摘要
目的:探讨晚期肺癌辨证分型与血脂、血糖的关系。方法:纳入60例肺癌患者,按照中医辨证标准分为阴虚内热组、阴阳两虚组、气滞血瘀组、气阴两虚组和脾虚痰湿组。采用全自动生化分析仪、记录患者血糖,血脂(Tg、Chol、Ldl-C、Hdl-C、Apo A1、Apo B)等数据。结果:在血Glu方面,阴阳两虚>阴虚内热>气滞血瘀,脾虚痰湿>气阴两虚,与阴阳两虚组比较有统计学差异。结论:文献研究和本组临床研究表明,阴虚内热、阴阳两虚是临床症状比较重的肺癌辨证类型,而气阴两虚、气滞血瘀、脾虚痰湿比阴虚内热、阴阳两虚稍好;血脂、血糖的检查有利于对肺癌证型本质的认识,临床常用的可及检查就相当于中医"整体观"的一部分,有助于我们观察整个机体的状态;目前的血脂、血糖检测尚无足够敏感性去确定肺癌具体辨证分型。
[Objective] ：To research the relationship between TCM symptom-differentiation types and clinical lab tests.[Methods]：60 lung cancer patients was arranged in to 5 groups according to TCM diagnostic criterial, which are internal heat due to yin deficiency, deficiency of both yin and yang, qi stagnation and blood stasis, deficiency of both qi and yin, spleen-deficiency and phlegm-turbid stagnation. Blood routine analysis instrument, automatic biochemical analyzer and automatic blood coagulation analyzer were applied to check the blood Glu, blood lipoids （ including Tg, Chol, Ldl-C, Hdi-C, ApoAl, ApoB ）. [Results] ：For blood Glu concentration, internal heat due to yin deficiency〉deficiency of both yin and yang〉qi stagnation and blood stasis〉deficiency of qi and yin〉spleen-deficiency and phlegm-turbid stagnation （P〈0.05）. Statistical differences are occurred by comparing with goup of internal heat due to yin deficiency. [Conclusion] ： 1. Both literature review and our research showed ： Deficiency of both yin and yang and internal heat due to yin deficiency are two types of TCM Symptom-Differentiation Types of lung cancer that have more serious clinical signs. 2. Blood lipids and blood glucose tests are benefit to recognize the essence of TCM Symp- tom-Differentiation Types lung cancer. Most lab tests available could be equivalent to ＂holistic view＂ in TCM, and applied to reflect individual status. 3. Blood lipids and blood glucose tests are not available to sensitive enough to correspond with TCM Symptom-Differentiation Types of lung cancer.
出处
《中医药临床杂志》
2016年第6期799-802,共4页
Clinical Journal of Traditional Chinese Medicine
关键词
肺癌
辨证分型
血脂
血糖
Lung cancer
TCM Symptom-Differentiation Types
Blood lipids
blood glucose
