精灸治疗阻塞性睡眠呼吸暂停综合征合并认知障碍患者的疗效观察

陈肖霖 陈鹿鸣 黄玮 李红娟 黄宏强

【摘要】目的：探讨精灸对阻塞性睡眠呼吸暂停综合征合并认知障碍患者的临床治疗效果。方法：选择2019年6月至2020年7月本院收治的97例阻塞性睡眠呼吸暂停综合征合并认知障碍患者，随机分为对照组（46例）与观察组（51例）。比较两组患者的认知状况、多导睡眠监测相关水平、患者的临床治疗效果。结果：实施精灸治疗后，观察组患者的注意力得分、语言能力得分、抽象得分、定向得分均高于对照组，差异具有统计学意义（P<0.05）；观察组患者的睡眠效率、血氧饱和度高于对照组，差异具有统计学意义（P<0.05）；观察组患者的临床治疗有效率（94.11%）高于对照组（50.00%），差异具有统计学意义（χ2=16.975，P=0.001）。结论：精灸疗法应用于阻塞性睡眠呼吸暂停综合征合并认知障碍患者，临床疗效显著，能够显著改善患者的认知状况。

【关键词】精灸治疗；阻塞性睡眠呼吸暂停综合征；认知障碍

【中图分类号】R338.63 【文献标识码】A 【文章编号】2096-5249（2021）12-0006-03

Efficacy of refined moxibustion on patients with obstructive sleep apnea syndrome combined with cognitive impairment

Chen Xiao-lin，Chen Lu-ming，Huang Wei，Li Hong-juan，Huang Hong-qiang △

General 1 of City Hospital of Guangdong University of Traditional Chinese Medicine， Guangzhou 510006，China

【Abstract】Objective：in the treatment of obstructive sleep apnea syndrome patients with cognitive impairmen.Methods：Ninety-seven patients with obstructive sleep apnea syndrome and cognitive impairment admitted to hospital from June 2019 to July 2020 were selected，and they were randomly divided into a control group （46 cases） and an observation group（51 cases）. The cognitive status， polysomnography-related level， and clinical treatment effect of the patients were compared between the two groups. Results：After moxibustion， The attention score， language ability， abstract score， orientation score in the observation group were higher Control group，Differences were statistically significant （P<0.05）；The sleep efficiency and oxygen saturation in the observation group were higher Control group， Differences were statistically significant （P<0.05）；The effective rate of clinical treatment in the observation group （96.08%） was higher Control group，Differences were statistically significant（χ2=16.975，P=0.001）.Conclusion：In the treatment of obstructive sleep apnea syndrome with cognitive impairment， the clinical treatment effect is remarkable， which can improve the cognitive status of the patients， and it is worth applying to the clinical practice.

【Keywords】Moxibustion therapy； obstructive sleep apnea syndrome； cognitive impairment

阻塞性睡眠呼吸暫停综合征会导致患者出现严重的呼吸系统疾病，并影响患者认知功能[1-3]。临床上对患者采取传统的治疗方法，效果甚微，患者的临床预后治疗效果不佳，而精灸技术是改良麦粒灸发展而来的新技术[4-5]，目前中医学发展较为迅速，通过检索文献发现[6-7]，国内外针对阻塞性睡眠呼吸暂停综合征患者多采用正压通气（CPAP）治疗，但是这种治疗方法，患者的依从性不高，因此，如何使该病的治疗方法呈现多样化值得探讨。本研究通过探讨精灸治疗阻塞性睡眠呼吸暂停综合征合并认知障碍患者的临床治疗效果，希望能为患者的治疗及改善预后提供参考价值。……