胃癌患者中医证型与幽门螺杆菌感染及免疫功能的相关性研究
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Study on Correlation Between Chinese Medicine Syndrome Types and Helicobacter Pylori Infection and Immune Function in Patients with Gastric Cancer
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    摘要:

    目的:探究胃癌患者中医证型与幽门螺杆菌(Hp) 感染及免疫功能的相关性。方法:选取82 例 胃癌患者,根据辨证标准分为肝胃不和型、瘀毒内阻型、痰湿凝结型、脾胃虚寒型、气血双亏型、胃热伤阴 型,检测并比较各中医证型患者Hp 感染情况及免疫功能。结果:82 例胃癌患者有肝胃不和型18 例(21.95%)、 瘀毒内阻型10例(12.20%)、痰湿凝结型16例(19.51%)、脾胃虚寒型16例(19.51%)、气血双亏型13例(15.85%)、 胃热伤阴型9 例(10.98%);各中医证型Hp 阳性率比较,差异无统计学意义(P>0.05);肝胃不和型与气血 双亏型CD3+、CD4+、CD8+ T 淋巴细胞水平比较,差异有统计学意义(P<0.05),肝胃不和型与痰湿凝结型、 脾胃虚寒型、气血双亏型CD4+/CD8+水平比较,差异有统计学意义(P<0.05),瘀毒内阻型与气血双亏型 CD4+/CD8+水平比较,差异有统计学意义(P<0.05)。结论:Hp 感染对胃癌患者中医证型无明显影响,但不同 中医证型免疫功能差异明显,提示胃癌患者中医证型与免疫功能之间关系密切。

    Abstract:

    Abstract:Objective:To discuss the correlation between traditional Chinese medicine (TCM) syndrome types and helicobacter pylori (Hp) infection and immune function in patients with gastric cancer. Methods:A total of 82 cases of patients with gastric cancer were selected and divided into six types according to the criteria of syndrome differentiation:liver-stomach disharmony type,internal obstruction of stagnant toxin type,phlegm- damp coagulation type,spleen- stomach deficiency- cold type,qi- blood depletion type, and stomach heat damaging yin type. The Hp infection and immune function of patients of various TCM syndrome types were detected and compared. Results:Among 82 cases of patients with gastric cancer, there were 18 cases of liver- stomach disharmony type (21.95% ), 10 cases of internal obstruction of stagnant toxin type (12.20% ), 16 cases of phlegm- damp coagulation type (19.51% ), 16 cases of spleen-stomach deficiency-cold type (19.51%) , 13 cases of qi-blood depletion type (15.85%) , and 9 cases of stomach heat damaging yin type (10.98%),and there was no significant difference being found in the comparison of Hp positive rates among different TCM syndrome types (P>0.05). The comparison of the T lymphocyte levels of CD3 +,CD4 +,CD8 + between patients of liver- stomach disharmony type and those of qi- blood depletion type showed significance in the difference (P<0.05). The comparison of the levels of CD4 +/CD8 + among patients of liver- stomach disharmony type,phlegm- damp coagulation type, spleen-stomach deficiency-cold type,and qi-blood depletion type showed significance in the difference (P<0.05). The comparison of the levels of CD4+/CD8+ between patients of internal obstruction of stagnant toxin type and those of qi- blood depletion type showed significance in the difference (P<0.05). Conclusion: Hp infection has no significant effect on the TCM syndrome types of patients with gastric cancer,but the immune function of different TCM syndrome types is obviously different,suggesting that there is a close relationship between TCM syndrome types and immune function of gastric cancer patients.

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张琼,朱晓华,莫国增.胃癌患者中医证型与幽门螺杆菌感染及免疫功能的相关性研究[J].新中医,2023,55(7):175-178

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  • 在线发布日期: 2023-04-12
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