肝癌患者微波热消融治疗术后中医证候特点

Primary Study on Clinical TCM Syndrome Characteristics after Microwave Thermal Ablation for Hepatocellular Carcinoma

目的探讨肝癌微波消融术后中医证候的规律及辨证论治的客观依据。方法对微波消融术后肝癌患者进行回顾性总结,对主症(征)进行频数分析,根据主症归纳证候证型。结果微波消融治疗肝癌术后中医证候中,气滞血瘀证占29.2%,湿热蕴结证占21.9%,脾虚湿困证占18.2%,肝瘀脾虚证占15.8%,肝肾阴虚证占14.7%。结论肝癌患者微波热消融治疗术后中医证型最常见为气滞血瘀证。其次为湿热蕴结证、脾虚湿困证、肝瘀脾虚证、肝肾阴虚证。

Objective To explore the clinical characteristics of TCM syndrome after microwave thermal ablation for the patients with hepatocellular carcinoma. Methods The frequency distribution method was used for the retrospective cohort study analysis of the clinical syndrome. Results The proportions of Qi-stagnancy and blood stasis, endoretention of damp heat, spleen asthenia and fluid retention, liver stagnation and spleen asthenia, liver kidney yin insufficiency were 29.2%, 21.9%, 18.2%, 15.8%, 4.7% respectively. Conclusion The syndromes of primary hepatic carcinoma after microwave thermal ablation were Qi-stagnancy and blood stasis, endoretention of damp heat, spleen asthenia fluid retention, liver stagnation and spleen asthenia, liver kidney yin insufficiency, and Qi-stagnancy and blood stasis was the dominating syndrome.