Correlation Analysis Among Nutritional Status Of Inpatients With Advanced Non-small Cell Lung Cancer And TCM Syndrome Type

Objective:1.By evaluating the nutritional status of inpatients with advanced non-small cell lung cancer,and according to the history of antitumor treatment is the main etiology and pathogenesis to do TCM Syndrome Differentiation,to explore the correlation between the nutritional status of inpatients with Advanced NSCLC and TCM syndrome type.2.To evaluate the nutritional status of inpatients with different TCM syndrome type,in order to find the syndromes with high nutritional risk,then they can be treated by syndrome differentiation,to improve the nutritional status of patients,so as to reduce and delay the development of inpatients to refractory of cachexia.Methods: By choosing inpatients who were in accordance with the accepting criteria,collecting their general information,history of antitumor therapy,TCM syndrome(tongue coating,pulse condition,symptoms and signs).Then inpatients were divided into five groups: lung and spleen qi deficiency,deficiency of spleen and kidney,qi stagnation and blood stasis,deficiency of both qi and yin deficiency internal heat,.According to nutritional risk screening NRS-2002 tables to evaluate the nutritional status of inpatients.Data is statistically processed using the SPSS 19.0 software,using chi-square test,analyze and discuss the relevance of the nutritional status of inpatients with advanced NSCLC and distribution of TCM syndromes,and the differentiation of nutritional status in inpatients with different type of TCM syndrome.Results: Inpatients who were in accordance with the accepting criteria are 187 cases.Male 104 cases,83 women.The average age was 67.7 years between the ages of 41 and 86.There are 62 cases of squamous cell carcinoma,108 cases of adenocarcinoma and 17 others.12 cases of untreated treatment,68 cases had surgical treatment,138 cases had chemotherapy,37 cases had radiotherapy,5 cases had radio-frequency,29 cases had targeted drug.There are 122 cases with no nutritional risk and 65 cases of nutritional risk.There are 58 cases of lung and spleen qi deficiency,54 cases of deficiency of spleen and kidney,15 cases of qi stagnation and blood stasis,39 cases of deficiency of both qi and yin,and 21 cases of yin deficiency internal heat,.Conclusions: 1.Inpatients with advanced NSCLC are mainly aging male and the main pathological type was adenocarcinoma.2.The history of antitumor therapy has great influence on TCM syndrome.Inpatients who were not treated are mainly qi stagnation and blood stasis group.Inpatients with chemotherapy are the most.The syndrome type of TCM lung and spleen qi deficiency,deficiency of spleen and kidney are more than others.Inpatients with radiotherapy and radio frequency ablation,and chemotherapy are often deficiency of both qi and yin.Inpatients with the history of targeted drug therapy are often yin deficiency internal heat.3.There is a certain correlation between the nutritional status of inpatients with advanced NSCLC and the traditional Chinese medicine and TCM syndrome type.The nutritional risk of inpatients with yin deficiency internal heat and lung-kidney deficiency is higher.The nutritional risk of inpatients with qi stagnation and blood stasis,lung and spleen qi deficiency and deficiency of both qi and yin,is lower.