CAJ | 학술논문

目的：对甲状腺癌术后患者的中医证候进行调查，明确证候分布及症状表现，为甲状腺癌的中医辨证论治提供依据。方法结合文献研究和中医理论，制定“甲状腺癌中医证候学调查表”，对183例甲状腺癌术后患者进行中医证候横断面调查。结果183例甲状腺癌术后患者中气阴两虚证63例（34．43％），肝郁气滞证48例（26．23％），痰瘀互结证45例（24．59％），脾肾阳虚证27例（14．75％）。不同年龄与不同病程的甲状腺癌患者，中医证候分型无统计学差异（P＜0．05）。结论甲状腺癌术后患者中医证型的分布规律对于临床辨证具有一定指导意义。
목적：대갑상선암술후환자적중의증후진행조사，명학증후분포급증상표현，위갑상선암적중의변증론치제공의거。방법결합문헌연구화중의이론，제정“갑상선암중의증후학조사표”，대183례갑상선암술후환자진행중의증후횡단면조사。결과183례갑상선암술후환자중기음량허증63례（34．43％），간욱기체증48례（26．23％），담어호결증45례（24．59％），비신양허증27례（14．75％）。불동년령여불동병정적갑상선암환자，중의증후분형무통계학차이（P＜0．05）。결론갑상선암술후환자중의증형적분포규률대우림상변증구유일정지도의의。
Objective To reveal the rule of TCM syndromes of postoperative patients with cancerous goi-ter and to provide clinical evidence for TCM treatment on the patients.Methods Based on the literature search and TCM standard of syndromes, Questionnaire of TCM Syndromes of Patients with Cancerous Goi-ter was established.A cross-sectional study of TCM syndromes was performed on 183 postoperative pa-tients with cancerous goiter.Results Altogether four TCM syndromes existed in 183 patients.The ratio of syndrome of deficiency of both vital qi and yin was 34 .43%( n=63 ) , that of syndrome of stagnation of liver qi was 26.23%(n=48), that of syndrome of intermingled phlegm and blood stasis was 24.59%(n=45) and that of syndrome of yang deficiency of spleen and kidney was 14.75%(n=27).Further-more, distribution of TCM syndrome types showed no statistically differences(P<0.05) among ages and disease courses.Conclusion The rule of distribution of TCM syndromes in postoperative patients with cancerous goiter would guide the syndrome differentiation and treatment.