山西中医学院学报
山西中醫學院學報
산서중의학원학보
JOURNAL OF SHANXI COLLEGE OF TRADITIONAL CHINESE MEDICINE
2014年
3期
7-8,56
,共3页
胃癌%术后%证素分布及组合规律%文献分析
胃癌%術後%證素分佈及組閤規律%文獻分析
위암%술후%증소분포급조합규률%문헌분석
gastric cancer%postoperative%distribution and combination rules of TCM syndrome elements%literature analysis
目的：基于近15年文献报道探讨胃癌术后中医证素分布与组合规律。方法：通过计算机检索CNKI、万方数据库和维普数据库，对近15年胃癌术后文献进行筛选整理，对其证素的分布和组合规律进行分析。结果：13个证素中，气虚频率最高（36.01%），其次为血虚（9.44%）、阳虚（8.74%）、气滞（7.69%）、阴虚（7.69%）等；作用靶点主要位于胃（37.18%），其次为脾（35.38%）、肝（9.03%）等。单一病性证素构成的证候有血虚证、阳虚证、阴虚证、气滞证、血瘀证等，累积频率8.24%。两病性证素的组合主要有气虚＋血虚、阴虚＋血虚、血虚＋血瘀、气滞＋血瘀、湿＋热等，累积频率4.39%。单一病性证素与单一靶点组合，靶点以胃、肾为主，病性证素有气虚、气滞、阳虚、阴虚，表现为肾气虚、胃气滞、胃阳虚、胃阴虚，累积频率为83.52%。三证素构成的证候主要为两病性证素+单一作用靶点构成，组合有脾阳气虚证、胃气阴两虚证，累积频率为3.85%。结论：胃癌术后患者以气虚、血虚、阴虚、阳虚等为本，气滞、血瘀、湿热等为标。
目的：基于近15年文獻報道探討胃癌術後中醫證素分佈與組閤規律。方法：通過計算機檢索CNKI、萬方數據庫和維普數據庫，對近15年胃癌術後文獻進行篩選整理，對其證素的分佈和組閤規律進行分析。結果：13箇證素中，氣虛頻率最高（36.01%），其次為血虛（9.44%）、暘虛（8.74%）、氣滯（7.69%）、陰虛（7.69%）等；作用靶點主要位于胃（37.18%），其次為脾（35.38%）、肝（9.03%）等。單一病性證素構成的證候有血虛證、暘虛證、陰虛證、氣滯證、血瘀證等，纍積頻率8.24%。兩病性證素的組閤主要有氣虛＋血虛、陰虛＋血虛、血虛＋血瘀、氣滯＋血瘀、濕＋熱等，纍積頻率4.39%。單一病性證素與單一靶點組閤，靶點以胃、腎為主，病性證素有氣虛、氣滯、暘虛、陰虛，錶現為腎氣虛、胃氣滯、胃暘虛、胃陰虛，纍積頻率為83.52%。三證素構成的證候主要為兩病性證素+單一作用靶點構成，組閤有脾暘氣虛證、胃氣陰兩虛證，纍積頻率為3.85%。結論：胃癌術後患者以氣虛、血虛、陰虛、暘虛等為本，氣滯、血瘀、濕熱等為標。
목적：기우근15년문헌보도탐토위암술후중의증소분포여조합규률。방법：통과계산궤검색CNKI、만방수거고화유보수거고，대근15년위암술후문헌진행사선정리，대기증소적분포화조합규률진행분석。결과：13개증소중，기허빈솔최고（36.01%），기차위혈허（9.44%）、양허（8.74%）、기체（7.69%）、음허（7.69%）등；작용파점주요위우위（37.18%），기차위비（35.38%）、간（9.03%）등。단일병성증소구성적증후유혈허증、양허증、음허증、기체증、혈어증등，루적빈솔8.24%。량병성증소적조합주요유기허＋혈허、음허＋혈허、혈허＋혈어、기체＋혈어、습＋열등，루적빈솔4.39%。단일병성증소여단일파점조합，파점이위、신위주，병성증소유기허、기체、양허、음허，표현위신기허、위기체、위양허、위음허，루적빈솔위83.52%。삼증소구성적증후주요위량병성증소+단일작용파점구성，조합유비양기허증、위기음량허증，루적빈솔위3.85%。결론：위암술후환자이기허、혈허、음허、양허등위본，기체、혈어、습열등위표。
Objective:To study distribution and combination rules of TCM syndrome elements of postoperative gastric can-cer based on recent 15 years literatures. Method:Literatures about postoperative gastric cancer in CNKI,Wanfang and VIP databases in recent 15 years were searched and screened by computer,then distribution and combination rules of syndrome elements were analyzed. Results:The highest frequency in 13 syndrome elements was qi deficiency (36.01%),followed by blood deficiency(9.44%),yang deficiency(8.74%),qi stagnation(7.69%)and yin deficiency(7.69%). The target was mainly located in the stomach(37.18%),followed by the spleen(35.38%),liver(9.03%). Combination of two syndrome elements concluded qi deficiency and blood deficiency,yin deficiency and blood deficiency,blood deficiency and blood stasis,qi stagnation and blood stasis,wet and heat,etc. Combination of single syndrome element and single target concluded qi defi-ciency of kidney,qi stagnation of stomach,yang deficiency of stomach and yin deficiency of stomach. Combination of two syndrome elements and single target concluded yang deficiency and qi deficiency of spleen,qi deficiency and yin deficien-cy of stomach. Conclusion:About pathogenesis of postoperative gastric cancer,qi deficiency,blood deficiency,yin defi-ciency and yang deficiency were origin,while qi stagnation,blood stasis,wet and heat are branches.
