基于文献的2068例甲状腺癌患者中医证型研究

Based on the Literature of 2068 Cases of Thyroid Cancer in Patients with Syndrome of Traditional Chinese Medicine Research

目的:对近20年来甲状腺癌患者辨证分型的相关文献进行整理,总结甲状腺癌的证型分布特点。方法:通过中国学术期刊数据库等收集近20年已发表的与甲状腺癌中医辨证分型相关的临床研究文献,并对其进行整理分析。结果:甲状腺癌的患者中实证居多,甲状腺癌术后的患者中虚证居多;对应的病机,甲状腺癌患者以血瘀、痰最为多见,甲状腺癌术后的患者以气虚、阴虚最为多见;甲状腺癌中出现频率最高的证型为痰瘀互结证,甲状腺癌术后出现频率最高的证型为气阴两虚证。结论:甲状腺癌患者以实证为主,病因以血瘀、痰最为多见,证型多为痰瘀互结证、肝郁气滞证、痰结血瘀证;甲状腺癌术后患者以虚证为主,病因以气虚、阴虚最为多见,证型多为气阴两虚证、肝郁气滞证、痰瘀互结证。

Objective:To summarizes the distribution characteristics of thyroid cancer syndromes by sorting out the literatures related to the differentiation of syndromes of thyroid cancer patients in the past 20 years.Methods:The Clinical research literature related to TCM syndrome differentiation and classification of thyroid cancer published from China National Knowledge Infrastructure in the past 20 years was collected and analyzed.Results:The majority of patients with thyroid cancer were positive,and the majority of patients with thyroid cancer after surgery were deficient.For the corresponding pathogenesis,blood stasis and phlegm were the most common in patients with thyroid cancer,and qi deficiency and yin deficiency were the most common in patients with thyroid cancer after surgery.The syndromes with the highest frequency in thyroid cancer were phlegm-stasis syndrome,and the syndromes with the highest frequency after thyroid cancer were qi and yin deficiency syndrome.Conclusion:The patients with thyroid cancer were mainly excess syndrome.The most common etiology was blood stasis and phlegm.The syndrome types were mainly phlegm and blood stasis,liver stagnation and phlegm and blood stasis.Patients with thyroid cancer after the operation mainly suffer from deficiency syndrome,the most common causes of which are deficiency of qi and deficiency of yin.The syndrome type is mostly qi and yin deficiency syndrome,liver stagnation syndrome,phlegm and blood stasis syndrome.