摘要
目的探讨前列腺癌中医证型与临床相关因素的关系。方法前列腺癌77例,分为肺热失宣、湿热蕴结、气滞血瘀、痰瘀闭阻、气血亏虚5种证型。分析年龄、血清前列腺特异抗原(PSA)、血清前列腺特异抗原游离部分(fPSA)、血清游离前列腺特异抗原百分率(FPSAR)、前列腺特异抗原密度(PSAD)、前列腺重量(W)、最大尿流率(Omax)与证型的关系。结果痰瘀闭阻、气滞血瘀、湿热蕴结为常见证型,气血亏虚及肺热失宣证型各1例。各证型之间PSA、PSAD、fPSA、FPSAR、Qmax、W,均有统计学差异,而各证型之间年龄上无明显不同。结论气滞、血瘀、痰凝为前列腺癌常见致病因素。中药治疗前列腺癌应注重行气活血、祛痰利湿。
Objective To investigate the relationship between traditional Chinese medicine （TCM） syndrome types of prostate cancer （PCa） and clinical related factors Methods 77 cases of PCa were divided into five syndromes. Clinical parameters such as： serum prostate specific antigen （PSA）, free serum prostate specific antigen （fPSA）, free to total PSA ratio （FPSAR）, serum prostate specific antigen density （PSAD）, prostate weight （W）, maximum quotiety （Qmax） were also collected and analyzed. Results Syndromes of Qi Stagnation and Blood Stasis （Qizhi Xueyu 气滞血瘀）, dampness and heat （Shire Yunjie 湿热蕴结）, phlegm and blood stasis （Tanyu Bizu 痰瘀闭阻） were the common cases while those of pulmonary heat （Feire Shixuan 肺热失宣） and blood and qi faint （Qixue Kuixu 气血场亏虚） were rare ones. Clinical parameters such as PSA, PSAD, fPSA, FPSAR Qmax, W were different statistically but not different in age. Conclusion Syndromes of Qi stagnation, blood stasis and of phlegm stasis are the common reasons of PCa. To treat PCa patients more attention to promoting vitality and activating blood circulation （Xingqi Huoxue 行气活血） and dispelling phlegm and dampness （Quetan Lishi 祛痰利湿） must be paid.
出处
《中国中西医结合外科杂志》
CAS
2006年第6期528-530,共3页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
