Traditional Chinese Medicine Syndrome Types Distribution and Influencing Factors of Cough After Thoracoscopic Pneumonectomy for Non-Small Cell Lung Cancer
Objective:To evaluate the degree of cough in patients with non-small cell lung cancer after thoracoscopic pneumonectomy,and to explore the distribution characteristics and influencing factors of traditional Chinese medicine syndrome types of cough after thoracoscopic pneumonectomy of non-small cell lung cancer.Methods:A questionnaire survey was conducted on 315 patients with cough after thoracoscopic pneumonectomy with non-small cell lung cancer.The basic information,surgical data and four TCM diagnostic information of the patients were collected,and the degree of postoperative cough of the patients was assessed.According to the standard of TCM syndrome differentiation of cough,the distribution of TCM syndrome of cough after lung cancer surgery was analyzed and its influencing factors were explored.Results:In 315 patients with postoperative cough,the frequency of TCM syndrome from high to low was as follows:excessive and repetitive wind syndrome(39.68% )＞qi-yin deficiency syndrome(30.16% )＞lung qi deficiency syndrome(14.29% )＞lung yin deficiency syndrome(12.06% )＞phlegm-dampness accumulation in lung syndrome(2.54% )＞phlegm-heat stagnation in lung syndrome(1.27% ).In 315 patients,LCQ-MC scores were 4.68±1.21 in physiological dimension,5.10±1.12 in psychological dimension and 5.78±1.02 in social dimension,the total score was 15.79±3.30.NRS score was 3.30±2.05.There was no statistical significance in the distribution of the four main TCM syndrome types and age,surgical side,intraoperative blood loss,whether systematic lymph node dissection was performed,pathological type and pathological stage(P＞0.05).The distribution of the four main TCM syndrome types was related to significance with gender,smoking history,operation duration and operation scope,the difference was statistically significant(P＜0.05).Conclusions:The TCM syndrome of cough after thoroscopic pneumonectomy of non-small cell lung cancer is mainly excessive and repetitive wind syndrome,and it is followed by qi-yin deficiency syndrome,lung qi deficiency syndrome,lung yin deficiency syndrome,and phlegm-dampness accumulation in lung syndrome and phlegm-heat stagnation in lung syndrome.The syndrome type was retaled to gender,smoking histroy,surgical duration and surgical scope.Postoperative cough patients mostly suffer from mild to moderate cough.
cough thoracoscopic pneumonectomytraditional Chinese medicine syndromesdistribution lawrisk factorsepidemiology
万方数据
维普
