分化型甲状腺癌术后中医证型的客观化研究  

Objective Study of TCM Syndrome Types after Surgery for Differentiated Thyroid Cancer

作　　者：李玲 徐筱玮[2] 唐琳[3] 于尚君 LI Ling;XU Xiaowei;TANG Lin;YU Shangjun(Shandong University of Traditional Chinese Medicine,Shandong Jinan 250013,China;Qingdao Hospital of Traditional Chinese Medicine,Qingdao Haici Hospital,Shandong Qingdao 266033,China;Affiliated Hospital of Qingdao University,Shandong Qingdao 266003,China)

机构地区：[1]山东中医药大学,山东济南250013 [2]山东省青岛市中医医院,青岛市海慈医院,山东青岛266033 [3]青岛大学附属医院,山东青岛266003

出　　处：《中医药临床杂志》2023年第7期1379-1382,共4页Clinical Journal of Traditional Chinese Medicine

基　　金：青岛市医药科研指导计划(2021-WJZD063)。

摘　　要：目的:通过研究分化型甲状腺癌术后患者年龄、性别、病程、病理类型、SDS、SAS在不同中医证型中的分布规律,为中医辨证的客观化标准化提供理论依据。方法:选取青岛市中医医院2021年9月—2022年9月间收治的分化型甲状腺癌术后患者97例作为研究对象,收集患者年龄、性别、Zung编制的焦虑(SDS)、抑郁(SAS)、病程、病理类型数据,同时由2名以上医师用传统方法对分化型甲状腺癌术后患者进行辨证分型,然后分析年龄、性别、SDS、SAS、病程、病理类型在中医证型中的分布规律。根据此规律,通过最大似然比判别法得到的中医证型作为实验组,和传统辨证方法(对照组)比较其诊断的一致性。结果:年龄、性别、Zung编制的焦虑(SDS)、抑郁(SAS)、病程、病理类型在气阴两虚、肝郁气滞、痰血瘀阻这3种证型发生的频率各不相同,根据这些客观指标辨证和传统方法辨证得出的结果具有一致性。结论:年龄、性别、Zung编制的焦虑(SDS)、抑郁(SAS)、病程、病理类型的分布规律在不同中医证型中分布不同,可以用这些指标进行中医辨证分型,这为中医辨证的客观化提供新的方法,并为其后针对性的中医治疗提供帮助。Objective:To provide a theoretical basis for the objective standardization of TCM syndrome differentiation by studying the distribution of age,sex,course of disease,pathological types,SDS,and SAS in different TCM syndrome types of postoperative patients with differentiated thyroid cancer.Methods:A total of 97 postoperative patients with differentiated thyroid cancer who were treated in Qingdao Hospital of Traditional Chinese Medicine between September 2021 and September 2022 were selected as the research objects,and the age,gender,anxiety(SDS)and depression(SAS)scores compiled by Zung were collected course of disease,pathological type data,at the same time,two or more physicians use the traditional method to carry out syndrome differentiation and typing of postoperative patients with differentiated thyroid cancer,and then analyze the distribution of age,gender,SDS,SAS,course of disease,and pathological type in TCM syndrome types law.According to this law,the TCM syndrome types obtained by the maximum likelihood ratio discriminant method are used as the experimental group,and the diagnostic consistency is compared with the traditional syndrome differentiation method(control group).Results:Age,gender,anxiety(SDS),depression(SAS),course of disease,and pathological types compiled by Zung had different frequencies in the three syndromes of Qi and Yin deficiency,liver depression and Qi stagnation,and phlegm and blood stasis.According to the dialectical results of these objective indicators and traditional methods,the results are consistent.Conclusion:Age,gender,anxiety(SDS),depression(SAS),course of disease,and pathological types compiled by Zung are distributed differently in different TCM syndrome types.These indicators can be used for TCM syndrome differentiation.Objectification provides a new method and provides assistance for subsequent targeted TCM treatment.

关 键 词：分化型甲状腺癌 中医证型 客观指标 诊断 

分 类 号：R736.1[医药卫生—肿瘤]