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|本期目录/Table of Contents|

手术前后大肠癌中医证型变化规律研究(PDF)

《云南中医学院学报》[ISSN:1000-2723/CN:53-1048/R]

期数:
2014年01期
页码:
53-55
栏目:
临床研究
出版日期:
2014-02-25

文章信息/Info

Title:
The Research on TCM Syndrome Types Change Rule of Preoperative and Postoperative Colorectal Cancer
作者:
胡慧菁1罗家祺2杜丽华1陈伯平1王群1尹逊丽1
1. 上海市杨浦区市东医院,上海 200438;2. 上海中医药大学附属普陀医院,上海 200061
Author(s):
HU Hui-jing1 LUO Jia-qi2 DU Li-hua1 CHEN Bo-ping1 WANG Qun1 YIN Xun-li1
1. Shanghai Shidong Hospital,Shanghai 200438, China; 2. Putuo District Central Hospital, Shanghai 200062, China
关键词:
大肠癌 手术前后 中医证型
Keywords:
colorectal cancer preoperative and postoperative TCM syndrome types
分类号:
R268
DOI:
-
文献标识码:
A
摘要:
目的观察并探讨手术前后大肠癌中医证型变化规律。方法进行前瞻性临床研究设计。观察经病理检查确诊、拟行手术治疗的大肠癌病例146例,分别于术前、术后一周进行中医辨证分型,未进行中医药干预治疗。采集患者一般资料、四诊资料、术后病理检查结果及病理分期等作为观察指标。结果术后辨证大肠癌均以脾虚气滞为最多,随着病情发展,正气耗损,渐渐由实证转为虚证为主虚实夹杂的病症,中晚期大肠癌患者的主要表现为虚证,病期越早虚证越少见。结论大肠癌的手术治疗,在去除部分病邪的同时,可能损伤患者脾胃后天之本,导致疾病进一步的演变。所以笔者认为大肠癌在术前、术后均应于重视健运脾胃、扶助正气,发挥多学科诊治作用。
Abstract:
Objective To observe TCM syndrome types change rule of preoperative and postoperative Colorectal cancer. Methods Prospective clinical study design. We observated 146 cases of colorectal cancer confirmed by pathological examination, which would be on operation. Each one would be recognised on TCM syndrome types during the preoperative and postoperative week of Colorectal cancer, without TCM intervention therapy. Collect patients’ general information, four diagnostic data and postoperative pathologic examination results and pathological staging as observation index. Results The most TCM syndrome type of the postoperative colorectal cancer is pixu. As development of the illness, loss of healthy atmosphere, TCM syndrome type gradually turn to intermingled deficiency and excess. Middle-late colorectal cancer patients mainly have deficiency syndrome, the earlier disease the fewer deficiency syndrome is. Conclusion The colorectal cancer surgery, while removing part of pathogenic, may damage the healthy atmosphere of patients, lead to the further evolution of the disease. So the author thinks that in preoperative and postoperative colorectal cancer should be took great importance to the health of vital qi of spleen and stomach, assistance, give surport to the role of the multidisciplinary treatment.

参考文献/References

[1] 周际昌. 实用肿瘤内科学[M]. 北京:人民卫生出版社,2005:601-610.
[2] Jemal A,Siegel R,Ward E,et a1. Cancer statistics,2007[J]. CA Cancer J Ciln, 2007, 57(1):43-66.
[3] 中国抗癌协会. 新编常见恶性肿瘤诊治规范[M]. 北京:北京医科大学中国协和医科大学联合出版社,1999:12-15.
[4] 上海市卫生局. 上海市中医病证诊疗常规[M]. 上海:上海中医药大学出版社,2003:134-135.

备注/Memo

备注/Memo:
收稿日期: 2013 - 11 - 22 作者简介: 胡慧菁(1979-),浙江绍兴人,主治医师,研究方向:中医肿瘤临床及科研。 △通信作者:陈伯平,E-mail:cbpsdyy@126.com
更新日期/Last Update: 2014-03-10