摘要
目的本研究对天津市河西区社区居民肿瘤高危人群进行中医体质分析,探讨不同肿瘤高危人群中医体质分布情况,初步分析中医体质与肿瘤发病倾向的关系,为中医药防治恶性肿瘤及后续研究提供依据。方法选取天津市河西区中医医院2019-04-10-2019-09-20参加肿瘤筛查的40~74岁社区居民为研究对象,根据"天津市河西区肿瘤防治示范区项目"进行肺癌、乳腺癌、肝癌和胃癌4种常见恶性肿瘤筛查,使用本院治未病科"道生四诊仪"进行中医体质辨识,由天津市肿瘤医院识别出其中肿瘤高危人群,并对结果进行统计学分析,归纳不同肿瘤高危人群中医体质分布特点。结果206例肿瘤高危人群偏颇体质居多(77.7%),平和质较少(22.3%);567名健康人群偏颇体质占66.7%,平和质占33.3%。肿瘤高危人群和健康人群体质类型分布差异有统计学意义,χ2=16.246,P=0.039。胃癌高危人群和健康人群中医体质类型差异有统计学意义,χ2=19.176,P=0.014;与平和质人群相比,气郁质人群成为胃癌高危人群的风险更高。乳腺癌高危人群和健康人群中医体质类型差异有统计学意义,χ2=18.158,P=0.02;与平和质人群相比,阳虚质人群成为乳腺癌高危人群的风险更高。肺癌高危人群和健康人群中医体质类型差异无统计学意义,χ2=6.811,P=0.557;与平和质人群相比,阳虚质人群成为肺癌高危人群的风险更高。肝癌高危人群相比其他肿瘤高危人群与健康人群体质类型、平和质体质比较,差异无统计学意义,χ2=15.481,P=0.05。结论气郁质、阳虚质和阴虚质居民更容易成为肿瘤高危人群,其中气郁质人群成为胃癌高危人群的风险更高,阳虚质人群成为乳腺癌及肺癌高危人群的风险更高。
Objective This study conducted an analysis of the constitution of traditional Chinese medicine among residents at high risk of tumors in Hexi District of Tianjin City,explored the distribution of constitutions of Chinese medicine in different high-risk groups of tumors,and analyzed the relationship between constitution of traditional Chinese medicine and the tendency of tumors to provide basis for the prevention and treatment of malignant tumors and follow-up research.Methods Community residents aged 40-74 years old who participated in cancer screening in Tianjin Hexi District Hospital of Traditional Chinese Medicine from April 10,2019 to September 20,2019 were selected as the research objects.According to the"Tianjin Hexi District cancer prevention and control demonstration area project",four kinds of common malignant tumors including lung cancer,breast cancer,liver cancer and gastric cancer were screened.The hospital identified the tumor high-risk groups,and the results were statistically analyzed to summarize the distribution characteristics of TCM constitution of different tumor high-risk groups.Results The majority of people at high risk of tumors(206 cases)had a biased physique(77.7%)and a lesser moderate constitution(22.3%),while healthy people(567 cases)had biased physique(66.7%)and a moderate constitution(33.3%).There was a statistically significant difference in the distribution of qualitative types between high-risk groups of tumors and healthy groups,χ2=16.246,P=0.039.There was a statistically significant difference in TCM physique between the high-risk group of gastric cancer and the healthy group,χ2=19.176,P=0.014.Compared with the moderate constitution group,the Qi-depression group had a higher risk of becoming a high-risk group of gastric cancer.There was a statistically significant difference in TCM constitution between the high-risk group of breast cancer and the healthy group,χ2=18.158,P=0.02.Compared with the moderate constitution group,the Yang-deficiency group had a higher risk of breast cancer.There was no statistically significant difference in TCM constitution between the high-risk group of lung cancer and the healthy group,χ2=6.811,P=0.557.Compared with the moderate constitution group,the Yang-deficiency group had a higher risk of lung cancer.Compared with other high-risk groups of tumors and healthy people,there was no statistically significant difference between high-risk groups of liver cancer and healthy people,χ2=15.481,P=0.05.Conclusions Residents with Qi-stagnation,Yang-deficiency,and Yin-deficiencyare more likely to become high-risk groups for cancer.Among them,people with Qi-depression have a higher risk for gastric cancer,and people with Yang-deficiencyare at high risk for breast cancer and lung cancer.
作者
许月梅
王子珺
王娜
田龙
XU Yue-mei;WANG Zi-jun;WANG Na;TIAN Long(Department of Preventive Treatment of Diseases,Tianjin Hexi District Hospital of Traditional Chinese Medicine,Tianjin300201,China)
出处
《社区医学杂志》
CAS
2021年第1期10-13,共4页
Journal Of Community Medicine
关键词
胃癌
乳腺癌
肺癌
肝癌
中医体质
stomach cancer
breast cancer
lung cancer
liver cancer
traditional Chinese medicine constitution
作者简介
通信作者:许月梅,女,朝鲜族,吉林龙井人,硕士,副主任医师,主要从事肿瘤及内科常见病临床医疗的研究工作。E-mail:bingn88@163.com
