中医学报2026，Vol.41Issue(2)：251-257,7.DOI:10.16368/j.issn.1674-8999.2026.02.035
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
Intervention Strategies of TCM in Gut Microbiota for Obesity-Related OSAHS
摘要
Abstract
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.关键词
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Key words
obstructive sleep apnea-hypopnea syndrome/gut microbiota/obesity/Lung-Spleen correlation/Lung and Spleen dysfunc-tion/Phlegm-Dampness blocking orifice分类
医药卫生引用本文复制引用
杨星,郑承红,邹秀淇,丁念,李旭成,陈茜..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[J].中医学报,2026,41(2):251-257,7.基金项目
湖北省中医药管理局中医药科研重大项目(ZY2025Z014) （ZY2025Z014）
湖北省中医药管理局中医药指导性项目(ZY2023F053) （ZY2023F053）
武汉市中医药科研项目(WZ24A18,WZ24Q23) （WZ24A18,WZ24Q23）
