世界中医药

作者	单位
王辉1，2，侯炜1，2，孙桂芝1，2，花宝金1，2	1 中国中医科学院广安门医院肿瘤科，北京，100053； 2 中国中医科学院肿瘤研究所，北京，100053

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中文摘要:

目的：探索晚期恶性肿瘤营养不良患者中医证候特征。方法：对2013年1月1日至2015年12月31日中国中医科学院广安门医院肿瘤科住院的经过NSR-2000工具筛查存在营养不良风险并符合中医内科虚证诊断的晚期恶性肿瘤患者的中医虚证证候分布特征进行统计分析。结果：共调查晚期恶性肿瘤患者267例，存在营养不良风险患者187例，符合中医内科虚证诊断标准161例。各病种虚证证候分布特征各有特点。总体晚期恶性肿瘤营养风险患者出现气虚证、脾虚证较多。结论：初步研究提示，晚期恶性肿瘤营养风险患者出现虚证比例较高，各病种虚证分布特点不一，以气虚证和脾虚证为多见，为临床诊疗提供了一定的参考依据。同时也为进一步肿瘤营养风险中医药干预研究奠定了一定基础。

English Summary:

To explore the characteristic of Chinese medicine syndromes in advanced malignant tumor patients with malnutrition. Methods:Carry on the statistical analysis of the characters distribution of traditional Chinese medicine syndromes which exist in patients screened with the NSR-2000 tools who had malnutrition risk and also complied with the deficiency syndrome diagnostic standard in traditional Chinese medicine. Results:Totally 267 investigated cases of advanced malignant tumor patients, among which 187 cases were malnutrition risk patients and 161 cases were in according with the deficiency syndrome diagnostic standard. The traditional Chinese medicine syndromes distribution characters was different in various kinds of malignant diseases. Overall,in this study, more advanced malignant tumor patients with nutrition risk manifested qi deficiency and spleen deficiency syndrome. Conclusion:This study preliminary suggested that a higher proportion of advanced malignant tumor patients with malnutrition risk came out with deficiency syndrome. The syndrome distribution of different kinds of diseases was various and qi and spleen deficiency were more common. This conclusion provided certain references for clinical diagnosis and treatment in the therapy of advanced tumor patients with malnutrition. Also this study laid a foundation for further research on the intervention of malnutrition risk in advanced malignant patient by traditional Chinese medical methods.

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