102例乳腺癌證候調(diào)查
發(fā)布時間:2018-03-25 08:26
本文選題:乳腺癌 切入點:中醫(yī) 出處:《南京中醫(yī)藥大學(xué)》2016年碩士論文
【摘要】:目的:本研究通過分析乳腺癌不同證型與年齡、職業(yè)、婚姻狀況、家族史、腫瘤分期、病理分型、腫瘤標(biāo)志物、免疫組化的關(guān)系,初步探討乳腺癌不同證型發(fā)病狀況與其相關(guān)性。方法:收集江蘇省中醫(yī)院住院部符合標(biāo)準(zhǔn)的乳腺癌患者102例,所有數(shù)據(jù)使用MS Excel和SPSS 21.0軟件處理。結(jié)果:①發(fā)病年齡及高發(fā)年齡段:最小在25歲,最大在83歲,平均為(58.38±12.04)歲,其中(50-59)歲的發(fā)病率最高;②病理分期及病理類型:乳腺癌患者Ⅱ期占39.2%,Ⅲ、Ⅳ期為27.5%;浸潤性導(dǎo)管癌是最常見病理類型,發(fā)病率為83.3%;③證型分布:分析可得出8個證型,痰瘀互阻證(33.3%),氣血虧虛證(22%),肝郁脾虛證(14.7%),正虛毒瘀證(11.8%),肝腎陰虛證(9.8%),肝郁氣滯證(2.9%),氣陰虧虛證(2.9%),肺脾氣虛證(2%);④證型階段變化:初期是肝郁氣滯證,正虛癌毒證(癌毒偏盛,正虛不顯);中期常見痰瘀互阻證、肝郁脾虛證;晚期為氣血虧虛證、肝腎陰虛證、氣陰虧虛證;⑤浸潤性導(dǎo)管癌證型分布:痰瘀互阻證、氣血虧虛證、肝郁脾虛證、肝腎陰虛證是常見證型;⑥三陰性乳腺癌證型分布:102例患者中有14例三陰性乳腺癌,其中痰瘀互阻證(42.9%),氣血虧虛證(35.7%),肝郁脾虛證(14.3%),正虛毒瘀證(7%)。結(jié)論:通過對102乳腺癌患者分析,得出8個證型,其中痰瘀互阻證(33.3%),氣血虧虛證(22%),肝郁脾虛證(14.7%),正虛毒瘀證(11.8%),肝腎陰虛證(9.8%),肝郁氣滯證(2.9%),氣陰虧虛證(2.9%),肺脾氣虛證(2%);不同階段及病理類型有不同證型。
[Abstract]:Objective: to analyze the relationship between different types of breast cancer syndromes and age, occupation, marital status, family history, tumor staging, pathological classification, tumor markers and immunohistochemistry. Methods: 102 breast cancer patients who met the standard in the hospital of traditional Chinese medicine in Jiangsu province were collected. All the data were processed with MS Excel and SPSS 21.0 software. Results the age of onset and the high incidence of the disease were: the youngest was 25 years old, the maximum was 83 years old, the average was 58.38 鹵12.04 years old. The pathological stage and pathological type of breast cancer patients were 39.2 in stage 鈪,
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