基于三焦膜系理论再识2型糖尿病合并阻塞性睡眠呼吸暂停  

Recognition of Type 2 Diabetes Mellitus and Comorbid Obstructive Sleep Apnea Based on the Theory“Triple Energizer Membrane System”

作　　者：陈家祈 王丽 龚丽 朴春丽 CHEN Jiaqi;WANG Li;GONG Li;PIAO Chunli(Shenzhen Hospital(Futian)of Guangzhou University of Chinese Medicine,Shenzhen 518000,China)

机构地区：[1]广州中医药大学深圳医院(福田)内分泌科,广东深圳518000

出　　处：《中国民族民间医药》2025年第3期1-4,共4页Chinese Journal of Ethnomedicine and Ethnopharmacy

基　　金：国家自然科学基金资助项目(82374380);深圳市“医疗卫生三名工程”项目资助(SZZYSM202202010);广东省中医药局科研项目(20221329);深圳市福田区卫生健康系统科研项目(FTWS2022036)。

摘　　要：阻塞性睡眠呼吸暂停是2型糖尿病常见合并症之一,中医学认为二者发生与三焦膜系气化失司密切相关。三焦膜系气化失常,精微物质输布障碍,血糖滞留血脉和三焦,而致“脾瘅”,痰饮湿浊内生,上阻气道而致“鼾症”。文章从“三焦膜系气化失司”的角度探识糖尿病合并阻塞性睡眠呼吸暂停的病机,从中医整体观念出发拓展对糖尿病与阻塞性睡眠呼吸暂停并病的认识,为临床诊治提供理论依据。Obstructive sleep apnea(OSA)is one of the common co-morbidity of type 2 diabetes mellitus(T2DM).The development of T2DM combined with OSA is closely related to the dysfunction of triple energizer membrane system.Due to the abnormal activity of Qi in triple energizer membrane system,the transportation of nutritional molecules is hindered,which subsequently lead to the excessive accumulation of blood glucose in blood vessels and triple energizer and results as“Overload of spleen”.On the other hand,phlegm and dampness originated from imbalance of fluid metabolism block upper airway and results as snoring.This passage aims to explore the TCM pathogenesis of T2DM combined with OSA under the aspect of malfunction of triple energizer membrane system,hoping to have a better understanding of this disease based on the holistic view of TCM theory,and provide a theoretical basis for clinical diagnosis and treatment in the future.

关 键 词：三焦膜系 2型糖尿病 阻塞性睡眠呼吸暂停 

分 类 号：R228[医药卫生—中医基础理论]