健脾法延长胃癌患者生存期之探讨

Inquring into Prolonging the Survival Period of Gastric Cancer Patients with the Method of Invigorating Spleen

探讨进展期胃癌患者脾虚状况与其生存期之间的关系。按脾虚主要症状半定量分级标准 ,将 6 1例进展期胃癌患者分为轻度脾虚组和中重度脾虚组 ,比较两组患者生存期 ,并通过对不同组别的毕格犬生存时间的比较 ,检测健脾法对胃癌术后毕格犬生存时间的影响。结果 ,中重度脾虚组在生存时间及脾虚主要症状半定量积分上与轻度脾虚组相比有极其显著差异 ,且生存时间及脾虚主要症状半定量积分差值呈负相关。提示脾虚程度越严重则患者生存时间越短。这一结果同样为毕格犬模拟临床分组实验所证实。中医理论认为 ,“脾为后天之本” ,可以认为 ,观察患者的脾虚状况在一定程度上可以对患者的生存时间及预后情况有一个较准确的估计 ,值得扩大样本数做进一步的研究。

Objective :To discuss the relationship between the condition of spleen deficiency and surviving period in the aggressive gastric cancer patients. Method :We studied 61 cases of the aggressive gastric cancer patients who were divided into two groups by the spleen deficiency symptoms grades.We observed the condition of spleen deficiency and surviving period of the patients.In the experiment,we observed the surviving period of the Beagle′s dogs in different groups. Results :There is the significant difference between the semi-quantitative integration of survival period and the math symptoms of spleen deficiency of severe spleen-deficiency group and the light one.We have found that the more severe the condition of spleen deficiency is,which we get from the spleen deficiency symptoms grades,the shorter period the patients survive.The difference is obvious between the two groups.The Beagle′s dogs have shown the same results. Conclusion :We think the condition of spleen deficiency can be one of the pedictable index of the prognosis of the aggressive gastric cancer patients.It is deserved to studing further.