癌症相关性疲乏（CRF）患者疲劳的特征与中医辨证（TCM）的临床研究.pdfVIP

现代肿瘤医学 2010年 12月 第 18卷第 12— · 2473 · 综 合 治 疗 ．．． 癌症相关性疲乏(CRF)患者疲劳的特征与中医辨证 (TCM)的临床研究 吉兆奕 一，徐咏梅 ，王笑民 ClinicalinvestigationonfatiguecharacteristicsandsyndromedifferentiationofTCM inpa— tientswithCRF jiZhao—yi一．XUYong—mei，WANG Xiao—min Guang~nmenHospital，ChinaAcademyofChineseMedicalSciences，Beijing100053，China；BejiingTraditionalChineseMedicineHos pitalAffiliatedtoCapitalMedicalUniversity，Beijing100010，China． 【Abstract】 0bjective：ToinvestigatethesymptomofTCM inpatientswithCRFbyusingtheassessmenttables． M ethods：UsingMDASI—TCM andFSAStoconductasurveyonpatientswithCRFandhealthypeople．Onthebasis of((TCMSyndromeClinicalStudyGuidingprinciples，weelementaryformulatethediagnosticcriterionofthesyn- dromedifferentiationonCRF．inordertosummarizethetypesofsyndromedifferentiationofTCM．Statisticalanalyses wereperformedwith，SPSSandExcelsoftware．Results：PatientswithCRFsuffervaryingdegreesofsymptoms，such assleepy，disturbedsleeping，forgetfulness，dysphoria，pain，sweating，drymouth，anorexia，shortnessofbreath， numbness，palpitationandsoon．ThescoresofphysicalfatigueofhealthypeopleandpatientswithCRFwere16．92 ±14．76nlld51．38±28．13(P0．05)，theconsequencesoffatigue16．92±14．76and39．00±25．64(P0．05)． Thesituationofsyndromedifferentiationiscomplicatedwhenthere?etwoorthereconcurrentsyndromes．According tothe frequency，theproportion ofsyndrome ofqideficiency，deficiency ofspleenqianddeficiencyoflungqi was43．43％ ，syndromeofblooddeficiencyanddeficiencyofkidneyyinwas36．36％ ，syndromeofdeficiencyof kidneyyangwas8．08％，syndromeofdampness—heatstagnatinginspleenandcold—dampnessdisturbingspleen was12．12％ ．Conclusion：Contrastinhealthypeople，thetypeoffatigueinpatientswithCRF ismainlythephysical fatigue，which ismoreserious，usuallycantberelievedbysleeporrest．It§commontoseetwoorthereconcurrent syndromes