摘要
目的：探讨食管癌的中医治疗方法。方法：选取60例噎膈（食管癌）患者，分4个证型治疗：痰气交阻型12例，采用理气化痰，开郁散结法；气滞血瘀型24例，采用理气活血，祛瘀散结法；津亏热结型18例，采用滋养阴液，清热散结法；气虚阳微型6例，采用健脾益气，温阳散结法。以上各型方药均：1剂／d，水煎服。另外，合理给予营养支持治疗。分别观察其疗效，总结中医治疗食管癌的理、法、方、药。结果：60例患者，治愈4例（6．7％），好转49例（81．7％），未愈7例（11．7％），总有效率88．3％。平均住院15天，吞咽困难明显改善，只能进食全流者均可进食半流，而只能进食半流者多数可进食软饭；进食后均无呕吐发生；27例胸骨后疼痛者有18例已无疼痛，余9例亦有不同程度的改善，存活均大于1年。结论：针对食管癌不同分期给予相应治疗及术后针对本虚治疗是预防复发转移的关键。患者生活质量均得到了提高，适合临床推广。
Objective： To investigate the therapy of treating esophageal cancer in TCM. Methods： To choose 60 patients with Ye Ge （cancer） patients, evidence-based treatment of sub-4： sputum gas delivery block type 12 cases, with phlegm and qi, Gloomy Remove Obstruction; 24 cases of qi stagnation, with qi and activating blood, stasis Remove Obstruction; Tianjin hot junction loss in 18 cases, with nourishing Yin Ye, heat Remove Obstruction; Qi Yang micro-six cases, with spleen qi, and yang Remove Obstruction. Above all various types of herbs： I/d, water simmer in water. In addition, the rational nutritional support therapy. Effects were observed, summed u Chinese medicine treatment of esophageal cancer management, law, arties, drugs. Results： 60 patients, 4 cases （6.7%）, improved in 49 cases （81.7%）, cured seven cases （11.7%）, the total effective rate 88.3%. The average hospital stay of 15 days, significant improvement in dysphasia, eating only half of all stream flow would be free to eat, but only those who consume the majority of semi-flow can eat soft food; no vomiting after eating; 27 cases of retrosternal pain, 18 cases of pain no longer, I 9 patients have different degrees of improvement in survival was more than 1 year. Conclusion： The different stages for esophageal cancer patients given aroriate treatment and therapy for t he prevention of recurrence and metastasis virtual key. Patients have been improved quality of life for clinical practice.
出处
《中医临床研究》
2010年第12期111-112,共2页
Clinical Journal Of Chinese Medicine
关键词
食管肿瘤
中医药疗法
中医病机
辨证分型
辨证施治
Esophageal cancer
TCM
TCM Pathogenesis
Differentiation type syndrome
Syndrome differentiation to treatment
