乳腺癌住院患者死亡时间分析

目的:探索乳腺癌住院患者死亡时间的规律。方法:采集江苏省中医院2008~2010年乳腺癌住院死亡病人43例的临床资料,核对死亡时间并将其转换,得到各时辰的死亡频数,运用圆分布资料的参数估计和假设检验、Cochran’s Q检验,探索其中的规律。结果:(1)全部患者死亡时间有集中在"申"时的趋势(P0.05)。(2)全部患者"酉"时的死亡频数相对最高(P0.05)。(3)"阳明欲解时"死亡频数相对最高,"少阳、太阴、少阴欲解时"死亡频数相对较低(P0.05)。结论:(1)43例乳腺癌患者的死亡时间存在日节律。(2)乳腺癌终末期与《伤寒论》中的"阳明病"存在一定的联系。

Analysis on Death Time of Resident Patients wi th Mammary Cancer

Objective：To explore the rule of death time of resident patients with mammary cancer .Meth-ods：The death time of 43 resident patients with mammary cancer who died in Jiangsu province traditional Chi -nese medicine hospital during 2008-2010 was collected and turn into 12 two-hour periods which was tradition-ally divided and given the name of one of the 12 Earthly Branches , then frequence of each two -hour period was calculated.The rules were summarized by parameter estimation and hypothesis test in circular distribution infor -mation and Cochran＇ Q test.Results：（1）The death time of 43patients was concentrated in “shen” （P〈0. 05）.（2）The death frequence in “You” period was maximum （P〈0.05）.（3）The death frequence in “Yang-ming Yujieshi” was relative maximum, while “Taiyang” “Taiyin” “Shaoyin” were relative minimum （ P〈0. 05）.Conclusion：（1）Daily rhythm exists in the death time of resident patients with mammary cancer .（2）Re-lationship between final stage mammary cancer and “Yangming disease” exists in some extent .