乳腺癌术后患者中医辨证分型试探

Primary Discussion of Syndrome Differentiation of Postoperative Patient with Breast Cancer

探讨乳腺癌术后患者的中医辨证分型规律。对108例乳腺癌术后患者进行中医症状采集,以统计分析并辨证分型。结果:出现气虚证81例(75.00%),阴虚证77例(71.30)%,血虚证25例(23.15%),冲任失调证57例(52.78%),肝气郁结证37例(34.26%),肝肾阴虚证22例(20.37%);气虚证、阴虚证相兼60例(55.56%),气虚证、阴虚证、冲任失调证三证相兼34例(31.48%)。年龄、病程、雌孕激素受体表达、腋下淋巴结转移、服用三苯氧胺等均对辨证分型无影响。结论:乳腺癌术后患者的临床辨证分型错综复杂,以气虚证及阴虚证或二证相兼为最常见;其次为冲任失调证或三证相兼。

To research the syndome syndrome differentiation of postoperative patient with breast cancer. Method： We collected Chinese symptom of 108 postoperative patieots with breast cancer and analyzed them the rule of syndrome-classificatlon with syndrome differentiation by statistics. Result： Athong 108 putients, all kinds of syndrome always appcar at the same time, thereinto deficiency of vital energy has 81 cases （75.00%） ;yin-deficiency has 77 cases （71. 30% ） ; blood-deficiency has 25 cases （23.15%） ; disorder between TV and CV has 57 cases （52. 78%） ; stagnation of liver-energy has 37 cases （34.26%）; deficiency of liver-yin and kidney-yin has 22 cases （20.37%）. Deficiency of vital energy by yin-deficiency has 60 cases （55.56%） ; deficiency of vital energy and yin bydisorder between TV and CV has 34 cases （31.48%）. There is no effect of the syndrome-classification with syndrome differentiation on age. course of diseases, expression of ER and TR. metastasis of ALN, circs of taking TAM. Conclusion ： The clinical syndrome-classification with syndrome differentiation of postoperative patient with breast cancer is very, anfractuous. The most common syndrome was deficiency of vital energy and yindeficiency, second was disorder between TV and CV, and concurrence above three symptoms.