首页|中医药治疗膝骨关节炎与骨质疏松"异病同治"规律研究

中医药治疗膝骨关节炎与骨质疏松"异病同治"规律研究

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目的:基于数据挖掘方法研究中医药治疗膝骨关节炎与骨质疏松症"异病同治"的用药规律.方法:分别检索中国知网、万方、维普等数据库治疗膝骨关节炎、骨质疏松症临床研究中的中药方剂,构建数据库.进而运用统计学软件进行频数分析、关联规则分析、聚类分析等统计方法进行数据挖掘,对治疗膝骨关节炎及骨质疏松症的高频用药、组方规律进行归纳总结.结果:该研究分别筛选出膝骨关节炎 92 首处方、骨质疏松症 106 首处方,膝骨关节炎中应用频数较高的有牛膝、当归、熟地黄、白芍、甘草等,骨质疏松使用频率较高的有熟地黄、淫羊藿、黄芪、当归、杜仲等,单味药二者均以当归、熟地使用频次最高.常用药对均分别以熟地黄-淫羊藿与牛膝-当归使用频次最高.聚类分析分别得到两者核心药物组合,与各自病机相符.结论:数据挖掘结果表明骨质疏松和膝骨关节炎的临床治疗中都注重应用补肾、活血药,此为"同治".膝关节骨性关节炎的治疗中也兼顾外邪常应用祛风寒湿、祛风湿热药物,而骨质疏松则注重补气健脾药物的应用.为更好的辨证治疗两种疾病提供文献挖掘基础,为两者"异病同治"提供一定的循证科学依据.
The Study the Rule of"Homotherapy for Heteropathy"in TCM Treatment of Osteoarthritis of the Knee and Osteoporosis
Objective:To study the medication rules of traditional Chinese medicine in the treatment of knee osteo-arthritis and osteoporosis based on data mining methods.Methods:The Chinese medicine prescriptions in the clinical research of knee osteoarthritis and osteoporosis were searched in CNKI,Wanfang,VIP and other databases to construct a database.Then,statistical software was used to perform frequency analysis,association rule analysis,cluster analysis and other statistical methods for data mining,and the high-frequency medication and prescription rules for the treat-ment of knee osteoarthritis and osteoporosis were summarized.Results:This study screened out 92 prescriptions for knee osteoarthritis and 106 prescriptions for osteoporosis.The most frequently used prescriptions in knee osteoarthritis included Achyranthes bidentata,Angelica sinensis,Rehmannia glutinosa,White Peony Root,Licorice,etc.,and the most frequently used prescriptions in osteoporosis included Rehmannia glutinosa,Epimedium,Astragalus,Angelica sinensis,Eucommia ulmoides,etc.Among the single herbs,Angelica sinensis and Rehmannia glutinosa were used most frequently.The most frequently used drug pairs are Rehmannia glutinosa-Epimedium and Achyranthes bidentata-Angelica sinensis.Cluster analysis obtained the core drug combinations of the two,which are consistent with their re-spective pathogenesis.Conclusion:The data mining results show that the clinical treatment of osteoporosis and knee osteoarthritis both focus on the use of kidney-tonifying and blood-activating drugs,which is"same treatment".In the treatment of knee osteoarthritis,external evil is also taken into account,and drugs for removing wind,cold and damp-ness,and removing wind,rheumatism and heat are often used,while osteoporosis focuses on the use of drugs for re-plenishing qi and strengthening the spleen.It provides a literature mining basis for better syndrome differentiation and treatment of the two diseases,and provides a certain evidence-based scientific basis for the"Same Treatment of Differ-ent Diseases"of the two.

OsteoporosisKnee osteoarthritisData miningMedication rulesSame Treatment of Different Diseases

任维龙、张艳、高兆清、王进强、张亮

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山东省潍坊市中医院 山东 潍坊 261000

骨质疏松症 膝骨关节炎 数据挖掘 用药规律 异病同治

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(12)