Study On TCM Syndrome And Syndrome Differentiation Of Non-small Cell Lung Cancer

Objective1.To explore the distribution of TCM syndromes in patients with non-small cell lung cancer and syndrome differentiation characteristics;2.Statistical analysis of the relationship between sex,age,pathological type and clinical stage and syndromes in patients with lung cancer.Method1.Statistical method of syndrome elementsRefer to Professor Zhu Wenfeng's "syndrome differentiation" in the "simplified measurement" method to identify the evidence,the specific method is as follows:?the symptoms and signs of the relevant evidence of the diagnosis of the weight of the calculation:the symptoms and signs of each case,"proof syndrome" in the "syndrome syndrome",check their diagnosis of the relevant evidence Of the simplified metering weights.?the severity of the syndrome with disease or disease:complaints or illness,to(+)said,according to the weight of×1.5 measurement;moderate disease,according to the weight×1 measurement;disease light,(-)said,Weight×0.7 measured.?the total weight of calculation card:the patient's symptoms and signs of each relevant evidence of the diagnostic metering weights were weighted sum(including minus the value)to calculate the total weight of the syndrome.?the diagnostic criteria for syndromes:reference to "evidence syndrome" in the relevant standards,generally take[20]100 as a general threshold,that is,the contribution of each symptom to the amount of evidence or more than[20],you can diagnose the corresponding evidence,and distinguish syndrome severity according to the sum of the weight,namely:Total weight<[14]70,the diagnosis of the card can not be established;The total weight in the[4]70?[20]100,the evidence is ?(first,lighter);The total weight in the[21]101?[30]150,the evidence is ?(two,obvious);Total weight>[30]150,the certificate is ?(three,serious).?to simplify the measurement method:first by syndromes of the relevant evidence of the weight of one by one registration,and then summed up the diagnostic value of the syndrome,and evidence to determine the diagnosis.2.statistical processingCollect and audit the questionnaire information,and then enter the relevant information into the Excel software system,establish the database,determine the correct database after the lock and backup.The patient-related symptoms and signs in the contribution of the statistics,according to the above syndrome diagnostic criteria to diagnose the corresponding evidence,and then the diagnosis of the syndrome factors are statistical analysis of frequency and frequency of statistical analysis,and SPSS 21 statistical software Cluster analysis is used to analyze the evidence.Result1.Non-small cell lung cancer in male patients more than women,the age of onset to 50-59 and 60-69 age group.At the same time,the pathological type is adenocarcinoma,.Smoking,especially male smokers have a significantly increased risk of developing lung cancer,.The number of patients with TNM IVstage is the highest,so those who undergo surgical treatment are relatively few.2.Non-small cell lung cancer patients with the most common lung disease syndrome,followed by the spleen and heart;The frequency of Yin deficiency,phlegm and Qi deficiency is the highest,and the other is fire(heat)and blood stasis.3.Male patients with phlegm syndrome are in the most visible,while female patients most common is in deficiency.35-49 years old patients with disease card is phlegm,followed by the Yin deficiency and heat;Yin deficiency in patients with 50-59 years of age is the most,,followed by the qi deficiency and sputum;60-69 years old patients with sputum is the most common disease syndrome,Yin deficiency and Qi followed;and 70 years old and above account for the largest proportion of patients with Yin deficiency.The proportion of yin deficiency and sputum in patients with adenocarcinoma is most common,and squamous cell carcinoma is the most common for the Yin deficiency.? patients with the most common disease syndrome Yin deficiency,followed by sputum and qi deficiency;Patients with stage? are mainly phlegm,Yin deficiency and Qi deficiency followed;Phase ?,? and clinical stage of the proportion of persons who are not clear is very few,and the statistical results are relatively scattered.4.The combination of a single element of syndromes,two evidence,three or more evidence in the form of three,of which a single evidence is in the highest number of combinations,evidence to Yin deficiency,phlegm frequency is higher;two syndromes distribution is more dispersed,sputum and blood stasis,yin deficiency and heat are relatively more;three or more combinations of syndromes are more complex.In the real evidence to sputum,wet,drink and heat is more common,virtual evidence to the main yin deficiency and qi deficiency.5.According to the clustering analysis of syndromes,the common TCM syndromes of lung cancer are:phlegm and phlegm syndrome,qi stagnation blood stasis syndrome,Yin deficiency syndrome and wet evil spleen syndrome.Conclusion1.The incidence of lung cancer in men is higher than that of women.The elderly population mainly in the elderly.Adenocarcinoma is the most common pathological type,most patients diagnosed in advanced stage.Smoking is non-small cell lung cancer risk factors,the surgical treatment rate is low.2.Non-small cell lung cancer patients with the most common manifestations of lung disease,disease syndrome to Yin,sputum,Qi deficiency-based,Fire(heat)and blood stasis also occupy a certain proportion.Different gender,age,pathological type and clinical stage of lung cancer incidence and the distribution of the syndrome has some differences.3.The combination of the form of disease syndromes to a single evidence of the largest,different combinations of syndromes in the form of specific distribution of evidence conditions are different,especially in three or more combination of syndromes,the distribution of syndromes more complex,more than the actual situation exists.4.The common TCM Syndromes of lung cancer include phlegm accumulation lung syndrome,qi stagnation blood stasis syndrome,yin deficiency internal heat syndrome and dampness evil retention spleen syndrome,which reflect the complexity and diversity of the distribution of lung cancer syndromes to some extent.