世界中医药

目的：研究乳腺癌患者中医体质特征与症候规律的相关性。方法：以尚未经过手术治疗的乳腺癌患者为实验组，以正常女性为对照组，各504例。按照《中医体质分类与判别表》将其分为平和质、气虚质、阳虚质、阴虚质、痰湿质、湿热质、血瘀质、气郁质和特禀质9种体质，并参照《中医证侯规范》和《中医病症诊断疗效标准》将乳腺癌患者分为气虚型、阴虚型、血虚型、冲任失调型和肝气郁结型5种症候，采用SPSS 16.0统计软件对患者中医体质分布和症候规律间的相关性进行研究。结果：通过逐步回归分析法对乳腺癌患者进行体质-中医症型分布情况的统计分析后，发现在平和质、阴虚质、湿热质、气郁质和特禀质的基础上，患者的症型构成比上差异有统计学意义（P<0.05）；对乳腺癌患者进行中医症型-体质分布情况的统计分析后，发现在气虚型、阴虚型、血虚型、冲任失调型和肝气郁结型5种症型基础上，患者的体质构成比上差异有统计学意义（P<0.05）。结论：乳腺癌患者的中医体质特征与证候规律间具有一定的相关性，这为乳腺癌发的“治未病”预防和早期治疗提供了新的思路和途径，具有深远意义。

English Summary:

To study the correlation between TCM constitution characteristics and syndrome pattern regularity of breast cancer patients.Methods:Five hundred and four breast cancer patients who had no surgical treatment before were included into experimental group and 505 normal females were taken into the control group. In accordance with “the table of Chinese medicine constitution classification and discrimination”, these women were classified into 9 kinds of constitution: gentle temperament, qi deficiency, yang deficiency, yin deficiency, phlegm wet mass, damp and hot, blood stasis, qi depression and the great mass. And with reference to the “guidelines for TCM syndrome” and “standard of disease diagnosis curative effect of traditional Chinese medicine”， breast cancer patients were divided into 5 symptoms of qi deficiency, yin deficiency, blood deficiency, thoroughfare-controlling disharmony and stagnation of liver qi, The SPSS 16.0 statistical software was used to study the correlation between patients’ physical distribution and the rule of the symptoms of TCM.Results:Through the stepwise regression analysis of the patients’ constitution and TCM syndrome, it showed that on the basis of qualitative and qualitative animate, in the constitution types of gentle temperament, yin deficiency, hot and humid, qi depression and the great mass, the constituent ratio of the symptoms of the patients had significant difference (P<0.05); through the statistical analysis of the patients’ TMC syndrome and constitution, it showed on the base of five kinds of syndromes of qi deficiency, Yin deficiency, blood deficiency, thoroughfare-controlling disharmony and stagnation of liver qi, the constituent ratio of physical fitness had significant differences（P<0.05）.Conclusion:There is certain correlation between syndromes of TCM constitution characteristics and syndrome of patients with breast cancer, this provides a new approach for breast cancer "preventive treatment of disease" and early treatment which has a far-reaching significance.

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