肺癌合并2型糖尿病的证型分布规律及相关因素分析  

Analysis of Syndrome Distribution and Related Factors in Patients with Lung Cancer Complicated with Type 2 Diabetes

作　　者：王婷婷[1] 张宁苏[1] 唐广义[2] 潘琳[2] WANG Tingting;ZHANG Ningsu;TANG Guangyi;PAN Lin(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《实用中医内科杂志》2021年第4期86-89,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：辽宁省中医药临床学(专)科能力建设项目(20170204)。

摘　　要：目的探讨肺癌合并2型糖尿病(T2DM)患者中医证型分布规律与性别、年龄、手术及化疗史、淋巴结及远处转移、发病顺序、肿瘤分期、T2DM病程和降糖方式的相关性。方法回顾性分析2014年1月—2019年1月辽宁中医药大学附属医院肿瘤科收治入院的资料完整的肺癌合并T2DM患者的临床资料,比较该类患者中医证型的分布特点,并分析性别、年龄、手术及化疗史、淋巴结及远处转移、发病顺序、肿瘤分期、T2DM病程和降糖方式与中医证型的相关性。结果研究共纳入53例患者,中医证型分布规律为:气阴两虚>肺脾气虚>阴虚内热>痰湿内蕴,中医证型在性别、肿瘤分期、淋巴结及远处是否转移的分布无明显差异,在年龄、手术及化疗史、发病顺序、T2DM病程和降糖方式的分布差异有统计学意义(P<0.05)。结论肺癌合并T2DM中医证型以气阴两虚型最多,年龄、发病先后、手术及化疗史、病程以及降糖方式与肺癌合并T2DM中医证型分布相关。Objective To explore the correlation of the distribution of TCM syndromes in patients with lung cancer and type2 diabetes(T2 DM) and gender,age,history of surgery and chemotherapy,lymph node and distant metastasis,disease sequence,tumor stage,T2 DM courseand hypoglycemic methods.Methods It retrospectively analyzed the clinical data of patients with lung cancer and T2 DM who were admitted to the Department of Oncology,Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from January 2014 to January 2019,compared the distribution characteristics of TCM syndromes in these patients,and analyzed gender,age,surgery and chemotherapy correlation of history,lymph node and distant metastasis,onset sequence,tumor stage,T2 DM disease course,hypoglycemic methods and TCM syndromes.Results A total of 53 patients were included in this study.The distribution types of TCM syndromes was:deficiency of both Qi and Yin>deficiency of lung and spleen Qi>internal heat due to Yin deficiency>phlegm and dampness.There was no significant difference in the distribution of metastasis,and there was a statistically significant difference in the distribution of age,surgery and chemotherapy history,onset sequence,T2 DM courseand hypoglycemic methods(P<0.05).Conclusion The TCM syndrome of lung cancer combined with T2 DM is mainly deficiency of both Qi and Yin type.Age,onset,history of surgery and chemotherapy,course of diseaseand hypoglycemic methodsare related to the syndrome distribution of lung cancer combined with T2 DM.

关 键 词：肺癌 2型糖尿病 中医证型 相关因素 

分 类 号：R259[医药卫生—中西医结合]