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非小细胞肺癌手术前后证候变化的对照研究 被引量:6

A Control Study of Syndromes in Non- small Cell Lung Cancer Patients Before and After Operation
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摘要 目的:观察非小细胞肺癌(NSCLC)手术前后证候的变化。方法:采用前瞻性和回顾性相结合的流行病学研究方法,对确诊NSCLC初次接受手术的患者进行手术前后证候病机变化的对照研究。结果:各证型(气虚痰湿、气虚痰热、痰热气滞血瘀、气阴两虚、阴虚痰热、阳虚痰湿)手术前后比较,差异均有非常显著性意义(P<0.01)。手术前后面色(正常、面色白、面色黄、面色黑、面色红)比较,差异均有非常显著性意义(P<0.01)。手术前后舌色(淡红舌、淡暗舌、暗红舌、淡白舌、红舌)比较,差异有显著性意义(P<0.05)。手术前后舌苔(薄白苔、白腻苔、白厚苔、黄腻苔、剥少苔)比较,差异有显著性意义(P<0.05)。结论:手术前后各证型及舌质、舌苔均有明显的变化,可为临床辨治提供依据。 Objective:To observe the changes of syndromes in non-small cell lung cancer(NSCLC)patients before and after operation. Methods:The prospective and retrospective methods were used for the control study of syn- dromes in NSCLC patients firstly receiving the operation.Results:The changes of syndrome manifestations of phlegm-damp due to Qi deficiency, phlegm-heat due to Qi deficiency, blood-stasis due to phlegm-heat and Qi stagnation, deficiency of Qi and yin, phlegm-damp due to yin deficiency, and phlegm-damp due to yang deficiency had very statistical significance(P<0.01). The differences between normal complexion, pale complexion, sallow complexion, blackish complexion and reddish complexion were also very signifi- cant(P<0.01).There also existed significant differences(P<0 .05) in the tongue color(pale-red color, pale-black tongue, dark-red tongue, pale tongue,and red tongue) and tongue coating(pale coating, whitish greasy coat- ing,whitish thick coating,yellowish greasy coating and geographic coating Conclusion:There exist obvious changes of syndrome manifestations, tongue body and tongue coating, which will supply evidences for the syndrome differ- entiation and treatment.
出处 《新中医》 CAS 北大核心 2008年第9期24-26,共3页 New Chinese Medicine
基金 国家自然科学基金课题(编号:30572287) 广东省中医药局课题(编号:1040034)
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参考文献3

  • 1.中药新药临床研究指导原则:第1辑[S].[S].中华人民共和国卫生部,1993.215-218.
  • 2国家技术监督局.GB/T16751.2-1997中医临床诊疗术语证候部分[S].北京:中国标准出版社,1997:1-11.
  • 3冷方南.中医证候辨治轨范[M].北京:人民卫生出版社,1998:1.

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