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| 題 名 | 阻塞性睡眠呼吸中止的中西醫治療進展=The Western and Chinese Medical Treatment of Recent Developments to Obstructive Sleep Apnea |
|---|---|
| 作 者 | 羅淑方; 江烈欽; 鄭慧滿; 林佳慧; 詹雅閔; | 書刊名 | 中華針灸醫學會雜誌 |
| 卷 期 | 12:2 2009.06[民98.06] |
| 頁 次 | 頁1-10 |
| 分類號 | 413.34 |
| 關鍵詞 | 阻塞性睡眠呼吸中止; 西醫; 中醫; 中藥; 針灸; Obstructive sleep apnea; Western medicine; Chinese medicine; Chinese herb medicine; Acupuncture and moxibustion; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 阻塞性睡眠呼吸中止(Obstructive sleep apnea)是睡眠時,上呼吸道發生反覆性的塌陷,進而造成上呼吸道阻塞,嚴重的話,還會造成完全阻塞甚至窒息。若病情逐漸發展可能會出現一列併發症,最常見爲高血壓、腦中風、心血管疾忠、不穩定型心絞痛、心肌梗塞等,因此越來越受到人們的重視。臨床症狀常見夜間打鼾、日間嗜睡、注意力不集中、睡眠時會被口水嗆醒、夜間頻尿、晨起頭痛、情緒低落等,有的兒童還會尿床、甚至以過動的情況來表現。治療方面西醫方式眾多,可依患者情況選擇,而持續性氣道正壓呼吸器則是目前標準治療方式;中醫方面則是按照辨證施治,大致而言病機可以歸納爲虛實夾雜,多爲本虛標實,虛爲肺脾腎氣虛或陽虛,實則爲疚濕、瘀阻,治療選擇也是多元化,包括有中藥、針灸雄拿、耳穴壓貼箏;此外,更有一些學者使用中西醫結合治療,臨床上也獲得不錯的成效。 |
| 英文摘要 | Obstructive Sleep Apnea defines repetitive episodes of upper airway obstruction that occur during sleep, usually associated with a reduction in blood oxygen saturation. The most severe situation is that the airway gets blocked completely, and then suffocation happens. With OSA, there is an increase risk to have some complications such as hypertension, stroke, cardiovascular disease, unstable angina, myocardial infarction. So OSA gets more and more attention. Its clinical symptoms include snoring at night, excessive daytime sleepiness, sudden arousals with choking, unrefreshing sleep, morning headache, fatigue, or depression . For children, some may have enuresis, even behavioural disorder. In western medicine, there are many ways for the patients to choose. The present treatment is to use the continuous positive airway pressure. In Chinese medicine, it is based on the identify patterns and administer treatment to classify the syndromes as the vacuity-repletion complex. Frequently, it is root vacuity and tip repletion. Vacuity means the qi vacuity in lungs, spleens and kidneys or yang vacuity. Repletion pattern means phlegm-damp and blood stasis. The treatments in Chinese medicine are with multiple choices such as Chinese herb medicine, acupuncture and moxibustion, massage, ear acupuncture therapy. Besides, some scholars use the integration of traditional Chinese and Western medicine, and they have good effects, too. |
本系統中英文摘要資訊取自各篇刊載內容。