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食管癌放疗后中医证型与临床特征的相关分析
  • ISSN号:1000-1719
  • 期刊名称:《辽宁中医杂志》
  • 时间:0
  • 分类:R735.1[医药卫生—肿瘤;医药卫生—临床医学]
  • 作者机构:[1]新疆医科大学,新疆乌鲁木齐830011, [2]新疆医科大学附属肿瘤医院中西医结合科,新疆乌鲁木齐830011
  • 相关基金:国家自然科学基金资助项目(30860361)
中文摘要:

目的:探讨食管癌患者在放射治疗后中医辨证分型与临床特征之间的关系。方法:在食管癌患者放疗后进行中医辨证分型,并收集患者放疗前后临床特征资料。结果:食管癌患者放疗后中医证型以阴虚热毒型占多数,56.25%。食管癌患者放疗后中医证型与原发部位、病理类型、放疗剂量、放射性食管炎均无相关性(P〉0.05)。但是,放疗后的中医证型与食管癌分化程度、KPS评分、骨髓抑制分度以及近期疗效具有相关性(P〈0.05),且都符合正相关趋势。结论:食管癌患者放疗后中医证型与分化程度、KPS评分、骨髓抑制分度以及近期疗效的临床特征有关。某些临床特征可以指导现代中医对于本病性质的认识,甚至可能是中医证型的内在因素。中医证型也可能是判断这些临床特征的有利证据.为中医师预测食管癌预后提供券者。

英文摘要:

Objective: After radiotherapy, to investigate the relation between TCM syndrome difierentiafion and clinical fea- tures. Results : The classification of TCM syndromes was carried out in 80 esophageal carcinoma patients after radiotherapy. At the same time, we collected information on clinical features of patients. After radiotherapy the syndromes of Yin deficiency with nox- ious heat were the majority(45 cases,56.25% ). After radiotherapy in patients with esophageal cancer,the TCM syndromes and the primary site,histological type, radiation dose, radiation esophagitis were not correlated ( P 〉 0.05). However, the TCM syn- dromes and the degree of differentiation,KPS score,bone marrow suppression as well as short - term effect index had significant correlation( P 〈 0.05 ). They were in line with a positive correlation trend. Conclusion:After radiotherapy in patients with esopha- geal cancer,the TCM syndromes and the degree of differentiation, KPS score, bone marrow suppression as well as short - term effect index have significant correlation. Some clinical features can guide for modern TCM doctors to understand the nature of the disease, perhaps even the internal factors syndromes. TCM symlromes may also be beneficial to determine the clinical features of the evidence for Chinese medicine practitioners,and refer to predict prognosis of esophageal eaneer.

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期刊信息
  • 《辽宁中医杂志》
  • 北大核心期刊(2014版)
  • 主管单位:辽宁省卫生和计划生育委员会
  • 主办单位:辽辽宁中医药大学
  • 主编:张立德
  • 地址:沈阳市皇姑区崇山东路79号
  • 邮编:110032
  • 邮箱:lnzy@vip.163.com
  • 电话:024-31207233
  • 国际标准刊号:ISSN:1000-1719
  • 国内统一刊号:ISSN:21-1128/R
  • 邮发代号:8-87
  • 获奖情况:
  • 中国自然科学核心期刊,中国生物医学核心期刊,中国中医药优秀期刊,中国期刊方阵“双效”期刊
  • 国内外数据库收录:
  • 美国化学文摘(网络版),英国农业与生物科学研究中心文摘,波兰哥白尼索引,中国中国科技核心期刊,中国北大核心期刊(2004版),中国北大核心期刊(2008版),中国北大核心期刊(2014版)
  • 被引量:51754