阻塞性睡眠呼吸暂停与失眠共病的中医诊疗思路探析

【中图分类号】R259 【文献标志码】A 【文章编号】1007-8517（2025）13-0001-06

DOI：10.3969/j. issn.1007-8517. 2025.13. zgmzmjyyzz202513001

nalysisof TCM Diagnosisand Treatment of Obstructive Sleep Apnea Syndrome and Insomni

NING Shuye1 DUAN Lingzhi1 WANGYan1 YANG Zhengfu1PING Haoyi²ZHANG Aihua²*

1.Yunnan University of Traditional Chinese Medicine，Kunming 65o5Oo，China; 2.Department of Pulmonary Disease/Department of PCCM，Kunming Hospital of Traditional Chinese Medicine，Kunming 65050o，China

Abstract：Comorbiditiesof obstructive sleep apnea and insomnia（COMISA）isone of the phenotypesof obstructiveslepapnea （OSA）.Atpresent，Wester medicine treatmentof COMSA mainlyfocuses onlong-temoxygentherapyandcontinuous positiveairwayressure.However，uetoecombinationofisomiasptomsintistypeofpatients，thefcacyisotgodTerefoeitis urgenttoexploreanewmethodforCOMISAtreatment.InthetreatmentofOSAandinsomnia，Chinesemedicinehasdistinctharacteristics andunique advantages.Inmodern Chinese medicine，COMISAisoftenclassifedas“snoringsyndrome”or“sleeplesess". Fromtheperspectiveofzang-fu-organdiferentiation，COMSAismostcloselyrelatedtothelungandspleenvisceraintraditional Chineseedicine（TCM）.Inthispaper，combined withthecuentresearch statusofOSAandinsomnia inTCM，aalyzes themethodsof TCMdiagnosisandtreatmentofCOMSAfromthephysiologicalfunctionsofthelungandsplenviscera，aimingtoprovideideas for TCM diagnosis and treatment of COMISA.

Keywords： COMISA;Chinese Medicine；Lung and Spleen;Syndrome Differentiation

阻塞性睡眠呼吸暂停（obstructive sleep apnea，OSA）与失眠共病（comorbid Insomnia and sleepapnea，COMISA）即阻塞性睡眠呼吸暂停合并失眠，作为OSA的一种特殊亚型，在OSA的基础上同时具有失眠的特点，其病情严重程度更甚。（剩余10081字）