| ObjectiveIn this study, the clinical symptoms of cervical cancer patients with acquisition, induction, consolidation, to analyze and explore TCM syndrome distribution characteristics of cervical cancer, to seek the relationship within TCM syndromes of cervical cancer, the clinical stage of cervical cancer and the age of onset, from the comparison to find out the TCM syndrome distribution of cervical cancer in different clinical stages and different ages of onset, in favor of which to investigate the etiology and pathogenesis of cervical cancer in Chinese medical perspective, in order to guide and improve the efficiency of clinical therapy. This will be the basis for Chinese medicine syndrome and further research.MethodsThis research is a retrospective study of332examples hospitalized patients of cervical cancer of the NO.1Affiliated Hospital of Guangzhou University of TCM from January2000to March. According to the document research, through the formulation retrospective information collection table, inquires the cervical cancer patients’ general and the four diagnostic information, obtains the clinical stage, the stage at the age of onset and the TCM syndrome types related information, and then, a data summary and analysis of statistical data of EXCEL software, and concluded the relationship within the cervical cancer TCM syndrome type distribution, age of onset and clinical stages of cervical cancer.Results1. The overall situation:a total of332cases of collection, the average age of cervical cancer was47.09years old, the high risk age of cervical cancer is40to60years old. Cervical cancer TCM syndrome type general distribution by the high frequency to low arrangement for:syndrome of kidney and liver yin asthenia (40.96%)> syndrome of stagnant-toxicity dampness-heat (27.11%)> syndrome of liver depression transforming into fire (18.98%)> syndrome of yang deficiency of spleen and kidney (12.95%).2. The TCM type distribution of clinical stages:(1)In cervical cancer of stage Ⅰ, four types by the high frequency to low arrangement for:syndrome of stagnant-toxicity dampness-heat (42.67%)> syndrome of kidney and liver yin asthenia (40.67%)> syndrome of liver depression transforming into fire (16.00%)> syndrome of yang deficiency of spleen and kidney (0.66%).(2) In cervical cancer of stage Ⅱ, four types by the high frequency to low arrangement for:syndrome of kidney and liver yin asthenia (58.70%)> syndrome of liver depression transforming into fire (20.65%)> syndrome of stagnant-toxicity dampness-heat (17.39%)> syndrome of yang deficiency of spleen and kidney (3.26%).(3) In cervical cancer of stage Ⅲ, four types by the high frequency to low arrangement for:syndrome of kidney and liver yin asthenia (48.15%)> syndrome of liver depression transforming into fire (25.93%)> syndrome of stagnant-toxicity dampness-heat (18.52%)> syndrome of yang deficiency of spleen and kidney (7.40%).(4) In cervical cancer of stage IV, four types by the high frequency to low arrangement for:syndrome of yang deficiency of spleen and kidney (58.73%)> syndrome of liver depression transforming into fire (20.63%)> syndrome of kidney and liver yin asthenia (12.70%)> syndrome of stagnant-toxicity dampness-heat (7.94%).3. The TCM type distribution of age stages:(1) In the age stage of20～years old, four types by the high frequency to low arrangement for:syndrome of kidney and liver yin asthenia (42.31%)> syndrome of stagnant-toxicity dampness-heat (32.05%)> syndrome of liver depression transforming into fire (12.82%), syndrome of yang deficiency of spleen and kidney (12.82%).(2) In the age stage of40～years old, four types by the high frequency to low arrangement for:syndrome of kidney and liver yin asthenia (42.86%) > syndrome of stagnant-toxicity dampness-heat (26.19%)> syndrome of liver depression transforming into fire (21.43%)> syndrome of yang deficiency of spleen and kidney (9.52%).(3) In the age stage of60～years old, four types by the high frequency to low arrangement for:syndrome of kidney and liver yin asthenia (40.10%)> syndrome of stagnant-toxicity dampness-heat (25.47%)> syndrome of liver depression transforming into fire (20.75%)> syndrome of yang deficiency of spleen and kidney (13.68%).4. The clinical stages distribution of different TCM types:(1) In the syndrome of stagnant-toxicity dampness-heat, four clinical stages by the high frequency to low arrangement for:Stage Ⅰ (71.11%)> Stage Ⅱ (17.77%)> Stage Ⅲ (5.56%), Stage Ⅳ (5.56%).(2) In the syndrome of liver depression transforming into fire, four clinical stages by the high frequency to low arrangement for:Stage Ⅰ (38.10%)> Stage Ⅱ (30.16%)> Stage Ⅳ (20.63%)>Stage Ⅲ (11.11%).(3) In the syndrome of kidney and liver yin asthenia, four clinical stages by the high frequency to low arrangement for:Stage Ⅰ (44.85%)> Stage Ⅱ (39.71%)> Stage Ⅲ (9.56%)> Stage Ⅳ (5.88%).(4) In the syndrome of yang deficiency of spleen and kidney, four clinical stages by the high frequency to low arrangement for:Stage Ⅳ (86.05%)> Stage Ⅱ (6.98%)> Stage Ⅲ (4.65%)> Stage Ⅰ (2.32%).5. The TCM type distribution of age stages in different clinical stages:(1) The TCM type distribution of clinical stages in Stage Ⅰ①In the age stage of20～years old, four types by the high frequency to low arrangement for:syndrome of stagnant-toxicity dampness-heat (47.83%)> syndrome of kidney and liver yin asthenia (39.13%)> syndrome of liver depression transforming into fire (10.87%)> syndrome of yang deficiency of spleen and kidney (2.17%).②In the age stage of40～years old, four types by the high frequency to low arrangement for:syndrome of kidney and liver yin asthenia (41.76%)> syndrome of stagnant-toxicity dampness-heat (39.56%)> syndrome of liver depression transforming into fire (18.68%)> syndrome of yang deficiency of spleen and kidney (0%).