基于数据挖掘技术探讨中药治疗宫颈高危型人乳头瘤病毒感染用药规律
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R271.1

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深圳市福田区卫生健康系统科研项目(FTWS2021034)


Exploring Medication Rule of Chinese Medicinals in Treating High-risk Human Papillomavirus Infection Based on Data Mining Techniques
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    摘要:

    目的:基于数据挖掘技术探讨中药治疗宫颈高危型人乳头瘤病毒(HR-HPV) 感染的用药规律。 方法:检索中国知网、维普中文期刊服务平台(维普) 和万方数据知识服务平台(万方) 中中药治疗宫颈 HR-HPV感染的临床研究文献,构建方药数据库,通过SPSS Modeler18.0、SPSS Statistics26.0、Cytoscape3.8.1 等软件分析用药规律。结果:共纳入处方89首,涉及中药163味,药物使用总频次为1 130次。筛选出使用频 率≥20%的高频中药共16味,排名前5的是白术、黄柏、黄芪、薏苡仁、土茯苓。药性使用频次排名前3的是 寒、温、平性。药味使用频次排名前3的是甘、苦、辛味。归经使用频次排名前4的是肝、脾、胃、肺经。功 效使用频次排名前4的是清热药、补虚药、利水渗湿药、活血化瘀药。关联规则分析获得10组核心药物组合, 排名前3的是白术-黄芪、黄芪-党参、白术-党参。聚类分析获得6组药物组合。结论:宫颈HR-HPV感染临 证用药多以白术、黄芪等补虚药顾护脾胃以治本,配伍黄柏、薏苡仁等清热利湿药祛邪以治标,诸药合用,共 奏扶正祛邪之功。

    Abstract:

    Abstract:Objective:To explore the medication rule of Chinese medicinals in treating high-risk human papillomavirus (HR-HPV) infection based on data mining techniques. Methods: Clinical research literature on Chinese medicinals for cervical HR-HPV infection was retrieved from China National Knowledge Infrustructure,China Science and Technology Journal Database (VIP) and Wanfang Data Knowledge Service Platform (Wanfang) to build a prescription database. The software such as SPSS Modeler18.0, SPSS Statistics26.0 , and Cytoscape3.8.1 were used to analyze the medication rule. Results : A total of 89 prescriptions involving 163 kinds of Chinese medicinals were included,with a total usage frequency of 1 130 times. Sixteen high-frequency Chinese medicinals with a usage frequency higher than 20% were screened out,with the top five being Atractylodis Macrocephalae Rhizoma,Phellodendri Chinensis Cortex, Astragali Radix,Coicis Semen,and Smilacis Glabrae Rhizoma. In terms of usage frequency,the top three medicinal nature were cold,warm,and neutral;the top three medicinal flavors were sweet,bitter,and acrid;the top four channel entries were liver,spleen,stomach,and lung meridians;the top four efficacy of medicinals were those used for clearing heat, supplementing deficiency, promoting urination and percolating dampness, and activating blood and removing stasis. Ten groups of core drug combinations were obtained through association rule analysis, with the top three being Atractylodis Macrocephalae Rhizoma-Astragali Radix, Astragali Radix-Codonopsis Radix, and Atractylodis Macrocephalae Rhizoma- Codonopsis Radix. Six groups of medicine combinations were obtained by cluster analysis. Conclusion:The treatment of cervical HR-HPV infection often uses deficiency-supplementing medicines such as Atractylodis Macrocephalae Rhizoma and Astragali Radixto to protect the spleen and stomach to treat the root, combined with heat-clearing and dampness-removing medicines such as Phellodendri Chinensis Cortex and Coicis Semen to dispel pathogen and treat the symptoms. The combination of these medicines plays a role in reinforcing healthy qi and dispelling pathogen.

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胡桂华,毛东伟,孙荣华,李慧敏,王昊晔,聂可怡.基于数据挖掘技术探讨中药治疗宫颈高危型人乳头瘤病毒感染用药规律[J].新中医,2024,56(22):152-156

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  • 在线发布日期: 2024-11-28
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