[1]包君丽,韩宇博,刘 莉△.中医药治疗阻塞性睡眠呼吸暂停综合征用药规律*[J].陕西中医,2020,(3):398-402.
 BAO Junli,HAN Yubo,LIU Li..Rule of traditional Chinese medicine in treatment of obstructive sleep apnea hypopnea syndrome[J].,2020,(3):398-402.
点击复制

中医药治疗阻塞性睡眠呼吸暂停综合征用药规律*
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2020年3期
页码:
398-402
栏目:
方药纵横
出版日期:
2020-03-05

文章信息/Info

Title:
Rule of traditional Chinese medicine in treatment of obstructive sleep apnea hypopnea syndrome
文章编号:
DOI:10.3969/j.issn.10007369.2020.03.036
作者:
包君丽1韩宇博2刘 莉2△
1.黑龙江中医药大学(哈尔滨 150040); 2.黑龙江中医药大学附属第一医院(哈尔滨 150040)
Author(s):
BAO JunliHAN YuboLIU Li.
Heilongjiang University of Traditional Chinese Medicine(Harbin 150040)
关键词:
中药 方剂 阻塞性睡眠呼吸暂停综合征 治疗方法 用药规律
Keywords:
Traditional Chinese medicine Prescription Obstructive sleep apnea hypopnea syndrome Medical treatment Medication rule
分类号:
R441.8
文献标志码:
A
摘要:
目的:基于近十年来中医治疗阻塞性睡眠呼吸暂停综合征(OSAHS)的文献研究,分析目前治疗的主选药物,以及中医对OSAHS病机与治法的共识,为临床治疗及用药提供依据。方法:检索数据库中2009年至2018年期间OSAHS的相关文献,采用Excel软件输入并统计描述。结果:在治疗OSAHS的过程中,用药频数居于前7位的中药依次为半夏、茯苓、陈皮、石菖蒲、白术、川芎、郁金; 使用的中药中主要是以祛痰化湿药和活血化瘀药为主; 药物归经以肺经、脾经、肝经为主; 药物药性温热和寒凉频次相同; 药物药味以辛、苦为主。结论:OSAHS最常见的证候是痰湿和痰瘀互结,以祛痰化湿和活血化瘀药为主,中医药治疗OSAHS有较好的疗效。
Abstract:
Objective:After studying on tenyearsof literatures on Chinese medicine treating obstructive sleep apnea hypopnea syndrome,to analyze the main drugs which were used in the treatment of obstructive sleep apnea hypopnea syndrome,the pathogenesis and characteristics of medicine in recent years.It was expected to guide how to use drug in clinic and provide new idea in curing obstructive sleep apnea hypopnea syndrome.Methods:Databases were retrieved for relevant literature published during year 2009 to 2018,and Excel soft ware was used for input and statistical description.Results:Through the analysis of the literature research,the top seven most frequently used medicine were Banxia,Chenpi,Shichangpu,Baizhu,Chuanxiong and Yujin.Traditional Chinese medicine that used mainly were with the function ofdispelling dampness and resolving phleg,promoting blood circulation to removing blood stasis,The main channels of drug channel were lung channel,spleen channel and liver channel.The frequency of medicinal properties of drugs is the same as that of cold and hot.The drug taste is mainly pungent and bitter.Conclusion:Phlegmatic hygrosis obstruction of meridian by blood stasis and phlegm are the most commonsyndromes in obstructive sleep apnea hypopnea syndrome.Attention shall be given to dispelling dampness and resolving phleg,promoting blood circulation to removing blood stasis.The treatment of obstructive sleep apnea hypopnea syndrome with traditional Chinese medicine has good curative effect.

参考文献/References:

