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目的:研究原发性肝癌患者TACE术前后脉象变化趋势。方法:应用ZM-Ⅲc脉象仪,对65例原发性肝癌患者在TACE术前及术后1、3、5天分别进行脉图描记。结果:通过对患者TACE术前后脉图观察,认为介入前多以弦脉为主,介入后脉象由弦脉向弦数脉或滑数脉或数脉转变,尤以第3天为最。在脉图参数的研究中,介入后T4、T5、W1、ad、h3/h1、H4/h1均下降。说明术后外周血管阻力下降,脉象具有由弦向滑或滑数转变的趋势。该变化第5天时出现下降平缓或返折趋势。结论:通过对介入治疗前后患者脉图描记,可客观反映患者脉象变化情况,为临床辨证提供一定指导。
Objective: To study the changes of pulse before and after TACE in patients with primary liver cancer. Methods: Twenty-five patients with primary hepatocellular carcinoma (TCC) were enrolled in this study. Results: Through the observation of the TACE before and after the patient’s pulse diagram, it was considered that before the intervention, the X-ray was more, and after the intervention, the pulse changed from Xuan pulse to chord pulse or slip pulse or pulse pulse, especially on the third day. In the study of pulse parameters, T4, T5, W1, ad, h3 / h1 and H4 / h1 decreased after intervention. Description of peripheral vascular resistance decreased, the pulse has a tendency to change from the chord to the slippery or slippery. On the fifth day of the change, there was a tendency of gentle decline or rebound. Conclusion: Through the pulse tracing before and after interventional therapy, it can objectively reflect the pulse changes of patients and provide some guidance for clinical syndrome differentiation.