中医治疗在57例肠癌患者中的应用规律

发布时间：2018-06-14 23:08

  本文选题：肠癌 + 中医治疗模式　； 参考：《辽宁中医药大学》2016年硕士论文

【摘要】：目的:研究就诊于辽宁省级中医院的肠癌患者中西医综合治疗情况,从而总结中医治疗模式在各阶段肠癌患者中的应用比例以及处方用药规律。材料与方法:收集2015年5月到2015年6月就诊于辽宁中医药大学附属医院肿瘤科以肠癌为第一诊断的患者,以2014年人民卫生出版社出版的由林洪生编写的《恶性肿瘤中医诊疗指南》中的五种中医治疗模式为指导,并根据肠癌患者的综合情况(例如前治疗情况,就诊目的,临床分期)等进行选择,分析门诊与病房的肠癌患者所接受的中医治疗模式的差异,以及各中医治疗模式下处方用药的规律。结果:1.门诊患者以中医巩固治疗居多,病房患者以单纯中医治疗居多。2.中医治疗手段门诊为辨证汤药+口服中成药,病房为静点中成药+辨证汤药+口服中成药+外敷中药。3.辨证汤药的组方原则为辨证拟定主方,随症加减。根据中医治疗模式指导选择扶正及祛邪中草药的种类及味数。4.中医防护治疗以扶正为主,祛邪中草药味数应用少且轻。5.中医加载治疗以祛邪为主,祛邪中草药味数应用多且量大。6.中医巩固治疗以扶正祛邪为主,术后两年以内患者以扶正祛邪并重,祛邪中草药味数多且量大,术后两年以上患者以扶正为主,祛邪中草药味数少且轻。7.中医维持治疗以扶正祛邪为主,此类患者病情复杂,祛邪中草药应用依患者情况而定。8.单纯中医治疗以扶正祛邪为主。若患者状态好,加重祛邪,祛邪中草药味数多且量大。若患者状态差,加重扶正,祛邪中草药味数少且轻。患者状态一般,扶正祛邪并重,祛邪中草药味数及用量以具体情况而定。结论:肠癌的综合治疗已成为趋势,我们在确定中医治疗原则的时候是将西医治疗的情况,患者的综合情况有机的结合起来,在总的中医治疗模式的指导下,选择最佳中医治疗方法,拟定中药处方。
[Abstract]:Objective: to study the comprehensive treatment of intestinal cancer patients in Liaoning Provincial Hospital of traditional Chinese Medicine (TCM), and to summarize the proportion of TCM treatment mode in patients with colorectal cancer in different stages and the rule of prescribing drugs. Materials and methods: patients with colorectal cancer were collected from May 2015 to June 2015 in Department of Oncology, affiliated Hospital of Liaoning University of traditional Chinese Medicine. Guided by the five TCM treatment models published by the people's Health Publishing House in 2014 and compiled by Lin Hongsheng for the diagnosis and treatment of malignant tumors, and according to the comprehensive situation of patients with colorectal cancer (such as pre-treatment, the purpose of seeing a doctor), To analyze the difference of TCM treatment mode between outpatients and wards, and the rule of prescribing drugs under each TCM treatment mode. The result is 1: 1. Outpatients with Chinese medicine consolidation treatment is the majority, ward patients with Chinese medicine treatment alone. 2. 2. Traditional Chinese medicine treatment means outpatient for syndrome differentiation decoction oral Chinese patent medicine, wards for static point Chinese patent medicine differentiation decoction oral Chinese patent medicine external application of traditional Chinese medicine .3. The prescription principle of syndrome differentiation decoction is to make the main prescription according to syndrome differentiation, plus or minus with syndrome. According to the traditional Chinese medicine treatment model guide selection of the right and dispelling evil Chinese herbal medicine species and flavor number. 4. Traditional Chinese medicine protection treatment to strengthen the main, expelling evil herbs taste number of less and light. 5. Traditional Chinese medicine loading treatment to expelling evil mainly, expelling evil Chinese herbal medicine taste number and the amount of large. 6. Traditional Chinese medicine consolidation treatment is mainly to nourish qi and dispel evil, two years after the operation, the patients pay equal attention to strengthening the spirit and dispelling evil, the number of Chinese herbal medicines for dispelling evil is more than two years and the quantity of Chinese herbal medicine is large, and more than two years after operation, the Chinese herbal medicine of removing evil is small and light. Traditional Chinese medicine maintenance treatment is mainly to strengthen the qi and dispel evil, this kind of patient's condition is complex, expelling evil Chinese herbal medicine is used according to the patient's condition. Traditional Chinese medicine treatment is based on strengthening the spirit and dispelling evil. If the patient is in good condition, aggravation dispelling evil, expelling evil Chinese herbal medicine taste number and quantity. If the patient is in a bad state, accentuates the rectification, dispels the evil Chinese herbal medicine flavor to be few and light. The patient's condition is general, strengthening the spirit and dispelling evil, the number and dosage of Chinese herbal medicine are determined by specific conditions. Conclusion: comprehensive treatment of colorectal cancer has become a trend. When we determine the principle of TCM treatment, we combine the situation of western medicine treatment and the comprehensive situation of patients organically, under the guidance of the general TCM treatment mode. Select the best Chinese medicine treatment method, draw up the prescription of traditional Chinese medicine.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R273
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本文编号：2019358