中医肿瘤学杂志2024,Vol.6Issue(4) :1-9.DOI:10.19811/j.cnki.ISSN2096-6628.2024.07.001

基于隐结构模型分析食管鳞癌证候分类及特征

Analysis on Classification and Characteristics of Syndromes of Esophageal Squamous Cell Carcinoma Based on Latent Structure Model

郑玉玲 张亚玲 陈玉龙 张瑞
中医肿瘤学杂志2024,Vol.6Issue(4) :1-9.DOI:10.19811/j.cnki.ISSN2096-6628.2024.07.001

基于隐结构模型分析食管鳞癌证候分类及特征

Analysis on Classification and Characteristics of Syndromes of Esophageal Squamous Cell Carcinoma Based on Latent Structure Model

郑玉玲 1张亚玲 2陈玉龙 1张瑞1
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作者信息

  • 1. 河南中医药大学,河南 郑州 450046
  • 2. 河南中医药大学第一附属医院血液肿瘤科,河南 郑州 450003
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摘要

目的 探索食管癌证候分类及特征,为临床辨治提供参考.方法 采集全国10个省份的食管癌患者四诊信息,构建数据库.运用Lantern 5.0软件构建隐结构模型,通过综合聚类提取食管癌常见证候.结果 共纳入2 027例食管癌患者,160个症状构建隐结构模型,得到34个隐变量,综合聚类得到6种常见证候.结论 食管癌的主次病因可以概括为外邪直中是引发食管癌的主因,高龄和情志抑郁是促因.食管癌常见肝胃不和证、脾肾亏虚证、气虚阳微证、痰气互阻证、血瘀痰滞证、阴虚内热证.

Abstract

Objective To explore the classification and characteristics of syndromes of esophageal cancer,and to provide reference for clinical syndrome differentiation and treatment.Methods Four diagnostic information of esophageal cancer patients in 10 provinces across the country was collected and database was built.The latent structure model was constructed by using Lantern 5.0 software,and the common syndromes of esophageal cancer were extracted by comprehensive clustering.Results A total of 2 027 patients with esophageal cancer were included,160 symptoms were used to construct a latent structure model,34 latent variables were obtained,and 6 common symptoms were obtained by comprehensive clustering.Conclusion The primary and secondary etiologies of esophageal cancer can be summarized that external pathogenic factors are the primary etiologies,and advanced age as well as emotional depression are the promoting causes.The common symptoms of esophageal cancer are liver and stomach disharmony,spleen and kidney deficiency,qi deficiency and yang debilitation,stagnation of phlegm and qi,blood stasis and phlegm stagnation,and yin deficiency with internal heat.

关键词

食管鳞癌/隐结构/证候

Key words

esophageal squamous cell carcinoma/latent structure model/syndrome

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基金项目

全国名老中医药专家传承工作室建设项目()

全国名中医传承工作室建设项目()

中西医防治重大疾病河南省协同创新中心()

出版年

2024
中医肿瘤学杂志

中医肿瘤学杂志

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