6970例胃癌辨证分型临床报道的统计分析  

Statistical Analysis of Clinically Reported Syndromes Differentiation of 6970 Gastric Cancer Cases

作　　者：王程燕 谢长生 

机构地区：[1]浙江中医药大学第一临床医学院,浙江杭州310053 [2]浙江省中医院肿瘤科,浙江杭州310006

出　　处：《云南中医学院学报》2015年第3期58-61,共4页Journal of Yunnan University of Traditional Chinese Medicine

基　　金：浙江省自然科学基金(LY13H290013);浙江省重中之重学科"中西医结合"资助

摘　　要：目的探讨胃癌的中医辨证分型的客观规律。方法统计分析近10年来的在国内公开发表的有关胃癌中医辨证分型的文献,进行多组间两两比较的卡方检验,同时对其中明确术前术后的病例进行统计分析。结果 6970例胃癌最常见的证型分别为脾胃虚弱型、肝胃不和型、气血双亏型、痰湿凝结型、瘀毒内结(湿热)型。肝胃不和型为胃癌术前最常见的证型,脾胃虚弱型为胃癌手术后最常见的证型。结论胃癌证候的分布具有一定特点,且手术前后证型分布有一定差异。Objective To explore the objective rule of TCM syndrome of Gastric Cancer. Methods A number of literatures which were reported at home from 2005.1.31-2015.1.31 had been analyzed. The classified 10 groups of syndrome patterns is analyzed with multiple-group chi square test. Also one part of the dates were compared between before and after operation. Results The mostly reported patterns are showed by frequency as following：spleen and stomach weakness,disharmony between liver and stomach,qi and blood deficiency,phlegm and dampness stagnation,stagnation of damp-heat. Before operation,Disharmony between liver and stomach is reported to be seen comparatively often in cases,and spleen and stomach weakness is reported to be seen comparatively often after surgery. Conclusion Distribution of type has certain characteristics. Also there was obvious difference in TCM syndromes before and after operation.

关 键 词：胃癌 统计分析 手术前 手术后 常见征型 

分 类 号：R256.3[医药卫生—中医内科学]