[1]陈梅 刘娜 李楠刘丽秀 朱虹丽.宫颈癌围手术期中医证候演变及其影响因素研究[J].现代中医药,2021,(04):123-130.[doi:10.13424/j.cnki.mtcm.2021.04.028]
　CHEN Mei LIU Na LI NanLIU Lixiu ZHU Hongli.Study on The Evolution of TCM syndromes and Its Influencing Factors in The Perioperative Period of Cervical Cancer[J].Modern Traditional Chinese Medicine,2021,(04):123-130.[doi:10.13424/j.cnki.mtcm.2021.04.028]
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宫颈癌围手术期中医证候演变及其影响因素研究
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《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2021年04期
页码:
123-130
栏目:
出版日期:
2023-11-20

文章信息/Info

Title:
Study on The Evolution of TCM syndromes and Its Influencing Factors in The Perioperative Period of Cervical Cancer
文章编号:
1672-0571(2021)04-0123-08
作者:
陈梅1 刘娜2 李楠1刘丽秀1 朱虹丽1
1.陕西中医药大学附属医院，陕西 咸阳 712046;
2.镇安县中医医院,陕西 镇安 711500
Author(s):
CHEN Mei1 LIU Na2 LI Nan1LIU Lixiu1 ZHU Hongli1
1. Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine，Shaanxi Xianyang 712046,China;
2.Zhen’an Hospital of Traditional Chinese Medicine，Shaanxi Zhen’an 711500，China
关键词:
宫颈癌围手术期; 证候特征; 辨证分型; 演变规律
Keywords:
Perioperative period of cervical cancer; Syndrome characteristics; Syndrome differentiation; Evolution law
分类号:
R272
DOI:
10.13424/j.cnki.mtcm.2021.04.028
文献标志码:
A
摘要:
目的 探讨宫颈癌患者围手术期中医证候演变及影响因素。方法 设计围手术期常见证候学的调查表，收集陕西中医药大学附属医院2013年1月—2014年10月符合病例纳入标准的宫颈癌手术患者93例，分别采集术前2天、术后第2天、术后第7天的证候学资料，采用聚类分析及χ2检验等统计方法进行数据挖掘与处理，得出宫颈癌患者围手术期的常见中医证型及演变规律，并对影响因素进行分析。结果 ①术前2天：湿毒蕴结证31.1%；湿热下注证占29.0%；脾虚湿困证占20.4%；阴虚挟湿证占9.7%；肾阳亏虚证占7.5%。②术后2天：气虚血瘀证占41.9%，湿瘀互结占22.6%，气阴两虚占19.4%,脾肾两虚占16.1%。术后第2天中医证型以气虚血瘀证为主，术后第7天中医证型以脾肾两虚证为主。结论 术前到术后中医证型变化总体趋势是由实走向虚证，由术前的湿、热、瘀等标实之证走向术后的脾肾两虚、气阴两虚。年龄和手术方式是影响术后中医证型的重要因素。
Abstract:
Objective To explore the evolution and influencing factors of TCM syndromes in patients with cervical cancer during perioperative period.Methods A questionnaire was designed to collect 93 cases of cervical cancer patients who met the inclusion criteria from January 2013 to October 2014 in the Affiliated Hospital of Shaanxi University of traditional Chinese medicine. The syndrome data of 2 days before operation，2 days after operation and 7 days after operation were collected. cluster analysis and χ2 test were selected for data mining and processing，get the common TCM Syndrome Types and evolution rules of cervical cancer patients in perioperative period，and analyze the influencing factors. Results 1 2 days before operation: 31.1% of the patients had dampness toxin accumulation syndrome; The syndrome of dampness heat downwards accounted for 29.0%; Spleen deficiency and dampness syndrome accounted for 20.4%; Yin deficiency with dampness accounted for 9.7%; Kidney Yang deficiency syndrome accounted for 7.5%. 2. 2 days after operation: Qi deficiency and blood stasis syndrome accounted for 41.9%，dampness and blood stasis syndrome accounted for 22.6%，Qi and Yin deficiency accounted for 19.4%，spleen and kidney deficiency accounted for 16.1%. 2 days after operation，Qi deficiency and blood stasis syndrome was the main TCM syndrome type，and 7 days after operation，spleen and kidney deficiency syndrome was the main TCM syndrome type.Conclusion The overall change trend of TCM syndrome types from pre operation to post operation is from excess to deficiency，from dampness，heat and blood stasis to spleen kidney deficiency and Qi Yin deficiency. Age and operation mode are the important factors which affect TCM syndrome types after operation. Objective To explore the evolution and influencing factors of TCM syndromes in patients with cervical cancer during perioperative period.Methods A questionnaire was designed to collect 93 cases of cervical cancer patients who met the inclusion criteria from January 2013 to October 2014 in the Affiliated Hospital of Shaanxi University of traditional Chinese medicine. The syndrome data of 2 days before operation，2 days after operation and 7 days after operation were collected. cluster analysis and χ2 test were selected for data mining and processing，get the common TCM Syndrome Types and evolution rules of cervical cancer patients in perioperative period，and analyze the influencing factors. Results 1 2 days before operation: 31.1% of the patients had dampness toxin accumulation syndrome; The syndrome of dampness heat downwards accounted for 29.0%; Spleen deficiency and dampness syndrome accounted for 20.4%; Yin deficiency with dampness accounted for 9.7%; Kidney Yang deficiency syndrome accounted for 7.5%. 2. 2 days after operation: Qi deficiency and blood stasis syndrome accounted for 41.9%，dampness and blood stasis syndrome accounted for 22.6%，Qi and Yin deficiency accounted for 19.4%，spleen and kidney deficiency accounted for 16.1%. 2 days after operation，Qi deficiency and blood stasis syndrome was the main TCM syndrome type，and 7 days after operation，spleen and kidney deficiency syndrome was the main TCM syndrome type.Conclusion The overall change trend of TCM syndrome types from pre operation to post operation is from excess to deficiency，from dampness，heat and blood stasis to spleen kidney deficiency and Qi Yin deficiency. Age and operation mode are the important factors which affect TCM syndrome types after operation.

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备注/Memo

备注/Memo:
基金项目：陕西省中医药管理局研发项目(13-JC013)
更新日期/Last Update: 2021-08-02