基于“心肺同治”理论探究心力衰竭与阻塞性呼吸暂停综合征的相关性

Exploring the Relationship and Treatment of Heart Failure and Obstructive Apnea Syndrome Based on the Theory of “Cardiopulmonary Treatment”

摘要: 阻塞性睡眠呼吸暂停(OSA)是一种常见的睡眠呼吸障碍疾病，研究表明它能引发或加剧心功能异常，并作为心力衰竭(HF)发展的一个独立风险因素。随着OSA与HF并存情况日益增多，两者间的相互作用对患者健康构成了严重威胁，这已成为全球公共卫生领域的一大关注焦点。因此，深入研究和开发有效的防治策略在临床实践中显得尤为重要。众多学者借助中医理论对OSA与HF之间的关系进行了探索，发现这两种疾病的并发与心肺功能失调紧密相关。具体来说，心血不畅，形成瘀血；肺气受阻，易生痰浊。痰瘀互结，阻塞气道，引发“鼾症”；痹阻心脉，终致“心衰”。基于中医“心肺相关”的理论，本文深入剖析了OSA与HF在中西医发病机制上的内在联系，并提出了针对这两种疾病并发情况的重要治疗策略——心肺同治、理气活血。这一策略旨在为阻塞性睡眠呼吸暂停合并心力衰竭的临床防治提供有力的理论支撑。

Abstract: Obstructive sleep apnea (OSA) is a common sleep breathing disorder that studies have shown to trigger or exacerbate abnormal cardiac function and act as an independent risk factor for the development of heart failure (HF). With the increasing coexistence of OSA and HF, the interaction between the two poses a serious threat to patients’ health, which has become a major concern in global public health. Therefore, in-depth research and development of effective prevention and treatment strategies are particularly important in clinical practice. Numerous scholars have explored the relationship between OSA and HF with the help of Chinese medicine theories and found that the complication of these two diseases is closely related to cardiopulmonary dysfunction. Specifically, heart blood is not smooth, forming blood stasis; lung qi is obstructed, easily generating phlegm. The combination of phlegm and stasis obstructs the airway, leading to “snoring”; and paralysis blocks the heart veins, ultimately leading to “heart failure”. Based on the theory of “heart-lung relationship” in traditional Chinese medicine, this article analyzes the intrinsic connection between the pathogenesis of OSA and HF in Chinese and Western medicine, and proposes an important therapeutic strategy for the complication of these two diseases—treating the heart and lungs together, regulating qi and activating blood circulation. This strategy aims to provide a strong theoretical support for the clinical prevention and treatment of obstructive sleep apnea combined with heart failure.