青紫舌在非小細(xì)胞肺癌中的分布規(guī)律及中醫(yī)辨證分型特點(diǎn)的研究
發(fā)布時(shí)間:2018-07-10 02:29
本文選題:非小細(xì)胞肺癌 + 青紫舌 ; 參考:《山東中醫(yī)藥大學(xué)》2016年碩士論文
【摘要】:目的:通過對263例非小細(xì)胞肺癌青紫舌患者進(jìn)行相關(guān)情況的研究,探究不同程度青紫舌患者在不同臨床分期及中醫(yī)辨證分型中的分布特點(diǎn)及分布規(guī)律,探討不同程度青紫舌的相關(guān)影響因素,為青紫舌患者臨床中醫(yī)用藥提供依據(jù)。方法:對非小細(xì)胞肺癌青紫舌患者進(jìn)行問卷式調(diào)查,選取山東中醫(yī)藥大學(xué)附屬醫(yī)院腫瘤科病房、門診2013年12月至2015年12月診療的非小細(xì)胞肺癌青紫舌患者263例進(jìn)行研究。結(jié)果:本次調(diào)查發(fā)現(xiàn),非小細(xì)胞肺癌青紫舌患者男女比例約為1.74:1,男性明顯多于女性。腺癌患者共138例,占總數(shù)的52.5%,鱗癌患者共109例,占41.4%。Ⅰ期患者中,輕度青紫舌9例(52.9%),Ⅱ期、Ⅲ期患者中中度青紫舌最多,分別為18例(48.6%)、34例(47.2%),而Ⅳ期患者中重度青紫舌患者為70例(51.1%)。Ⅰ期、Ⅱ期患者中均以氣虛證占絕大多數(shù),而Ⅲ期、Ⅳ期患者以陰虛證最多,具有統(tǒng)計(jì)學(xué)差異(p0.05)。結(jié)論:非小細(xì)胞肺癌青紫舌患者臨床多見,且青紫色程度隨病情進(jìn)展逐漸加重;在不同臨床分期當(dāng)中,中醫(yī)辨證分型具有明顯的集中分布的特點(diǎn),以氣虛證、陰虛證為主。對臨床診療及判斷病情進(jìn)展有一定指導(dǎo)意義,但單純只觀察舌色仍具有片面性,仍需四診合參制定治療計(jì)劃。
[Abstract]:Objective: to investigate the distribution characteristics and regularity of different clinical stages and TCM syndrome differentiation in 263 patients with non-small cell lung cancer (NSCLC). To explore the related factors of different degrees of cyanotic tongue, to provide the basis for clinical use of traditional Chinese medicine in patients with cyanotic tongue. Methods: a questionnaire survey was conducted in 263 patients with non-small cell lung cancer from December 2013 to December 2015 in the Department of Oncology, affiliated Hospital of Shandong University of traditional Chinese Medicine. Results: the ratio of male to female was about 1.74: 1 in non-small cell lung cancer (NSCLC). There were 138 cases of adenocarcinoma (52.5%) and 109 cases of squamous cell carcinoma (41.4%). There were 18 cases (48.6%) with Qi deficiency, 34 cases (47.2%) with stage 鈪,
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