90例胃癌患者营养不良状况及中医证型相关性  

Relationship Between Human Body Composition,Malnutrition and TCM Syndrome Types in Gastric Cancer Patients

作　　者：王赟[1] 徐利霞[1] 郭勇[1] 姚庆华[2] 

机构地区：[1]浙江省中医院,浙江杭州310006 [2]浙江省肿瘤医院,浙江杭州310022

出　　处：《肿瘤学杂志》2017年第7期623-626,共4页Journal of Chinese Oncology

基　　金：浙江省名中医郭勇学术经验传承与专科建设项目

摘　　要：[目的]了解不同中医证型胃癌患者的人体组成成分情况。[方法]选择90例胃癌患者,收集患者相关资料如中医证型、手术情况等,根据中医证型进行分组。利用人体组成分析仪测定患者人体组成成分(蛋白质、脂肪、水分、骨质、肌肉),运用PG-SGA量表和NRS 2002量表进行营养状况评估及营养风险筛查,统计分析上述各项指标与中医证型之间的关系。[结果 ]四组中医证型组均存在不同程度的脂肪、蛋白质降低(P<0.05)。其中气血亏虚组患者营养不良发生率显著性高于痰湿蕴结组及肝胃不和组(P<0.05)。气血亏虚组患者体内水分、肌肉、蛋白质等显著性低于痰湿蕴结组及肝胃不和组(P<0.05)。[结论 ]不同中医证型的胃癌患者,其人体组成成分存在差异。气血亏虚型胃癌患者营养不良发生率最高,并且与营养成分的下降程度相关。[Objective] To investigate the composition of the human body in different types of gas- tric cancer patients with different TCM syndromes. [Methodsl A total of 90 cases of gastric cancer were enrolled,and the related data were collected,such as TCM syndrome type,operation,and grouped according to TCM syndrome type. Using the human body composition analyze determina- tion body composition of patients（protein,fat,moisture,bone,muscle）. PG-SGA Scale and NRS 2002 Scale were used to assess nutritional status and nutritional risk screening. Then statistical analysis of the relationship between the above indexes and TCM syndrome type were analysed. IResuhs] The four groups of TCM syndrome groups had different levels of fat and protein（P〈 0.05）. The group of patients with Qi and Blood deficiency syndromes had higher malnutrition rate than that in phlegm and dampness stagnation group and disharmony between liver and stomach group （P〈0.05）. And the moisture ,muscle ,protein of Qi and Blood deficiency syndromes was significantly lower than that in phlegm and dampness stagnation group and disharmony between liver and stomach group（P〈0.05）. [Conclusions] There are differences in the body composition of patients with differ- ent TCM syndromes of gastric cancer. The patients with gastric cancer of Qi and Blood deficiency syndromes had the highest malnutrition rate,and is related to the decrease of nutrients.

关 键 词：胃肿瘤 人体成分 营养不良 中医证型 

分 类 号：R735.2[医药卫生—肿瘤]