进展期胃癌中医证型的文献分析

Literature Analysis of TCM Syndrome Types of Gastric Cancer and Advanced Gastric Cancer

目的:运用循证医学方法,探讨进展期胃癌的证型分布规律,明确其主要证型。方法:统计近30余年国内公开报道的进展期胃癌辨证分型文献,总结、分析其中中医证型的构成比。结果:进展期胃癌常见中医证型是:脾胃虚损型、瘀毒内阻型、气血两亏型、肝胃不和型、胃热伤阴型。脾胃虚损是胃癌的最基本病机。结论:进展期胃癌证型统计结果对确立临床辨证分型标准具有重要指导意义。

Objective：Study of gastric cancer and advanced gastric cancer syndromes distribution was made to determine the main TCM syndrome types. Methods ： The domestic public reports of gastric cancer and advanced gastric cancer syndrome differentiation of TCM in nearly 30 years were analyzed, in order to summarize and analyze the syndrome type of traditional Chinese medicine constitution ratio. Results ： Common syndrome types of traditional Chinese medicine about gastric cancer are deficiency of the spleen and stomach type, stasis toxin resistance type,liver stomach disharmony, Qi and blood deficiency type, phlegm coagulation type, stomach yin deficiency type, Common syndrome types of traditional Chinese medicine about advanced gastric cancer are defi- ciency of the spleen and stomach type, stasis toxin resistance type, Qi and blood deficiency type ,liver stomach disharmony, stom- ach yin deficiency type, Deficiency of the spleen and stomach is the most basic pathogenesis of gastric carcinoma. Conclusion ： The statistical results of TCM syndrome type of gastric cancer and advanced gastric cancer have important guiding significance on the establishment of the clinical syndrome differentiation standard.