[1] 庞志勇,王新力.试述阻塞性睡眠呼吸暂停低通气综合征的辨证与治疗[J].陕西中医,2019,40(6):787-789.
[2] Ram S,Seirawan H,Kumar SKS,et al.Prevalence and impact of sleep disorders and sleep habits in the United States[J].Sleep & Breathing,2010,14(1):63-70.
[3] 胡庆磊,杜翠萍,杨 扬,等.上海市普陀区20岁以上人群阻塞性睡眠呼吸暂停低通气综合征流行病学调查[J].中国眼耳鼻喉科杂志,2017,17(1):49-54.
[4] 何权瀛,陈宝元.阻塞性睡眠呼吸暂停低通气综合征诊治指南(2011年修订版)解读[J].中华结核和呼吸杂志,2012,35(1):7-8.
[5] 诸 晶.“鼾症一号方”治疗气虚痰瘀互结型阻塞性睡眠呼吸暂停低通气综合征的临床观察[D].福州:福建中医药大学,2011.
[6] 邓 健,张 静,卢焯明,等.补肺健脾通窍汤治疗儿童阻塞性睡眠呼吸暂停低通气综合征临床观察[J].新中医,2018,50(7):144-146.
[7] 宫剑鸣,于 悦,赵 灿,等.涤浊通窍方治疗痰浊夹瘀型阻塞性睡眠呼吸暂停低通气综合征48例临床观察[J].辽宁中医杂志,2017,44(10):2126-2128.
[8] 常学辉,孟 毅,郑伟峰.化痰活血通窍汤治疗阻塞性睡眠呼吸暂停综合征临床观察[J].中医学报,2014,29(12):1798-1799.
[9] 陈韫炜.化痰消瘀方治疗阻塞性睡眠呼吸暂停低通气综合征89例临床观察[J].实用中医内科杂志,2015,29(1):44-45.
[10] 王亚名.化浊祛瘀法治疗阻塞性睡眠呼吸暂停低通气综合征(痰浊夹瘀型)的临床研究[D].北京:北京中医药大学,2012.
[11] 魏 琦,李映霞,张素玲,等.加味黄连温胆汤治疗痰热夹瘀型阻塞性睡眠呼吸暂停低通气综合征20例[J].江西中医药,2018,49(9):30-32.
[12] 来 于,孙 侃,马晓晶,等.加味三子养亲汤治疗阻塞性睡眠呼吸暂停低通气综合征临床观察[J].中国中医药信息杂志,2017,24(6):32-34.
[13] 董丽娜.利胆和胃止鼾汤治疗阻塞性睡眠呼吸暂停低通气综合征(胆胃失和、痰浊壅盛证)的临床研究[D].长春:长春中医药大学,2013.
[14] 马云莉,刘忠达,张尊敬.宁鼾汤治疗痰瘀互结型阻塞性睡眠呼吸暂停低通气综合征60例观察[J].浙江中医杂志,2012,47(10):716-716.
[15] 徐洪秋.普济消毒饮加味治疗鼾症(火郁咽喉证)的临床观察[D].长春:长春中医药大学,2016.
[16] 艾双双.三仁汤治疗30例痰湿型阻塞性睡眠呼吸暂停综合征疗效分析[D].北京:北京中医药大学,2014.
[17] 田 琳,赵东凯,刘晓莉,等.温阳化痰法治疗阻塞性睡眠呼吸暂停低通气综合征的临床观察[J].中国中医药现代远程教育,2017,15(9):88-90.
[18] 郭丰婷.消鼾利气汤治疗痰湿质阻塞性睡眠呼吸暂停低通气综合征临床疗效研究[D].北京:北京中医药大学,2017.
[19] 梁新元.血府逐瘀汤加减治疗26例阻塞性睡眠呼吸暂停低通气综合征疗效初探[D].北京:北京中医药大学,2016.
[20] 石 健,赵少宁.自拟涤痰活血汤加减治疗阻塞性睡眠呼吸暂停低通气综合征150例的疗效观察[J].贵阳中医学院学报,2013,35(4):126-129.
[21] 曾 湘.阻塞性睡眠呼吸暂停低通气综合征中医治疗效果观察[J].中外医疗,2012,31(27):101-101.
[22] 李 然.二陈汤加减治疗痰湿阻滞型睡眠呼吸暂停综合征30例疗效分析[D].北京:北京中医药大学,2013.
[23] 张 媛.天麻钩藤饮加减治疗30例肝阳上亢型阻塞性睡眠呼吸暂停低通气综合征疗效初探[D].北京:北京中医药大学,2015.
[24] 王 娟.血府逐瘀汤合温胆汤加减治疗阻塞性睡眠呼吸暂停低通气综合征(痰瘀互结证)的临床研究[D].成都:成都中医药大学,2017.
[25] 吴 雁.加味会厌逐瘀汤治疗气虚血瘀型阻塞性睡眠呼吸暂停低通气综合征的临床疗效评价[D].福州:福建中医药大学,2011.
[26] 殷晓玲,孙桂芳.健脾化痰方治疗痰浊型阻塞性睡眠呼吸暂停低通气综合征的效果分析[J].光明中医,2017,32(10):1430-1432.
[27] 全国科学技术名词审定委员会.中医药学名词[S].北京:科学出版社,2005:40-108.
[28] 郭振球.实用中医诊断学[M].北京:人民卫生出版社,2004:106-128.
[29] 杨志寅.诊断学大辞典[M].北京:华夏出版社,2004:1188.
[30] 朱文峰.中医诊断学[M].北京:中国中医药出版社,2007:167-225.
[31] 林家扬.鼾眠证(睡眠呼吸暂停综合征)中医证候规律临床研究[D].北京:中国中医研究院,2005.
[32] 李际强,谷孝芝,黄 颖,等.睡眠呼吸暂停综合征的中医药治疗进展[J].云南中医学院学报,2016,39(2):99-102.
[33] 侯 宁,于 睿.从痰论治鼾症[J].中医临床研究,2019,11(12):74-76.
[34] 许李娜,张念志.532例阻塞性睡眠呼吸暂停综合征患者中医证候学研究[J].中国中医急症,2016,25(1):34-36.
[35] 刘 薇.300例阻塞性睡眠呼吸暂停综合征中医证候分析[J].北京中医药,2010,29(4):289-290.
[36] 赵彩霞.80例睡眠呼吸暂停综合征患者中医证候分析[J].医学理论与实践,2016,29(8):1034-1035.
[37] 张 予,胡元会,左立镇,等.180例阻塞性睡眠呼吸暂停低通气综合征患者临床特征分析[J].中西医结合心脑血管病杂志,2015,13(5):575-577.

