消化道肿瘤的中医证型分布及相关因素分析  

Distribution of TCM Syndrome Types and Analysis of Related Factors of Digestive Tract Tumors

作　　者：张敏 李冬梅 史攀 刘睿智 ZHANG Min;LI Dongmei;SHI Pan;LIU Ruizhi(Department of Oncology,Jieshou Hospital of Traditional Chinese Medicine,Jieshou,Anhui 236500,China;Department of Oncology,Taihe County Hospital of Traditional Chinese Medicine,Taihe,Anhui 236600,China)

机构地区：[1]界首市中医院肿瘤科,安徽界首236500 [2]太和县中医院肿瘤科,安徽太和236600

出　　处：《临床误诊误治》2024年第19期79-84,共6页Clinical Misdiagnosis & Mistherapy

基　　金：2021年度阜阳市卫生健康委科研立项课题(FY2021-100)。

摘　　要：目的探讨消化道肿瘤的中医证型分布及其相关因素,为消化道肿瘤辨证的标准化、客观化提供依据。方法选取2021年9月至2023年9月收治的120例消化道肿瘤患者的临床资料,统计分析消化道肿瘤患者的中医证型分布及与临床特征的关系。结果120例消化道肿瘤患者,共获取有效中医四诊症状39项,其中发生率>50%的有脉弦、少神、舌红、胃脘痞满,发生率30%~50%的有腹胀、夜寐不佳、神疲乏力、苔白、苔薄、脉细、腹部隐痛、精神不振、苔黄、舌黯、舌色淡红、泛酸嘈杂、烦躁易怒、嗳气、少气懒言、食后尤甚、脘腹胀痛。中医证型分布规律为脾胃虚弱证(38例,占31.67%)>瘀血内阻证(33例,占27.50%)>肝胃不和证(21例,占17.50%)>脾虚湿盛证(16例,占13.33%)>气机阻滞证(12例,占10.00%)。在不同性别、不同年龄段、有无饮酒史、有无不良饮食习惯、不同肿瘤类型、有无肿瘤转移的消化道肿瘤患者中医证型分布比较差异有统计学意义(P<0.05);而不同婚姻状况、有无消化道病史、有无吸烟史、有无手术治疗、有无化疗的消化道肿瘤患者中医证型分布比较差异无统计学意义(P>0.05)。结论消化道肿瘤患者的中医证型以脾胃虚弱证最多,其次为瘀血内阻证,而气机阻滞证最少,不同性别、不同年龄段、有无饮酒史、有无不良饮食习惯、不同肿瘤类型、有无肿瘤转移与患者中医证型分布相关。Objective To explore the distribution of traditional Chinese medicine(TCM)syndrome types and related factors of digestive tract tumors,and to provide a basis for the standardization and objectivity of syndrome differentiation of digestive tract tumors.Methods The clinical data of 120 patients with digestive tract tumors admitted from September 2021 to September 2023 were selected for statistical analysis of the distribution of TCM syndrome types in patients with digestive tract tumors and their relationship with clinical characteristics.Results A total of 120 patients with digestive tract tumors were included in the study,and a total of 39 valid symptoms were obtained from the four diagnostic methods of TCM.Among them,the incidence rate of pulse string,lack of vitality,red tongue,and stomach fullness was>50%,while the incidence rate of abdominal distension,poor sleep,fatigue,white and thin tongue coating,thin pulse,abdominal pain,mental depression,yellow tongue coating,dark tongue,pale red tongue color,acidity and noise,irritability and irritability,belching,lack of qi and laziness,especially after eating,and abdominal distension and pain was 30%to 50%.The distribution rules of TCM syndrome types was spleen and stomach deficiency syndrome(n=38,accounting for 31.67%),followed by blood stasis syndrome(n=33,accounting for 27.50%),liver and stomach disharmony syndrome(n=21,accounting for 17.50%),spleen deficiency and dampness syndrome(n=16,accounting for 13.33%)and qi stagnation syndrome(n=12,accounting for 10.00%).There was a significant difference in the distribution of TCM syndrome types among patients with digestive tract tumors,categorized by different gender,age groups,history of alcohol consumption,presence of unhealthy dietary habits,different tumor types,and presence of tumor metastasis(P<0.05).There was no significant difference in the distribution of TCM syndrome types among patients with digestive tract tumors categorized by different marital status,history of digestive tract disease,history of smoking,hi

关 键 词：消化道肿瘤 中医证型 脾胃虚弱证 瘀血内阻证 肝胃不和证 脾虚湿盛证 气机阻滞证 分布规律 

分 类 号：R735[医药卫生—肿瘤]