摘要
目的探讨进展期胃癌营养缺乏症的中医理论、证素及营养观察指标。方法选择80例进展期胃癌营养缺乏症患者的临床资料进行回顾性分析,并对证素、证型及营养观察指标的相关性进行统计分析。结果进展期胃癌营养缺乏症证素分布:气虚(82.50%)、痰湿(65.00%)、血瘀(65.00%)、血虚(46.25%)、阴虚(17.50%)、阳虚(12.50%)、气滞(3.75%)。血虚与血红蛋白含量(HGB)、体重指数(BMI)和实际体重与理想体重的比值(%IBW)均呈负相关(r=-0.46、-0.36、-0.30)。痰湿与BMI呈正相关(r=0.33),气滞与BMI和%IBW呈正相关(r=0.33、0.30)。结论进展期胃癌营养缺乏症在中医当属"虚劳"范畴,病性属本虚标实,主要证素为气虚、血瘀、痰湿、血虚,治法当以扶助正气贯穿始终。
Objective To analyze the theory, syndromes and potential nutritional indicators of traditional Chinese medicine（TCM） in the treatment of nutritional deficiency in patients with advanced gastric cancer. Method 80 cases of advanced gastric cancer patients with nutritional deficiencies were retrospectively analyzed, and statistical analysis was performed for syndrome elements, syndrome and nutritional indexes. Result The distribution of syndromes in advanced gastric cancer patients with nutritional deficiency： Qi deficiency（82.50%）, phlegm（65.00%）, blood stasis（65.00%）,blood deficiency（46.25%）, Yin deficiency（17.50%）, Yang deficiency（12.50%）, Qi stagnation（3.75%）. Blood deficiency was negatively associated with hemoglobin（HGB） content, body mass index（BMI）, and ratio of actual body weight to ideal body weight（%IBW）（r=-0.46,-0.36,-0.30）. There was a positive correlation between phlegm and BMI（r=0.33）,and there was a positive correlation between Qi stagnation and BMI, %IBW（r=0.33, 0.30）. Conclusion The nutritional deficiency in advanced gastric cancer is categorized as ＂consumptive disease＂, with main syndromes of Qi deficiency,blood stasis, phlegm, and blood deficiency, for which the specific therapy should be administered accordingly.
出处
《癌症进展》
2017年第12期1484-1487,共4页
Oncology Progress
关键词
胃癌
营养缺乏症
中医
证素
gastric cancer
nutritional deficiency
traditional Chinese medicine
syndrome element
