乳腺癌术后患者中医辨证分型试探

探讨乳腺癌术后患者的中医辨证分型规律.对108例乳腺癌术后患者进行中医症状采集,以统计分析并辨证分型.结果:出现气虚证81例(75.00%),阴虚证77例(71.30)%,血虚证25例(23.15%),冲任失调证57例(52.78%),肝气郁结证37例(34.26%),肝肾阴虚证22例(20.37%);气虚证、阴虚证相兼60例(55.56%),气虚证、阴虚证、冲任失调证三证相兼34例(31.48%).年龄、病程、雌孕激素受体表达、腋下淋巴结转移、服用三苯氧胺等均对辨证分型无影响.结论:乳腺癌术后患者的临床辨证分型错综复杂,以气虚证及阴虚证或二证相兼为最常见;其次为冲任失调证或三证相兼.

Primary Discussion of Syndrome Differentiation of Postoperative Patient with Breast Cancer

To research the syndome syndrome differentiation of postoperative patient with breast cancer. Method:We collected Chinese symptom of 108 postoperative patients with breast cancer and analyzed them the rule of syndrome-classification with syndrome differentiation by statistics. Result; Among 108 patients, all kinds of syndrome always appear at the same time, thereinto deficiency of vital energy has 81 cases(75. 00% ) ; yin-deficiency has 77 cases (71. 30% ) ; blood-deficiency has 25 cases (23. 15% ) ; disorder between TV and CV has 57 cases (52. 78%) ; stagnation of liver-energy has 37 cases (34,26%) ; deficiency of liver-yin and kidney-yin has 22 cases (20.37%). Deficiency of vital energy by yin-deficiency has 60 cases (55. 56% ) ; deficiency of vital energy and yin by disorder between TV and CV has 34 cases (31.48% ). There is no effect of the syndrome-classification with syndrome differentiation on age, course of diseases, expression of ER and TR, metastasis of ALN, circs of taking TAM. Conclusion: The chnical syndrome-classification with syndrome differentiation of postoperative patient with breast cancer is very anfractuous. The most common syndrome was deficiency of vital energy and yin-deficiency, second was disorder between TV and CV, and concurrence above three symptoms.