鼾症的中医药治疗研究现状

State of the Art of Traditional Chinese Medicine for Obstructive Sleep Apnea Hypoventilation Syndrome

摘要: 阻塞性睡眠呼吸暂停低通气综合征(OSAHS)是一种不容忽视的睡眠障碍，其夜间反复缺氧与睡眠结构紊乱可导致多种严重靶器官损害，增加猝死风险。临床表现主要为睡眠时打鼾，甚至出现夜间憋醒、日间自觉乏力、困倦、嗜睡等症状。其病因和发病机制复杂，祖国医学将其称之为鼾症，认为其证多属本虚标实或虚实夹杂。近年来，研究结果显示本病西医治疗疗效一般，中医药对本病的治疗有一定的效果。本文通过检索OSAHS相关中医文献，系统概述了本病的文献源流、病因病机、辨证论治以及近年来中医治疗本病的方法方论，总体为今后临床上OSAHS的中医药治疗提供理论参考。

Abstract: Obstructive Sleep Apnea-Hypopnea Syndrome (OSAHS) is a sleep disorder that warrants serious attention, as its characteristic nocturnal intermittent hypoxia and disruption of sleep architecture can lead to various severe target organ damages and increase the risk of sudden death. The main clinical manifestations are snoring during sleep, and even symptoms such as waking up at night, feeling weak during the day, drowsiness, and somnolence during the day. Its etiology and pathogenesis are complex. Traditional Chinese medicine calls it snoring, and believes that its symptoms are mostly deficiency in origin and excess, or a mixture of deficiency and excess. In recent years, research results have shown that Western medicine has a mediocre effect in treating this disease, while traditional Chinese medicine has a certain effect in treating this disease. By searching relevant TCM literature on OSAHS, this article systematically summarizes the literature source, etiology and pathogenesis, syndrome differentiation and treatment of this disease, as well as TCM prescriptions for the treatment of this disease in recent years, and generally provides a theoretical reference for the future clinical TCM treatment of OSAHS.