TCM syndrome types and the related factors in 145 cases of renal cell carcinoma

TMR Integrative Medicine

article

Dong Wang¹  Yu Gao²  Xiao-Yu Zhu³  Jia Zhang¹  Xi-Xing Wang² 

[1] Shanxi Provincial Institute of Traditional Chinese Medicine;Shanxi Provincial Hospital of Traditional Chinese Medicine;China Academy of Chinese Medical Sciences

关键词: Renal cell carcinoma;    TCM syndrome;    Constitution;    Risk factors;    Correlation study;   

DOI  :  10.12032/TMRIM201903022

学科分类：医学（综合）

来源: TMR publishing group

【 摘 要 】

Background: To analyze the distribution of traditional Chinese medicine (TCM) syndromes and therelated factors in patients with renal cell carcinoma, and to provide further guidance for the relapseprevention and combination of traditional Chinese and Western medicine in postoperative renal cancerpatients. Methods: A retrospective survey was conducted to establish a postoperative clinical symptomassessment scale for patients with renal cell carcinoma. The distribution of TCM syndromes in 145patients with renal cell carcinoma was analyzed statistically. Multivariate logistic regression was used toanalyze the correlation between different TCM syndromes and risk factors. Results: The postoperativeTCM syndromes of patients with cell carcinoma were mainly spleen-kidney deficiency (38.6%),liver-kidney Yin deficiency (15.9%), spleen-kidney Yang deficiency (13.1%), and damp-heat pouringdownward (9.7%). The incidence of severe spleen-kidney Qi deficiency syndrome and spleen- kidneyYang deficiency syndrome was statistically different from that of liver-kidney Yin deficiency syndrome (P < 0.05). The history of drinking and body mass index ≥ 24 kg/m2 were risk factors for spleen-kidney Qideficiency syndrome; the history of hypertension was a protective factor for liver-kidney Yin deficiencysyndrome after renal cancer surgery; male was a protective factor for patients with renal cancer who haddamp-heat pouring downward syndrome; smoking history and drinking history were risk factors fordamp-heat pouring downward; age was a protective factor for spleen-kidney Yang deficiency after renalcancer surgery. Conclusion: This study found that spleen-kidney Qi deficiency syndrome, liver-kidney Yindeficiency syndrome, spleen-kidney Yang deficiency syndrome, dampness and heat injection syndromewere the common TCM syndrome types after renal cell carcinoma patients. There was a correlationbetween the TCM syndromes of renal cell carcinoma and the risk factors such as drinking history, overweight and obesity, smoking history and drinking history. The distribution of TCM syndromes and itscorrelation with risk factors in renal cell carcinoma patients after surgery can provide ideas for clinicaltreatment and prognosis.

【 授权许可】

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