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Study On The Characteristics Of TCM Syndromes In Primary Bronchogenic Carcinoma

Posted on:2018-04-19Degree:MasterType:Thesis
Country:ChinaCandidate:X ChenFull Text:PDF
GTID:2354330515481056Subject:Integrative Chinese and Western medicine
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Research purpose1,to explore the hospital between December 2015 and December 2016 in the gate of hospital oncology clinic in 135 cases of primary bronchial lung cancer patients empirical features of traditional Chinese medicine.2,research the proportion of primary bronchial lung cancer in various empirical syndrome,cartesian grade and gender,histopathologic type,clinical stage and the relationship between the empirical relationship between the syndrome.The research methodsSelection of the national standards,industry standards and related items about empirical diagnosis in TCM books,on the basis of the pathogenesis of primary bronchial lung cancer clinical characteristics,clinical symptoms,the element as the core,adopt the method of multi-level diagnosis as the basis,combining with the experience of clinical professor pei-tong zhang to the solid lung cancer syndrome diagnostic standard 1,make corresponding watch list,according to the inclusion criteria and exclusion criteria screening patients,using EPIdata software recorded 135 cases of patients with lung cancer symptoms.Use Excel,SPSS 19 software dialectical unity,statistical analysis,chi-square analysis the empirical syndrome and gender,histopathologic type,carr's score and the relationship between the clinical stage.More than the combination relationship with the clinical stage,and the empirical relationship between each other.The results of the study1,the proportion of each empirical syndromeAnd qi stagnation syndrome patients 132 cases,accounting for 97.78%,reversed flow of qi syndrome patient 132.cases,accounting for 97.78%,TanNing syndrome patient 97 cases,accounting for 71.85%,71 patients with blood stasis,accounted for 52.59%,28 patients with solid heat syndromes,accounted for 20.74%,20 patients with drink stop issuing,accounted for 14.81%,16 patients with wet resistance syndrome,accounted for 11.85%,14 patients with blood heat syndrome,accounted for 10.37%,8 patients with blood cold syndrome,accounted for 5.93%,8 cases of cold syndrome patients,accounted for 5.93%,5 patients with water stop issuing,accounted for 3.70%,gas card 0 cases of patients with closed,accounting for 0%.2,There was no statistically significant difference in the gender,histopathological type,KPS scores,and clinical stages of the patient in the patient's absence.Reversed flow of qi and the reversed flow of qi syndrome patients on gender and KPS scores were not significantly statistically significant differences on the histopathologic classification and clinical staging a significant statistically significant differences;With the blood stasis syndrome of blood stasis syndrome in gender,KPS score and clinical staging in patients with no significant statistical significance differences,on the histopathologic classification have significant statistical significance differences;There was no statistically significant difference in the gender,KPS scores,histopathology,and clinical stages of nonblood cold syndrome.There was no statistically significant difference in the gender,KPS scores,histopathological type,and clinical stages in the blood heat and nonblood heat syndrome.There was no statistically significant difference in gender,KPS scores,histopathological type,and clinical staging in the case of the patient with the GSP and non-gout.There were no statistically significant differences in gender,KPS scores,histopathological types,and clinical stages of the drinking and dis-stopping syndrome.There was no statistically significant difference in the gender,KPS scores,histopathological type,and clinical stages of the wet and non-wet-proof patients.Water stop card with the water stop syndrome patients in sex,histopathologic type,there is no significant statistical significance and clinical staging differences,have significant statistical significance on the KPS score differences;Solid heat syndromes with the solid heat syndromes on gender,KPS score and clinical staging in patients with no significant statistical significance differences on histopathologic types have significant statistically significant differences;There was no statistically significant difference in the gender,KPS scores,histopathological type,and clinical stages of the case.3,the combination and the empirical relationship between syndrome 135 cases were included in this study,the research of the combination of empirical syndrome,in 135 cases of lung cancer patients,(1)the documents appear in 2 cases,accounted for 1.48%,among them and qi stagnation syndrome in 2 cases,accounting for 100%.