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某三甲中医院治疗新型冠状病毒感染病人中药处方分析

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目的 分析某三甲中医院治疗新型冠状病毒感染(COVID-19)中药处方信息,为中医药治疗COVID-19和中药师的审方提供参考。方法 收集并整理安徽中医药大学第一附属医院2022年12月确诊为COVID-19后接受中药处方治疗病人的处方资料,通过Excel表录入整理处方相关信息数据,建立治疗COVID-19的中药处方数据库,统计治疗COVID-19的中药处方相关信息,探究用于COVID-19治疗的中药方剂信息,挖掘方剂中药物配伍的关联模式,并应用聚类方法揭示用药规律。结果 共纳入99张治疗COVID-19的中药处方,经分析,处方病人年龄在60岁及以上的人数最多,占40。40%;在中药治疗COVID-19的方案中,处方包含11~15种药材的频率最高,占比达48。49%;用药剂量在10~15 g的处方频率最高,占比达到66。67%;中药处方用药天数多在3 d以内;中药处方所花金额小于100元的处方占66%;对中药使用频率进行统计发现补益药使用最多,占22%,其次是清热药18。5%;在分析用于COVID-19的中药处方中,甘草、白术、苦杏仁、茯苓、陈皮、柴胡和黄芩等药材的使用频率较高。其中,黄芩与甘草、柴胡以及半夏的组合在处方中尤为常见。这些药材的配伍显示出较高的关联性,表明它们在治疗中往往被一起使用。结论 黄芩、甘草、柴胡和半夏在COVID-19的中药治疗中存在协同应用模式;在治疗中药处方中补益药、清热药、解表药使用频率最高,相关药物与类方组合为诊治COVID-19提供依据和参考。
Analysis of herbal prescriptions for treating patients with new coronavirus in a tertiary care chinese hospital
Objective To analyze the prescription information of The First Affiliated Hospital of Anhui University of Traditional Chi-nese Medicine for the treatment of Coronavirus Disease 2019(COVID-19)in December 2022 to provide reference for Chinese medicine treatment of COVID-19 and the review of prescriptions by Chinese pharmacists.Methods Information on prescriptions of traditional Chinese medicine used by outpatients with confirmed COVID-19 at Anhui Provincial Hospital of Traditional Chinese Medicine was col-lected,and Excel sheets were entered to organize prescription-related information data to establish a database of prescriptions of tradi-tional Chinese medicine for the treatment of COVID-19.The relevant information of TCM prescriptions for the treatment of COVID-19 was collected.The information of traditional Chinese medicine formulations used in the treatment of COVID-19 was explored,the asso-ciation pattern of drug compatibility in the formulations was excavated,and clustering methods were used to reveal drug use rules.Re-sults Among the prescriptions of 99 patients with COVID-19 treated with Chinese medicine,the age of the patients was mainly con-centrated above 60 years old,accounting for 40.40%;the frequency of prescriptions containing 11 to 15 kinds of medicinal materials in the treatment of COVID-19 with TCM was the highest,accounting for 48.49%;the dosage of Chinese medicine decoction prescriptions was mainly concentrated in the dosage of 10-15g,accounting for 66.67%.The days of TCM prescription were mostly within 3 days;the amount of Chinese medicine prescriptions spent less than 100 yuan accounted for 66%;according to the statistics of the frequency of use of TCM,the use of tonifying drugs was the most,accounting for 22%,followed by heat-clearing drugs 18.5%.In the analysis of TCM prescriptions for COVID-19,Glycyrrhiza glabra,Rhizoma Atractylodis Macrocephala,Bitter Almond,Poria,Chen Pi,Radix Bupleu-rum,Scutellaria were used more frequently.Among them,the combination of Scutellaria baicalensis with Glycyrrhiza glabra,Radix Bu-pleurum and Pinellia was particularly common in prescriptions.The compatibility of these herbs showed a high correlation,indicating that they were often used together in treatment.Conclusions There is a synergistic application pattern of Scutellaria baicalensis,Glyc-yrrhiza glabra,Radix Bupleurum and Pinellia in the treatment of COVID-19.Tonic,purgative,and detoxifying herbs are used most fre-quently in the treatment of COVID-19 herbal prescriptions,and the combination of related drugs and classical prescriptions provids a ba-sis and reference for the future diagnosis and treatment of novel coronavirus pneumonia.

New coronavirus pneumoniaTraditional Chinese medicinePrescription analysisDosing patternAssociation rule

魏良兵、冉晴雨、胡兴民、高家荣

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安徽中医药大学第一附属医院药学部,安徽 合肥 230031

安徽中医药大学药学院,安徽 合肥 230012

新型冠状病毒感染 中药 处方分析 用药规律 关联规则

2025

安徽医药
安徽省药学会

安徽医药

影响因子:1.941
ISSN:1009-6469
年,卷(期):2025.29(1)