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李红琴,金满意,曹利民,王建龙,王克先,柴晓萍,王竞男.阻塞性睡眠呼吸暂停综合征患者的舌象及睡眠节律的特点分析[J].浙江中西医结合杂志,2018,28(8):
阻塞性睡眠呼吸暂停综合征患者的舌象及睡眠节律的特点分析
Study on the correlation between the tongue image and sleep rhythm and body mass index in patients with obstructive sleep apnea hypopnea syndrome
投稿时间:2017-10-13  修订日期:2018-06-26
DOI:
中文关键词:  阻塞性睡眠呼吸暂停综合征  舌象  睡眠节律
英文关键词:obstructive sleep apnea hypopnea syndrome  tongue image  sleep rhythm
基金项目:浙江省中医药科技计划项目(编号:2014ZQ023 ),
作者单位E-mail
李红琴 杭州市萧山区中医院 zmei1216@163.com 
金满意 杭州市萧山区第一人民医院  
曹利民 杭州市萧山区中医院  
王建龙 杭州市萧山区中医院  
王克先 杭州市萧山区中医院  
柴晓萍 杭州市萧山区中医院  
王竞男 杭州市萧山区中医院  
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中文摘要:
      目的 研究阻塞性睡眠呼吸暂停综合征(OSAHS)患者的舌象及多导睡眠呼吸监测指标的特点,分析舌象与睡眠节律、体重指数(BMI)之间的相关性。方法:收集因打鼾行多导睡眠监测的患者80例,其中确诊为OSAHS的患者68例。根据呼吸暂停低通气指数(AHI)分为对照组,轻度组,中度组和重度组。分析各组舌象、舌下络脉的特点。研究各组舌象与体重指数及睡眠节律的关系。结果:OSAHS患者舌质分布由多到少依次是淡白舌、红舌、淡红舌、斑点舌。舌苔分布由多到少依次是白厚腻苔、薄白苔、黄腻苔、薄黄苔。对照组主要舌象为淡红舌、薄白苔;轻中度组以淡白舌、红舌和白厚腻苔、黄腻苔为主;斑点舌主要集中在重度组。舌下络脉分级分布主要以1级为主,3级少见,3级舌下络脉主要见于重度OSAHS患者中。舌象与BMI指数的相关性分析显示OSAHS患者BMI多较高,超重和肥胖患者占绝大部分(约89.71%),不同舌象患者的BMI指数分布比较差异统计学意义。各组睡眠节律的比较分析显示,不同病情程度的患者睡眠节律分布差异主要表现在重度组的Ⅱ期睡眠时间的延长和REM期睡眠时间的明显缩短。结论:淡白舌或红舌、苔腻、舌下络脉1级为OSAHS患者的主要舌象特点。OSAHS患者出现斑点舌、舌下络脉3级多提示病情程度较重。OSAHS重度患者可出现明显的睡眠节律的改变。
英文摘要:
      Objective To study the characteristics of tongue image and Monitoring indicators for polysomnography in patients with obstructive sleep apnea hypopnea syndrome (OSAHS),and analyzed the correlation between tongue image and sleep rhythm and body mass index(BMI).Methods Eighty patients were collected for the polysomnography of snoring, with 68 patients diagnosed with OSAHS. According to the apnea-hypopnea index(AHI), patients were divided into control group, Light group, moderate group and severe group,and the relationship between tongue and body mass index and sleep rhythm were studied.Results The tongue body’s distribution of OSAHS patients from more to less is in order of pale white tongue, red tongue, pale red tongue and fleck tongue,and the tongue coating distribution is in order of white thick greasy tongue coating, thin white tongue coating, yellow greasy tongue coating, thin yellow tongue coating. The main tongue of the control group was pale red tongue and thin white tongue coating. Light moderate group with pale white tongue, red tongue and white thick greasy tongue coating, yellow greasy tongue coating, mainly; The ecchymoses and petechiae tongue is mainly concentrated in the severe group. The distribution of the sublingual collaterals classification is mainly level 1, level 3 is rare, and the sublingual collaterals with level 3 is mainly seen in patients with severe OSAHS.The correlation analysis of tongue with BMI showed that patients with OSAHS had a higher BMI, overweight and obese patients account for most (about 89.71%), and there was no statistically significant difference in BMI distribution among patients with different tongues image. Comparative analysis of the sleep rhythms in each group showed that there were differences in the distribution of sleep rhythm in OSAHS patients with different severity,according to the Sleep time of severe group was to lengthen in theⅡperiod and significantly shortened in REM period.conclusions The main tongue characteristics of OSAHS patients with pale white tongue or red tongue, greasy tongue coating and the sublingual collaterals with level 1. Patients with OSAHS are more likely to have severe symptoms,if there was a ecchymoses and petechiae tongue and a level 3 of the sublingual collaterals.
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