| 胸科手术患者围手术期中医辨证规律研究 |
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| 引用本文： | 傅晓青,杨勇,董礼文,程根苗,王军.胸科手术患者围手术期中医辨证规律研究[J].浙江中西医结合杂志,2011,21(5):300-301. |
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| 作者姓名： | 傅晓青 杨勇 董礼文 程根苗 王军 |
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| 作者单位： | 杭州市中医院,杭州,310007 |
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| 摘 要： | 目的：探讨胸科手术患者围手术期的中医辨证规律。方法：建立胸科疾病围手术期中医辨证标准,对150例胸科手术患者分别于术前及术后第3天进行中医辨证分型。结果：胸科手术患者术前痰证占45.3%,其次为血瘀证（17.3%）和气滞证（16.0%）。术后虚证增多明显。气虚、阴虚、血虚证共51例,占34.0%。兼夹证术前、术后分别为37.5%和42.0%。手术前无证候者术后也大多无证候。结论：胸科患者术前多属实证,证型以痰证为多见;术后属本虚标实,以气虚痰瘀、脾虚痰湿最为多见。痰浊为主要致病之邪,手术前后化痰可作为围手术期治疗的重要治则之一。
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| 关 键 词： | 胸科手术 围手术期 中医辨证 |
Perioperative Traditional Chinese Medicine Syndrome Differentiation and Tongue and Pulse Examination in Patients under Thoracic Surgery |
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| FU Xiaoqing,YANG Yong,DONG Liwen,et al..Perioperative Traditional Chinese Medicine Syndrome Differentiation and Tongue and Pulse Examination in Patients under Thoracic Surgery[J].Zhejiang Journal of Integrated Traditional Chinese and Western Medicine,2011,21(5):300-301. |
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| Authors: | FU Xiaoqing YANG Yong DONG Liwen |
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| Institution: | FU Xiaoqing,YANG Yong,DONG Liwen,et al.Hangzhou Hospital of Traditional Chinese Medicine,Hangzhou(310007),China |
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| Abstract: | Objective: To study perioperative Traditional Chinese Medicine(TCM) syndrome differentiation rules in patients under thoracic surgery.Methods: According to the standards of Syndrome-differentiated Diagnosis of TCM,150 patients were classified before and 3 days after operation.Results:Before operation,the phlegm syndrome(45.3%),blood stasis(17.3%) and qi stagnation syndrome(16%)type were the most seen 3 types.Deficiency syndrome significantly increased after surgery.Qi deficiency,yin deficiency,blood deficie... |
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| Keywords: | thoracic surgery perioperation TCM syndrome differentiation |
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