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頁籤選單縮合
題名 | 光滑舌在肝癌患者的臨床意義=The Clinical Significance of Smooth Tongue in Patients with Hepatocellular Carcinoma |
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作者 | 洪業晃; Hung, Yeh-huang; |
期刊 | 臺灣中醫醫學雜誌 |
出版日期 | 20010900 |
卷期 | 1:1 2001.09[民90.09] |
頁次 | 頁55-61 |
分類號 | 413.241 |
語文 | chi |
關鍵詞 | 肝癌; 光滑舌; 白蛋白; 人體功能狀況評分法; 肝硬化指標; Hepatocellular carcinoma; Smooth tongue; Albumin; Karnofsky performance status; Child-pugh classificatioin; |
中文摘要 | 中醫舌診對於病程的評估估有很重要臨床意義,光滑舌在中醫代表「胃陰枯竭、胃氣大傷」。我們自2000年6月至2001年4月間,在本院住院肝癌患者為研究樣本, 仔細診察舌苔部份,其中發現有光滑舌者有21人,非光滑舌者20人,兩組分別評估分析血液中白蛋白(Albumin)值,和人體功能狀況評分法(KPS,Karnofsky Perfomance Status),發現二者皆有意義的差別(p<0.05),另外肝硬化指標Child - Puqh Classification 光滑舌者多分類為Class C,而非光滑舌者多分類為Class A。因此推測肝癌患者舌診出現光滑舌者,意謂著較差的預後的可能。 |
英文摘要 | In the theory of Chinese medicine, the smooth tongue often means poor nutritious status, dehydration, and poor prognosis. We evaluated 41 patients with hepatocellular carcinoma between June 2000 and April 2001 in our hospital, in-eluding 21 patients with smooth tongue, and 20 patients without smooth tongue. There are significant difference on serum albumin level (2. 852±0.516 g/dl vs 3. 490±0.596 g/ dl), and Karnofsky Performance Status(39. 52±10.71% vs 64.50±9.45%). For the reason that hepatocellular carcinoma patients often suffer from liver cirrhotic change and complication, we also found that most of the smooth tongue group were Child - Pugh Classificatioin Class B (41. 7 %) and Class C (45. 8 % ), compared with the non - smooth tongue group were Class A (51.9%). The smooth tongue in hepatocellular carcinoma patients mean the possibility of lower albumin, poor quality of life, and severe liver cirrhotic change, that demonstrated poor prognosis. |
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