结直肠癌辅助化疗期中医证候分布研究

中国中西医结合杂志 Pub Date : 2017-04-01
Yan Li, Ying Zou, Jian-Zhong Gu, Hua-Miao Zhou, Yong Guo
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引用次数: 0

摘要

目的探讨结直肠癌患者辅助化疗期中医证候分布。方法收集160例结直肠癌患者辅助化疗前、化疗前期、中期及化疗后CM综合征的临床资料。观察CM证候的分布及动态变化。结果化疗前CM的主要证候为阴虚内热湿型(40例,40例)。0%)和气虚证(30例,30。在100例病例的聚类分析中,通过14种症状得出结论。120例患者进行聚类分析发现,辅助化疗早期CM的主要证候为脾、血虚证(60例,50.0%),其次为阴虚内热证(45例,37.5%),共16个证候。辅助化疗中期CM证型主要为甘热、痹虚证型(51例,44例)。7%),气血虚证(40例,35例)。对114例患者进行聚类分析,按22种病状对其进行聚类分析,可得出脾虚湿证19例(16.7%);辅助化疗后,CM的证候以气血虚证为主(32例,29例)。1%),缺磷综合征(29例,26例)。肝肾阴虚证(49例,44例);在110例病例的聚类分析中,有24种症状(6%)。结论大肠癌患者在辅助化疗期间,CM证型以虚证为主。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Study on Chinese Medical Syndrome Distribution in Adjuvant Chemotherapy Period of Colorectal Cancer].

Objective To study the Chinese Medical (CM) syndrome distribution in patients with colorectal cancer in adjuvant chemotherpay period. Methods Totally 160 patients with colorectal cancer were recruited and clinical data for the CM syndromes before receiving adjuvant chemotherapy, in the early, mid and after period of adjuvant chemotherapy were collected. The distribution and dynamic chan- ges of CM syndromes were observed. Results The primary CM syndrome before chemotherapy were yin deficiency induced inner heat with dampness (40 cases, 40. 0%) and qi deficiency syndrome(30 ca- ses,30. 0%) concluded by 14 symptoms during cluster analyses among 100 cases.The primary CM syn- drome at the early period of adjuvant chemotherapy was Pi and blood deficiency syndrome (60 cases, 50.0%) , closely followed by syndrome of yin deficiency induced inner heat (45 cases, 37.5%) by 16 symptoms during cluster analyses among 120 cases. The CM syndrome at the mid period of adjuvant chemotherapy consisted of syndrome of Gan-heat and Pi-deficiency(51 cases ,44. 7%), syndrome of qi and blood deficiency (40 cases,35. 1%) , as well as Pi-deficiency with dampness syndrome (19 cases, 16.7%) by 22 symptoms during cluster analyses among 114 cases; at the period after adjuvant chemo- therapy, the major CM syndromes was deficiency syndrome, including qi and blood deficiency syndrome (32 cases,29. 1%), Pi-deficiency syndrome(29 cases,26. 4%) and Gan-Shen yin deficiency syndrome (49 cases,44. 6%) by 24 symptoms during cluster analyses among 110 cases. Conclusion During the period of adjuvant chemotherapy in colorectal cancer patients, the mainly CM syndromes shows the defi- ciency syndrome.

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