肿瘤相关性贫血中医证型分布规律探讨

Exploration on TCM syndrome distribution regularities of cancer-related anemia

目的:探讨肿瘤相关性贫血中医证型分布的规律。方法:109例肿瘤相关性贫血,按照中医虚证的证候诊断标准分组,统计各组证候出现频率及各组在贫血程度、肿瘤病理分期、中医症状评分的分布差异,并进一步分析常见的复合证候。结果:气虚证87例、血虚证26例、阴虚证47例、阳虚证9例,血瘀证83例、痰湿证44例、湿热证18例、痰热证19例、气滞证16例,各组在肿瘤分期、贫血程度、中医症状评分等方面分布比较无显著性差异。在复合证候中,出现频率最高的是气虚血瘀证,其次为气阴两虚证、痰瘀互阻证。结论:肿瘤相关性贫血患者病理状态多虚实夹杂,以气虚、阴虚、痰、瘀为最多见。

Objective： To explore TCM syndrome distribution regularities of cancer-related anemia.Methods： 109 cases which came from oncology department of Dongzhimen Hospital were admitted in the study.They were divided into several groups according to syndrome diagnosis criteria,then occurrence frequency of every syndrome and distribution difference in anemia degree,cancer pathological stage and TCM symptom scores were calculated,which further analyzed common compound syndrome.Results： qi-deficiency syndrome were 87 cases,blood-deficiency 26 cases,yin-deficiency 47 cases,yang-deficiency 9 cases,blood stagnant syndrome 83 cases,dampness 44 cases,dampness-heat 18 cases,phlegm-heat 19 cases,qi-stagnation 16 cases.There was no pronounced difference among all groups in cancer stages,anemia degree,TCM symptoms scores aspects.In compound syndromes,qi-deficiency and blood-stagnation syndrome was most occurrence frequency,second was qi and yin deficiency syndrome as well as phlegm and blood stagnation syndrome.Conclusion： The pathological state of cancer related anemia mostly was deficiency-excess complication,especially qi-deficiency,yin-deficiency,phlegm and blood stagnation.