中国中西医结合杂志2017,Vol.37Issue(4):414-418,5.DOI:10.7661/j.cjim.20170203.004
结直肠癌患者辅助化疗期中医证候分布观察
Study on Chinese Medical Syndrome Distribution in Adjuvant Chemotherapy Period of Colorectal Cancer
摘要
Abstract
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 changes 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 cases,30.0%) concluded by 14 symptoms during cluster analyses among 100 cases.The primary CM syndrome 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 chemotherapy,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 deficiency syndrome.关键词
结直肠癌/辅助化疗期/中医证候/聚类分析Key words
colorectal carcinoma/adjuvant chemotherapy period/CM syndrome/cluster analysis引用本文复制引用
李妍,邹莹,谷建钟,周华妙,郭勇..结直肠癌患者辅助化疗期中医证候分布观察[J].中国中西医结合杂志,2017,37(4):414-418,5.基金项目
浙江省科技厅公益技术应用研究社会发展项目(No.2010C33140) (No.2010C33140)
浙江省中医药管理局重点项目(No.2007ZA007) (No.2007ZA007)