肺癌并发胸水患者中医证型分布规律研究  

Study on the Distributive Law of TCM Syndromes of Lung Cancer Patients Accompanied with Hydrothorax

作　　者：瞿彬[1] 张培彤[1] 

机构地区：[1]中国中医科学院广安门医院肿瘤科,北京市宣武区北线阁5号100053

出　　处：《中医杂志》2011年第6期483-485,共3页Journal of Traditional Chinese Medicine

基　　金：首都医学发展科研基金北京医学卫生科技重点支持项目(首发0306)

摘　　要：目的探讨肺癌并发胸水患者中医证候的分布规律。方法对确诊为肺癌并发胸水的150例患者进行临床症状、体征(含舌脉)及相关检查的观察记录,确定初步证候,按照判断标准探讨该研究对象的证候特点,从中找出规律。结果肺癌并发胸水患者的证候主要包括气阴两虚型、气虚痰湿型、气虚血瘀型、气虚型、痰热型、气滞型及气滞血瘀型7类。不同临床病理分型、临床分期、胸水量患者中医证候分布差异均无统计学意义(P>0.05)。结论肺癌并发胸水患者证候分布复杂,单证少,复证多,虚实互见,尤以气虚为主的复证多见。肺癌并发胸水患者的证型与胸水量、临床分期、病理分型无明显相关。Objective To study the distributive law of TCM syndromes of lung cancer patients accompanied with hydrothorax.Methods For the 150 lung cancer patients accompanied with hydrothorax,recorded clinical symptoms and signs（including tongue and pulse）and the related inspections,and diagnosed with TCM syndrome differentiation according to the research design for determining their syndromes.The syndrome characteristics of the patients were discussed on the basis of judgment standard in order to find out the distributive law of TCM syndromes.Results The TCM syndromes of lung cancer patients accompanied with hydrothorax were mainly of 7 types：deficiency of both qi and yin,qi deficiency with phlegm-damp,qi deficiency with blood stasis,qi deficiency,phlegm-heat,qi stagnation,and qi stagnation with blood stasis.The different pathological types,clinical stages,and hydrothorax quantity of patients were without statistical significance in the distribution of TCM syndromes（P0.05）.Conclusion The distribution of TCM syndromes of lung cancer patients with hydrothorax is complicated with pathological changes of both xu-deficiency and shi-excess,especially with qi deficiency as the main manifestation.There is no significant relation between the TCM syndromes and hydrothorax quantity,clinical stages,and pathological types of the patients.

关 键 词：肺癌 胸水 中医证候 病理分型 临床分期 

分 类 号：R273[医药卫生—中西医结合]