恶性肿瘤患者状况与中医体质分类的相关性研究  

Correlation Study of Traditional Chinese Medical Constitution Classification in Patien ts with Malignant Tumors

作　　者：沈敏[1] 毛叶勤[2] 陈冯梅[1] SHEN Min;MAO Yeqin;CHEN Fengmei(Suzhou Health Vocational and Technical College,Jiangsu Suzhou 215000,China;The First Affiliated Hospital of Suzhou University,Jiangsu Suzhou 215000,China)

机构地区：[1]苏州卫生职业技术学院,江苏苏州215000 [2]苏州大学第一附属医院,江苏苏州215000

出　　处：《中医药临床杂志》2023年第3期540-544,共5页Clinical Journal of Traditional Chinese Medicine

基　　金：苏州卫生职业技术学院课题(No.SZWZY201705)。

摘　　要：目的:探究恶性肿瘤患者状况与中医体质的相关性,继而对恶性肿瘤患者进行依据中医体质特异性的干预措施,力求为临床的中医诊疗方式提供客观依据。方法:收集2018年6月—2019年6月在苏州大学第一附属医院肿瘤科门诊就诊的525例患者和苏州地区543例普通居民,对其进行中医体质的评判,并采用自制基本情况调查问卷收集患者和对照组的基本信息,分析恶性肿瘤与中医体质的相关性。结果:研究共收集525例恶性肿瘤病例和543例对照。病例组中医体质以偏颇质为主,而对照组则以平和质为主,且两组在平和质上的差别有统计学意义(P<0.05),且具有显著差异(P<0.01)。恶性肿瘤患者常见的偏颇质为湿热质和气郁质,不同类别的恶性肿瘤与对照组之间具有统计学意义的偏颇质各不相同。各类型恶性肿瘤的危险因素主要为湿热质、气郁质和痰湿质。结论:恶性肿瘤患者的体质以偏颇质为主,对照组则以平和质为主,卡方检验结果表明,均具有显著差异性。回归分析表明,湿热质和气郁质是恶性肿瘤患者整体的危险因素。湿热质和气郁质是消化系统恶性肿瘤的危险因素,湿热质和痰湿质是肺恶性肿瘤的危险因素。Objective:To explore the correlation between the status of malignant tumor patients and TCM constitution,and then carry out specific intervention measures based on TCM constitution for malignant tumor patients,and strive to provide an objective basis for clinical TCM diagnosis and treatment.Methods:From June 2018 to June 2019,525 patients and 543 ordinary residents in the Suzhou area were collected from the Oncology Clinic of the First Affiliated Hospital of Suzhou University,and their TCM constitutions were evaluated,and a self-made basic information questionnaire was used.The basic information of the patients and the control group was collected,and the correlation between malignant tumors and TCM constitution was analyzed.Results:A total of 525 malignant tumor cases and 543 controls were collected.The TCM constitution of the case group was mainly biased,while that of the control group was mainly peaceful,and the difference in peaceful constitution between the two groups was statistically significant(P<0.05),and there was a significant difference(P<0.01).The common biased qualities of patients with malignant tumors were damp-heat constitution and qi stagnation constitution,and the biased qualities of different types of malignant tumors and the control group were different with statistical significance.The risk factors of various types of malignant tumors are mainly damp-heat constitution,Qi stagnation constitution and phlegm-dampness constitution.Conclusion:The constitution of patients with malignant tumors is mainly biased constitution,while that of the control group is mainly moderate constitution.Chi-square test results show that there are significant differences between them.Regression analysis showed that damp-heat constitution and Qi-stagnation constitution were the overall risk factors for malignant tumor patients.Damp-heat constitution and Qi stagnation constitution are risk factors for digestive system malignancy,and damp-heat constitution and phlegm-dampness constitution are risk factors for lung malig

关 键 词：恶性肿瘤 中医体质 干预措施 危险因素 

分 类 号：R273[医药卫生—中西医结合]