上海市长宁区某社区乳腺癌患者气郁证情况分析  

Analysis of Qi Depression Syndrome in Breast Cancer Patients in a Community of Changning District of Shanghai

作　　者：蔡黎 黄谷 周楠 王朝伟 周海芸 张媛婷 孙武权(指导)[2] CAI Li;HUANG Gu;ZHOU Nan;WANG Chaowei;ZHOU Haiyun;ZHANG Yuanting;SUN Wuquan(Shanghai Changning District Xianxia Street Community Health Service Center,Shanghai 200336,China;Department of Massage,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)

机构地区：[1]上海市长宁区仙霞街道社区卫生服务中心,上海200336 [2]上海中医药大学附属岳阳中西医结合医院推拿科,上海200437

出　　处：《光明中医》2023年第5期812-816,共5页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：上海市长宁区卫健委科研项目(No.20214Z012)。

摘　　要：目的探讨大城市乳腺癌人群的气郁证情况。方法采用问卷调查方试。结果此次患者平均年龄(67.3±12.38)岁,病程平均(93.91±87.22)个月,时常感到情绪低落、感情脆弱,容易心烦意乱,容易出现小腹部胀气或疼痛,自己感觉比以前反应慢,每天参加体育运动时间不足1 h,每天平均睡眠时间少于8 h等情况明显增加。结论中医认为此病是肝疏泄功能失常或肾精亏虚肝失濡养,心肺气血运行不畅,气滞则痰凝或血瘀,痰瘀互结于乳络而形成乳房肿块;运用中医理论做指导,增加体育锻炼、形成良好的睡眠习惯,调畅气血,疏导情绪是关键,调畅气机不仅局限在疏肝,还要关注心、肺对气机通畅的重要作用。Objective To investigate the qi depression syndrome of breast cancer population in megacities.Methods The questionnaire survey was conducted.Results The average age of breast cancer patients in this study was(67.35±12.38)years old,and the average course of disease was(93.91±87.22)months.They often feel depressed,vulnerable,upset,prone to gas or pain in their bellies,and feel slower than before,they participate in sports for less than one hour a day,and often feel depressed,etc.Their average sleep time is less than 8 hours a day,often feel depressed and other conditions increased significantly.Conclusion Traditional Chinese medicine believes that this disease is liver catharsis dysfunction or kidney essence deficiency liver loss,heart or lung gas and blood are not working well,qi stagnation spittoon coagulate or blood stasis,phlegm stasis mutual knot at milk collateral and form breast bump.If the theory of traditional Chinese medicine can be used as a guide to increase physical exercise and form a good sleep habit.The key is regulating qi and blood and regulating emotions,regulating qi is not only limited to regulating the liver,but also to pay attention to the important role of heart and lung on qi patency.

关 键 词：乳腺癌 气郁证 运动 睡眠质量 

分 类 号：R273[医药卫生—中西医结合]