青紫舌在非小细胞肺癌中的分布规律及中医辨证分型特点的研究

发布时间：2018-07-10 02:29

  本文选题：非小细胞肺癌 + 青紫舌　； 参考：《山东中医药大学》2016年硕士论文

【摘要】：目的:通过对263例非小细胞肺癌青紫舌患者进行相关情况的研究,探究不同程度青紫舌患者在不同临床分期及中医辨证分型中的分布特点及分布规律,探讨不同程度青紫舌的相关影响因素,为青紫舌患者临床中医用药提供依据。方法:对非小细胞肺癌青紫舌患者进行问卷式调查,选取山东中医药大学附属医院肿瘤科病房、门诊2013年12月至2015年12月诊疗的非小细胞肺癌青紫舌患者263例进行研究。结果:本次调查发现,非小细胞肺癌青紫舌患者男女比例约为1.74:1,男性明显多于女性。腺癌患者共138例,占总数的52.5%,鳞癌患者共109例,占41.4%。Ⅰ期患者中,轻度青紫舌9例(52.9%),Ⅱ期、Ⅲ期患者中中度青紫舌最多,分别为18例(48.6%)、34例(47.2%),而Ⅳ期患者中重度青紫舌患者为70例(51.1%)。Ⅰ期、Ⅱ期患者中均以气虚证占绝大多数,而Ⅲ期、Ⅳ期患者以阴虚证最多,具有统计学差异(p0.05)。结论:非小细胞肺癌青紫舌患者临床多见,且青紫色程度随病情进展逐渐加重;在不同临床分期当中,中医辨证分型具有明显的集中分布的特点,以气虚证、阴虚证为主。对临床诊疗及判断病情进展有一定指导意义,但单纯只观察舌色仍具有片面性,仍需四诊合参制定治疗计划。
[Abstract]:Objective: to investigate the distribution characteristics and regularity of different clinical stages and TCM syndrome differentiation in 263 patients with non-small cell lung cancer (NSCLC). To explore the related factors of different degrees of cyanotic tongue, to provide the basis for clinical use of traditional Chinese medicine in patients with cyanotic tongue. Methods: a questionnaire survey was conducted in 263 patients with non-small cell lung cancer from December 2013 to December 2015 in the Department of Oncology, affiliated Hospital of Shandong University of traditional Chinese Medicine. Results: the ratio of male to female was about 1.74: 1 in non-small cell lung cancer (NSCLC). There were 138 cases of adenocarcinoma (52.5%) and 109 cases of squamous cell carcinoma (41.4%). There were 18 cases (48.6%) with Qi deficiency, 34 cases (47.2%) with stage 鈪，

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