癌痛患者中医辨证60例分析

Pattern identification of TCM in 60 cancer cases with pain

目的探索癌性疼痛的中医辨证分型,为中医辨证治疗提供临床依据。方法将60例癌痛患者分为气机郁滞证、瘀血阻滞证、痰湿凝聚型、毒热蕴结证、气血亏虚证、正虚瘀结型及其他证型,分析各辨证分型的发展趋势,并总结出癌痛的最常见的证候类型和该证相关症状频数规律及各证型的疼痛轻重程度趋势。结果60例癌痛患者出现正虚瘀结型为58.3%(35/60),气血亏虚证为20%(12/60)。结论癌痛患者中医证型以正虚瘀结型为主,气血亏虚证其次。瘀血阻滞型的肿瘤患者疼痛程度较重,气血亏虚型患者疼痛较轻的趋势。

Objective To explore the cancerous pain syndrome of TCM, for TCM syndrome differentiation and treatment. Methods 60 cancer patients with pain were divided into depression and stagnation of QI, stagnation of blood stasis, phlegm-damp type, Heat-Toxin-Stasis, qi and blood deficiency syndrome, weakness of vital-qi and blood stasis and other syndromes and analyzes the development trend of syndrome differentiation, and summarizes the most common type of pain and related symptoms frequency and the trend of pain degree. Results 35 cases （58.3%） of weakness of vital-qi and blood stasis type and 12 cases （20%） of qi and blood deficiency type were found in the 60 cases of pain patients . Conclusions The main syndrome type of Patients with pain is weakness of vital-qi and blood stasis, and qi and blood deficiency syndrome is in the second place. Blood stasis block type of cancer pain is more severe, and gi and blood deficiency type is less pain in patients.