A Retrospective Study On The Incidence Of Sleep Apnea Hypopnea Syndrome In Patients With Dizziness And Snoring

Objective:This study is aimed at patients with dizziness complicated with snoring.Some of these patients are diagnosed as OSAHS through improving clinical examination.Through analyzing the clinical characteristics of dizziness complicated with OSAHS and dizziness complicated with non-OSAHS patients,and the relationship between TCM syndrome types and related factors of OSHAS patients,it is expected to provide new ideas for TCM syndrome differentiation and treatment and clinical diagnosis and treatment of these patients.Methods: In this study,526 patients with dizziness and snoring were retrospectively analyzed in our hospital from January 2016 to December2018.According to the results of sleep breathing screening monitoring,115 patients in the normal group and 411 patients in the abnormal group.234 patients in abnormal group improved polysomnography,and 166 OSAHS patients and 68 non-OSAHS patients were finally diagnosed.According to whether OSAHS is diagnosed or not,the patients are divided into groups,the case data table is collected and the database is established.The clinical characteristics between the two groups are analyzed and the TCM syndrome types and related factors in OSAHS group are compared.spss23.0 software is used for statistical analysis.Results:1.Compared with non-OSAHS group,OSAHS group has statisticaldifferences in age,gender and BMI index.There were statistical differences between the two groups combined with hypertension,heart disease,diabetes and cerebrovascular disease,while there were no statistical differences between the two groups combined with thyroid disease and reflux esophagitis.In binary Logistic regression analysis,there were statistical differences between the two groups in age,sex,BMI index,hypertension,heart disease,cerebrovascular disease and other six factors.2.The distribution of TCM syndromes of dizziness patients diagnosed as OSAHS is as follows: wind-phlegm disturbance syndrome(25.9%),followed by liver yang hyperactivity syndrome(24.7%),blood stasis obstruction syndrome(22.3%),qi and blood deficiency syndrome(13.9%)and kidney essence deficiency syndrome(13.2%).3.Dizziness patients diagnosed as OSAHS are grouped and compared according to TCM syndrome types.There is no statistical difference between the syndrome types due to age and gender factors,and BMI index has statistical difference.There were statistical differences among the syndrome groups with hypertension,heart disease,diabetes and cerebrovascular disease,while there were no statistical differences among the patients with thyroid disease,reflux esophagitis,smoking and drinking history.4.Among the various syndromes,hypertension is the mostcomplicated,followed by wind-phlegm obstruction,blood stasis obstruction and hyperactivity of liver-yang.Syndrome of wind-phlegm disturbance and syndrome of blood stasis blocking orifices are the most common complications of heart diseases,diabetes and cerebrovascular diseases.Conclusion:1.In patients with dizziness and snoring,age,sex(male),BMI index(overweight or obesity),hypertension,diabetes,heart disease,cerebrovascular disease and other factors are correlated with OSAHS.2.Among the dizziness patients diagnosed as OSAHS,the syndrome types of traditional Chinese medicine are mostly positive.Factors such as sex and age have no correlation with the syndrome types of traditional Chinese medicine.BMI,some complicated diseases(hypertension,heart disease,cerebrovascular disease,diabetes)have correlation with the syndrome types of traditional Chinese medicine.3.Among dizziness patients diagnosed as OSAHS,hypertension,diabetes,heart disease,cerebrovascular disease and other combined diseases are mainly distributed among patients with wind-phlegm disturbance syndrome and blood stasis obstruction syndrome.For such patients,methods of resolving phlegm and removing blood stasis can be reused.4.The patients diagnosed as OSAHS among these dizziness patientscan be treated by weight loss,lifestyle intervention or breathing machine according to AHI degree and weight,which has a positive effect on the control of dizziness symptoms and basic diseases of patients.