[1]王亚敏.无创呼吸机和行气利水方治疗成人轻度阻塞性睡眠呼吸暂停的临床研究[J].医学信息,2021,34(16):181-183.[doi:10.3969/j.issn.1006-1959.2021.16.052]
　WANG Ya-min.Clinical Study on Non-invasive Ventilator and Xingqi Lishui Recipe in Treating Adults with Mild Obstructive Sleep Apnea[J].Medical Information,2021,34(16):181-183.[doi:10.3969/j.issn.1006-1959.2021.16.052]
点击复制

无创呼吸机和行气利水方治疗成人轻度阻塞性睡眠呼吸暂停的临床研究()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年16期
页码:
181-183
栏目:
中医中药
出版日期:
2021-08-15

文章信息/Info

Title:
Clinical Study on Non-invasive Ventilator and Xingqi Lishui Recipe in Treating Adults with Mild Obstructive Sleep Apnea
文章编号:
1006-1959（2021）16-0181-03
作者:
王亚敏
（天津市和平区中医医院内科，天津 300000）
Author(s):
WANG Ya-min
(Department of Internal Medicine,Heping District Traditional Chinese Medicine Hospital,Tianjin 300000,China)
关键词:
无创呼吸机; 行气利水方; 阻塞性睡眠呼吸暂停; 中医证候评分
Keywords:
Non-invasive ventilator; Xingqi Lishui Recipe; Obstructive sleep apnea; TCM syndrome score
分类号:
R766
DOI:
10.3969/j.issn.1006-1959.2021.16.052
文献标志码:
A
摘要:
目的 研究无创呼吸机和行气利水方治疗成人轻度阻塞性睡眠呼吸暂停的临床效果。方法 选取2019年4月~2020年4月我院诊治的56例成人轻度阻塞性睡眠呼吸暂停患者为研究对象，采用随机数字表法分为对照组和观察组，各28例。对照组采用无创呼吸机治疗，观察组在对照组基础上给予行气利水方治疗，比较两组临床治疗总有效率、中医证候评分、呼吸参数、血压、嗜睡评分、并发症发生情况以及复发率。结果 观察组临床治疗总有效率为92.85%，高于对照组的82.14%，差异无统计学意义（P＞0.05）；观察组睡则打鼾、自觉胸闷、失眠多梦、形体肥胖、苔厚腻证候评分均低于对照组，差异有统计学意义（P＜0.05）；观察组LAD、AHI、收缩压、舒张压均低于对照组，LSaO2均高于对照组，差异有统计学意义（P＜0.05）；两组治疗后嗜睡评分均低于治疗前，且观察组低于对照组，差异有统计学意义（P＜0.05）；观察组并发症发生率为7.14%，低于对照组的17.85%，但差异无统计学意义（P＞0.05）；观察组复发率为10.71%，低于对照组的25.00%，但差异无统计学意义（P＞0.05）。结论 无创呼吸机和行气利水方治疗成人轻度阻塞性睡眠呼吸暂停效果确切，可有效减轻患者临床中医证候，减少呼吸暂停次数、呼吸暂停时间，提高最低血氧饱和度，降低血压和嗜睡评分，且可预防并发症的发生，具有良好的临床应用有效性。
Abstract:
Objective To study the clinical effects of non-invasive ventilator and Xingqi Lishui Recipe in the treatment of mild obstructive sleep apnea in adults.Methods 56 adult patients with mild obstructive sleep apnea diagnosed and treated in our hospital from April 2019 to April 2020 were selected as the research objects. They were divided into the control group and the observation group by random number table method, with 28 cases in each group.The control group was treated with a non-invasive ventilator, and the observation group was treated with Xingqi Lishui Recipe on the basis of the control group.The total effective rate of clinical treatment, TCM syndrome score, respiratory parameters, blood pressure, sleepiness score, complications and recurrence rate were compared between the two groups.Results The total effective rate of clinical treatment in the observation group was 92.85%, which was higher than 82.14% in the control group,the difference was not statistically significant(P>0.05);The scores of snoring during sleep, conscious chest tightness, insomnia and dreaminess, body obesity, and thick and greasy fur in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05);LAD, AHI, systolic blood pressure and diastolic blood pressure of the observation group were lower than those of the control group, and LSaO2 was higher than that of the control group, the difference was statistically significant (P＜0.05);The sleepiness scores of the two groups after treatment were lower than those before treatment, and the observation group was lower than the control group,the difference was statistically significant (P＜0.05);The complication rate in the observation group was 7.14%, which was lower than that in the control group, which was 17.85%,the difference was not statistically significant(P>0.05);The recurrence rate of the observation group was 10.71%, which was lower than 25.00% of the control group,the difference was not statistically significant(P>0.05).Conclusion Non-invasive ventilator and Xingqi Lishui Recipe are effective in treating mild obstructive sleep apnea in adults.It can effectively alleviate the clinical symptoms of traditional Chinese medicine, reduce the number of apneas, the duration of apneas, increase the minimum blood oxygen saturation, reduce blood pressure and sleepiness scores, and can prevent the occurrence of complications, and has good clinical application effectiveness.

