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吴静芳.大肠癌围手术期中医证候动态变化规律的临床研究[J].浙江中西医结合杂志,2014,24(6):
大肠癌围手术期中医证候动态变化规律的临床研究
Clinical Research on the Changes of TCM Syndromes of Colorectal Cancers before and after Surgery
投稿时间:2014-01-01  修订日期:2014-01-01
DOI:
中文关键词:  大肠癌  中医证候  围手术期
英文关键词:colorectal  cancer, TCM  syndrome, perioperative
基金项目:国家自然资助(81173425);浙江省中医药科技计划项目 (2007CA015)
作者单位E-mail
吴静芳 浙江医院 wujingfang_2001@163.com 
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中文摘要:
      目的:观察大肠癌围手术期中医证候分布及动态变化规律,为中医药干预提供证候学依据。方法:对228例大肠癌手术患者进行临床调查,观察手术前后临床症状、舌象、中医单证及证候变化。结果:大肠癌患者术前以气血瘀滞证(43.3%)和湿热内蕴证(33.3%)两类实证为主;术后早期(术后1周)虚证证候逐渐增加,主要为气血两虚证;术后中期(术后1月)呈现虚实夹杂之象;术后晚期(术后3月)虚证比例又逐渐降低;结论:大肠癌患者围手术期中医证候演变呈现一定的规律,临床上中医药对大肠癌围手术期的治疗科可遵循这一规律。
英文摘要:
      Objective :To observe the changes of TCM syndromes of colorectal cancer patients before and after surgery,in order to guide the TCM treatment .Methods: We selected 228 colorectal cancer patients to investigate symptoms and tongue,differentate the single syndromes and TCM syndromes before and after surgery.Results: This group of colorectal cancer patients’ preoperative TCM syndromes are characterized by excess such as qi stagnation and blood stasis(44.3%)and accumulation of damp-heat(33.3%).Early in the postoperation(a week after the operation ) the deficient syndromes gradually increase,mainly in the syndrome of qi-blood deficiency.At the middle stage of postoperation(4 weeks after the operation ) it presents a phenomenon of combind excess and deficiency.In the later stage of postoperation(3 months after the operation ) the deficient syndromes turn to decrease. Conclusion: he evolution of perioperative TCM syndromes of colorectal cancer has some certain rules. These rules may help the TCM treatments in the clinical work.
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