102例乳腺癌证候调查

发布时间：2018-03-25 08:26

  本文选题：乳腺癌　切入点：中医　出处：《南京中医药大学》2016年硕士论文

【摘要】：目的：本研究通过分析乳腺癌不同证型与年龄、职业、婚姻状况、家族史、肿瘤分期、病理分型、肿瘤标志物、免疫组化的关系,初步探讨乳腺癌不同证型发病状况与其相关性。方法：收集江苏省中医院住院部符合标准的乳腺癌患者102例,所有数据使用MS Excel和SPSS 21.0软件处理。结果：①发病年龄及高发年龄段：最小在25岁,最大在83岁,平均为(58.38±12.04)岁,其中(50-59)岁的发病率最高；②病理分期及病理类型：乳腺癌患者Ⅱ期占39.2%,Ⅲ、Ⅳ期为27.5%；浸润性导管癌是最常见病理类型,发病率为83.3%；③证型分布：分析可得出8个证型,痰瘀互阻证(33.3%),气血亏虚证(22%),肝郁脾虚证(14.7%),正虚毒瘀证(11.8%),肝肾阴虚证(9.8%),肝郁气滞证(2.9%),气阴亏虚证(2.9%),肺脾气虚证(2%)；④证型阶段变化：初期是肝郁气滞证,正虚癌毒证(癌毒偏盛,正虚不显)；中期常见痰瘀互阻证、肝郁脾虚证；晚期为气血亏虚证、肝肾阴虚证、气阴亏虚证；⑤浸润性导管癌证型分布：痰瘀互阻证、气血亏虚证、肝郁脾虚证、肝肾阴虚证是常见证型；⑥三阴性乳腺癌证型分布：102例患者中有14例三阴性乳腺癌,其中痰瘀互阻证(42.9%),气血亏虚证(35.7%),肝郁脾虚证(14.3%),正虚毒瘀证(7%)。结论：通过对102乳腺癌患者分析,得出8个证型,其中痰瘀互阻证(33.3%),气血亏虚证(22%),肝郁脾虚证(14.7%),正虚毒瘀证(11.8%),肝肾阴虚证(9.8%),肝郁气滞证(2.9%),气阴亏虚证(2.9%),肺脾气虚证(2%)；不同阶段及病理类型有不同证型。
[Abstract]:Objective: to analyze the relationship between different types of breast cancer syndromes and age, occupation, marital status, family history, tumor staging, pathological classification, tumor markers and immunohistochemistry. Methods: 102 breast cancer patients who met the standard in the hospital of traditional Chinese medicine in Jiangsu province were collected. All the data were processed with MS Excel and SPSS 21.0 software. Results the age of onset and the high incidence of the disease were: the youngest was 25 years old, the maximum was 83 years old, the average was 58.38 卤12.04 years old. The pathological stage and pathological type of breast cancer patients were 39.2 in stage 鈪，

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