鼻咽癌患者初诊中医证型与病灶颅内侵犯潜力的相关性  

Correlation between TCM Syndrome Type and Intracranial Aggressive Potentiality of Untreated Nasopharyngeal Carcinoma

作　　者：刘书静[1] 田道法[1] 何迎春[1] 王云启[2] 李东芳[2] 刘宇勤[1] 

机构地区：[1]湖南中医药大学中西医结合学院,长沙410007 [2]湖南省肿瘤医院中西医结合科

出　　处：《中国中西医结合杂志》2006年第12期1086-1089,共4页Chinese Journal of Integrated Traditional and Western Medicine

基　　金：国家自然科学基金(No.30271678;No.30572408;No.30672738);国家研究生教育与学位中心基金项目[2003]46号08资助;国家中医药管理局中医药科研基金(No.02-03JP29);湖南省"十五"重点学科建设项目(2001-2005)

摘　　要：目的探讨初诊鼻咽癌患者中医证型与其鼻咽原发病灶颅内侵犯潜力的相关性。方法对60例初诊鼻咽癌患者进行辨证分型,按常规进行治疗,然后随访1年以上,分析初诊中医证型与鼻咽原发病灶颅内侵犯潜力的相关性。结果气阴两虚型鼻咽癌初诊患者于确诊后1年余时间内,其颅内侵犯的发生率明显高于其他证型患者,组间差异比较,差异有显著性(P<0.01)。结论气阴两虚型鼻咽癌初诊患者较气血凝结型、火毒困结型有更高的颅内侵犯机率。Abstract Objective To investigate the correlation between TCM syndrome type and intracranial aggressive potentiality of untreated nasopharyngeal carcinoma （NPC）. Methods Sixty untreated NPC patients of different syndrome types were treated conventionally and followed up for over one year. Correlation between the TCM syndrome type differentiated at the first consultation and the intracranial aggressive potentiality of the primary focus of NPC were analyzed. Results The incidence of intracranial aggression was significantly higher in patients with Qi-Yin deficiency type than that in those with other two syndrome types during the follow-up period （P〈0.01）. Conclusion The intracranial aggessive rate in the untreated NPC patients of Qi-Yin deficiency type was higher than in those of either Qi and blood coagulation type or fire-toxin stagnation type.

关 键 词：鼻咽癌 颅内侵犯潜力 中医证型 病机相关性 

分 类 号：R273[医药卫生—中西医结合]