Non-invasive Continuous Positive Airway Pressure Combined With Spleen Expectorant In The Treatment Of Phlegm-dampness Constitution Of Obstructive Sleep Apnea-hypopnea Syndrome: A Clinical Study

Objective:Through observation snoring patients of sleep breathing disorder index(AHI),and weight index(BMI),and addicted to sleep index(ESS),index and combined TCM body quality table,for clinical survey analysis,aimed at discussion sleep breathing suspended integrated levy(OSAHS)patients of onset and TCM physique type features of relationship and the physique treatment in OSAHS treatment in the of role,for future using integrated Chinese and Western medicine combined treatment OSAHS research provides according to.Research method:Main research methods used in this study include medical investigation methods(questionnaire),constitution theory of the literature and the clinical study methods.Specific questionnaire,physical judgment and PSG monitoring data analysis methods.Research object: Research object for January 2013-September 2015 visits Second affiliated hospital of Shandong University of traditional Chinese medicine ear nasal throat section and breathing section,and cardiovascular section,to snoring mainly v of line night sleep monitoring,and diagnosis for OSAHS of 186 cases patients,by TCM body quality table survey judge for phlegm wet physique,and accept no create are pressure ventilation joint health spleen expectorant treatment of OSAHS patients,meet conditions into this research number total 58 cases.Research criteria:(1)OSAHS diagnosis criteria: based on "diagnosis and treatment of obstructive sleep apnea-hypopnea syndrome guidelines(2011 edition)" : mainly according to the history,signs and PSG monitoring results.Clinical typical night snoring with sleep apnea,sleepiness during the day(ESS score ? 9 points)and other symptoms,any part of the body visible upper airway stenosis and obstruction AHI/>5/h can diagnosisof OSAHS;Daytime sleepiness is not obvious(ESS score < 9 points),AHI AHI ? or ? 10/h 5/h,cognitive dysfunction,hypertension,coronary heart disease,cerebrovascular disease,diabetes and insomnia on 1 or more than 1 complication of OSAHS diagnosis.(2)TCM Constitution classification standards: published by the Beijing University of Chinese Medicine Professor Wang Qi of TCM Constitution classification standards,Chinese medicine questionnaire and the China Association of traditional Chinese medicine TCM Constitution classification and identification(ZYYXH/T1 57-2009)(2009-04-09)as the basis.Results: this study on traditional Chinese medicine physique types in 186 cases of OSAHS patients distribution statistics describe the situation,the results are as follows: table 1 shows that the physique type of TCM in patients with 186 cases of frequency from high to low is: phlegm-dampness(72,38.7%);Mass of blood stasis(46,27.73%);Wet-heat type(18,9.68%);Deficiency of mass(15,8.06%);Qi quality(10,5.38%);Deficiency of mass(9,4.84%);Gentleness(8,4.3%);Deficiency of mass(6,3.23%);Intrinsic quality(3,1.61%).Also found that 186 patients with SAHS same patient with 2 to 3 and carry the physical phenomenon,in which the single physical OSAHS patients in 68 cases,two con 90 cases and stands,three and relying on physical fitness in 28 cases.On phlegm-dampness and non phlegm-dampness OSAHS patients sleep monitoring data were statistically processed,non-phlegm-dampness and phlegm-dampness AHI crowd are values and no significant difference in the median.Phlegm-dampness SaO2 and non-phlegm-dampness crowd had no significant difference.Phlegm-dampness with non-significant differences in BMI of phlegm-dampness crowd.In CPAP and traditional Chinese medicine in patients with phlegm-dampness treated by jianpi qushi AHI,SaO2 and BMI were significantly different,simple CPAP therapy compared with CPAP+ treated by jianpi qushi,AHI,SaO2,there was no significant difference between the two,BMI results were significantly different.Patients sleep snoring,holding your breath,increased nocturia,morning dry mouth,headache,dizziness,daytime sleepiness,memory loss and other symptoms improved,chest tightness and phlegm,sticky and other symptoms improve,patient,weighing,easy fatigue,and improved quality of life.Conclusion:1,186 patients with SAHS in physical distribution,phlegm-dampness and blood stasis,damp-heat transfer,the number of more common traditional Chinese medicine physique types in patients with OSAHS.Parts of the Constitution distributed to form and stands,and carry two physique up.Phlegm-dampness Constitution of obesity are risk factors associated with OSAHS and important characteristics.Phlegm-dampness Constitution is the main body types of obese people.2,BMI in patients with OSAHS phlegm-dampness Constitution of AHI had significant correlation.3,CPAP treatment combined with jianpi qushi study,AHI,SaO2 before and after results showed that treatment with CPAP treatment had no significant difference,but the great difference in BMI after treatment than before treatment.