查詢結果分析
來源資料
頁籤選單縮合
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 |
---|---|
作者 | 戴承杰; Tai, Chen-jei; |
期刊 | 中醫藥年報 |
出版日期 | 20141200 |
卷期 | 3 2014.12[民103.12] |
頁次 | 頁(39)1-(39)56 |
分類號 | 413.3 |
語文 | chi |
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; |
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,並考量癌症診斷後,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,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,研究收案自 2009年 1月至 2011年 9月,共收案 120位,完成 432人次的訪問與儀器測量。 結果與討論:在診斷變項的校正下,針對整體經絡能量的預測,整體經絡能量在治療第 6個月較治療前為低( β=-5.50, p<0.05)。不論是陽虛、陰虛、痰瘀總分,其在化學治療後體質均有更虛的傾向,另外,肺癌病患的陽虛與痰瘀體質較乳癌病患更虛(β=4.88, p<0.05)。肺癌病患的症狀干擾程度較乳癌病患為高( β=1.38, p<0.05)。生理檢測值方面, AST的數值在結束化療後 1個月明顯較治療前為高( β=9.85, p<0.05)。心智與身體成份的生活品質( PCSs)不受治療時間因素影響,但肺癌病患的身體成份生活品質較乳癌的 PCSs分數為差( β=-4.51, p<0.05)。兩步集群分析(Two-Step Cluster Analysis)將經絡能量集群為 3組,分別命名為低、中、高經絡能量 3組,肺癌、大腸直腸癌、肝癌病患在低經絡能量組的百分比較乳癌為高( X2=25.04, p<0.01)。在陽虛體質、症狀嚴重度與困擾程度、血色素檢驗值、身體成分生活品質健康相關生活品質得分上,三組經絡能量有顯著差異。 結論:整體經絡能量在治療第 6個月較治療前為低,且與其他健康指標有顯著相關,顯示以中醫經絡能量的觀點來描述癌症病患的健康狀態是合適的,未來針對中醫藥治療或介入能量治療是否能改善症狀、體質進而提升整體能量與平衡,或間接改善病患的健康相關生活品質值得未來進一步研究。 |
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 cancer diagnosis was 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 longitudinal study. The researcher collected data at the pre-treatment, and the 1st, 3rd, 6th month after the starting treatment, and 1st month after the treatment. The study participants will be recruited from a teaching hospital with both Dept. of hemo-oncology and TCM. The researcher recruited the participants from. There were 120 cancer patients who accepted the interview and meridian energy examination from January 21th, 2009 to September 28th, 2011. RESULTS & DISCUSSION: As time went by, the patients had the worse overall meridian energy, Yang deficiency (Yang-Xu), Ying deficiency (Ying-Xu), Phlegm silt constitution, AST. But there was no significant change for the symptom severity, symptom interference, physical and mental component scores (PCSs and MCSs) of SF-36 during the therapy. Comparing with the patients with breast cancer, the patients with lung cancer had significant worse in Yang deficiency constitution, Phlegm silt constitution, symptom interference and PCSs. All patients were assigned to low, medium, and high meridian energy groups by two-step cluster analysis. Comparing with the patients with breast cancer, the patients with lung cancer had higher percentage in the low, meridian energy group. The meridian energy was related with Yang deficiency constitution, symptom severity, interference, hemoglobin, and PCSs. CONCLUSION: The results show patients with 6-months chemotherapy have worse meridian energy. The meridian energy was related with the other health indicators. It hints the meridian energy is an appropriate indicator to measure the health. The Chinese doctors should continue observing the change of the symptoms and give some treatments to alleviate the symptoms and even to ameliorate the meridian energy, the function and the role performance at the same time. Whether using traditional Chinese medicine could improve overall health or not is worth doing further studies. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。