胃癌术后早期中医证候及其相关因素研究  

Study on Early TCM Syndrome and Related Factors in Patients after Gastric Cancer Surgery

作　　者：经文善 于庆生[1,2] 潘晋方 沈毅[1] 张琦 刘举达[1] 王振[1] JING Wenshan;YU Qingsheng;PAN Jinfang;SHENG Yi;ZHANG Qi;LIU Juda;WANG Zhen(Department of General Surgery,First Affiliated Hospital,Anhui University of Traditional Chinese Medicine,Hefei 230031,Anhui,China;Institute of Chinese Medical Surgery,Anhui Academy of Traditional Chinese Medicine,Hefei 230031,Anhui,China)

机构地区：[1]安徽中医药大学第一附属医院普外科,安徽合肥230031 [2]安徽中医药科学院中医外科研究所,安徽合肥230031

出　　处：《辽宁中医杂志》2021年第5期88-91,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：十二五国家临床重点专科建设项目(财社[2013]239号)。

摘　　要：目的研究胃癌术后早期中医证候分布及其相关因素。方法制定调查表,选择符合纳入标准的患者。统计患者姓名、性别、年龄、病理类型、病理分期、手术方式、患者术后早期中医四诊资料等,根据中医证候诊断标准进行辨证分型。分析胃癌术后早期患者主要中医证候与性别、年龄、肿瘤病理类型、肿瘤病理分期、手术方式的相关性。结果胃癌术后早期患者主要中医证候表现为脾气虚证、腑实证、血虚证、阴虚证、湿热证、血瘀证六种证候。六者相互兼夹出现,其中以脾气虚证及腑实证较多。中医证候的分布与患者性别,肿瘤病理类型,病理分期,手术方式没有相关性(P>0.05),与患者年龄具有相关性(P<0.05)。结论胃癌术后早期患者中医证候表现为脾气虚证、腑实证、血虚证、阴虚证、湿热证、血瘀证六种证候。六者相互兼夹出现,其中以脾气虚证及腑实证较多。中医证候的分布与患者性别,肿瘤病理类型,病理分期,手术方式没有相关性,与患者年龄具有相关性。Objective To analyze the early TCM syndromes and the related factors in patients after gastric cancer surgery.Methods Questionnaires were developed to select patients who met the inclusion criteria.The patients′ name, gender, age, pathological type, pathological stage, surgical method and early diagnostic data were collected.According to TCM syndrome diagnostic criteria, syndrome differentiation could be carried out.The correlation between the main TCM syndromes and gender, age, pathological types, pathological stages and surgical methods in patients with early gastric cancer were analyzed after operation.Results There were six main syndromes in patients after gastric cancer surgery, including spleen deficiency syndrome, Fu-organs excess syndrome, blood deficiency syndrome, Yin deficiency syndrome, damp-heat syndrome and blood stasis syndrome.The six typeswere mixed with each other, Spleen deficiency syndrome and Fu-organs excess syndromewere more common among them.There was no correlation between the distribution of TCM syndromes and patients′ gender, pathological type, pathological stage and operation method(P>0.05).But it was related with patients′ age(P<0.05).Conclusion The TCM syndromes of early gastric cancer patients after operation are spleen deficiency syndrome, Fu-organs excess syndrome, blood deficiency syndrome, Yin deficiency syndrome, damp-heat syndrome and blood stasis syndrome.The six types are mixed with each other.Spleen deficiency syndrome and Fu-organs excess syndrome are more common among them.There was no correlation between the distribution of TCM syndromes and patients′ gender, pathological type, pathological stage and operation method.But it is related with patients′ age.

关 键 词：胃切除 术后早期 中医证候学 

分 类 号：R735.2[医药卫生—肿瘤]