广西地区首发原发性肝癌患者体质状况调查

Epidemiological Study on Traditional Chinese Medicine Constitution Types in Patients with Primary Liver Cancer in Guangxi Province,China

目的研究广西地区首发原发性肝癌(primary liver cancer,PLC)患者体质分布状况。方法采用中华中医药学会发布的《中医体质分类与判定》标准对147例广西地区首发PLC患者的体质类型进行辨识,对各种体质类型的频数分布进行统计学描述。结果患者的体质类型分布为:平和质55例(37.4%),气虚质9例(6.1%),阳虚质12例(8.2%),阴虚质2例(1.4%),痰湿质6例(4.1%),湿热质29例(19.7%),血瘀质18例(12.2%),气郁质7例(4.8%),特禀质9例(6.1%)。广西地区首发PLC患者的偏颇体质主要以湿热质、血瘀质和阳虚质3种体质为主,PLC患者的体质存在显著的性别差异(P<0.01)。男性以湿热质、血瘀质为主,而女性以阳虚质、血瘀质为主。结论广西地区PLC患者偏颇体质以湿热质为主,血瘀体质是PLC的高发体质。

Objective To study the traditional Chinese medicine （TCM） constitution types in the patients with primary liver cancer （PLC） in Guangxi Province, China. Methods The TCM constitution types of 147 PLC patients in Guangxi were identified according to Classification and Determination of Constitution in TCM published by China Association of Chinese Medicine, and the frequency distribution of the identi-fied constitution types was determined by statistical analysis. Results Of the 147 cases of PI.C, 55 （37.4%） had balanced constitution, 9 （6.1%） had qi-deficiency constitution, 12 （8.2%） had yang-defi ciency constitution, 2 （1.4%） had yin deficiency constitution, 6 （4.1%） had phlegm-dampness constitu- tion, 29 （19.7%） had dampness-heat constitution, 18 （12.2%） had blood-stasis constitution, 7 （4.8%） had qi-stagnation constitution, and 9 （6.1%） had inherited special constitution. Among the above consti-tution types, the imbalanced constitutions mainly included dampness-heat constitution, blood-stasis consti-tution, and yang-deficiency constitution. There were significant differences in constitution types between male and female PLC patients （P〈0. 01）. The most prevalent constitution types in male patients were dampness-heat constitution and blood-stasis constitution, while the most prevalent constitution types in fe-male patients were yang-deficiency constitution and blood stasis constitution. Conclusion The most and second most prevalent imbalanced TCM constitution types are dampness-heat constitution and blood-stasis constitution in the PLC patients in Guangxi, China.