on Chinese medicine in treating OSAHS critical appraisal, analysis of the domestic problems of Chinese medicine in treating OSAHS, for further study of OSAHS treatment provide a useful reference.Method:①retrieved policy:to Chinese medicine, and blocking sexual sleep respiratory suspended comprehensive syndrome for subject headings, electronic retrieved China journals full text data library (CNKI), and China biological medical literature database (CBM), and Chinese technology journals database (VIP), and Chinese biological medical journals database (CMCI), and China important meeting papers full text database, and PubMed, and EMBASE, and Cochrane Library clinical controlled test information database; inspection academic meeting proceedings, and artificial retrieved about Professional magazine, identification related article Appendix of reference literature as supplementary retrieved. Retrieval time for January 2003 to 2010.②literature evaluation:by 2 researchers independently according to literature include, exclude standard document filters, views are at the same time resolved through consultations with the third party; extraction study on characteristics of literature data, literature to meet the criteria, methodology and evaluation of the quality of the report.Results:total to 172, after screening by reading the title, summary, delete duplicate document 86 article, does not comply with Title 41, further intensive reading literature and excluded has nothing to do with Chinese medicine literature 10 articles; unable to get 4 pages of the original filter to 31 article. Literature 4 articles such as exclude diagnosis treatment, and to read the document summary or full text, determines meets the criteria, screening consistent rate test, Kappa value=1, prompts exactly. Last into 28 articles, where RCT3 pages, CCT8, narrative literature 17 article. Documents obtained by low quality trials for methodological quality and reporting. RCT literature Jadad score of 3,3, 3, respectively, the quality grade is c, are selective bias possibility and measured the height of sexual bias; CCT literature on identification of confounding factors is not complete, are selective bias possibility and measured the height of sexual bias; narrative literature due to its research materials subject to bias, confounding factors, such as interference, the same measures can get the same effect when it is difficult to determine, only a reference value.Conclusions:Chinese medicine treatment OSAHS clinical research literature General exists method learn quality of problem, researchers on random controlled test awareness insufficient, random of of method account does not Qing, does not used blind method, does not attention sample volume of estimates, ignored sample of into, and excluded standard, controlled measures using does not appropriate, most large research select itself of effect are does not determine of measures do for controlled, ignored on research case of exit, and lost visit, and follow-up of reported, does not attention TCM intervention measures of security evaluation, Thus, strictly in accordance with the principles of clinical epidemiology and evidence-based medicine, Design Science feasibility research programme, and strictly according to the programme to carry out research and write a specification of research reports, providing high quality, high levels of evidence for Chinese medicine in treating OSAHS. on the importance of popularization and application of Chinese medicine in treating this disease. OSAHS in clinical research and analysis of the usage of traditional Chinese medicine with Western medicinePurpose:understanding the domestic study on clinical application of Western medicine and Chinese medicine in treating OSAHS. Method:①retrieved policy:to Chinese medicine, and Western medicine, and treatment, and blocking sexual sleep respiratory suspended comprehensive syndrome for subject headings, electronic retrieved China journals full text data library (CNKI), and China biological medical literature database (CBM), and Chinese technology journals database (VIP), and Chinese biological medical journals database (CMCI), and China important meeting papers full text database; inspection academic meeting proceedings, and artificial retrieved about Professional magazine, identification related article Appendix of reference literature as supplementary retrieved. Time to retrieve time limits to be retrieved so far.②data analysis:on the number of cases, the disease, complications, treatment, drug names (Acupuncture and massage the collecting point name), effect indicators and effects; literature also collects traditional Chinese medicine syndromes of traditional Chinese medicine, Chinese medicine treatment therapies. Control group:a collection group analysis of the situation, such as finishing. From the severity of the illness, treatment choices, Western medicine, Chinese medicine decoction, traditional Chinese medicine drug composition and functions, differential treatment, acupuncture and moxibustion of acupoint selection and other aspects of traditional Chinese medicine in treating this disease of Chinese medicine in application to analysis of the principles and the analysis there is no effective treatment of this disease.Results:total into meet research standard of literature 32 article, analysis found Chinese medicine treatment OSAHS research in the, although on disease machine, and treatment method, and syndrome differentiation card min type, and treatment time aspects are no unified standard, but for OSAHS of awareness has consensus:are think this disease disease machine for this virtual standard real, standard real for "phlegm wet" "stagnation" "blood stasis"; treatment Shang "syndrome differentiation disease" treatment than "syndrome differentiation card" treatment, and "Huatan, and Qu stasis and replenishing" is using up to of rule. Western medicine in treating OSAHS study found no effect of this disease there is a genuine Western medicine.Conclusion:the clinical doctor of traditional Chinese medicine in the application of traditional Chinese medicine in treatment of this disease should be based on the theory of traditional Chinese medicine syndrome differentiation and treatment, combined with understanding of Western medicine, to analyze the disease, the disadvantages, reasonable collocation of decoction of Chinese medicine, acupuncture, medicine and Western medicine treatment approaches, collaborative drug to overcome the limitations of traditional Chinese medicine, improve efficacy and patient quality of life. The Chinese medicine practitioners should be on the pathogenesis of this disease, therapy in TCM theory as the guide of scientific analysis in order to unify their understanding of the pathogenesis and treatment of the disease, the establishment of a uniform recognized standards to facilitate the specification of clinical studies on TCM treatment of this disease, improving the quality of clinical research design.