48例原发性肝癌患者围手术期脉象变化规律研究  

Study on variation rule of pulse condition at 48 cases of primary liver cancer patients perioperative

作　　者：叶艳[1,2] 秦丽萍[1] 翟笑枫[1] 彭涛[3] 肖开银[3] 黄枫[1] 李柏[1] 

机构地区：[1]第二军医大学长海医院中医系,上海200433 [2]上海中医药大学 [3]广西医科大学第一附属医院肝胆外科

出　　处：《中西医结合肝病杂志》2013年第5期265-267,281,共4页Chinese Journal of Integrated Traditional and Western Medicine on Liver Diseases

基　　金：上海市科委医学引导类项目(No.12401907600);上海市卫生局课题(No.ZYSNXD-CC-ZDYJ032)

摘　　要：目的:通过观察原发性肝癌患者手术前后脉象特征变化,为中医药应用于原发性(HCC)肝癌围手术期患者提供数据支持。方法:手术前1天、手术后第1、3、5天上午6∶30-8∶00利用SMART MX-1型脉象仪采集患者左右手关部脉图参数,对所收集数据采用SAS统计软件进行统计分析。结果:手术后第3天患者左手脉搏搏动频率较术前快(P<0.05),右手脉搏搏动频率较术前快(P<0.05),以术后第3天增快最明显。结论:弦滑脉贯穿HCC患者围手术期,手术后脉搏频率加快,向数脉转变。Objective： By observing the change in pulse manifestation characteristics before and after operation in patients with primary liver cancer, it is to provide data support that traditional Chinese medicine will be applied to perioperative patients with hepatocellular carcinoma. Methods： The pulse graph parameters with left and right hands Guan＇s pulse were collected by using SMART MX-1 I type pulse instrument 6：30 - 8：00 in the morning of 1 days before operation, 1,3, 5 days after operation. The collected data was analyzed with SAS software. Results： The third days after operation patients＇ left hand pulse rate were faster than the first day before operation （P 〈 0. 05 ） . After operation patients＇ right hand pulse rate were faster than the first day before operation （P 〈 0.05 ）, and the most obvious change was in the third day after operation. Conclusion： Xian （taut） and slippery pulse is throughout the perioperative patients with primary liver cancer. Pulse rate are accelerated after surgery, chan- ging to rapid pulse.

关 键 词：原发性肝癌 脉象 围手术期 

分 类 号：R273[医药卫生—中西医结合]