肺癌恶性胸腔积液中医证型分布的相关性研究.pdf

摇1346 环球中医药2015年11月第8卷第11期摇 Global Traditional Chinese Medicine,November2015,Vol郾8,No郾11 ·论著 · 肺癌恶性胸腔积液中医证型分布的 相关性研究 霍志刚摇 马小莉摇 李建设摇 武纪生摇 魏玉芳摇 贾震宇摇 齐珊珊摇 王旭旭 揖摘要铱摇 目的摇 研究肺癌恶性胸腔积液中医证型与病理类型、性别、年龄、积液量的关系。 方 法摇 选择石家庄市中医院住院的125例明确诊断的肺癌恶性胸腔积液患者作为研究对象,收集患者 的病理类型、性别、年龄、积液量、影像资料及中医四诊等临床资料;参照文献及科室经验,将其辨证 分为4 型。 利用SPSS统计软件分析肺癌恶性胸腔积液中医分型与病理类型、性别、年龄、积液量之 间的关系。 结果摇 (1)肺癌恶性胸腔积液的不同病理类型的中医证型分布经卡方检验无显著性差 异(P0.05);(2)不同性别的肺癌恶性胸腔积液患者,中医证型分布经卡方检验无显著性差异 (P0.05);(3)不同年龄段的肺癌恶性胸腔积液患者的中医证型分布经卡方检验有显著性差异 (P0.05);(4)在积液量方面,中医证型分布情况经卡方检验无差异性(P0.05);(5)肺癌恶性胸 腔积液的4个证型中最常见的是脾肾阳虚证、气阴两虚证。 结论摇 肺癌恶性胸腔积液中医证型与病 理类型、性别、积液量无明显相关性;与年龄段具有一定的相关性。 这可能为中医诊治肺癌恶性胸 腔积液提供一定的参考依据,为肺癌恶性胸腔积液的中医规范化治疗打下一定基础。 揖关键词铱摇 肺癌;摇 恶性胸腔积液;摇 中医证型;摇 相关性 揖中图分类号铱摇 R734.2摇 揖文献标识码铱摇 A摇 doi:10郾3969/ j郾issn郾1674鄄1749郾2015郾11郾018 Study onthecorrelationofdistributioncharacteristicsof TCMsyndrometypesofmalignantpleural effusions of Patients with Lung cancer摇 HUOZhi鄄gang,MA Xiao鄄li,LI Jian鄄she,et al. Department of Oncology,TCM hospital of Shijiazhuang city,Shijiazhuang 050000,China Corresponding author:HUOZhi鄄gang,E鄄mail:chiredebingyu@126.com 揖Abstract铱摇 Objective摇 To study the correlation between TCM syndrome types distribution characteristics of Malignant Pleural Effusion (MPE) and pathological type, gender, age, and effusion quantity. Methods摇 125 patients of MPE caused by lung cancer that diagnosed definitely were chosen as research object,tocollectpathologicaltype,gender,age,effusionquantity ,imagedataandinformationof 4 diagnostic methodswith TCM;in the meantime,on the basis of literature and the experience of the de鄄 partment,all the patientswere divided into4 TCM syndrometypes . To analyzerelationship betweenTCM syndrome types and pathological type,gender,age,effusion quantity by means of SPSS.Results摇 There were no significant differences between pathological type andTCM syndrometyp