Journal of Oriental Neuropsychiatry (동의신경정신과학회지)

The Korean Society of Oriental Neuropsychiatry (대한한방신경정신과학회)
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Clinical Report of 3 Cases of Herbal Medicine Treatment Applied with Polysomnography for Breathing-Related Sleep Disorders

수면다원검사를 적용한 호흡관련 수면장애 한약 치료 3례 증례 보고

  • Jeong, Jin-Hyung (Department of Oriental Neuropsychiatry, College of Korean Medicine, Daejeon University) ;
  • Jung, In-Chul (Department of Oriental Neuropsychiatry, College of Korean Medicine, Daejeon University) ;
  • Kim, Won-Il (Department of Internal Medicine, College of Korean Medicine, Dong-Eui University) ;
  • Kim, Bo-Kyung (Department of Neuropsychiatry, School of Korean Medicine, Pusan National University)
  • 정진형 (대전대학교 한의과대학 한방신경정신과교실) ;
  • 정인철 (대전대학교 한의과대학 한방신경정신과교실) ;
  • 김원일 (동의대학교 한의과대학 내과학교실) ;
  • 김보경 (부산대학교 한의학전문대학원 한방신경정신과교실)
  • Received : 2020.11.30
  • Accepted : 2020.12.19
  • Published : 2020.12.30
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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.

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