Based On The Pathological Types And Stages Of Gastric Cancer, The Dynamic Evolution Of The Distribution Of TCM Syndromes Before And After Surgery Was Explored

ObjectiveExploring the distribution and evolution of traditional Chinese medicine(TCM)syndrome before and after operation for gastric cancer,and its correlation with pathological types and pathological stages to provide theoretical basis for the treatment of gastric cancer before and after operation.MethodsUsing a prospective research method,this study observed and collected the TCM syndrome information of gastric cancer before and after operation,established a database,calculated the frequency and composition ratio,and summarized the common TCM syndromes before and after the operation of gastric cancer.The changes of TCM syndromes with statistical difference and clinical significance were analyzed by Chi-square test.The evolution law of TCM syndromes before and after operation of gastric cancer and the correlation with pathological types and stages were summarized.Results1.The incidence of gastric cancer in males is significantly higher than that in females,and most of them occur in the middle-aged over-50-year-olds.2.There was no statistical difference in the composition ratio of TCM syndromes between men and women,and the distribution of syndromes in different age groups(P>0.05).3.Symptoms:Before the operation,abdominal distension and pain,related to bad mood.epigastric distension,fixed site tingling and armour purple dark or dark face,lip,claw are dominant.After operation,the symptoms such as fatigue and languor,burnout and tiredness,fixed site tingling.sweating and febrile when sleeping.hand and foot feve.epigastric distension and no appetite and less food were the main symptoms.Compared with pre-operation,symptom such as fatigue and languor,burnout and tiredness.faint low voice,sweating and febrile when sleeping,hand and foot feve,dry mouth and throat,restless insomnia,fixed site tingling,cough full of phlegm,chest and flank stuffy,no appetite and less food and body and limbs heavy increased significantly after operation(P<0.01).Postoperative symptoms such as full body or local fullness,abdominal distension and pain and related to bad mood are significantly reduced(P<0.01).Postoperative symptoms such as dizzy of the head and dim of sight,cold body and limbs,armour purple dark or dark face,lip,claw,epigastric distension increased(P<0.05).There was no statistical difference in the distribution of other symptoms before and after operation(P>0.05).4.The appearance of tongue:Compared with pre-operation,the dark red tongue,fat tongue,tooth scar tongue,sublingual blood vessels twists and turns,stasis points of tongue were significantly increased after operation(P<0.01).The light red and normal tongue decreased significantly(P<0.01).The red tongue increased(P<0.05).There was no statistical difference in the distribution of other tongue before and after operation(P>0.05).Compared with pre-operation,thick tongue coating,dry and greasy tongue coating,and peeling off tongue coating were significantly increased after operation(P<0.01).The thin and moist tongue coating decreased significantly(P<0.01).There was no statistical difference in the distribution of other tongue coating before and after operation(P>0.05).5.TCM syndrome:The syndrome of gastric cancer patients is mainly qi stagnation syndrome,blood stasis syndrome,dampness syndrome before operation,qi deficiency syndrome,yin deficiency syndrome,blood stasis syndrome,dampness syndrome after operation.Compared with pre-operation,middle and heavy qi deficiency syndrome,middle blood deficiency syndrome,middle and heavy yin deficiency syndrome,light blood stasis syndrome,middle phlegm syndrome,middle dampness syndrome increased significantly after operation(P<0.01).Light and middle qi stagnation syndrome and light dampness syndrome decreased significantly(P<0.01).There was no statistical difference in the distribution of other TCM syndrome before and after operation(P>0.05).There were significant differences in the distribution of syndrome before and after operation in each pathological stage,and the distribution of syndrome in different operation methods after operation(P<0.01).There was no statistical difference in the distribution of syndromes among the pathological types before and after operation(P>0.05).Conclusion1.There are obvious differences in the distribution of TCM syndrome before and after operation in patients with gastric cancer:The syndrome is mainly qi stagnation syndrome,blood stasis syndrome,dampness syndrome before operation,qi deficiency syndrome,yin deficiency syndrome,blood stasis syndrome,dampness syndrome after operation.2.The evolution of TCM syndrome before and after operation has certain regularity:Compared with pre-operation,the postoperative deficiency syndrome and surface solid syndrome increased significantly,qi stagnation syndrome decreased,but still existed.3.The TCM syndrome before and after operation was correlated with pathological stage:the solid syndrome in Ⅲ stage was heavier before operation and began to appear deficiency syndrome,and the degree of deficiency syndrome in Ⅱ,Ⅲ stage after operation was more severe.4.There is correlation between TCM syndrome after operation and operation methods:the degree of deficiency syndrome after laparotomy is more severe than laparoscopy.