浅析鼾症中西医结合治疗研究进展
Research Progress in the Treatment of Snoring with Integrated Traditional Chinese and Western Medicine
摘要: 鼾症是一种常见的慢性睡眠障碍类疾病，其以睡眠时打鼾，甚至呼吸暂停，憋醒等为主要特征，然而鼾症的治疗方式多种多样，大多以西医为主，中医在治疗鼾症上具有独特优势，本文遂从中西医两个角度出发，针对鼾症的病因病机、病理机制、中西医治疗现状进行分析，以期为临床医生治疗时提供思路，为以后的临床研究提供思路。
Abstract: Snoring is a common chronic sleep disorder disease, which is mainly characterized by snoring during sleep, even apnea, waking up, etc. However, there are various treatment methods of snoring, most of which are mainly Western medicine. Traditional Chinese medicine has unique advantages in the treatment of snoring. This paper analyzes the etiology, pathogenesis, pathological mechanism, and treatment status of snoring from the perspective of traditional Chinese and Western medicine, in order to provide ideas for clinicians when treating and providing ideas for future clinical research.
文章引用：陶朋. 浅析鼾症中西医结合治疗研究进展[J]. 中医学, 2023, 12(7): 1803-1810. https://doi.org/10.12677/TCM.2023.127269

参考文献

[1] 陈志斌, 兰岚. 鼾症中医诊疗专家共识意见[J]. 中国中医药信息杂志, 2019, 26(1): 1-5.
[2] Peppard, P.E., Young, T., Barnet, J.H., et al. (2013) Increased Prevalence of Sleep-Disordered Breathing in Adults. American Journal of Epidemiology, 177, 1006-1014. [Google Scholar] [CrossRef] [PubMed]
[3] Patel, S.R. (2019) Obstructive Sleep Apnea. Annals of Internal Medicine, 171, ITC81-ITC96. [Google Scholar] [CrossRef] 
[4] 张丽秀, 刘铁军, 杨海淼, 等. 中医对鼾症病因病机的文献研究[J]. 长春中医药大学学报, 2019, 35(3): 580-584.
[5] 张轶. 鼾症的病因病机及个案分析[J]. 内蒙古中医药, 2019, 38(1): 31-32.
[6] 赵顺祥, 孙传强. 从痰瘀论治鼾症学术认识浅论[J]. 现代诊断与治疗, 2014, 25(21): 4853-4854.
[7] 胡嬿. 肥胖打鼾患者睡眠监测及中医病机分析[J]. 内蒙古中医药, 2017, 36(6): 144.
[8] 詹宇婷, 汪美霞, 陶长绣. 阻塞性睡眠呼吸暂停综合征发病机制研究[J]. 中医药临床杂志, 2015, 27(12): 1658-1660.
[9] 侯晓琳, 肖宽林. 上气道神经肌肉调控在阻塞性睡眠呼吸暂停低通气综合征发病机制中的作用[J]. 中国眼耳鼻喉科杂志, 2010, 10(6): 402-403.
[10] Alterki, A., Abu-Farha, M., Al Shawaf, E., et al. (2023) Investigating the Relationship between Obstructive Sleep Apnoea, Inflammation and Cardio-Metabolic Diseases. International Journal of Molecular Sciences, 24, 6807. [Google Scholar] [CrossRef] [PubMed]
[11] Sinden, N.J., Stockley, R.A. (2010) Systemic Inflammation and Comorbidity in COPD: A Result of “Overspill” of Inflammatory Mediators from the Lungs? Review of the Evidence. Thorax, 65, 930-936. [Google Scholar] [CrossRef] [PubMed]
[12] 黄颖, 张熹煜, 李际强. 阻塞性睡眠呼吸暂停低通气综合征证候分布及用药规律文献研究[J]. 新中医, 2016, 48(8): 287-289.
[13] 赵彦青, 宫剑鸣, 李亚翔, 等. 王松龄治疗阻塞性睡眠呼吸暂停低通气综合征的思路和经验[J]. 辽宁中医杂志, 2016, 43(9): 1835-1836.
[14] 殷晓玲, 孙桂芳. 健脾化痰方治疗痰浊型阻塞性睡眠呼吸暂停低通气综合征的效果分析[J]. 光明中医, 2017, 32(10): 1430-1432.
[15] 侯宁, 于睿. 从痰论治鼾症[J]. 中医临床研究, 2019, 11(12): 74-76.
[16] 李晴, 李际强. 阻塞性睡眠呼吸暂停低通气综合征从瘀论治探识[J]. 新中医, 2017, 49(11): 152-154.
[17] 刘三峰. 鼾症方对痰瘀互结型阻塞型睡眠呼吸暂停综合征的症状疗效分析[D]: [硕士学位论文]. 福州: 福建中医药大学, 2018.
