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The Mining Of Clinical Pathogenesis Regularity In Cancerous Fever

Posted on:2016-01-20Degree:MasterType:Thesis
Country:ChinaCandidate:X N ZhangFull Text:PDF
GTID:2284330470980125Subject:Internal medicine of traditional Chinese medicine
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Objective: To explore the clinical pathogenesis regularity of cancerous fever patients and further analyze the clinical index of fever and the distribution characteristics among research indicators.Methods: Collecting clinical information of cancerous fever patients, count general clinical data of cancerous fever patients by use of Excel software; summarize the rules, using SPSS17.0 software for data analysis to further analyze the distribution rules between clinical diving of fever and the various clinical indicators.Results: The majority of cancerous fever patients are moderate fever, heating temperature difference of 0.8 ℃ and 1.1 ℃, the duration of 14 days, male patients and the age distribution with 61 ~ 70. The primary site statistics of cancerous fever patients is common in lung tumor, followed by the gastrointestinal cancer;among pathology types most are adenocarcinoma, followed by squamous cell carcinomas and the majority in pathological stage is stage Ⅲ and stage Ⅳ. The body surface mass size of the cancerous fever patients has little effect on cancerous fever, the majority with 2 * 2 ~ 4 * 4 cm size in the body. In the transfer cases of cancerous fever patients, the majority are transfer occurred; the majority are pleural metastasis, lung metastasis and liver metastasis in transfer parts. Most cancerous fever patients are not tended to chemotherapy, chemotherapy cycles in 1 and 6 cycles. The occurrence of cancerous fever has little relationship with sequential chemotherapy. The tumor markers in cancerous fever patients, most are elevated CA125, CEAandCA199; pain score(NRS) has little relationship with occurrence of cancerous fever, and three is the most in the NRS score. In the KPS score cases, between 60 to 80 points are the most. In the TCM syndrome types of cancerous fever patients, the majority are the syndrome of toxicity and blood stasisacute. The majority of tongue is dark red tongue and tongue coating in the majority with thin whitemoss; followed by white and greasy moss, tongue coating in the majority with white moss, tongue coating corrosion greasy in the majority with greasy moss, in the majority with thin coating on the tongue. Pulse condition in the majority with string of arteries and veins, followed by string pulse. Treatment in patients with physical cooling, indole XinShuan with traditional Chinese medicine therapy for clinical application, complete control on the evaluation of the efficacy of 16 cases(24.2%);Partial control 28 cases(42.4%);Effective 20 cases(30.3%);Invalid in 2 cases(3.03%).In clinical index of cancerous fever. There are three types of fever in KPS score and survival quality pain(NRS) evaluation of the distribution of the difference, but the difference is not big in Chinese medicine syndrome, tongue, tongue coating, pulse condition, transfer and treatment in the use of chemotherapy and chemotherapy with cancerous fever.Conclusion: Cancerous fever patients have different distribution in gender, age, primary site, pathological staging, pathological type, size, transfer, the mass chemotherapy, tumor markers, pain(NRS) score and KPS score index, and it can be the reference index used as the disease and prognosis of clinical cancerous fever. Analysing fever clinical index can use quality of life KPS, pain(NRS) score as a reference in the different degree of heat treatment.
Keywords/Search Tags:Cancerous fever, Pathogenesis regularity, Clinical dividing
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