(2)combination of two certificates:a total of 12 cases,accounting for 8.89%.+ reversed flow of qi and qi stagnation syndrome of the 11 cases,accounting for 91.67%;And qi stagnation card + 1 case of blood stasis syndrome,accounting for 8.33%.(3)combination of three certificates:a total of 33 cases,accounting for 24.44%.The + reversed flow of qi and qi stagnation syndrome syndrome + TanNing 19 cases,accounted for 57.58%;And qi stagnation syndrome + reversed flow of qi + 6 cases of blood stasis syndrome,18.18;And qi stagnation syndrome + reversed flow of qi and heat syndromes in 2 cases,accounting for 6.06%;Blood and qi stagnation syndrome + reversed flow of qi +cold syndrome in 2 cases,accounting for 6.06%;And qi stagnation syndrome +reversed flow of qi + drink stop card in 1 case,3.03%;Reversed flow of qi card ++ TanNing syndrome of blood stasis syndrome in 1 case,3.03%;Reversed flow of qi syndrome + TanNing card + wet resistance in 1 case,3.03%;Reversed flow of qi syndrome + TanNing + real cold syndrome in 1 case,accounting for 3.03%.Four(4)the combination:a total of 48 cases,accounting for 35.56%.One card reversed flow of qi and qi stagnation card + + + TanNing syndrome of blood stasis syndrome 23 cases,accounted for 47.92%;And qi stagnation syndrome + reversed flow of qi + + 8 cases of excessive heat,blood stasis(16.67%);+ reversed flow of qi and qi stagnation syndrome syndrome + TanNing + real cold syndrome in 5 cases,accounting for 10.42%;And qi stagnation syndrome + reversed flow of qi ++ blood heat syndrome of blood stasis syndrome in 2 cases,accounting for 4.17%;And qi stagnation syndrome + reversed flow of qi + + wet resistance syndrome of blood stasis syndrome in 2 cases,accounting for 4.17%;And qi stagnation syndrome + reversed flow of qi + TanNing certificate + drink stop certificate in 2 cases,accounting for 4.17%;And qi stagnation syndrome + reversed flow of qi +TanNing + real heat syndrome in 2 cases,accounting for 4.17%;And qi stagnation syndrome + reversed flow of qi + + blood cold syndrome of blood stasis syndrome in 1 case,2.08%;Blood and qi stagnation syndrome + reversed flow of qi +TanNing card + heat syndrome in 1 case,2.08%;And qi stagnation syndrome +reversed flow of qi + TanNing + wet resistance syndrome in 1 case,2.08%;And qi stagnation syndrome + reversed flow of qi + TanNing certificate + water stop certificate in 1 case,accounting for 2.08%.(5)5 card one combination:a total of 30 cases,accounting for 22.22%.The reversed flow of qi and qi stagnation card +card + + TanNing card + blood heat syndrome of blood stasis syndrome in 5 cases,accounted for 16.67%;And qi stagnation syndrome + reversed flow of qi + + +TanNing syndrome of blood stasis syndrome of excessive heat in 5 cases,accounting for 16.67%;And qi stagnation syndrome + reversed flow of qi + +TanNing syndrome of blood stasis syndrome,stop drinking the 4 cases,accounting for 13.33%;And qi stagnation syndrome + reversed flow of qi + + TanNing card +wet resistance syndrome of blood stasis syndrome(3 cases),accounting for 10%;+reversed flow of qi and qi stagnation syndrome syndrome + TanNing + drink stop+ real heat syndrome(3 cases),accounting for 10%;And qi stagnation syndrome +reversed flow of qi + + TanNing certificate + water stop certificate of blood stasis syndrome in 2 cases,accounting for 6.67%;+ reversed flow of qi and qi stagnation syndrome syndrome + TanNing stop + drink + wet resistance syndrome in 2 cases,accounting for 6.67%;And qi stagnation syndrome + reversed flow of qi + +TanNing card + blood cold syndrome of blood stasis syndrome in 1 case,3.33%;Blood and qi stagnation syndrome + reversed flow of qi + + TanNing syndrome +real hot card in 1 case,3.33%;Of blood and qi stagnation syndrome + reversed flow of qi + heat + TanNing + wet resistance syndrome in 1 case,3.33%;'And qi stagnation syndrome + reversed flow of qi + TanNing certificate + drink stop certificate + real