發(fā)布時(shí)間：2018-04-03 11:48

  本文選題：鼻咽癌　切入點(diǎn)：經(jīng)絡(luò)　出處：《廣州中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的：探尋自然態(tài)鼻咽癌患者中醫(yī)舌象以及經(jīng)絡(luò)特征。方法：舌象研究：病例選用未行治療自然態(tài)鼻咽癌患者40例,男22例,女18例,最小年齡24歲,最大70歲,平均53.7歲。健康體檢人80例為對(duì)照組,男37例,女43例,最小年齡22歲,最大年齡65歲,平均51.2歲。舌象的拍照采用相機(jī)尼康D70拍攝(最大像素800萬(wàn)),采用自然光線拍照,患者在安靜狀態(tài),自然伸舌分別在自動(dòng)白平衡和手動(dòng)白平衡模式下拍攝舌象。淡紅舌為正常舌象,異常舌象包括：淡白舌為虛象,紅舌為熱象,紫暗舌為瘀象。經(jīng)絡(luò)研究：鼻咽癌30例,鼻咽癌為自然態(tài)患者,未進(jìn)行放化療及手術(shù)等治療,其中男20例,女10例,平均年齡41.0±10.45歲。慢性鼻咽炎20例,其中男8例,女12例,平均年齡40.20±10.60歲,使用第三代DMS中醫(yī)經(jīng)絡(luò)檢測(cè)儀(型號(hào)：SMF-Ⅲ,蕪湖圣美孚科技有限公司)對(duì)患者的特定五輸穴對(duì)十二經(jīng)絡(luò)進(jìn)行檢測(cè),以經(jīng)絡(luò)能量來(lái)衡量各經(jīng)絡(luò)的虛實(shí)狀態(tài)。柱狀圖超過H2者定義為實(shí)證,柱狀圖位于H1.和H2之間者定義為偏實(shí)證,低于L2者定義為虛證,位于L1和L2之間者偏虛證,實(shí)證組包括實(shí)和偏實(shí),虛證組包括虛和偏虛。位于H1和Ll之間稱為正常。結(jié)果：鼻咽癌異常舌象70%(28/40),健康體檢者異常舌象31.25%(25/80),鼻咽癌患者更易出現(xiàn)異常舌象,統(tǒng)計(jì)學(xué)分析有顯著性差異(x2=16.102,P0.01),異常舌之淡白舌在鼻咽癌出現(xiàn)的比例為40%(16/40),而在健康體檢者出現(xiàn)的比例為3.75%(3/80),統(tǒng)計(jì)學(xué)分析有顯著性差異(x 2=26.07,P0.01)。異常舌之紅舌在鼻咽癌出現(xiàn)的比例為20% (8/40),而在健康體檢者出現(xiàn)的比例為25% (20/80),統(tǒng)計(jì)學(xué)分析無(wú)顯著性差異(x2=0.37,P0.05),異常舌之紫色舌在鼻咽癌出現(xiàn)的比例為10%(4/40),而在健康體檢者出現(xiàn)的比例為2.5%(2/80),統(tǒng)計(jì)學(xué)分析無(wú)顯著性差異(x2=3.13,P0.05)。鼻咽癌與鼻咽炎經(jīng)絡(luò)檢查結(jié)果顯示,鼻咽癌虛證多出現(xiàn)于肝經(jīng)、三焦經(jīng)及大腸經(jīng),鼻咽癌肝經(jīng)出現(xiàn)虛證比例為7/60,而鼻咽炎出現(xiàn)肝經(jīng)虛證為0/40,x2=4.962,P0.05,鼻咽癌三焦經(jīng)出現(xiàn)虛證比例為44/60,,而鼻咽炎出現(xiàn)三焦經(jīng)虛證為12/40,x2=18.643,P0.01,鼻咽癌大腸經(jīng)出現(xiàn)虛證比例為37/60,,而鼻咽炎出現(xiàn)大腸經(jīng)虛證為14/40,x2=10.433,P0.01。鼻咽癌與鼻咽炎相比較,鼻咽癌實(shí)證多出現(xiàn)脾經(jīng)、胃經(jīng)及腎經(jīng),鼻咽癌脾經(jīng)出現(xiàn)實(shí)證比例為24/60,而鼻咽炎出現(xiàn)脾經(jīng)實(shí)證為6/40,X 2=8.046,P0.01,鼻咽癌胃經(jīng)出現(xiàn)實(shí)證比例為11/60,,而鼻咽炎出現(xiàn)胃經(jīng)實(shí)證為2/40,x2=8.132,P0.01,鼻咽癌腎經(jīng)出現(xiàn)實(shí)證比例為10/60,,而鼻咽炎出現(xiàn)胃經(jīng)實(shí)證為0/40,x2=7.326,P＜0.01。而其它經(jīng)絡(luò)的虛證及實(shí)證在鼻咽癌及鼻咽炎兩組患者無(wú)顯著性差異。結(jié)論：自然態(tài)鼻咽癌患者異常病理舌象多以淡白舌多見。自然態(tài)鼻咽癌患者經(jīng)絡(luò)虛證多出現(xiàn)于肝經(jīng)、三焦經(jīng)及大腸經(jīng),實(shí)證多出現(xiàn)于脾經(jīng)、胃經(jīng)及腎經(jīng)。
[Abstract]:Objective: to explore the characteristics of tongue and meridian in patients with natural nasopharyngeal carcinoma.Methods: tongue study: 40 cases (22 males and 18 females) with natural nasopharyngeal carcinoma without treatment were selected. The youngest age was 24 years old, the maximum was 70 years old (mean 53.7 years).There were 80 healthy persons as control group, 37 males and 43 females, the minimum age was 22 years old, the maximum age was 65 years old, the average age was 51.2 years old.The picture of tongue was taken by Nikon D70 camera (maximum pixel 8 million, natural light was used, the patient was in quiet state, and the tongue was shot in automatic white balance mode and manual white balance mode respectively).Pale red tongue is normal tongue image, abnormal tongue image includes: pale white tongue is virtual image, red tongue is heat image, purple dark tongue is stasis image.Meridian study: there were 30 cases of nasopharyngeal carcinoma (NPC). The patients were not treated with radiotherapy, chemotherapy and surgery, including 20 males and 10 females, with an average age of 41.0 鹵10.45 years.There were 20 cases of chronic nasopharyngitis, including 8 males and 12 females, with an average age of 40.20 鹵10.60 years. The twelve meridians were detected by the third generation DMS meridian detector (type: SMF- 鈪，

本文編號(hào)：1705084