相似文献/References:

[1]杨亮,李富贤.《伤寒论》与《金匮要略》中现版药典未收录药名考证[J].陕西中医,2016,(10):1421.
[2]孙明明,李 聪,史 林.王庆国教授对慢性萎缩性胃炎的治疗经验探析[J].陕西中医,2019,(2):260.
 SUN Mingming,LI Cong,SHI Lin..Analysis on the treatment experience of chronic atrophic gastritis by professor WANG Qingguo[J].,2019,(3):260.
[3]张 艳,贾淑亚.不同时间温针灸配合中药治疗寒湿凝滞型痛经临床研究*[J].陕西中医,2019,(1):122.
 ZHANG Yan,JIA Shuya..Clinical study on treating cold and damptype dysmenorrhea with warm acupuncture and Chinese herbs at different time[J].,2019,(3):122.
[4]董若曦,朱小丹,张 越,等.淫羊藿及其主要成分在卵巢早衰治疗中的应用进展*[J].陕西中医,2019,(5):678.
[5]刘颖洁,王小平,张 宇,等.消瘿方凝胶治疗消融术后甲状腺结节疗效研究*[J].陕西中医,2019,(9):1241.
[6]陈佳妮,孙 琳,程亭亭,等.中药缓解5-氟尿嘧啶类化疗药物所致贫血Meta分析*[J].陕西中医,2020,(9):1324.[doi:DOI:10.3969/j.issn.1000-7369.2020.09.042]
 CHEN Jiani,SUN Lin,CHENG Tingting,et al.Meta analysis of traditional Chinese medicine in alleviating anemia caused by 5-fluorouracil-based chemotherapeutic drugs[J].,2020,(3):1324.[doi:DOI:10.3969/j.issn.1000-7369.2020.09.042]
[7]朱 杰,林兆奋△,胡 聃,等.中西医结合治疗慢性心力衰竭研究进展*[J].陕西中医,2020,(9):1342.[doi:DOI:10.3969/j.issn.1000-7369.2020.09.046]
[8]时晋泰,王中琳,吴宣美.中药内服联合针灸推拿对急性脑梗死患者神经功能缺损评分及凝血功能的影响[J].陕西中医,2021,(12):1783.[doi:DOI:10.3969/j.issn.1000-7369.2020.12.035]
 SHI Jintai,WANG Zhonglin,WU Xuanmei.Effect of Chinese medicine combined with acupuncture and massage on neurological defect score and coagulation function in patients with acute cerebral infarction[J].,2021,(3):1783.[doi:DOI:10.3969/j.issn.1000-7369.2020.12.035]

备注/Memo

备注/Memo:
*黑龙江中医药科研项目(GM2019020017)
更新日期/Last Update: 2020-04-07