Objective:According to the epidemiologic survery of the TCM symptom of gynecological maligancy during chemotherapy and the metadata technique, we research the regulation of TCM symptom of gynecological maligancy during chemotherapy and raise standard, objective method to differentiate symtom and sign for classification of syndrom, so that provide evidence to determination of treatment and scientific rasearch. Analyzing the ralationship with age, occupation, individual, family income and other factors, provide reference for clinical treatment.Method:We design questionnaire of TCM symptom of gynecological maligancy chemotherapy at the base of invesgation to literature and remark from expert. We apply epidemiclogical investigation to collect the data of patients'symptoms and signs throughing four diagnosticmethods. We use Epidata 3.0 mainly to enter and check the data. All sympotom, tongue, vein…etc. articles transformate two classifications change the deal, (0 and 1), we turn the function convert into the SPSS database document, and use the SPSS16.0 software logarithms according to proceed next move to tidy up, check. We use distribution frequency analysis, cluster analysis and Non-parametric test to classify the familiar syndrome differentiation factors of each syndrome type.Result:Among gathered 181 cases,112 are cerbical cancer patient (61.9%),44 are ovarian cancer patient(24.3%),25 are endometrial cancer patient (13.8%). age ranges from 28 to 72 years old. Mean age 49.14±9.36 years old. Using cluster analysis,181 cases clustered into five kinds more fit.clinical. these five kind of cards respectively are:deficiency of. liver-yin and kindey-yin, deficiency of qi-yin type, incoordination between the liver and stomach type, weakness of spleen and atomach type, deficiency of heart and spleen type, eficiency of heart and spleen type is the most one (26.5%), next are incoordination between the liver and stomach type (2.7%), deficiency of qi-yin type (19.3%), weakness of spleen and atomach type(17.1%), deficiency of liver-yin and kindey-yin(14.4%).The distribution of TCM syndromes has no relation with age,school record,BMI, marriage, the kinds of cancer, surgery, route of administration (P>0.05), but has inner relation of the course of chemotherapy (P<0.05)Conclusion:The kinds of syndromes in gynecological malignancy during chemotherapy mainly concludes five kinds:eficiency of heart and spleen type, incoordination between the liver and stomach type, deficiency of qi-yin type, weakness of spleen and atomach type, deficiency of liver-yin and kindey-yin. The asthenia syndrome is the most. diff ierence course of chemotherapy has relation with distribution of TCM syndromes. |