近20年肺癌中医辨证分型研究  

Study on TCM Syndrome Differentiation of Lung Cancer in Recent 20 Years

作　　者：王保芹 华文山 杨敏 WANG Baoqin;HUA Wenshan;YANG Min(Lianyungang Affiliated Hospital of Nanjing University of Chinese Medicine/Lianyungang Hospital of TCM,Lianyungang Jiangsu 222004,China)

机构地区：[1]南京中医药大学连云港附属医院/连云港市中医院,江苏连云港222004

出　　处：《中医药导报》2024年第10期103-106,共4页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：连云港市卫生科技项目2021年度指导性课题(ZD202102)。

摘　　要：目的:查找并分析近20年以来各大文献数据库所收录的有关于中医治疗肺癌的研究文献,统计其中所涉及到的中医学对肺癌的辨证分型,总结中医学对肺癌的辨证分型方式与类别,为肺癌的中医辨证分型及相关治疗提供进一步的、详细的客观依据。方法:于各大文献数据库检索2004年1月至2024年1月期间所收录的有关于中医治疗肺癌的研究文献,中文数据库主要包括中国知网(CNKI)、中国生物医学文献数据库(CBM)、万方数据服务平台(Wanfang)、维普数据库(VIP),英文检索PubMed、Embase、Web of science等数据库;由2名研究员独立筛选文献、提取资料,对纳入的文献进行质量评价,总结归纳近20年以来肺癌中医辨证分型的主要分布情况。结果:纳入研究的55篇文献对于肺癌的分型各不相同,所出现的分型类别共计有38种,且都属于独立性的分型。将病例数比较少的证型及出现频数比较少的证型去除后发现,气阴两虚型、气虚痰湿型、肺脾气虚型、阴虚毒热型类患者较多。病性证素分析结果表明,虚性证候要素以气虚、阴虚为主,伴不同程度的痰、热、湿、瘀,病位证候要素包括肺、脾、肾。结论:肺癌主要的中医学分型包括气阴两虚型、气虚痰湿型、肺脾气虚型、阴虚毒热型等。肺癌的虚性证候以气虚、阴虚为主,实性证候主要包括痰、热、湿、瘀,病位证素包括肺、脾、肾。Objective:To search and analyze the research literature on the treatment of lung cancer with traditional Chinese medicine(TCM)or integrated traditional Chinese and Western medicine(TCM)over the past 20 years,then to summarize the types of TCM syndrome differentiation for lung cancer and provide detailed and objective evidence for the TCM syndrome differentiation and related treatment of lung cancer.Methods:The researchers independently conducted a literature search on major databases from January 2004 to January 2024 to compile research articles related to traditional Chinese medicine(TCM)treatment for lung cancer.The Chinese databases included China National Knowledge Infrastructure(CNKI),Chinese Biomedical Literature Database(CBM),Wanfang Data,and VIP Database.English databases such as PubMed,Embase,and Web of Science were also searched.Following the search,two researchers independently screened the literature,extracted relevant data,and evaluated the quality of the included studies.Subsequently,they summarized and categorized the main distribution patterns of TCM syndrome differentiation in lung cancer over the past two decades.Results:Among the 55 included studies,the classification of lung cancer varied significantly,resulting in a total of 38 different classification categories.Notably,all 38 classification categories were considered independent.After excluding less frequently occurring patterns and those with fewer cases,it was observed that the predominant types included Qi-Yin deficiency type,Qi deficiency with phlegm-dampness type,Lung-Spleen Qi deficiency type,and Yin deficiency with heat-toxin type.The analysis of pathological syndrome elements showed that the main elements of deficiency syndrome were Qi deficiency and Yin deficiency,with different degrees of sputum,heat,humidity and stasis.The location syndrome elements included lung,spleen and kidney.Conclusion:In traditional Chinese medicine,the main syndrome differentiations for lung cancer include Qi-Yin deficiency type,Qi deficiency with phlegm-

关 键 词：肺癌 中医 辨证分型 文献分析 

分 类 号：R241[医药卫生—中医诊断学]