50 Cases Of Primary Esophageal Syndrome Characteristics And Evolution Analysis

Purpose：To collect from liaoning university of traditional Chinese medicineaffiliated hospital patients with esophageal cancer for the first diagnosis onthe appointment as the foundation,using frequency analysis, cluster analysischaracteristics of syndrome types of TCM of primary esophageal cancer patientsafter clinical treatment for analytical investigation, focuses on the discoverevolvement law of syndrome type, for further guidance of TCM clinical treatmentof esophageal cancer, benefit the patients.Method：Collection clinical data of all liaoning university of traditionalChinese medicine primary esophageal cancer diagnosis during October2010toSeptember2010, comprehensive sorting all the information, and in strictaccordance with the inclusion criteria and exclusion criteria for selection,select which conform to the conditions of50cases of medical record, adoptedretrospective study,using Microsoft Excel software for frequency statistics ofthe main symptoms and signs,establishing database of basic information, allpatients with esophageal cancer according to whether the surgery and/oresophageal stents to group, and using SPSS17.0software to syndromes of patientswith esophageal cancer for clustering analysis, chi-square test and to analysisand compared the characteristics of TCM syndrome, syndrome type of two groups,And then the results are analyzed and summarized.Results：1.50cases of patients with esophageal cancer symptoms and signs the frequencyanalysis show: More than50%of the patients with fatigue, shortness of breath,tongue reddish, loss of appetite, night sweats, moss thin white, hiccup symptoms,including fatigue, shortness of breath is the most outstanding, above60%;30%-50%of the patients with reflux, dry mouth, tongue white,deep and thin pulse,thin, red tongue, chest pain, pulse string. Sigh, constipation, heart palpitations, dry throat, vomit saliva sputum,difficulty in feeding, Veins thin,loose stool, pulse string slip frequency of under30%.2.Two groups of symptoms in patients with esophageal cancer and frequencyanalysis results are as follows: Major symptoms of group A: More than50%ofsymptoms such as fatigue, shortness of breath, loss of appetite, hiccups,including weakness, shortness of breath, most prominent, more than66.7%,20%-50%of the patients with night sweats,anti acid, dry mouth, chestpain,thin,heart palpitations, sigh,constipation; symptoms such as dry throat,loose stool, vomit saliva sputum,difficulty in feeding are rare, only2.8-8.3%.Main coating on the tongue and pulse condition: more than40%of the patientswith tongue reddish, moss thin white, pulse fine,tongue whitish, of less than40%of the patients with red tongue, pulse string, pulse thin and weak, pulsestring smooth. Main symptoms of group B patients: more than50%of the patientswith night sweats, anti acid, dry mouth, chest pain,loss of appetite, hiccups,shortness of breath, dry throat; among night sweats, thin are the mostoutstanding, above78%, and20%to50%of patients, weak, vomit saliva sputum,Difficulty in feeding,sigh,constipation, heart palpitations; Only14.4%ofpatients loose stool; Main coating on the tongue and pulse condition: More than40%of the patients with tongue reddish,coated tongue whitish, tongue red, coatedtongue thin white, below40%pulse string,pulse heavy fine,pulse stringsmooth,pulse thin and weak.3.50cases of patients with esophageal cancer cluster analysis results are asfollows:common syndrome distribution regularity of patients with esophagealcancer main show: category1: spleen deficiency syndrome is the most common,a total of22cases, accounting for44%of the total cases. Category2:liver-stomach disharmony, a total of12cases, accounting for24%. Thirdclass: qi and Yin deficiency syndrome, a total of9cases, accounting for18%.Class4: TanQi alternating, a total of7cases, accounting for14%.4.Four types of syndrome in the constituent ratio of two groups of patients withesophageal cancer analysis result are as follows: syndrome types of group A in patients main show is: spleen deficiency syndrome is most common, a total of19cases, accounting for52.7%of the incidence. Proportion of other syndrometypes, in turn, are: liver-stomach disharmony with the11cases, accounting for30.6%; both qi and Yin deficiency syndrome in5cases, accounting for13.9%;tanQi alternating in1case, only accounted for2.8%.Syndrome types of groupB in patients main show is: tanQi alternating is most common, a total of6cases,accounting for42.9%of the incidence. Proportion of other syndrome types inshown as: qi and Yin deficiency syndrome in4cases, account for28.6%;spleendeficiency syndrome in3cases, accounting for21.4%; liver-stomach disharmonyonly1case,7.1%. Two groups of patients in TanQi/resistance types constitutesthe difference was statistically significant (P <0.05).Conclusion：Return visit patients with esophageal cancer symptom changed after manytreatments, typical clinical symptom is not obvious, after treatment withsurgery and/or esophageal stent in patients is mainly to qi deficiency symptom,without surgery and/or esophageal stent in patients is mainly to Yin deficiencysymptom. Type of syndrome are spleen deficiency syndrome, liver stomach withsyndrome, qi and Yin deficiency syndrome, TanQi to hand in the four categories,Patients treated by surgery and/or esophageal stents is given priority to spleendeficiency syndrome, without surgery and/or esophageal stent treatment is givenpriority to with TanQi/resistance syndrome.