文献类型：期刊文献

英文题名：An exploratory study on TCM syndrome differentiation in preoperative patients with colorectal cancer assisted by laboratory indicators

作者：Wang, Ya-nan[1];Zou, Min[2];Wang, Dou[3];Zhang, Zhi-kuan[1];Qu, Lian-ping[1];Xu, Jing[1];Shi, Cai-dong[1];Gao, Feng[2]

第一作者：王亚楠

通信作者：Gao, F[1]

机构：[1]Gansu Univ Chinese Med, Clin Coll Chinese Med, Lanzhou 730000, Peoples R China;[2]940th Hosp Joint Logist Support Force Chinese Peo, Dept Colorectal & Anal Surg, Lanzhou 730050, Peoples R China;[3]Xinjiang Med Univ, Urumqi 830000, Peoples R China

第一机构：甘肃中医药大学

通信机构：[1]corresponding author), 940th Hosp Joint Logist Support Force Chinese Peo, Dept Colorectal & Anal Surg, Lanzhou 730050, Peoples R China.

年份：2022

卷号：8

期号：8

外文期刊名：HELIYON

收录：;Scopus(收录号：2-s2.0-85136176534);WOS:【SCI-EXPANDED(收录号:WOS:000844304800014)】；

基金：Funding PhD. Feng Gao was supported by Natural Science Foundation of Gansu Province [20YF8FA098] .

语种：英文

外文关键词：TCM syndrome differentiation; Colorectal cancer; Laboratory indicators

摘要：Objective: This paper aims to explore the relationship between the syndrome differentiation of traditional Chinese medicine (TCM) in colorectal cancer and the clinical laboratory indicators of patients, and to further seek the laboratory indicators to assist TCM syndrome differentiation.Methods: From May 2020 to June 2021, 122 colorectal cancer patients with a clear pathological diagnosis who had not undergone surgery or chemotherapy were classified according to the TCM syndrome classification. The clinical laboratory indicators of 122 patients with preoperative colorectal cancer were collected, and the corre-lation between preoperative colorectal cancer TCM syndromes and Karnofsky score and clinical laboratory in-dicators was analyzed. The indicators affecting TCM syndromes were included in the disordered multivariate logistic regression analysis model to analyze the relative risk of the influencing factors.Results: The syndromes of colorectal cancer patients were classified into excess syndrome, deficiency syndrome, and syndrome of intermingled deficiency & excess. The differences in total bilirubin (TBIL), hemoglobin (HB), uric acid (UA), and hematocrit (HCT) between the three groups were statistically significant (P < 0.05). The indexes such as TBIL, HB, UA, and HCT in preoperative patients with excess syndrome of colorectal cancer were higher than those in patients with syndrome of intermingled deficiency & excess and deficiency syndrome, and the comparison between groups using the LSD method showed that UA and HCT were different between the excess syndrome and deficiency syndrome groups (P < 0.05). Multivariate logistic regression analysis indicated that Gender, Tumor location, TNM stage, Total protein (TP), Red blood cell (RBC), HB, HCT, Platelet (PLT) and Fibrinogen (FIB) were all risk factors affecting TCM syndromes of preoperative colorectal cancer (P < 0.05).Conclusion: There is a correlation between the TCM syndromes of colorectal cancer and the clinical laboratory indicators of the patients. Gender, Tumor location, TNM stage, TP, RBC, HB, HCT, PLT and FIB are the risk factors of TCM syndrome differentiation in preoperative patients with colorectal cancer. TBIL, UA, HB, and HCT may be the four relevant indicators of TCM syndrome differentiation in colorectal cancer.