原发性肝癌证素分布规律研究

Analysis about Syndrome Elements of Primary Liver Cancer

目的:探讨原发性肝癌患者的证素分布规律。方法: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统计软件,进行描述分析和聚类分析,归纳肝癌病证的症状、舌脉等诊断信息,探析病位、病性证素的分布规律。结果:临床上原发性肝癌常见临床特征主要有4类,分别为肝、肾病位特征和湿、血瘀、阴虚病性特征组合;肝病位特征和气虚、血瘀病性特征组合;肝、脾病位特征和气滞、气虚、血瘀病性特征组合;肝、胆、脾病位特征和湿、热、气虚、水停病性特征组合。结论:肝癌病位在肝,与脾、胆、胃、肾相关;病性以气滞、血瘀为主,可兼有痰、湿、热、气虚、阴虚、血虚、阳虚、水停等病性。

Objective： To explore the distribution regularities of syndrome elements of primary liver cancer. Methods： With the method of clinical epidemiologist research, 927 clinical cases were collected, and analyzed by descriptive analysis and cluster analysis according to SPSS statistical software. We summed up the syndrome of diagnosis data, for instance, syndrome and tongue vein, explored the distribution of disease-position and disease syndrome factor. Results： There are four common clinical features of primary liver cancer, including combination of disease location of liver and kidney and disease nature of dampness,blood stasis and Yin deficiency, combination of disease location of liver and disease nature of Qi deficiency and blood stasis,combination of disease location of liver and spleen and disease nature of Qi stagnation, Qi deficiency and blood stasis, as well as combination of disease location of liver, gallbladder and spleen and disease nature of dampness, heat, Qi deficiency and fluid retention stagnating in the interior. Conclusion： Primary liver cancer is located in liver, relates to spleen, gall, stomach and kid-ney. Its main characteristic includes stagnation of qi,blood stasis,and also turbid phlegm, noxious dampness, fire heat, deficiency of qi, deficiency of Yin, deficiency of blood, deficiency of yang, water retention etc.