cold syndrome in 1 case,3.33%;And qi stagnation syndrome +reversed flow of qi + TanNing card card + + wet resistance of excessive heat in 1 case,3.33%;And qi stagnation syndrome + reversed flow of qi + TanNing + + real cold wet resistance syndrome in 1 case,accounting for 3.33%.Six(6)the combination:a total of 6 cases,accounting for 4.44%.The reversed flow of qi and qi stagnation card + card + + TanNing syndrome of blood stasis syndrome,stop drinking + real heat syndrome in 2 cases,accounted for 33.33%;And qi stagnation syndrome + reversed flow of qi + blood cold syndrome,blood syndrome +TanNing + real hot card in 1 case,16.67%;And qi stagnation syndrome + reversed flow of qi + + + TanNing blood cold syndrome of blood stasis syndrome syndrome+ drink stopped in 1 case,16.677%;And qi stagnation syndrome + reversed flow of qi + + blood cold syndrome of blood stasis syndrome,TanNing + wet resistance syndrome in 1 case,16.67%;And qi stagnation syndrome + reversed flow of qi + +TanNing syndrome of blood stasis syndrome,damp resistance + real heat syndrome in 1 case,accounting for 16.67%.Seven(7)the combination:a total of 4 cases,accounting for 2.96%.The reversed flow of qi and qi stagnation card + the+ + blood heat syndrome of blood stasis syndrome + TanNing certificate + drink stop certificate + real heat syndrome in 1 case,25.00%;And qi stagnation syndrome + reversed flow of qi + blood cold syndrome,blood heat syndrome +TanNing stop + drink + wet resistance syndrome in 1 case,25.00%;And qi stagnation syndrome + reversed flow of qi blood,blood stasis and heat syndrome +TanNing + drink stop card + water stop card in 1 case,25.00%;+ reversed flow of qi and qi stagnation syndrome syndrome + TanNing + drink stop issuing certificate+ water + wet resistance stop + real heat syndrome in 1 case,accounting for 25.00%.A single syndrome stage IV 0 cases,accounting for 0.00%;Two certificates combination IV in 5 cases,accounting for 41.67%;3 card combination IV in 13(39.39%),Four certificate IV 20 cases,accounting for 41.67%;5 card one combination IV in 13(43.33%),Six card combination IV in 5 cases,accounting for 83.33%;Seven card combination IV in 2 cases,accounting for 20%.When appear and qi stagnation syndrome,reversed flow of qi syndrome with the highest probability,at 97.73%?followed by TanNing syndrome 71.21%,53.03%,21.21%heat syndromes of blood stasis syndrome,stop drinking,wet resistance syndrome 11.36%,15.15%10.61%of blood heat.Accompanies a probability lower blood cold syndrome 6.06%,5.30%,water stop issuing 3.79%real cold syndrome.When a reversed flow of qi syndrome and qi stagnation syndrome associated with the highest probability;,at 97.73%,followed by TanNing syndrome 73.48%,53.03%,21.21%heat syndromes of blood stasis syndrome,stop drinking,wet resistance syndrome 12.12%,15.15%10.61%of blood heat.Accompanies a probability lower blood cold syndrome 6.06%,6.06%,water stop issuing 3.79%real cold syndrome.When appear blood stasis,and qi stagnation syndrome and reversed flow of qi with highest probability of 98.59%,followed by TanNing syndrome 71.83%,23.94%of excessive heat,blood heat,drink stop 12.68%12.68%.Accompanies a probability low wet resistance syndrome 9.86%,5.63%,water stop issuing 4.23%blood cold syndrome.In this study,when blood stasis syndrome appeared,many cases of real cold syndrome appear to 0.When blood cold syndrome,reversed flow of qi syndrome and qi and accompanies a probability of the highest,at 100.00%,followed by TanNing card 62.50%50.00%,50.00%,blood heat syndrome of blood stasis syndrome,stop drinking,wet resistance syndrome 25.00%,25.00%12.50%of excessive heat.In this study,when blood cold syndrome appeared,water stop issuing and real cold syndrome appear the number of cases of 0.When blood heat syndromes,reversed flow of qi card and card of qi and with the highest probability,at 100.00%,followed by TanNing syndrome,blood stasis,85.71%85.71%,stop drinking 21.43%21.43%,21.43%of excessive heat,blood cold,wet resistance by 14.29%,with 7.14%probability of lower water stop card.In this study,when blood heat,cold syndrome appear the number of cases of 0.When appear TanNing card,reversed flow of qi card and card of qi and with the highest probability of 100.00%,96.91%,respectively,followed by 52.58%of blood stasis syndrome,excessive heat,wet resistance syndrome 14.43%,18.56%12.37%of blood heat.Accompanies a 8.25%probability low