183例甲状腺癌术后患者中医证候临床调查

Distribution of TCM syndromes of 183 postoperative patients with cancerous goiter

目的对甲状腺癌术后患者的中医证候进行调查,明确证候分布及症状表现,为甲状腺癌的中医辨证论治提供依据。方法结合文献研究和中医理论,制定"甲状腺癌中医证候学调查表",对183例甲状腺癌术后患者进行中医证候横断面调查。结果 183例甲状腺癌术后患者中气阴两虚证63例(34.43%),肝郁气滞证48例(26.23%),痰瘀互结证45例(24.59%),脾肾阳虚证27例(14.75%)。不同年龄与不同病程的甲状腺癌患者,中医证候分型无统计学差异(P<0.05)。结论甲状腺癌术后患者中医证型的分布规律对于临床辨证具有一定指导意义。

Objective To reveal the rule of TCM syndromes of postoperative patients with cancerous goi-ter and to provide clinical evidence for TCM treatment on the patients.Methods Based on the literature search and TCM standard of syndromes, Questionnaire of TCM Syndromes of Patients with Cancerous Goi-ter was established.A cross-sectional study of TCM syndromes was performed on 183 postoperative pa-tients with cancerous goiter.Results Altogether four TCM syndromes existed in 183 patients.The ratio of syndrome of deficiency of both vital qi and yin was 34 .43%（ n=63 ） , that of syndrome of stagnation of liver qi was 26.23%（n=48）, that of syndrome of intermingled phlegm and blood stasis was 24.59%（n=45） and that of syndrome of yang deficiency of spleen and kidney was 14.75%（n=27）.Further-more, distribution of TCM syndrome types showed no statistically differences（P〈0.05） among ages and disease courses.Conclusion The rule of distribution of TCM syndromes in postoperative patients with cancerous goiter would guide the syndrome differentiation and treatment.