沈舒文教授治疗30例食管癌的个体化辨证论治经验研究与疗效分析汇总.pdf

中文摘要 目的：沈舒文教授经过长期的临床实践工作，总结了丰富的食管癌防治经验。本 研究通过对沈舒文教授中医治疗30 例食管癌患者的回顾性资料研究及跟踪研究，观 察中医对食管癌患者疗效及生存时间的影响，进而总结其治疗食管癌的个体化辨证论 治临床经验，为临床治疗提供依据。 方法：1.采用跟师临床待诊，收集食管癌患者临床诊治疾病时的详细资料等方法， 记录沈老师对食管癌患者的诊疗和服药过程；课余通过跟导师交谈，进一步领悟学习 其经验，定期电话随访患者服药后病情，进而总结其治疗食管癌的个体化辨证论治临 床经验。 2. 收集确诊为食管癌患者30 例，经沈舒文教授辨证论治，对不同证候类型予以相 应治疗，观察临床症状改善情况、对客观可测量肿块的治疗效果以及Kaplan-Meier 3 年生存率，进而挖掘其辨证论治及用药规律。 结果：本研究通过跟师临床侍诊，收集食管癌患者资料，记录三年来沈老师对食 管癌诊治过程，对其疗效进行评价，结果显示：沈舒文教授对食管癌辨证论治的个体 化治疗方案可有效改善患者的临床症状，提高了生存率，并对可测量肿块的治疗效果 较为理想，进而挖掘其临床辨证常见的食管癌五种证型（痰气交阻、胃失和降；毒瘀 交阻、气阴不足；胃阴不足、润降失常；痰瘀互结、气血亏虚；胃气虚弱、津枯阳微） 及对症治疗用药的基本抗癌方。为进一步在临床推广应用提供依据。 结论：沈舒文教授个体化辨证论治食管癌具有较好的临床疗效，在患者临床症状 改善方面效果显著，对可测量肿块的治疗效果较为理想，值得临床推广应用。 关键词 沈舒文 ；食管癌 ；辨证论治 ；经验研究 ；疗效分析 Professor shuwen shen treatment of 30 cases of esophageal cancer individualized diagnosis and treatment experience and efficacy analysis Abstrat Objective: Professor shuwen shen work through long-term clinical practice, summed up the rich experience in esophageal cancer prevention and control. This study through Professor shuwen shen of traditional Chinese medicine treatment of 30 patients with esophageal cancer were retrospectively study and follow-up study, observation of traditional Chinese medicine curative effect and the influence of the quality of life in patients with esophageal cancer, and individual clinical experience of treatment based on syndrome differentiation to summarize the treatment of esophageal cancer, to provide basis for clinical treatment. Methods: one:With clinical assisted diagnosis, collection in patients with esophageal cancer diagnosis and treatment of clinical diseases of detailed methods of data, record shen and medication in patients with esophageal cancer diagnosis and treatment process; Learn by talking with our teacher after school, further understand the experience, telephone follow-up of patients with me