首页|健脾化痰汤结合针刺治疗成人鼾症(痰湿内阻型)临床疗效观察

健脾化痰汤结合针刺治疗成人鼾症(痰湿内阻型)临床疗效观察

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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.
Clinical observation of jianpi Huatan Decoction combined with acupuncture in treating adult snore syndrome(phlegm-dampness internal obstruction type)
Objective To observe the clinical effect of Spleen-strengthening and phlegm-reducing soup combined with acu-puncture 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 inte-gral 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 re-duction 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;Be-fore 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 satis-faction rate of TCM treatment group(96.23%)was higher than that of conventional treatment group(82.69%),P<0.05.Con-clusion 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.

Adult snoringPhlegm-dampness internal resistance typeSpleen-strengthening and phlegm-reducing soupAcupunctureESS scoreBMI

谢兴笔、肖志贤、赵军、李星

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眉山市中医医院耳鼻咽喉头颈外科,四川眉山 620010

成人鼾症 痰湿内阻型 健脾化痰汤 针刺 ESS评分 BMI

四川省医学科研项目

S19030

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(3)
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