中医药干预肠道菌群治疗肥胖型阻塞性睡眠呼吸暂停低通气综合征OA
Intervention Strategies of TCM in Gut Microbiota for Obesity-Related OSAHS
阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea-hypopnea syndrome,OSAHS)是常见的睡眠呼吸障碍性疾病,肥胖是其重要的可逆性危险因素,肥胖型OSAHS严重影响患者的生活质量.痰湿是肥胖型OSAHS的重要致病因素,痰湿形成过程离不开肺脾两脏的相互作用.肺脾失用、中气亏虚是鼾症发病之本,痰湿阻窍、玄府郁闭是鼾症发病之标,痰瘀互结、肺络受损是鼾症病情加重之因.肠道菌群在肥胖与OSAHS的病情演变中起重要作用,肠道菌群结构失调、肠道屏障损伤、菌群代谢产物异常,共同影响肥胖型OSAHS的发病、免疫系统炎症反应及代谢功能.通过中药调整肠道菌群结构,优化肺脾功能,减少痰湿积聚,缓解肺络受损之势,以治疗肥胖型 OSAHS.这一过程不仅有助于识别相关的特定菌群,深化对肥胖型OSAHS 病机本质的理解,更为基于"肺-脾-肠"轴整体调节的中医药精准化防治提供了新的理论和实践思路.
Obstructive sleep apnea-hypopnea syndrome(OSAHS)is a common sleep-related breathing disorder.Obesity is an impor-tant reversible risk factor,and obese OSAHS significantly affects patients'quality of life.Phlegm-Dampness is a key pathogenic factor in obese OSAHS,and its formation process involves the interaction between the Lung and Spleen.Dysfunction of the Lung and Spleen and deficiency of Middle Qi are the root causes of snoring,while blockage by Phlegm-Dampness and congestion of the orifices are the manifestations.Converging phlegm and blood stasis and damage to the Lung collaterals contribute to the worsening of the condition.Gut microbiota plays a crucial role in the progression of obesity and OSAHS;a disrupted gut microbiota structure,impaired intestinal barrier,and abnormal microbial metabolites together influence the onset of obese OSAHS,as well as immune and metabolic responses.By using Traditional Chinese Medicine to regulate gut microbiota,optimize lung and spleen function,reduce phlegm-dampness accumulation,and alleviate lung network damage,obese OSAHS can be treated.This approach not only helps identify specific related microbial groups but also deepens the understanding of the pathogenesis of obese OSAHS,providing new theoretical and practical insights for precise pre-vention and treatment based on overall regulation of the"Lung-Spleen-Intestine"axis.
杨星;郑承红;邹秀淇;丁念;李旭成;陈茜
武汉市中医医院,湖北 武汉 430050武汉市中医医院,湖北 武汉 430050||湖北中医药大学,湖北 武汉 430065湖北中医药大学,湖北 武汉 430065武汉市中医医院,湖北 武汉 430050武汉市中医医院,湖北 武汉 430050武汉市中医医院,湖北 武汉 430050||湖北中医药大学,湖北 武汉 430065
医药卫生
阻塞性睡眠呼吸暂停低通气综合征肠道菌群肥胖肺脾相关肺脾失用痰湿阻窍
obstructive sleep apnea-hypopnea syndromegut microbiotaobesityLung-Spleen correlationLung and Spleen dysfunc-tionPhlegm-Dampness blocking orifice
《中医学报》 2026 (2)
251-257,7
湖北省中医药管理局中医药科研重大项目(ZY2025Z014)湖北省中医药管理局中医药指导性项目(ZY2023F053)武汉市中医药科研项目(WZ24A18,WZ24Q23)
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