Study On The TCM Syndrome Type Associated With Objective Indicators Of Primary Hepatic Carcinoma

Purpose:This study was designed to collect physical and chemical indicators of primary liver cancer patients and conduct systematic analysis, To understand its inherent relationship between the TCM, the difference of primary liver cancer difference between TCM Hou, Then revealed the real certificate and the relevant laws and objective indicators, Classification of primary liver cancer to introduce objective criteria, advantages and features of a traditional Chinese medicine treatment of primary liver cancer and provide a reliable scientific basis.Method:Methods A retrospective survey of Hubei Traditional Chinese Medicine Hospital from October 2009 to January 2011 during the treated patients with primary liver cancer, Inclusion criteria and exclusion criteria by screening of qualified patients in 78 cases, Collected detailed clinical information, Including medical history, symptoms, signs, Chinese type, laboratory data, etc. Establish a database, SPSS16.0 software using statistical analysis, The use of descriptive analysis, Class rank sum test was used to compare data; measurement data using analysis of variance, the variance by rank test were missing, two-sided test, a=0.05。 Result:Collected in this study of 78 cases of primary liver cancer patients, spleen deficiency with dampness retention with 18 cases, accounting for 23.0%; qi stagntion and blood stasis 26 cases,33.3%, heat poly drug type together 18 cases of drug type, accounting for 23.0%; liver-kidney in 16 cases, accounting for 20.7%. In patients with primary liver cancer in the liver function, AST level of the value of the order of liver-kidney> heat poly drug type> Qi stagnation type> spleen deficiency with dampness retention; ALT value of the order of the level of heat poly drug type> liver-kidney> qi stagntion and blood stasis> spleen deficiency with dampness retention type; ALB value of the order of liver-kidney> heat poly drug type> Qi stagnation type> spleen deficiency with dampness retention type; TBIL value of the order of liver-kidney> heat poly drug type> spleen deficiency with dampness retention type> Qi stagnation type; In the liver function indicators, each pairwise comparison between the syndrome, Qi stagnation comparison with type spleen deficiency with dampness retention, ALT, AST, ALB, TBIL was no significant difference (P> 0.05); spleen deficiency with dampness retention and heat poly drug type, ALB was no significant difference (P> 0.05), And AST, ALT, TBIL differences were statistically significant (P<0.05); heat poly drug type and Qi stagnation type comparison drug type, ALB was no significant difference (P> 0.05), while AST, ALT, TBIL differences were statistically significant (P<0.05); the liver-kidney Index (AST, ALT, ALB, TBIL) compared with the other three types were statistically significant differences (P<0.05). In the liver child-pugh classification, liver-kidney compared with the other 3, the difference was statistically significant (P<0.05). Spleen deficiency with dampness retention to the liver-kidney type of child A level decreased the proportion of patients, while the child B-C level gradually increased the proportion of patients, Spleen deficiency with dampness prompted to type is better in patients with hepatic functional reserve, and liver-kidney is the worst. By combining the performance of various types of imaging can be seen in the clinical stage I trapped on Spleen deficiency with dampness, the liver function reserve of adequate, is a relatively early changes. II type of qi stagntion and blood stasis, heat poly drug type, can be expressed as drug type; III of the major liver-kidney syndrome, the tumor volume increased more significantly, poor liver function reserve, is a late stage liver cancerConclusion:Spleen deficiency with dampness, qi stagntion and blood stasis, heat poly drug type, liver-kidney syndrome of four is the development of primary liver cancer at different stages of the process of the embodiment of their cards, Its various stages of the development process or are overlapping, but different physical and chemical indicators of syndromes associated with differences in the various certificates reflects the stages of body status in patients.