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The Research Of Female Breast Cancer Patient With Depression With The Traditional Chinese Medicine

Posted on:2009-03-23Degree:MasterType:Thesis
Country:ChinaCandidate:C LuFull Text:PDF
GTID:2144360245950122Subject:Traditional Chinese Medicine
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Objective: With retrospective study , We inquired into occurrence rate , order of severity and possible influencing factor of female breast cancer patient with depression to find that depressed target crowd who should be treated and to find interfere method. adopting prospective,oneself collation studies to investigate and discuss the objective curative effect of patient with breast cancer depression with GanQiYuJie , who is treated with the method of ShuGanJieYu , and providing the clinical basis of standard therapeutic schedule.Method: The primo is adopt to retrospective study, correct 72 casees females breast cancer patient, the enrollment collects a data with the depressed sort situation from judging scale Zung , depressed Hanmierdun scale (HAMD), and in connection with the cancer patient disease and society information , inquire into former the queen who the purpose investigating whether is explained to every place by the investigator , being gone on a punitive expedition to such that telling the fact that self judges the method composing in reply an interview, method explaining filling in appraising scale to the person detailedly, Being accomplished depressed appraising from judging scale Zung on one's own by the person and then , judged have depression or not and possible influencing factor. Have the depression patient, judge degree with depressed Hanmierdun scale (HAMD)58 example females breast cancer depression patient who secondly, will meet be chosen as requirements, mark the example being to study a group and to contrast a group , studying 30 examples , collation form 28 set; adopt traditional Chinese medicine of the method of ShuGanJieYu in Chaihushugan san set by open prospectivity,oneself collation studies: use depressed depressed scale (HAMD) appraises again from judging scale Zung and Hanmierdun , knows the condition curing front and back depression change, to estimate that the method of ShuGanJieYu curative effect to the depression curing the female breast cancer depression patient. Contrast a group: Give clinical observation onlyResult: 72 cases observing clinical breast cancer case in total originally , accord with depression diagnosing standard 58 cases in total, depression 80.6% happened (58/72). most of them are still light-moderate ,who are the more proper crowd of traditional Chinese medicine cures.In this group , morbidity of breast cancer patient combines the depression height amounting to 80.6%, state pointing out it is common that breast cancer patient exist depression. In 58 cases depression patients, disregarding being that Zung grades still , finclause TNM divides into different period to be to expect a patient IV comparing with scheduled patient I- III, existence feels anxious more obviously depressed , have statistics difference two set comparatively (p = 0.05). 26 examples IV scheduled patients SAS grade is 47.55 +5.61 and 51.25 + 6.05 mark, recrudescing to change time interval SAS grading is higher than diagnosed to be breast cancer time interval , the statistics difference.The study finds: with the treatment of traditional Chinese medicine , studing group contrasts process oneself, come down before the depression curing the day afer tomorrow's grading , depression degree and doctor of traditional Chinese medicine symptom accumulate points treating comparatively, having statistics difference first , second. The most obvious symptom of this group breast cancer depression patient is sleep-disorder but great majority patients join not to have had conscientiously depressed, sleep-disorder is awake with the morning , sleep maintains an obstacle give first place to; The secondary, accepts difference , full and "hard to explain" gastral cavity abdomen ruffian pain is also a common sign of patient. Study display , being curing the patient who benefits, whose symptom improves the improvement originating from the body symptom first, especially the improvement that sleep and the stomach accept, Be really subsequently spirit symptom improvement.More than 60% breast cancer depression patient insight to depression is low originally , deny that self has depression , lead to after studying the agreement being in progress knowing the facts originally, fluoxetine treats only when 2 example patients agree to accept a fluorine.Conclusion: Breast cancer patient depression occurrence rate overtops contrast crowd , being brought about the body by patient and psychological healthy damage obviously. Degree is depressed but in being most still light- moderate , is that the doctor of traditional Chinese medicine cures more proper crowd. Breast cancer depression occurrence and degree and various factor are relevant, especially dividing into different period with the tumour. That relapse metastasis patient depression degree is more grave, is the priority crowd who treats. traditional Chinese medicine of the method of ShuGanJieYu in Chaihushugan in resisting depressed the body curing a pair lightening a patient and mentality has the objective curative effect , the doctor of traditional Chinese medicine is curedhaving broad prospects , is worth studying further.
Keywords/Search Tags:Breast cancer, depression, the traditional Chinese medicine
PDF Full Text Request
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