[18] 周洪波. 针刺治疗痰湿型阻塞性睡眠呼吸暂停综合征的临床疗效观察[D]: [硕士学位论文]. 成都: 成都中医药大学, 2019.
[19] 汪新芳. 中药穴位贴敷治疗儿童鼾眠的临床观察[D]: [硕士学位论文]. 济南: 山东中医药大学, 2011.
[20] 朱莹. 穴位贴敷联合小儿推拿对腺样体肥大儿童睡眠质量的临床观察[D]: [硕士学位论文]. 福州: 福建中医药大学, 2020.
[21] 何权瀛, 王莞尔. 阻塞性睡眠呼吸暂停低通气综合征诊治指南(基层版) [J]. 中国呼吸与危重监护杂志, 2015, 14(4): 398-405.
[22] Pillar, G., Shehadeh, N. (2008) Abdominal Fat and Sleep Apnea: The Chicken or the Egg? Diabetes Care, 31, S303-S309. [Google Scholar] [CrossRef] [PubMed]
[23] Newman, A.B., Foster, G., Givelber, R, et al. (2005) Progression and Regression of Sleep-Disordered Breathing with Changes in Weight: The Sleep Heart Health Study. Archives of Internal Medicine, 165, 2408-2413. [Google Scholar] [CrossRef] [PubMed]
[24] 孙红莹. 饮酒在阻塞性睡眠呼吸暂停低通气综合征发病中的作用[硕士学位论文]. 长春: 吉林大学, 2018.
[25] 李庆云, 李诗琪, 周剑平. 阻塞性睡眠呼吸暂停与吸烟的交互影响[J]. 内科理论与实践, 2021, 16(2): 76-79.
[26] Srijithesh, P.R., Aghoram, R., Goel, A., et al. (2019) Positional Therapy for Obstructive Sleep Apnoea. The Cochrane Database of Systematic Reviews, No.5, CD010990. [Google Scholar] [CrossRef] 
[27] Patil, S.P., Ayappa, I.A., Caples, S.M., et al. (2019) Treatment of Adult Obstructive Sleep Apnea with Positive Airway Pressure: An American Academy of Sleep Medicine Systematic Review, Meta-Analysis, and GRADE Assessment. Journal of clinical Sleep Medicine, 15, 301-334. [Google Scholar] [CrossRef] [PubMed]
[28] Babbin, S.F., Velicer, W.F., Aloia, M.S., et al. (2015) Identifying Longitudinal Patterns for Individuals and Subgroups: An Example with Adherence to Treatment for Obstructive Sleep Apnea. Multivariate Behavioral Research, 50, 91-108. [Google Scholar] [CrossRef] [PubMed]
[29] Kuna, S.T., Shuttleworth, D., Chi, L., et al. (2015) Web-Based Access to Positive Airway Pressure Usage with or without an Initial Financial Incentive Improves Treatment Use in Patients with Obstructive Sleep Apnea. Sleep, 38, 1229-1236. [Google Scholar] [CrossRef] [PubMed]
[30] Hwang, D., Chang, J.W., Benjafield, A.V., et al. (2018) Effect of Telemedicine Education and Telemonitoring on Continuous Positive Airway Pressure Adherence. The Tele-OSA Randomized Trial. American Journal of Respiratory and Critical Care Medicine, 197, 117-126. [Google Scholar] [CrossRef] 
[31] Trzepizur, W., Cistulli, P.A., Glos, M., et al. (2021) Health Outcomes of Continuous Positive Airway Pressure Versus Mandibular Advancement Device for the Treatment of Severe Obstructive Sleep Apnea: An Individual Participant Data Meta-Analysis. Sleep, 58, PA740. [Google Scholar] [CrossRef] 
[32] Lorenzi-Filho, G., Almeida, F.R. and Strollo, P.J. (2017) Treating OSA: Current and Emerging Therapies beyond CPAP. Respirology, 22, 1500-1507. [Google Scholar] [CrossRef] [PubMed]
[33] 黄灵芝. 阻塞性睡眠呼吸暂停的药物治疗[J]. 国外医学.药学分册, 2005, 32(3): 194-197.
[34] 刘昳聪, 张海英. 治疗白天过度嗜睡药物solriamfetol的药理作用与临床评价[J]. 临床药物治疗杂志, 2020, 18(9): 6-9.
[35] Lai, Y.Q. and Peng, B.G. (2017) [Surgical Treatment Progress of OSAHS with Multiplane Obstruction]. Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery, 31, 1530-1535. [Google Scholar] [CrossRef] [PubMed]
[36] 钱红玉, 王玉珍. 阻塞性呼吸睡眠暂停与鼻阻力的研究[J]. 天津医药, 2001, 29(8): 462-463.
[37] 谢宇平. 鼻腔扩容术在OSAHS治疗中的意义[C]//第二届中国西部睡眠医学大会讲义论文汇编. 北京: 中国睡眠研究会西部委员会, 2015: 114-116.