基于“痰瘀虚”病机学说及“治未病”思想探讨阻塞性睡眠呼吸暂停的防治  

To Explore the Prevention and Treatment of Obstructive Sleep Apnea Based on the Pathogenesis Theory of "Phlegm-Stasis Deficiency" and the Thought of "Treating Disease Before its Onset"

作　　者：杨正富 宁姝烨 张爱华 付义 杨春艳 段凌志 李建梅 YANG Zhengfu;NING Shuye;ZHANG Aihua;FU Yi;YANG Chunyan;DUAN Lingzhi;LI Jianmei(Yunnan University of Chinese Medicine,Kunming 650500,China;The Third Affiliated Hospital of Yunnan University of Chinese Medicine,Kunming Hospital of Traditional Chinese Medicine,Kunming 650500,China)

机构地区：[1]云南中医药大学,云南昆明650500 [2]云南中医药大学第三附属医院/昆明市中医医院,云南昆明650500

出　　处：《云南中医药大学学报》2024年第2期1-5,共5页Journal of Yunnan University of Chinese Medicine

基　　金：云南省科技厅科技计划项目(202101AZ070001-100);昆明市卫生健康委员会科研课题项目(2022-03-06-020)。

摘　　要：阻塞性睡眠呼吸暂停(obstructive sleep apnea,OSA)相应于中医学之“鼾症”。现代中医学认为,“痰瘀”为滞,“虚”亦可成滞,“痰瘀虚”是导致“滞”而不通及气机不利的关键病机,贯彻OSA病程始末。临床以“化痰祛瘀,补虚扶正”理论为基,结合中医治未病学术思想从未病先防、既病防变、病后防复等方面进行OSA的防治,可为OSA不同发病阶段的中医药防治提供思路启迪。Obstructive sleep apnea(OSA) corresponds to the snoring syndrome in traditional Chinese medicine.Modern Chinese medicine believes that "phlegm stasis" is stagnation,"deficiency" can also become stagnation,"deficiency of phlegm stasis" is the key to lead to "stagnation" and impassability and unfavorable Qi,the implementation of the OSA course from beginning to end.The clinical prevention and treatment of OSA based on the theory of "eliminating phlegm and removing blood stasis,supplementing deficiency and strengthening right",combined with the academic thought of treating disease before its onset in the aspects of prevention before disease,prevention after disease transformation and prevention after recovery,can provide ideas and enlightenment for the prevention and treatment of OSA in different stages of disease.

关 键 词：痰瘀虚 治未病 阻塞性睡眠呼吸暂停 防治 

分 类 号：R256.23[医药卫生—中医内科学] R276.1[医药卫生—中医学]