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阻塞性睡眠呼吸暂停中医外治法的研究进展
叶雪姣, 王师菡, 吴茜, 吕乾瑜, 李俊佳, 李兰兰, 杨盈天
中国中医科学院广安门医院, 北京 100053
摘要:
阻塞性睡眠呼吸暂停(OSA)发病机制复杂,目前西医治疗手段主要包括一般治疗(控制体质量、改变睡眠姿势、戒烟限酒等)、佩戴持续气道正压通气呼吸机(CPAP)或口腔矫治器(OA)等,治疗方法单一且对轻中度患者来说耐受性和依从性较差。中医对本病有独特的认识和治疗经验,且临床疗效明显,随着OSA患病群体的不断壮大,中医治疗方案逐渐得到重视并不断取得新进展。文章依据中医名家对OSA的认识和临床诊疗经验,对该病的中医外治手段进行系统综述,以期为临床应用提供新思路、新方法。
关键词:  阻塞性睡眠呼吸暂停  鼾证  病机  证候特征  中医外治法
DOI:10.11656/j.issn.1672-1519.2023.09.20
分类号:R441.8
基金项目:国家自然科学基金项目(81473465);北京市科学技术委员会(Z191100006619025)。
Research progress in traditional Chinese medicine external treatments of obstructive sleep apnea
YE Xuejiao, WANG Shihan, WU Qian, LYU Qianyu, LI Junjia, LI Lanlan, YANG Yingtian
Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China
Abstract:
Due to the complex pathogenesis of obstructive sleep apnea(OSA),the current treatment methods of Western medicine include general treatment(weight control,sleep posture change,smoking cessation and alcohol restriction,etc.),wearing continuous positive airway pressure ventilation(CPAP) or oral appliance(OA),etc. The treatment method is simple and has poor tolerance and compliance for mild and moderate patients. Traditional Chinese medicine(TCM) has a unique understanding and treatment experience of this disease,and its clinical effect is obvious. With the OSA patients group has been growing,and the treatment plan of traditional Chinese medicine has gradually been paid attention to and made new progress. This article will systematically review the current treatment methods of OSA based on the knowledge of famous Chinese medicine experts and clinical diagnosis and treatment experience,in order to provide new ideas and methods for clinical application.
Key words:  obstructive sleep apnea syndrome  snoring syndrome  pathogenesis  syndrome characteristics  external treatment of traditional Chinese medicine
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