| 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） |
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| 摘要点击次数: 1983 |
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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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