摘要
目的:观察健脾化痰汤结合针刺治疗成人鼾症(痰湿内阻型)临床效果。方法:将我院收治的105例成人鼾症(痰湿内阻型)患者(2019年5月~2022年6月)纳入本次研究,并以随机数字表法分为常规治疗组(52例)与中医治疗组(53例),常规治疗组患者进行常规方案治疗,中医治疗组患者采取健脾化痰汤结合针刺治疗,数据比较:临床疗效、治疗前后中医证候积分(夜寐不实、睡则打鼾、憋醒、形体肥胖等)变化及ESS嗜睡量表评分变化、两组治疗前后体质指数(BMI)及最低血氧饱和度、氧减指数、最长呼吸暂停时间以及睡眠呼吸暂停低通气指数变化、治疗满意度。结果:中医治疗组患者总有效率(96.23%)高于常规治疗组(84.62%),P<0.05;治疗前,各组患者中医证候积分(夜寐不实、睡则打鼾、憋醒、形体肥胖等)、ESS评分、BMI、最低血氧饱和度、氧减指数、最长呼吸暂停时间以及睡眠呼吸暂停低通气指数等指标比较,P>0.05,治疗后各组患者中医证候积分(夜寐不实、睡则打鼾、憋醒、形体肥胖等)、ESS评分、BMI、最低血氧饱和度、氧减指数、最长呼吸暂停时间以及睡眠呼吸暂停低通气指数等指标均改善,中医治疗组患者治疗后中医证候积分(夜寐不实、睡则打鼾、憋醒、形体肥胖等)、ESS评分、BMI、最低血氧饱和度、氧减指数、最长呼吸暂停时间以及睡眠呼吸暂停低通气指数等指标均优于常规治疗组,P<0.05;中医治疗组患者治疗满意率(96.23%)高于常规治疗组(82.69%),P<0.05。结论:健脾化痰汤结合针刺治疗成人鼾症(痰湿内阻型)临床效果显著,患者症状好转,恢复较好,患者较为认可,值得应用。
Objective To observe the clinical effect of Spleen-strengthening and phlegm-reducing soup combined with acupuncture on adult snore(phlegm-dampness internal obstruction type).Methods 105cases of adult patients with snoring disease(phlegmy wet resistance type)(May 2019-June 2022)admitted to our hospital were included in this study,and in a random number table method divided into conventional treatment group(52cases)and the Chinese medicine treatment group(53cases),and conventional treatment group patients with conventional solution treatment,Chinese medicine treatment group patients take spleen phlegm decoction combined with acupuncture treatment,Data comparison:clinical curative effect and TCM syndrome integral before and after the treatment(night,insomnia,sleep snoring,suppress wake,body fat,etc.)and ESS sleepiness scale score changes,the two groups before and after treatment,body mass index(BMI)and the lowest oxygen saturation,oxygen reduction index and the longest apnea time and sleep apnea hypoventilation index changes,treatment satisfaction.Results The total effective rate of TCM treatment group(96.23%)was higher than that of conventional treatment group(84.62%),P<0.05;Before treatment,the comparison of TCM syndrome score(sleeplessness,snoring,wakefulness,body obesity,etc.),ESS score,BMI,minimum blood oxygen saturation,oxygen reduction index,maximum apnea time and sleep apnea hypopnea index among all groups showed P>0.05.After treatment,TCM syndrome score(irregular sleep sleep,snoring,wake up,body obesity,etc.),ESS score,BMI,minimum blood oxygen saturation,oxygen reduction index,maximum apnea time,sleep apnea hypopnea index and other indicators were improved in each group.After treatment,TCM syndrome score(irregular sleep sleep,snoring,wake up,body obesity,etc.),ESS score,BMI,minimum blood oxygen saturation,oxygen reduction index,maximum apnea time and sleep apnea hypopnea index in TCM treatment group were better than those in conventional treatment group,P<0.05;The satisfaction rate of TCM treatment group(96.23%)was higher than that of conventional treatment group(82.69%),P<0.05.Conclusion The clinical effect of Spleen-strengthening and phlegm-reducing soup combined with acupuncture on adult snore(phlegm-dampness internal resistance type)is remarkable,the symptoms of patients are improved,the recovery is better,the patients are more recognized,it is worth using.
作者
谢兴笔
肖志贤
赵军
李星
XIE Xingbi;XIAO Zhixian;ZHAO Jun(Department of Otorhinolaryngology Head and neck surgery,Meishan Hospital of traditional Chinese medicine,Meishan Sichuan 620010,China)
出处
《四川中医》
2024年第3期176-179,共4页
Journal of Sichuan of Traditional Chinese Medicine
基金
四川省医学科研课题项目(S19030)。
关键词
成人鼾症
痰湿内阻型
健脾化痰汤
针刺
ESS评分
BMI
Adult snoring
Phlegm-dampness internal resistance type
Spleen-strengthening and phlegm-reducing soup
Acupuncture
ESS score
BMI
