General Laws Of Tumor Fever

Research Objective:General rules of fever of cancer patients in Guang An Men Hospital of China Academy of Traditional Chinese Medicine were retrospectively analyzed and researched, the relationship between a number of factors associated with fever and fever in cancer patients were observed, as well as the relationship between the length of fevering time and the treatment of Chinese medicine and Western medicine, in order to guide diagnosis and prescribe individualizedly when fevering, and improve treatment efficacy while reducing the side effects of treatment.Research Methods:65cases in line with fever in oncology department of Guang An Men Hospital of China Chinese Medicine between1January2013to31December2013were collected and analyzed. One case had pure anti-tumor therapy in Chinese medicine, without western medicine, three cases had anti-tumor therapy alone in western medicine, without Chinese medicine, and61cases of integrative anti-tumor therapy were included. Chinese medicine treatment of cancer alone accounted for1.5percent, purely western medicine treatment of cancer accounted for4.6%, and integrative therapy accounted for93.8%. In this paper, the general rules of fever were analyzed on the basis of a number of related factors of patients with fever:gender, age, weight, season, KPS, disease, type, stage, pathologic type, drug usage and so on. The SPSS16.0software was used for statistical analysis. It was considered statistically significant that the discrepancy was less than0.05.Research Results:In65cases, the days with fever of women was9.52±6.18, the days with fever of men was10.82±7.60. Upon examination, the gender in the time of fever there was no significant difference. In the age, the youngest was30years old, the oldest was88, the mean age was65.46±10.83, it is a high incidence of tumor stage between55years to79years of age. There are21cases whose weight was not measured because staying in bed, and in the left44cases,37cases’ weight kept stable (56.9%),2cases’increased (3.1%),5cases’ decreased (7.7%).28cases’ KPS scores kept stable (43.1%),4cases’ increased(6.1%),33cases’ decreased (50.8%).By statistics, KPS after fever down and stable and KPS improvement has significant differences, namely after the fever, KPS score of patients remained stable or falling. The viability of3cases were increased after the fever (4.6%), no change in20patients (30.8%), a decrease of42cases (64.6%). The proportion of cases whose viability score decreased accounted for more than half after the fever, in line with the disease progression and viability decline. Compare the viability score before fever and after fever, it has significant differences. The heat of fever in cancer patients: the rate of moderate degree of thermal was highest (54.8%), more than half of all fever cases. The moderate degree has significant differences with other degrees of fever. The season of fever:the rate of fever in the summer was highest (38.5%), followed by spring (26.2%), then followed by the fall (20.0%), and finally the winter (15.4%). By statistics, the season of fever has no significant differences. The fevering days:the frequency of cases which fever for3to12days was high, accounting for73.9%of all cases of fever. In65cases, the number of lung cancer with fever is the largest, it is20cases (30.8%); the rate of patients with stage IV accounted for70.8%of the total number of patients with fever, and by the statistics, that has significant differences with other stages. The number of cases of adenocarcinoma had as much as26cases (40.0%). Chinese dialectical typing:Intermin-gled of phlegm and blood stasis and deficiency of both qi and yin were the most, they had12cases each, accounting for the majority of all the type. In preparation for use in traditional Chinese medicine, oral drugs for example Zhenqifuzheng particles and XiHuang detoxification capsules, whose frequency of use were the highest; injections such as Aidi injection, Shenqi fuzheng injection, huachansu injection were most frequently used. In the fevering time, the number of patients with exact treatment of Chinese medicine only is zero, the number of patients treated by Western medicine only is26, the number of cases of the exact treatment of integrative medicine is39, upon examination,this has no significant differences; the number of cases taking decoction is47, no taking decoction is18; nine cases didn’t use antibiotics,56cases used antibiotics. Only19cases use antibiotics based on the experience of the use of antibiotics, in addition, the usage means of clinicians based on the results of bacterial culture、 drug sensitivity results and blood culture are often optional. Cases that with infection cause most of fever cases, and this has significant differences with fever caused by other reasons. Most cases with infection are with lung infection, which has significant differences with other types of infection.