基于数据挖掘技术分析中医药治疗间质性肺病用药规律
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R256.1

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上海市虹口区第二轮“国医强优”三年行动计划(2022-2024年);上海市虹口区肺病科中西医特色专科提升及品牌化项目( 2022-11);上海市虹口区临床重点扶持专科建设项目(HKZK2020A04)


Medication Rule of Treating Interstitial Lung Disease with Traditional Chinese Medicine Based on Data Mining Technology
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    摘要:

    目的:基于数据挖掘技术分析中医药治疗间质性肺病(ILD) 的用药规律。方法:搜集并筛选 2012年1月—2022年9月在中国知网(CNKI)、维普数据库、万方医学网收录的中医药治疗ILD的文献,建立 数据库后分析用药特点,运用SPSS Modeler 18.0软件进行聚类分析、关联规则分析。结果:共纳入组方68首, 药物175味。用药频次≥10次的药物共29味,有黄芪、甘草、当归、麦冬等。药性以温、寒、平为主,五味偏 于甘、苦、辛味,药物归经多归肺经。从功效上看,以补虚药、止咳平喘化痰药、活血化瘀药及清热药为主。 关联规则得出46组药物,支持度排名靠前的为当归-麦冬+黄芪,黄芪-麦冬+当归。高频药物聚类共得到3个 组方。结论:气虚为ILD发病的基本病机,益气是该病的首要治疗大法。中医药治疗ILD多以补气药、补阴 药、活血药、化痰药及清热药联合使用,多药并用,标本兼治。

    Abstract:

    Abstract: Objective: To analyze the medication rule of treating interstitial lung disease (ILD) with traditional Chinese medicine (TCM) based on data mining technology. Methods: Literature on treating ILD with TCM were collected and screened from CNKI, VIP database and Wanfang database from January 2012 to September 2022, and after the establishment of the database, the characteristics of medication were analyzed, and SPSS Modeler 18.0 software was used for cluster analysis and association rule analysis. Results : A total of 68 prescriptions and 175 kinds of Chinese medicinals were included. There were 29 kinds of Chinese medicinals of or over 10 times in terms of medicinal frequency,including Astragali Radix,Glycyrrhizae Radix et Rhizoma,Angelicae Sinensis Radix,Ophiopogonis Radix and so on. The medicinal natures were mainly warm, cold and neutral, and the five flavors were sweet, bitter and acrid; the medicinals mostly entered into the lung meridian. In terms of effects, the majority was deficiency-supplementing medicinals, cough and panting-relieving medicinals, blood-invigorating and stasis-dissolving medicinals and heat-clearing medicinals. Association rules showed 46 groups of medicinals, and the top ones in terms of support were Angelicae Sinensis Radix-Ophiopogonis Radix+ Astragali Radix, and Astragali Radix-Ophiopogonis Radix+Angelicae Sinensis Radix. Three prescriptions were obtained by high-frequency medicinals clustering. Conclusion: Qi deficiency is the basic pathogenesis of ILD,and supplementing qi is the primary treatment method for ILD. When using TCM to treat the disease, qi-supplementing medicinals, yin-supplementing medicinals, blood-invigorating medicinals, phlegm-resolving medicinals and heat-clearing medicinals are mostly used in combination. Multiple Chinese medicinals are used together, the root cause and the symptoms are treated simultaneously.

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陆秋琴,张琳琳,徐海燕,黄聪锐,贾维.基于数据挖掘技术分析中医药治疗间质性肺病用药规律[J].新中医,2024,56(8):1-6

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  • 在线发布日期: 2024-04-23
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