摘要
目的:研究胃癌患者手术前后中医证候的特征。方法:采用前瞻性研究方法,对67例胃癌患者手术前及术后14d进行临床调查,按诊断标准分虚实辨其基本证型,进行统计分析。结果:67例胃癌患者术前实证占74.63%,以血瘀证、气滞证为主,单纯虚证占4.48%。手术后虚证增加,占43.28%,以气虚证、阴虚证为主,实证明显减少,占17.91%。结论:胃癌在各临床阶段表现为不同的证候特征,术前以实证为主,术后以虚证为主,为胃癌术后运用扶正培本法提供了依据。
Objective: To study TCM syndrome characteristics before and after operation in patients with gastric cancer. Method: Sixty-seven patients with gastric cancer were investigated before operation and on the 14th postoperative day. The syndrome types of all the cases were differentiated into excessive and insufficient syndrome according to diagnostic standard. Result: The proportion of excessive syndrome was 74.6% before operation, the syndrome types were chiefly blood stasis and qi stagnation. The proportion of isolated insufficient syndrome was 4.48 %. But the proportion of insufficient syndrome was 43.28 % after operation, the syndrome types were chiefly qi and yin dificiency. Excessive syndrome decreased distinctly. Conclusion: Gastric cancer patients can express different syndrome types in various clinic stage. Excessive syndrome is dominant before operation,and insufficient syndrome is principal after operation. The study can provide the basis for clinical use of strenghthen zheng-qi therapy.
出处
《中国中医基础医学杂志》
CAS
CSCD
北大核心
2009年第4期301-302,共2页
JOURNAL OF BASIC CHINESE MEDICINE
关键词
胃癌
证候
辨证分型
Gastric Cancer
Syndrome Characteristics
TCM Syndrome Differentiation