[1]孔咏霞.乳腺癌中医证型与证候要素分布规律文献研究[J].西部中医药,2018,31(03):68-71.
　KONG Yongxia.Literature Research on Distribution Laws of Syndrome Elements and TCM Patterns of Breast Cancer[J].Western Journal of Traditional Chinese Medicine,2018,31(03):68-71.
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乳腺癌中医证型与证候要素分布规律文献研究()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年03期
页码:
68-71
栏目:
出版日期:
2018-03-15

文章信息/Info

Title:
Literature Research on Distribution Laws of Syndrome Elements and TCM Patterns of Breast Cancer
文章编号:
1004-6852(2018)03-0068-04
作者:
孔咏霞
宝鸡职业技术学院，陕西 宝鸡 721013
Author(s):
KONG Yongxia
Baoji Vocational & Technical College, Baoji 721013, China
关键词:
乳腺癌; 中医证候; 证候要素; 文献研究
Keywords:
breast cancer;  TCM syndromes;  syndrome elements;  literature research
分类号:
R737
摘要:
目的：探讨乳腺癌中医证型和证候要素的分布规律，为制定乳腺癌的辨证分型标准和临床治疗提供依据。方法：对近20年有关乳腺癌的文献进行检索并建立数据库，对证型及证候要素进行频次分析。结果：乳腺癌术前证型文献分布频率前3位的是：冲任失调证、肝郁痰凝证、肝郁气滞证；病例数频率前3位的是：肝郁痰凝证、冲任失调证、肝郁气滞证。术后证型文献分布频率前3位的是：气虚证、阴虚证、肝郁气滞证；病例数前3位的是：有病无证、脾肾两虚证、气虚证。乳腺癌病位类证候要素5个，术前主要为肝，术后为肾；病性类证候要素10个，术前居前3位的为气滞、痰、血瘀，术后为气虚、血瘀、阴虚。结论：该结果初步反映了乳腺癌患者术前、术后中医证型及证候要素的分布规律，为乳腺癌的证候规范化及临床治疗提供重要依据。
Abstract:
Objective: To provide the reference for establishing the standard of syndrome differentiation and patterns and clinical treatment of breast cancer by discussing TCM patterns of breast cancer and distribution laws of syndrome elements. Methods: The literature of breast cancer in recent 20 years was searched to establish the database, the frequency analysis of the patterns and syndrome elements were performed. Results: Preoperative syndromes at the top three high frequency in the literature were disharmony of the thoroughfare and controlling vessels, liver stagnation and phlegm coagulation, liver stagnation and Qi depression; the patterns of first three high frequency in the case load were liver stagnation and phlegm coagulation, disharmony of the thoroughfare and controlling vessels and liver stagnation and Qi depression; The postoperative syndromes in the top three distribution frequency in the literature were Qi deficiency, Yin deficiency, liver stagnation and Qi depression; the top three case load were: the disease without the patterns, dual deficiency of spleen and kidney, Qi deficiency. There were five disease types syndrome elements, they were liver before the surgery and kidney after the surgery; ten disease nature types syndrome elements, the first three elements were Qi stagnation, phlegm and blood stasis before the surgery, Qi deficiency, blood stasis and Yin deficieny after the operation. Conclusion: The results have reflected preoperative and postoperative patterns of breast cancer and distribution laws of syndrome elements, which could provide the important evidence for clinical treatment and syndrome standardization of breast cancer.

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备注/Memo

备注/Memo:
收稿日期：2017-01-17 作者简介：孔咏霞(1975—)，女，硕士学位，讲师。研究方向：医学课程教学及妇科临床。
更新日期/Last Update: 2018-03-15