Retrospective Analysis of the Distribution Pattern of Senile Myeloid Malignant Hematologic Tumors in Jiangxi Province
Objective:To explore the distribution pattern of TCM syndromes in elderly myeloid malignant blood tumors in Jiangxi province,in order to better guide clinical diagnosis and treatment.Methods:The collected TCM data of 120 elderly patients with myeloid malignant blood tumor living in Jiangxi province were reviewed by physicians with the title of deputy chief TCM physician or above to establish a database of medical records SPPS 26.0 software was used for statistical analysis of the patient's residence,age,sex,common symptoms,tongue,pulse,syndrome type,peripheral blood,myelodysplasia and disease course.Results:(1)The 120 patients were all from various cities in Jiangxi province,including 71 males(59.17%)and 49 females(40.83%).The incidence rate of males was higher than that of females,with an average age of(70.36±6.80)years.(2)There were 46 cases of spleen deficiency and phlegm-dampness syndrome,26 cases of deficiency of Qi and blood,24 cases of deficiency of Qi and Yin,24 cases of stagnation and toxin,the highest proportion of spleen deficiency and phlegm-dampness syndrome(38.33%).(3)TCM syndrome type had statistical significance with WBC count and platelet count(P<0.05),but had no statistical significance with hemoglobin count(P>0.05).(4)There was no significant difference between TCM syndrome type and bone marrow hyperplasia(P>0.05).(5)The relationship between TCM syndrome type and course of disease was statistically significant(P<0.01).Conclusion:(1)The incidence of myeloid malignant blood tumors in the elderly in Jiangxi province was higher in males than in females,with an average age of(70.36±6.80)years.(2)The most common TCM syndromes are spleen deficiency and phlegm-dampness syndrome,followed by deficiency of Qi and blood,deficiency of Qi and Yin,stasis and toxin.(3)Leucocyte lower than normal was more common in syndrome of deficiency of Qi and blood,while high leucocyte was more common in syndrome of stasis and toxin.Platelet lower than normal is more common in Qi and Yin deficiency syndrome.(4)The longer course of the disease is more common in spleen deficiency phlegm-dampness syndrome,the shorter course of the disease is more common in stasis and toxin syndrome.
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