The Distribution Of TCM Syndrome Type Of Sleep Apnea/Hyponea Syndromes With Metabolic Syndromes

BackgroundSleep apnea/hyponea syndromes(SAHS) combined metabolic syndrome(MS) is main dangerous factor to occur and aggravate cardiovascular&cerebrovascular and respiratory disease, such as hypertension, coronary heart disease, arrhythmia, diabetes, stroke, cardiac failure, respiratory failure,etc. The morbidity caused by SAHS merged with MS is ratcheting up in the crowd nowadays. Current research of Chinese medicine limited to only SAHS or MS’s etiology and pathogenesis, syndrome differentiation and treatment, etc. As regards to syndrome differentiation of SAHS merges with MS, we have not found relevant research reports.Through the cross-sectional survey, this study discusses TCM syndrome distribution features of the SAHS merges with MS patients, just in order to provide ideas and basis for TCM diagnosis and treatment of SAHS merges with MS.Clinical researchObjectives:To explore the TCM syndrome’s distribution features of the SAHS with MS.Methods:(1) Using cross-sectional survey research, collect the basic situation, past medical history and TCM syndrome of the SAHS with MS patients who lived in the Xi yuan hospital of China Academy of Chinese Medical Sciences from November2012to December2013.(2) Using SPSS18.0statistical software, analysis of SAHS with MS symptoms of frequency and the distribution features of TCM syndrome.Results:This study participants included163patients with SAHS combined MS.The main complications were:hypertension>coronary heart disease>diabetes mellitus> cerebrovascular disease.(1)163patients cases were94male cases and69female cases,with an average age of60.36±13.27years old.128cases of patients with BMI≥25.Patients with medium and severe sleep apnea and low ventilation were147cases,16patients with mild.(2) Frequency is greater than20%of the163cases of patients with symptoms: fatigue, much dream, dry mouth, morning rises, chest tightness, shortness of breath, dizziness, memory loss, suppress, be agitated, lip color dark pant, flustered, body tired, thirsty, chest pain, spontaneous sweating, night to urinate more and so on. The most common tongue were the dark tongue, greasy moss. The mainly pulse were pulse with string, slide, fine, and the common composite pulse were slippery, wiry, fine.(3) The distribution characteristics of TCM Syndromes of SAHS complicated with MS:Composite syndromes were mainly, including phlegm and blood stasis mutual junction+Qi deficiency syndrome of51cases, phlegmy wet resistance+Qi deficiency syndrome of23cases, stagnation of phlegm heat+Qi deficiency syndrome of17cases, phlegm and blood stasis+Qi with Yin deficiency syndrome of13cases, stagnation of phlegm heat+deficiency of Qi with Yin syndrome of12cases. For simple empirical characteristic:Stasis mutual junction in16cases, Phlegm heat wenjie card14cases, phlegmy wet resistance10cases.Conclusions:The main pathological factors of SAHS combined with MS were phlegm, blood stasis, wet, heat, deficiency. Syndrome of TCM in patients with SAHS with MS showed the complex syndrome of intermingled deficiency and excess.The mainly complex syndromes were phlegmy wet resistance+Qi deficiency syndrome> phlegmy wet resistance+Qi deficiency syndrome> stagnation of phlegm heat+Qi deficiency syndrome>phlegm and blood stasis+Qi with Yin deficiency syndrome>stagnation of phlegm heat+deficiency of Qi with Yin syndrome and so on.The simple empirical were rare.