927例原发性肝癌证素特征研究

Analysis on Syndrome Elements of 927 Primary Liver Cancer Cases

应用临床流行病学研究方法,收集927例原发性肝癌临床病例,采用SPSS 13.0统计软件进行病例聚类和主成分分析,探析肝癌病位、病性证素特征,从而规范肝癌的病位、病性特征表现。研究发现,肝癌病位在肝,与胆、脾、胃及肾相关;病性以气滞、血瘀及湿热为主,兼有气虚、血虚、阴虚、痰、水停及阳虚等;临床证型主要为气滞血瘀证、湿热蕴结证及湿瘀搏结证。

Clinical epidemiological method was used in this study. A total of 927 clinical cases of primary liver cancer were collected. The SPSS 13.0 software was used in the cluster analysis and principal component analysis. The exploration was made on the disease-position, syndrome elements of disease characteristics of liver cancer in order to regulate the characteristic manifestations of the disease-position and disease characteristics of liver cancer. This study showed that the disease-position of liver cancer was in the liver, which was also related to the gallbladder, spleen, stomach and kidney. The disease characteristics was mainly due to qi-stagnation, blood-stasis, dampness-heat, which can also be combined with qi-deficiency, blood-deficiency, yin-deficiency, phlegm-water retention, yang-deficiency and etc. Patterns of syndrome differentiation were mainly qi-stagnation and blood-stasis pattern, dampness-heat accumulation pattern, dampness-stasis accumulation pattern.