参考文献/References:

[1]李秋明,张东常,杨培文.非酒精性脂肪肝并睡眠呼吸暂停低通气综合征使用无创呼吸机的疗效分析[J].中国医学创新,2016,13(16):39-42. [2]汪亚坤,王菡侨.中枢型及复杂性睡眠呼吸暂停患者无创辅助通气的应用[J].中华结核和呼吸杂志,2015,38(3):219-221. [3]江为民.无创正压通气在阻塞性睡眠呼吸暂停低通气综合征中的应用[J].中外医学研究,2015,10(9):97. [4]叶胜兰,李承红.乙酰半胱氨酸泡腾片联合双水平无创正压通气呼吸机治疗阻塞性睡眠呼吸暂停综合征患者的临床观察[J].中国医院药学杂志,2015,35(1):50-54. [5]郭苏云.无创呼吸机对中重度阻塞性睡眠呼吸暂停低通气综合征并高血压的治疗观察[J].心血管病防治知识,2015(1):15-16. [6]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. [7]张书永,刘冰.慢阻肺合并阻塞睡眠呼吸暂停重叠综合征与慢阻肺临床观察[J].中西医结合心血管病电子杂志,2018,6(9):183,186. [8]李研,佟飞,米香,等.布地奈德福莫特罗粉吸入剂联合噻托溴铵粉吸入剂治疗ACOS的疗效及其对患者血清 hs－CRP、EOS的影响[J].海南医学,2017,28(18):2997-3000. [9]王幼绢.慢性阻塞性肺疾病合并阻塞性睡眠呼吸暂停低通气综合征病人的临床观察[J].心血管病防治知识,2016,15(6):136-138. [10]黎燕群,张敏,朱赞雷.双水平气道正压通气对阻塞性睡眠呼吸暂停综合征和重叠综合征患者肺功能及血清C 反应蛋白水平的影响研究[J].实用心脑肺血管病杂志,2015,23(1):33-36. [11]樊秀珍.持续气道正压通气治疗对阻塞性睡眠呼吸暂停患者心血管事件的预防[J].当代医学,2019,25(19):45-47. [12]邓杰方,黄穗华,董敬军.无创呼吸机辅助通气在青少年阻塞性睡眠呼吸暂停低通气综合征中的应用效果[J].中国当代医药,2020,27(4):53-55. [13]漆佳鑫.浅谈阻塞性睡眠呼吸暂停综合征的从痰论治[J].北方药学,2015,11(8):101.

