首页|自拟健脾涤浊汤治疗中重度OSAHS的效果及其对氧化应激水平的影响

自拟健脾涤浊汤治疗中重度OSAHS的效果及其对氧化应激水平的影响

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目的:探讨自拟健脾涤浊汤治疗中重度阻塞性睡眠呼吸暂停低通气综合征(Obstructive sleep apnea hypopnea syndrome,OSAHS)的效果,分析其对机体氧化应激水平的影响.方法:选取 2020 年 7 月至 2022年 5 月期间我科收治的 103 例中重度OSAHS患者作为研究对象,随机数字表法分为观察组(n=52)和对照组(n=51).对照组采用无创正压通气联合医学营养治疗,观察组在对照组的基础上联合自拟健脾涤浊汤治疗.对比两组患者临床疗效,症状改善情况、氧化应激指标及不良反应发生情况.结果:治疗后,观察组患者呼吸暂停低通气指数(Apnea hypoventilation index,AHI)、最长呼吸暂停时间、平均呼吸暂停时间均低于对照组,最低血氧饱和度(Lowest saturation oxygen,LSpO2)高于对照组(P<0.05);观察组患者中医证候积分及Epworth嗜睡量表(Epworth The Sleepiness Scale,ESS)低于对照组,丙二醛(Malondialdehyde,MDA)低于对照组,超氧化物歧化酶(Superoxide dismutase,SOD)及总有效率高于对照组(P<0.05);两组患者不良反应无明显差异(P>0.05).结论:自拟健脾涤浊汤能显著提高中重度 OSAHS 患者血氧饱和度,缩短呼吸暂停时间,减轻日间嗜睡程度,改善机体氧化应激状态,疗效显著,值得临床推荐.
Effect of Jianpi Dizhuo Decoction on moderate and severe OSAHS and its effect on oxidative stress level
Objective:To investigate the effect of Jianpi Dizhuo Decoction on the treatment of moderate and severe Obstructive sleep apnea hypopnea syndrome(OSAHS),and to investigate the effect of the decoction on oxidative stress.Methods:A total of 103 patients with moderate to severe OSAHS admitted to our department from July 2020 to 2022 May were selected,and divided into two groups by random number table method.51 patients in the control group were given non-invasive positive pressure ventilation combined with medical nutrition treatment,and 52 patients in the observation group were given combined treatment Jianpi Dizhuo decoction on the basis of control group.,Symptom improvement,oxidative stress index and occurrence of adverse reactions and the clinical effects of the two groups were compared..Results:After treatment,the Apnea hypoventilation index(AHI),longest apnea time and average apnea time in the observation group were all lower than those in the control group,and the Lowest saturation oxygen(LSpO2)was higher than that of control group(P<0.05).The TCM syndrome scores and Epworth Sleepiness Scale(ESS)in observation group were lower than those in control group,and Malondialdehyde(MDA)was lower than in control group.The total effective rate of Superoxide dismutase(SOD)was higher than that of control group(P<0.05).There was no significant difference in ADR between 2 groups(P>0.05).Conclusion:Jianpi Dizhuo Decoction can significantly improve blood oxygen saturation,shorten the duration of apnea,reduce daytime sleepiness and improve oxidative stress state in patients with moderate and severe OSAHS,which is effective and worthy of clinical recommendation.

Jianpi Dizhuo DecoctionObstructive sleep apnea hypopnea syndromeOxidative stressApnea hypopnea index

路慧一、杨文君、乔志羽

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濮阳市中医医院体检中心,河南 濮阳 457000

濮阳市中医医院中医内科,河南濮阳 457000

濮阳市中医医院呼吸内科,河南濮阳 457000

自拟健脾涤浊汤 阻塞性睡眠呼吸暂停低通气综合征 氧化应激 呼吸暂停低通气指数

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(2)
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