肾癌术后患者145例的中医证候类型及体质分布规律  

Type of TCM syndrome and the distribution of TCM constitution in 145 postoperative patients with renal carcinoma

作　　者：王栋 高宇[2] 张佳 宁博彪 王晞星[2] WANG Dong;GAO Yu;ZHANG Jia;NING Bo-biao;WANG Xi-xing(Shanxi Institute of Traditional Chinese Medicine,Taiyuan 030012,China;Shanxi Provincial Hospital of Traditional Chinese Medicine,Taiyuan 030012,China)

机构地区：[1]山西省中医药研究院,太原030012 [2]山西省中医院,太原030012

出　　处：《中华中医药杂志》2021年第5期2960-2963,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：山西省自然科学基金项目(No.2016021168)。

摘　　要：目的:探讨肾癌术后患者中医证候类型、体质分布规律,为进一步指导肾癌术后患者的预防与治疗提供思路。方法:制定肾癌术后患者证候评估量表,统计分析145例肾癌术后患者中医证型、中医体质的分布规律及与危险因素的相关性。结果:肾癌术后患者中医证型以脾肾气虚证、肝肾阴虚证、脾肾阳虚证、湿热下注证为主,体质以气虚质、阴虚质、血瘀质、阳虚质为主。肾癌患者以中老年人居多,其中40~59、60~79岁患者以脾肾气虚证为主,80~85岁患者以湿热下注证为主;40~59岁患者以血瘀质为主,60~79岁、80~85岁患者以阴虚质、阳虚质为主。饮酒、吸烟患者以阴虚质为主,高血压患者以阳虚质为主,BMI>24kg/m2患者以血瘀质为主。结论:肾癌患者术后辨证以虚为主、中医偏颇体质及与危险因素的相关性对肾癌患者中医诊疗及预后意义重大。Objective:To explore the types of TCM syndromes and the distribution of TCM constitution in postoperative patients with renal carcinoma,and to provide ideas for further guiding the prevention and treatment of postoperative patients with renal carcinoma.Methods:To develop a symptom assessment scale for postoperative patients with renal carcinoma,and analyze the distribution of TCM syndrome types,TCM constitution of 145 postoperative patients with renal carcinoma,and their correlation with risk factors.Results:The TCM syndromes of postoperative patients with renal carcinoma were mainly spleen and kidney qi deficiency,liver and kidney yin deficiency,spleen and kidney yang deficiency,and damp-heat infusion syndrome,and constitution was qi deficiency,yin deficiency,blood stasis,and yang deficiency.The majority of renal carcinoma patients are middle-aged and elderly patients.Among them,patients aged 40~59 and 60~79 have the syndrome of deficiency of spleen and kidney qi,and patients aged 80~85 have the syndrome of damp-heat betting;patients aged 40~59 have blood stasis.Mainly,patients aged 60~79 and 80~85 are mainly yin-deficiency and yang-deficiency;drinking and smoking patients are mainly yin-deficiency,and hypertension patients are mainly yang-deficiency,and BMI>24 kg/m2 patients are mainly blood stasis.Conclusion:Deficiency is the main syndrome differentiation of postoperative patients with renal carcinoma,the biased constitution of Chinese medicine and the correlation with risk factors are of great significance to the diagnosis,treatment and prognosis of renal carcinoma patients.

关 键 词：肾癌 中医证型 体质 临床研究 

分 类 号：R273[医药卫生—中西医结合]