The Study Of The Relationship Between Obstructive Sleep Apnea Hypopnea Syndrome And Spleen-stomach

ObjectiveThrough the investigation of the information collection and the function of the spleen and stomach with the 200 cases of OSAHS patients,patients with spleen and stomach OSAHS research,analysis of the distribution of TCM syndromes,to explore the pathogenesis of OSAHS from the viewpoint of traditional Chinese medicine,to provide clinical basis for the reasonable selection of treatment scheme.Methods(1)Collecting cases:to meet the inclusion criteria of patients following steps to collect relevant data:?By the patient or physician to fill in OSAHS patients basic information table,and include the history of digestive tract and the related test results,operation.?Patients fill out the spleen and stomach disease PRO scale to assess the patient's spleen and stomach dysfunction.?Polysomnography was performed,and OSAHS was divided into mild,moderate and severe according to AHI and SaO2.?According to the standard of Chinese medicine syndrome,which is drawn up by the special Chinese physician,the certificate is confirmed by the examination,the examination,the examination,the examination of the tongue,the diagnosis and the diagnosis.(2)Sorting out data and establishing database:collecting all data input computer and establishing a database with Excel,including patients with multi-channel monitoring results,Body Mass Index(BMI),PRO sleep scale case score,gastrointestinal and liver disease,syndrome type.(3)Statistical analysis:the selected cases with clear gastrointestinal tract and the percentage of liver disease;Data statistics analysis,counting data statistics with chi-square analysis,measurement data statistics with T test and variance analysis,in addition to statistical analysis of each card type the number of cases analysis of OSAHS different disease degree of TCM syndrome type distribution.Statistical methods:P<0.05 prompt difference was statistically significant.Results1.General information of OSAHS patients:a total of collecting 200 cases.2.Gastrointestinal and liver disease in 200 patients with OSAHS history of 86 cases,accounting for 43%,spleen and stomach function in patients with OSAHS higher average score compared with healthy adults,the difference was statistically significant(P<0.05),the spleen and stomach function in patients with OSAHS integral obviously increased with the degree of OSAHS aggravated,the difference was statistically significant(P<0.05).3.BMI of OSAHS patients with obviously increased with the degree of OSAHS aggravated,the difference was statistically significant(P<0.05).4.200 patients with OSAHS has established four basic card type:phlegm dampness syndromes,phlegm heat syndrome,phlegm and blood stasis syndrome,spleen deficiency syndrome.There were 46 cases of sputum wet(23%),of which mildly 30(15%),moderate 6(3%),and severe 10(5%);There were 92 cases of phlegm stasis(46%),of which mild 9(4.5%),moderate 32(16%),and severe 51(25.5%);22 cases of sputum fever(11%),mild 5(2.5%),moderate 6(3%),and major 11(5.5%);40 cases(20%),of which mildly 21(10.5%),moderately 6(3%),and 13 cases(6.5%).Conclusion1.Nearly half of OSAHS patients exist clear of the spleen and stomach disease.2.The OSAHS patients compared with healthy adults and poor function of spleen and stomach.3.The more severe the disease,the worse the spleen and stomach function.4.The more severe the disease,the greater the BMI.5.The patients with mild cases of the disease were mainly sputum wet-type,and the patients with moderate and severe cases were mostly phlegm.