solid cold syndrome,blood cold syndrome,water stop issuing 5.15%5.15%.When drink stop issuing,reversed flow of qi card and card of qi and with the highest probability,at 100.00%,followed by TanNing syndrome 95.00%,45.00%,35.00%heat syndromes of blood stasis syndrome,damp resistance 20.00%,15.00%of blood heat and blood cold syndrome 10.00%,water stop 10.00%.With a probability is low 5.00%cold syndrome.When a wet resistance card,reversed flow of qi card and card of qi and with the highest probability,100.00%,93.75%,respectively,followed by 87.50%TanNing syndrome,blood stasis syndrome 43.75%,stop drinking 25.00%18.75%?18.75%of excessive heat,blood cold syndrome,blood heat syndromes by 12.50%.With probability is low water stop card and real cold syndrome,accounting for 6.25%.When the water stop issuing,reversed flow of qi,and qi stagnation syndrome and TanNing accompanies a probability is highest,at 100.00%,followed by 60.00%of blood stasis syndrome,stop drinking the 40.00%,20.00%of blood heat,wet resistance 20.00%20.00%,solid heat syndrome.In this study the water stop issuing,blood cold syndrome and real cases of cold syndrome is 0.When the real cold syndrome,the probability of reversed flow of qi card and card of TanNing accompanies a highest,at 100.00%,followed by 87.50%and qi stagnation syndrome,stop drinking 12.50%12.50%,wet resistance syndrome.In this study the real cold syndrome,blood stasis,blood cold syndrome,blood heat syndrome,water stop,real hot card number of cases of 0.When the real heat syndromes,reversed flow of qi card and card of qi and with highest probability of 100.00%,followed by TanNing syndrome,blood stasis,64.29%64.29%,stop drinking 25.00%,10.71%10.71%of blood heat,wet resistance.'With a probability lower blood cold syndrome,water stop 3.57%3.57%.In this study the real heat syndromes,the real cases of cold syndrome is 0.When will appear two empirical syndrome group statistics of frequency,the frequency is higher in turn is:+ reversed flow of qi and qi stagnation syndrome syndrome in 129 cases,accounting for 95.56%;Reversed flow of qi + TanNing syndrome in 97 cases,accounting for 71.85%;And qi stagnation syndrome +TanNing 94 cases,accounting for 69.63%;+ 70 cases of blood stasis syndrome and qi stagnation syndrome,accounting for 51.85%;Reversed flow of qi card + 70 cases of' blood stasis syndrome,accounting for 51.85%;Blood stasis syndrome +TanNing 51 cases,accounting for 37.78%.conclusionBased on 135 cases of primary bronchial lung cancer patients enrolled in the study of the clinical study found that:1.In the empirical syndrome,frequency from high to low are:and qi stagnation syndrome,reversed flow of qi syndrome,TanNing syndrome,blood stasis,hot,stop drinking,wet resistance syndrome,blood heat,blood cold syndrome,cold syndrome,water park2.The difference of statistical significance in the histopathological and clinical stages of histopathologic and clinical stages was statistically significant in the case of the patient and the patient.Blood stasis and nonblood stasis were statistically significant differences in histopathology.There is a statistical difference in the KPS score for the patients with the water stop and the non-water stop syndrome.There were statistically significant differences in the histopathology of the patients with real thermal syndrome and non-real thermal syndrome.There was no significant statistical difference between the patient's gender,KPS scores,histopathology and clinical stages.3.The probability of multiple witnesses is more than that of single evidence,the highest probability of the combination of the four CARDS,and the combination of multiple combinations of patients with advanced lung cancer.The evidence of the syndrome is the most closely related to the evidence of qi and qi,the second is the gas and blood stasis.One + reversed flow of qi and qi stagnation syndrome syndrome,reversed flow of qi + TanNing certificate,and certificate + TanNing certificate,and qi stagnation syndrome,blood stasis syndrome,reversed flow of qi and blood stasis,blood stasi's syndrome + TanNing and is easy to see.
Keywords/Search Tags:Lung cancer, Syndrome differentiation type, The empirical syndrome, And qi stagnation syndrome, Reversed flow of qi syndrome, Gas closed certificate, Blood stasis, The blood cold syndrome, Blood heat syndrome, TanNing syndrome
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