Clinical Study On Correlation Between Syndrome Differentiation And Physical Identification Of Postoperative Patients With Gastric Cancer And

Purpose:To investigate the relationship between TCM syndrome differentiation and constitution in patients with gastric cancer and esophageal carcinoma. Method:We select 135 postoperative patients of gastric cancer and esophageal cancer in our hospital from April 2014 to August 2015.Applying cluster analysis method(K-means), filling in the “Traditional Chinese classification and determination of Physique”, surveying cluster analysis of TCM Syndrome and TCM constitution and analyze the relationship between nine kinds of TCM Constitution and TCM syndrome type. Result: 1.More than 40% of patients with fatigue, poor sleep, poor appetite and other symptoms are prominent in gastric cancer, esophageal cancer groups. Compared to two groups, gastric cancer group of abdominal pain, abdominal distension, and loose stools, afraid of the cold, thin proportion is higher, in 31-43%. While esophageal cancer group eating, vomit saliva sputum, constipation symptoms such as a lot of proportion of the gastric cancer group is more apparent, in 37-48%. 2.Methods after cluster analysis of gastric cancer is divided into 5 patterns: spleen deficiency type(26 cases), Spleen deficiency phlegm dampness type(21 cases), Liver stomach disharmony type(13 cases), Stomach yin deficiency type(17 cases), deficiency of qi and blood(12 cases); Esophageal carcinoma is divided into 3 types: Liver stomach disharmony type(11 cases), qi stagnation and phlegm stasis resistance(19 cases),deficiency of qi and yin(16 cases). 3.The overall distribution of 135 cases of traditional Chinese medicine physique peaceful mass is 8.89%, 8 kinds of biased constitution accounted for 91.11%. Among them, 8 kinds of bias in the constitution is mainly Yang deficiency, qi deficiency, qi depression accounted for 65.18%, the rest of the constitution of between 3-9%, blood stasis and humid quality is the fewest and no allergic constitution. 4.In gastric cancer was significantly related to qi-deficiency constitution and deficiency of qi and blood, Spleen deficiency phlegm dampness type(P<0.05); In gastric cancer was significantly related to Yang-deficiency constitution and spleen deficiency type(Regardless of no disease and tumor currencies in postoperative period)(P<0.01), but it was significantly negative related to the spleen deficiency phlegm dampness type(P<0.05);There is a significant correlation of qi stagnation and liver stomach of gastric cancer and liver stomach disharmony of esophageal carcinoma in postoperative period of tumor currencies or metastasis. Conclusion: 1. Postoperative gastric cancer patients with five types TCM syndrome conform to the clinical practice and esophageal clustering for 3 types. 2. The common abnormal constitutions were Yang-deficiency constitution,qi-deficiency constitution, qi-stagnation constitution. 3. Yang-deficiency constitution in gastric cancer patients is related to its original Constitution, qi-stagnation constitution is related to the modification of disease in the patients with gastric cancer and esophageal cancer, qi-deficiency constitution may be the main pathogenesis of gastric cancer patients.