Clinical Study On The Traditional Chinese Medicine Syndrome Of Hypertension With Obstructive Sleep Apnea Hypopnea Syndrome

Objective:To study the distributive features of Traditional Chinese Medieine (TCM) syndrome of Hypertensive patients combined with Obstructive Sleep Apnea Hypopnea Syndrome (OSAHS); To analyze the relationship between the main syndrome elements of Hypertension combined with OSAHS patients and indexes, such as Apnea Hypopnea Index (AHI),Epworth Sleepiness Scale (ESS),Body Mass Index (BMI),Minimum oxygen saturation (Min SaO2),Systolic Blood Pressure (SBP),and Diastolic Blood Pressure (DBP).Methods:A total of 114 patients were collected, including hypertension with OSAHS, hypertension non-OSAHS, and OSAHS non- hypertension. The information of each patient was collected by the questionnaire, ESS, and measuring neck,waist. Focus on TCM syndrome of hypertension with OSAHS patients and summarize the common syndrome. Meanwhile, analyse the influence of the major syndrome on the AHI,ESS,Min SaO2,BMI,SBP,DBP. The results using SPSS 13.0 statistical package for data processing, normal data were analyzed by t test, non-normal data were analyzed by rank sum test, for comparison between multiple samples analysis of variance, P<0.05 considered significant difference.Results:1.64 cases of hypertensive OSAHS patients,44 males (68.75%),20 female (31.25%), Man's ill rate exceeds women, and there is obvious difference (P<0.05) on two dangerous factors of cigarette, wine in the sex.2. The average BMI level of hypertension with OSAHS group has exceeded 2002 Chinese fat BMI tangential point.3. The neck of hypertension with OSAHS group is greater than other two group, statistics difference prominent(P<0.05).4. The waist of hypertension with OSAHS group is significantly higher than OSAHS non-hypertensive group (P< 0.05).5. The ESS of hypertension with OSAHS group is greater than other two group, statistics difference prominent(P<0.05).6. The SBP of hypertension with OSAHS group and hypertension non-OSAHS group are higher than OSAHS non-hypertension group, The DBP of hypertension with OSAHS group is higher than the other two groups, P< 0.05.7. TCM dialectical hypertension with OSAHS, the AHI,ESS and BMI of phlegm wet card group are higher than non-phlegm wet card group (P<0.05).8. TCM dialectical hypertension with OSAHS, the AHI,ESS,SBP,DBP and BMI of blood stasis group are higher than non- blood stasis group (P<0.05).Conclusion:1. Hypertension with OSAHS prevalence rate of male than female, which is closely related to different habits of men and women.2. Obesity is one of the important factors causing hypertension with OSAHS.3. Hypertension with OSAHS patients have the most important level of sleepiness.4. The morning blood pressure of hypertension with OSAHS is high.5. phlegm wet card and qi deficiency card are the common syndrome of hypertension with OSAHS patients, followed by blood stasis and gan huo card.6. Phlegm wet blood stasis have a significant effect on BMI, so BMI can be used as a evaluate indicator for hypertension with OSAHS patients who have phlegm wet and blood stasis syndrome.7. Phlegm wet and blood stasis will aggravate subjective symptoms and the intensity of sleeping.8. Blood stasis will aggravate the disease, making the morning peak blood pressure higher than those without blood stasis.