癌症病人中醫證型與營養狀況相關之分析

The Correlation between Traditional Chinese Medicine Syndrome Groups and Nutrition Status in Cancer Patients

王儷餘(Li-Yu Wang) ； 劉佳祐(Chia-Yu Liu) ； 邱榮鵬(Jung-Peng Chiu) ； 黃伯瑜(Po-Yu Huang) ； 陳建宏(Chien-Hung Chen) ； 陳怡如(I-Ju Chen) ； 簡采汝(Tsai-Ju Chien) ； 許中華(Chung-Hua Hsu)

《北市醫學雜誌》 12卷3期 (2015/09) Pp. 42-55

https://doi.org/10.6200/TCMJ.2015.12.3.06

摘要

目的：為了解癌症病人的中醫證型與營養狀況的關連，藉由評估癌症病人的中醫證型與營養狀況來探討兩者之間的相關。方法：中醫證型分為氣虛證、血虛證、陰虛證、陽虛證、氣滯證及血瘀證六種證型，以中醫證型問卷評估；營養狀況是由病人整體營養狀況評估（The scored Patient Generated-Subjective Global Assessment, PG-SGA）問卷評估。結果：共有160位癌症病人透過問卷評估後，發現癌症病人營養狀況與氣虛證（p＜0.001）、血虛證（p=0.046）、陽虛證（p=0.01）及氣滯證（p=0.003）四種中醫證型具有相關性。不同的中醫證型對於營養評估的腸胃症狀會有不同的影響。癌症病人的中醫證型主要為氣虛證。氣虛證和攝食減少（p=0.01）、便秘（p=0.02）、口乾（p=0.004）以及疼痛（p=0.04）具有相關性。結論：研究結果表示癌症病人的中醫證型與營養狀況具有相關性。

關鍵字

癌症 ； 中醫證型 ； 營養

並列摘要

Objectives: This study aims to evaluate the correlation between traditional Chinese medicine (TCM) syndrome groups and nutrition status in cancer patients. Methods: TCM syndrome groups including qi deficiency syndrome, blood deficiency syndrome, yin deficiency syndrome, yang deficiency syndrome, blood stasis syndrome, and qi stagnation syndrome, were diagnosed using a self-designed questionnaire. The Patient Generated-Subjective Global Assessment (PG-SGA) was employed to assess the nutritional status of the cancer patients. Results: A total of 160 cancer patients were enrolled in this study, and nutrition status was found to be significantly associated with qi deficiency syndrome (p＜0.001), blood deficiency syndrome (p=0.046), yang deficiency syndrome (p=0.01) and qi stagnation syndrome (p=0.003). Different TCM syndrome groups have different impacts on nutritional symptoms. The most common TCM syndrome in the cancer patients was qi deficiency syndrome. Qi deficiency syndrome was associated with decreased dietary amount (p=0.01), constipation (p=0.02), dry mouth (p=0.004) and pain (p=0.04). Conclusion: Our study showed that TCM syndrome groups are associated with nutrition status in the cancer patients.

並列關鍵字

cancer ； traditional Chinese medicine syndrome groups ； nutrition status