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目的:分析胃癌证型的特点,为规范胃癌中医证型做基础.方法:采取多中心收集病例资料,统一应用胃癌辨证临床调查表收集临床胃癌症状、体征资料,总结分析胃癌各种症状、体征在各胃癌证型的构成比,并比较其证型间的差异性.结果:脾胃虚寒252例,占32.9%;肝胃不和型233例,占30.4%;瘀毒内阻90例,占11.7%;气血双亏型74例,占9.6%;痰湿凝结型65例,占8.5%;胃热伤阴55例,占7.2%.118项症状和体征中仅12项在证型之间无统计学差异,其余106项症状和体征在六证型之间均有统计性差异(P<0.05),且每证型的特征性证候所占比例均较高.结论:临床辨证中证型特征性证候较明确,辨证无偏倚,或偏倚性很小,为制定标准化且临床实用的胃癌辨证分型的打下良好基础.
OBJECTIVE: To analyze the characteristics of gastric cancer syndrome and to lay a foundation for the regulation of TCM syndromes of gastric cancer.Methods: The clinical data of gastric cancer were collected using clinical data from multiple centers to collect the clinical symptoms and signs of gastric cancer and to analyze and analyze various symptoms and signs of gastric cancer In 252 cases of spleen and stomach deficiency, accounting for 32.9%; 233 cases of liver and stomach dissonance, accounting for 30.4%; 90 cases of stasis resistance internal resistance, Accounting for 11.7%; 74 cases of double blood loss in blood type, accounting for 9.6%; phlegm-condensing type 65 cases, accounting for 8.5%; 55 cases of gastric hot injury, accounting for 7.2% .118 symptoms and signs in only 12 cases (P <0.05), and the proportion of the characteristic syndromes in each syndrome were higher.Conclusion: There are no significant differences between the six syndromes and the other 106 syndromes and signs Syndrome characteristic syndrome more clear, dialectical no bias, or bias is small, for the development of standardized and clinical application of gastric cancer syndrome lay a good foundation.