结直肠癌术后无病与术后转移证候特点及演变规律系统评价

主要目的]分析结直肠癌术后无病与术后转移证候特点及演变规律,为临床治疗提供依据。资料来源]2009年3月至2011年5月辽宁中医药大学附属医院住院结直肠癌术后患者。选择文献量及依据]第一诊断为结直肠癌,术后患者,病理诊断明确;中医四诊资料全面;同一患者多次入院证候发生明显变化时,重复纳入,共116例住院结直肠癌术后患者原始病历。数据提炼规则及应用方法]对四诊资料(乏力,纳差,腹痛,腹胀,大便干,便溏,消瘦,恶心,呕吐,失眠,口干苦,咳嗽,肝区不适,尿频,尿少,舌质暗,舌红,苔腻,苔白,苔黄,少苔,脉沉,脉细,脉弦,脉滑等)量化,有记为1,无记为0。用Microsoft Excel软件建立数据库统计,以证候出现频次排列,按术后是否发生转移分析。数据综合得出结果与结论]结直肠癌术后术后无病与术后转移多有乏力、纳差、苔白、脉沉、腹胀等肝郁脾虚,术后无病脾虚为主,术后转移肝郁突出,并多有咳嗽。结直肠癌术后术后无病治宜健脾益气兼疏肝、调节情志等;术后转移治宜重在疏肝解郁、健脾益气、宣肺止咳等。

Postoperative Colorectal Cancer Patients of TCM Research and Analysis Features and Evolution

Objective]Observation of the symptoms of colorectal surgery patients.Method]After clinical investigation in patients with colorectal cancer,as clinical variables,establish a database,using Microsoft Excel to analyse postoperative frequence of four diagnostic data,postoperative without metastasis survival and transferred to cluster after surgery.Results]Postoperative patients with asthenia,anorexia,white fur,pulse Shen,abdominal distension of deficient spleen performance.Postoperative without metastasis group and postoperative metastasis group with liver stagnation and spleen deficiency syndrome as primary manifestation,Postoperative without metastasis group with symptoms of serious deficient spleen and postoperative metastasis of liver depression symptoms were significantly more in group,and often involving the failure of lung to deperse and descend of cough,shortness of breath.Conclusion]Postoperative symptoms before and after the transfer characteristics are slightly different,Postoperative without metastasis patients in the strengthening spleen,replenishing qi and soothing liver.Regulating emotions.Patients with transferred were emphasized to relieving the depressed liver,strengthening spleen and replenishing qi,opening the inhibited lung and stoping coughing.