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題 名 | 接受化學治療癌症病患之中醫診斷:以經絡能量診察為基礎=Traditional Chinese Medicine Diagnosis of Patients with Cancer Receiving Chemotherapy: Based on Meridian Energy Results |
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編 次 | (2-1) |
作 者 | 戴承杰; | 書刊名 | 中醫藥年報 |
卷 期 | 光碟版1:1 2012.10[民101.10] |
頁 次 | 頁146-168 |
專 輯 | 中醫診斷基準及臨床照顧相關研究 |
分類號 | 413.3 |
關鍵詞 | 癌症; 經絡; 能量; 群集分析; 症狀; 體質; 健康相關生活品質; Cancer; Meridian; Energy; Cluster analysis; Symptoms; Constitution; Health-related quality of life; |
語 文 | 中文(Chinese) |
中文摘要 | 研究目的:國內有中西醫並行的醫療體系,癌症病患有很高的中醫使用率,但至今仍缺乏對癌症病患中醫診斷的研究。本研究目的是以接受化療的癌症患者之經絡能量診察結果為基礎,並考量其性別、年齡、癌症診斷與分期,作出中醫診斷的分類;再進一步檢視中醫診斷分類與中醫體質評估、癌症症狀、癌症生理指標與健康相關生活品質的關係。 研究方法:本計畫採縱貫性研究設計,分兩年進行,研究地點在北部某一同時具有血液腫瘤科及傳統醫學科的教學醫院,研究對象為肺癌、大腸直腸癌與乳癌,蒐集癌症病患在化學治療前、化療第 1、3、6個月與結束後 1個月的經絡能量、中醫體質量表評估、癌症症狀、生理檢驗值與生活品質資料,樣本數預計為 100位。 結果與討論:第一年研究共收集 53位癌症病患的資料,分析結果顯示經絡能量整體平均值為 26.83(±20.55)μA。整體經絡能量越低與陰虛體質量表呈正相關( r=-0.275, p<0.05),但個案的經絡平均能量與陽虛或痰瘀體質得分均無顯著相關( r=-0.267, p=0.053; r=-0.192, p=0.168)。當病患噁心、呼吸急促、胃口差或口乾等症狀嚴重度越高,整體經絡能量越低(r=-0.333; r=-0.338; r=-0.317; r=-0.276, p<0.05)。另外,病患心跳越快時,整體經絡能量越低( r=-0.298, p<0.05),在生理血液部分, RBC或 HCT值越高,整體經絡能量越高(r=0.360, p<0.01 ; r=0.287; p<0.05),但 Neutrophils數值越高,整體經絡能量越低( r=-0.423, p<0.01)。在健康相關生活品質方面,身體生理功能或活力越好,整體經絡能量分數呈現越高(r=0.335; r=0.343; p<0.05),身體健康層面也與整體經絡能量呈正相關(r=0.278; p<0.05)。 由上可知,癌症病患的經絡能量可能與體質、症狀、生理檢驗值或健康相關生活品質等指標有相關,未來將收集完整個案資料進一步分析討論,期能提供中醫專家對癌症患者以經絡能量診察結果為基礎的診斷分類。 |
英文摘要 | AIM: Taiwan has a two-tiered medical system including modern medicine and traditional Chinese medicine (TCM). Patients with cancer have a high rate of TCM use, but few studies have been conducted on TCM diagnosis for patients with cancer. The objectives of this study are to construct TCM diagnosis among patients with cancer receiving chemotherapy based on meridian energy results, given sex, age, cancer diagnosis, and cancer stage are considered. METHOD: We further examine the relationship between TCM diagnosis, constitution, cancer symptoms, physiological indicators, and health-related quality of life (HRQOL). This study is a two-year longitudinal study. The study participants will be recruited from a teaching hospital with both Dept. of hemo-oncology and TCM. The study participants are 100 patients with cancer. RESULTS & DISCUSSION: There were 53 cancer patients who accepted the interview and meridian energy examination from 1st February through 31st October 2007. The mean meridian energy was 26.83 (±20.55) μA. The results showed the higher Yin Xu score was, the higher mean meridian energy was (r=-0.275, p<0.05). Both Yang Xu and phlegm Yu scores had no significant correlation with mean meridian energy (r=-0.267, p=0.053; r=-0.192, p=0.168). Patient with more severe nausea, rapid breath, poor appetite, or thirst had lower mean meridian energy (r=-0.333; r=-0.338; r=-0.317; r=-0.276, p<0.05). When patient had faster heart rate, they also had lower mean meridian energy (r=-0.298, p<0.05). In the biologic blood part, there were positive correlation between RBC and mean meridian energy, or HCT and mean meridian energy (r=0.360, p<0.01 ; r=0.287; p<0.05). But there was negative correlation between neutrophil and mean meridian energy (r=-0.423, p<0.01). In the SF36 part, patient with higher physical functioning, energy, or physical health scores had higher mean meridian energy (r=0.335; r=0.343; r=0.278; p<0.05). The analysis from small sample size could show there were relationship among the meridian energy, constitution, cancer symptoms, physiological indicators, and health-related quality of life. We still need to recruit more participants. The results from big sample size would provide the evidence for TCM diagnosis of patients with cancer. |
本系統中英文摘要資訊取自各篇刊載內容。