③In the age stage of60～years old, four types by the high frequency to low arrangement for:syndrome of stagnant-toxicity dampness-heat (46.16%) > syndrome of kidney and liver yin asthenia (38.46%)> syndrome of liver depression transforming into fire (15.38%)> syndrome of yang deficiency of spleen and kidney (0%).(2) The TCM type distribution of clinical stages in Stage Ⅱ:①In the age stage of20～years old, four types by the high frequency to low arrangement for:syndrome of kidney and liver yin asthenia (71.43%)> syndrome of stagnant-toxicity dampness-heat (14.29%)> syndrome of liver depression transforming into fire (7.14%), syndrome of yang deficiency of spleen and kidney (7.14%).②In the age stage of40～years old, four types by the high frequency to low arrangement for:syndrome of kidney and liver yin asthenia (56.92%)> syndrome of liver depression transforming into fire (23.08%)> syndrome of stagnant-toxicity dampness-heat (16.92%)> syndrome of yang deficiency of spleen and kidney (3.08%).③In the age stage of60～years old, four types by the high frequency to low arrangement for:syndrome of kidney and liver yin asthenia (53.84%)> syndrome of liver depression transforming into fire (23.08%), syndrome of stagnant-toxicity dampness-heat (23.08%)> syndrome of yang deficiency of spleen and kidney (0%).(3) The TCM type distribution of clinical stages in Stage Ⅲ:①In the age stage of20～years old, four types by the high frequency to low arrangement for:syndrome of liver depression transforming into fire (75.00%)> syndrome of kidney and liver yin asthenia (25.00%)> syndrome of stagnant-toxicity dampness-heat (0%), syndrome of yang deficiency of spleen and kidney (0%).②In the age stage of40～years old, four types by the high frequency to low arrangement for:syndrome of kidney and liver yin asthenia (50.00%)> syndrome of stagnant-toxicity dampness-heat (35.71%)> syndrome of liver depression transforming into fire (7.14%), syndrome of yang deficiency of spleen and kidney (7.14%).③In the age stage of60～years old, four types by the high frequency to low arrangement for:syndrome of kidney and liver yin asthenia (80.00%)> syndrome of yang deficiency of spleen and kidney (20.00%)> syndrome of stagnant-toxicity dampness-heat (0%), syndrome of liver depression transforming into fire (0%). (4) The TCM type distribution of clinical stages in Stage Ⅳ:①In the age stage of20～years old, four types by the high frequency to low arrangement for:syndrome of yang deficiency of spleen and kidney (61.54%)> syndrome of kidney and liver yin asthenia (23.08%)> syndrome of stagnant-toxicity dampness-heat (7.69%), syndrome of liver depression transforming into fire (7.69%).②In the age stage of40～years old, four types by the high frequency to low arrangement for:syndrome of yang deficiency of spleen and kidney (66.67%)> syndrome of liver depression transforming into fire (20.51%)> syndrome of kidney and liver yin asthenia (7.69%)> syndrome of stagnant-toxicity dampness-heat (5.13%).③In the age stage of60～years old, four types by the high frequency to low arrangement for:syndrome of liver depression transforming into fire (36.36%)> syndrome of yang deficiency of spleen and kidney (27.27%)> syndrome of stagnant-toxicity dampness-heat (18.18%), syndrome of kidney and liver yin asthenia (18.18%).Conclusion1. The overall situation:the high risk age of cervical cancer is40to60years old. The frequency of cervical cancer TCM syndrome type general distribution:syndrome of kidney and liver yin asthenia> syndrome of stagnant-toxicity dampness-heat> syndrome of liver depression transforming into fire> syndrome of yang deficiency of spleen and kidney.2. The TCM type distribution of clinical stages:syndrome of stagnant-toxicity dampness-heat and syndrome of kidney and liver yin asthenia are for the most in Stage Ⅰ; syndrome of kidney and liver yin asthenia is more common in both Stage Ⅱ and Ⅲ; syndrome of yang deficiency of spleen and kidney is more common than other three syndrome in Stage Ⅳ.3. The TCM type distribution of age stages:syndrome of kidney and liver yin asthenia is the main syndrome in all of the three age stages.4. Stage distribution of each TCM type:Stage Ⅰ is accounted the highest percentage of syndrome of stagnant-toxicity dampness-heat; both syndrome of liver depression transforming into fire and syndrome of kidney and liver yin asthenia have a high proportion of both Stage Ⅰ and Ⅱ; syndrome of yang deficiency of spleen and kidney has the highest percentage in Stage IV.5. The TCM type distribution of age stages in different clinical stages: (1) The TCM type distribution of age stages in Stage Ⅰ:syndrome of stagnant toxicity dampness-heat and syndrome of kidney and liver yin asthenia are for the most in each of the age stage.(2) The TCM type distribution of age stages in Stage Ⅱ:syndrome of kidney and liver yin asthenia is more common than other three syndrome in all the three age stages.(3) The TCM type distribution of age stages in Stage Ⅲ:syndrome of liver depression transforming into fire is more common in the age stage of20～years old, syndrome of the kidney and liver yin asthenia is for the most in other two age stages.(4) The TCM type distribution of age stages in Stage Ⅳ:syndrome of yang deficiency of spleen and kidney is more common in the age stages both20～years old and40～years old, both syndrome of liver depression transforming into fire and syndrome of yang deficiency of spleen and kidney is for the most in the age stage of60～years old. |
PDF Full Text Request