健脾化痰方联合太极拳治疗痰湿内阻型鼾症临床疗效观察  

Therapeutic Effect of Jianpi Huatan Formula Combined with Tai Chi on Snoring of Phlegm Dampness Type

作　　者：王国力[1] 邓虎[1] 席瑞[1] 徐艳玲[1] WANG Guo-li;DENG Hu;XI Rui;XU Yan-ling(The Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang Liaoning 110032)

机构地区：[1]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《世界中西医结合杂志》2020年第11期2130-2133,2150,共5页World Journal of Integrated Traditional and Western Medicine

基　　金：辽宁省卫生厅项目(200942);辽宁省教育厅课题(L201913)。

摘　　要：目的探讨内服健脾化痰方、外练太极拳对痰湿内阻型鼾症的临床治疗效果。方法选取2018年1月—2019年12月期间于辽宁中医药大学附属医院呼吸内科就诊的80例鼾症患者,随机将纳入的患者分为治疗组及对照组,每组40例。两组均给予规范治疗基础方案,治疗组在规范治疗基础上内服健脾化痰方,外练太极拳。4周后,比较两组患者治疗前后多导睡眠监测(PSG)、体质量指数(BMI)、Epworth嗜睡量表(ESS)、中医症状积分及不良反应。结果治疗后治疗组总有效率为77.50%(31/40),显著高于对照组总有效率32.50%(13/40),两组比较差异有统计学意义(P<0.05)。治疗后对照组患者PSG各项指标较治疗前均有改善,但差异无统计学意义(P>0.05);治疗组患者PSG各项指标较治疗前改善明显,差异有统计学意义(P<0.05);治疗后治疗组AHI、HI、ODI、最长呼吸暂停时间均较对照组明显降低,LSa O2较之明显升高,两组比较差异有统计学意义(P<0.05)。治疗后对照组患者BMI、ESS均较治疗前改善,但差异无统计学意义(P>0.05);治疗组患者BMI、ESS均较治疗前明显下降,差异有统计学意义(P<0.05);治疗后治疗组BMI、ESS降低较对照组明显,两组比较差异有统计学意义(P<0.05)。治疗后对照组患者中医症状积分较治疗前有所改善,但差异无统计学意义(P>0.05);治疗组患者中医症状积分均较治疗前明显下降,差异有统计学意义(P<0.05);治疗后治疗组中医症状积分改善优于对照组,两组比较差异有统计学意义(P<0.05)。两组患者治疗中均未出现明显不良反应。结论内服健脾化痰方、外练太极拳对痰湿内阻型鼾症有不错的治疗疗效,值得临床深入研究。Objective To investigate the clinical effect of spleen-invigorating and phlegm-dispelling prescription and Tai Chi exercise on phlegm-dampness obstructive snoring.Methods A total of 80 patients with snoring who were treated in the Department of Respiratory Medicine at the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from January 2018 to December 2019 were selected.The included patients were randomly divided into a treatment group and a control group,with 40 cases in each group.Both groups were given a basic standard treatment plan.The treatment group was given the prescription for strengthening the spleen and removing phlegm orally and practicing Tai Chi on the basis of standard treatment.After 4 weeks,the two groups were compared before and after treatment with polysomnography(PSG),body mass index(BMI),Epworth Sleepiness Scale ESS,TCM symptom scores and adverse reactions.Results After treatment,the total effective rate of the treatment group was 77.50%(31/40),which was significantly higher than the control group’s total effective rate of 32.50%(13/40).The difference between the two groups was statistically significant(P<0.05).After treatment,the PSG indexes of the patients in the control group were improved compared with those before the treatment,but the difference was not statistically significant(P>0.05);the PSG indexes of the patients in the treatment group were significantly improved compared with before the treatment,and the difference was statistically significant(P<0.05).After treatment,AHI,HI,ODI,and longest apnea time in the treatment group were significantly lower than those in the control group,and LSaO2 was significantly higher than that in the control group.The difference between the two groups was statistically significant(P<0.05).After treatment,the BMI and ESS of the patients in the control group were improved compared with those before the treatment,but the difference was not statistically significant(P>0.05);the BMI and ESS of the patients in the treatment group

关 键 词：健脾化痰 太极拳 痰湿内阻 鼾症 阻塞性睡眠呼吸暂停低通气综合征 

分 类 号：R767.1[医药卫生—耳鼻咽喉科]