摘要
目的观察手术及化疗对胃癌患者中医证型演变的影响,为胃癌中医的辨证论治及分阶段治疗提供依据。方法对500例胃癌患者按手术前后、手术方式、化疗前后及化疗频次进行回顾性研究,分析中医证型的动态演变。结果单证型及两证夹杂的胃癌患者手术前后,以脾虚证为主;手术后(根治术后和姑息术后)脾虚证、血虚证明显增加;化疗前后证型变化差异有统计学意义(P<0.05);中药对前6次化疗的证型频次变化,差异无统计学意义(P>0.05)。结论胃癌患者,以虚证为主,在中医药参与治疗胃癌的过程中,宜分期论治,但中医药对化疗后患者证型的出现频次是否存在远期作用,仍值得我们进一步探讨。
Objective To observe the effects of surgery and chemotherapy on the development of Chinese medical syndrome types on patients with gastric cancer （GC）, thus providing the evidence for treating GC by Chinese medical syndrome differentiation and treatment by stages. Methods A retrospective study was carried out in 500 GC patients according to before and after surgery, the surgical ways, before and after chemotherapy to observe the dynamic development of Chinese medical syndrome types of GC. Results Pi deficiency syndrome dominated in GC patients of single syndrome or two syndromes before and after surgery After surgery （after radical resection or palliative resection）Pi deficiency syndrome and blood deficiency syndrome significantly increased. There was statistical difference in syndrome type changes before and after chemotherapy （P 〈0.05）. Conclusions Deficiency syndrome mainly dominated in GC patients. They should be treated by stages when Chinese medicine and pharmacy took part in its treatment.
出处
《中国中西医结合杂志》
CAS
CSCD
北大核心
2013年第1期44-46,共3页
Chinese Journal of Integrated Traditional and Western Medicine
基金
浙江省中医药重点科技计划资助项目(No.2008ZA006)
关键词
胃癌
中医证型
演变
gastric cancer
Chinese medical syndrome type
development