相似文献/References:

[1]李暾,徐伟,李强.ICU 病房应用无创呼吸机治疗老年COPD 并域型呼吸衰竭的临床疗效研究[J].医学信息,2018,31(01):106.[doi:10.3969/j.issn.1006-1959.2018.01.039]
　LI Tun,XU Wei,LI Qiang.Clinical Study of Noninvasive Ventilator in Elderly Patients with COPD and Type 域 Respiratory Failure in ICU Ward[J].Medical Information,2018,31(16):106.[doi:10.3969/j.issn.1006-1959.2018.01.039]
[2]黄朝宗.无创呼吸机对慢性阻塞性肺疾病急性加重患者治疗效果的影响[J].医学信息,2018,31(01):112.[doi:10.3969/j.issn.1006-1959.2018.01.042]
　HUANG Chao-zong.Effect of Noninvasive Ventilator on the Treatment of Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease[J].Medical Information,2018,31(16):112.[doi:10.3969/j.issn.1006-1959.2018.01.042]
[3]朱慧琳,胡丹平,颜金农,等.无创通气对慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者BODE的影响[J].医学信息,2021,34(04):130.[doi:10.3969/j.issn.1006-1959.2021.04.034]
　ZHU Hui-lin,HU Dan-ping,YAN Jin-nong,et al.Effect of Non-invasive Ventilation on BODE in Patients with Chronic Obstructive Pulmonary Disease and Type Ⅱ Respiratory Failure[J].Medical Information,2021,34(16):130.[doi:10.3969/j.issn.1006-1959.2021.04.034]
[4]江乐川.新生儿无创呼吸机防治新生儿呼吸窘迫综合征的效果[J].医学信息,2019,32(22):107.[doi:10.3969/j.issn.1006-1959.2019.22.034]
　JIANG Le-chuan.Effect of Neonatal Non-invasive Ventilator on Prevention and Treatment of Neonatal Respiratory Distress Syndrome[J].Medical Information,2019,32(16):107.[doi:10.3969/j.issn.1006-1959.2019.22.034]
[5]陈孝辉.无创呼吸机联合N-乙酰半胱氨酸治疗急性呼吸衰竭的临床疗效[J].医学信息,2022,35(02):121.[doi:10.3969/j.issn.1006-1959.2022.02.029]
　CHEN Xiao-hui.Clinical Efficacy of Non-invasive Ventilator Combined with N-acetyl L-cysteinein Treatment of Acute Respiratory Failure[J].Medical Information,2022,35(16):121.[doi:10.3969/j.issn.1006-1959.2022.02.029]
[6]谢晓靖,那君艳,蒋月红.乌灵胶囊对呼吸内科无创呼吸机使用患者睡眠质量的改善效果[J].医学信息,2024,37(14):122.[doi:10.3969/j.issn.1006-1959.2024.14.024]
　XIE Xiao-jing,NA Jun-yan,JIANG Yue-hong.Improvement Effect of Wuling Capsule on Sleep Quality of Patients with Non-invasive Ventilator in Respiratory Medicine Department[J].Medical Information,2024,37(16):122.[doi:10.3969/j.issn.1006-1959.2024.14.024]
[7]张欣银.无创呼吸机联合安全护理对慢阻肺合并Ⅱ型呼吸衰竭患者的影响[J].医学信息,2024,37(17):173.[doi:10.3969/j.issn.1006-1959.2024.17.039]
　ZHANG Xin-yin.Effect of Non-invasive Ventilator Combined with Safety Nursing on Patients with Chronic Obstructive Pulmonary Disease Complicated with Type Ⅱ Respiratory Failure[J].Medical Information,2024,37(16):173.[doi:10.3969/j.issn.1006-1959.2024.17.039]
[8]国 旭.集束化护理对无创呼吸机治疗心衰患者的护理效果及对左心功能的影响[J].医学信息,2024,37(20):167.[doi:10.3969/j.issn.1006-1959.2024.20.036]
　GUO Xu.Nursing Effect of Cluster Nursing on Patients with Heart Failure Treated by Continuous Positive Airway Pressure and its Influence on Left Ventricular Function[J].Medical Information,2024,37(16):167.[doi:10.3969/j.issn.1006-1959.2024.20.036]

更新日期/Last Update: 1900-01-01