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Clinical Report of 3 Cases of Herbal Medicine Treatment Applied with Polysomnography for Breathing-Related Sleep Disorders

동의신경정신과학회지 2020년 31권 4호 p.329 ~ 336
정진형, 정인철, 김원일, 김보경,
소속 상세정보
정진형 ( Jeong Jin-Hyung ) - Daejeon University College of Korean Medicine Department of Oriental Neuropsychiatry
정인철 ( Jung In-Chul ) - Daejeon University College of Korean Medicine Department of Oriental Neuropsychiatry
김원일 ( Kim Won-Ill ) - Dong-Eui University College of Korean Medicine Department of Korean Internal Medicine
김보경 ( Kim Bo-Kyung ) - Pusan National University School of Korean Medicine Department of Neuropsychiatry

Abstract


Objectives: This case report intended to examine how herbal medicine treatment for breathingrelated sleep disorders applied with polysomnography affected the structure of sleep.

Methods: From January to November 2019, we retrospectively reviewed the progress records and polysomnography reports of patients who visited Korean medical hospitals in Daejeon and Cheonan.

Results: In case 1, the patient complained of daytime sleepiness and snoring and was diagnosed with obstructive sleep apnea disorder and treated with Ukgan-san-gami. There were significant changes in the polysomnographic parameters, such as sleep efficiency, waking after sleep onset, sleep latency, the total arousal index, and the apnea-hypopnea index after herbal treatment. In case 2, the patient complained of frequent waking after sleep onset, daytime sleepiness, and snoring, and was diagnosed with obstructive sleep apnea disorder and treated with Yeoldahanso-tang-gami. There were significant changes in the polysomnographic parameters, such as the total arousal index and the apnea-hypopnea index after herbal treatment. In case 3, the patient complained of daytime sleepiness and was diagnosed with obstructive sleep apnea disorder and treated with Bangpungtongsung-san. There was no significant change in the polysomnographic parameters after herbal treatment.

Conclusions: It is meaningful to note that objectively identifying the outcome of treatment for breathing- related sleep disorders is necessary in the clinical practice of Korean medicine.

키워드

Korean medicine; Herbal medicine; Sleep medicine; Sleep disorder; Polysomnography; Clinical report; Breathing related sleep disorder

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