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基于数据挖掘分析朱镇华治疗慢性鼻窦炎用药规律

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目的:运用数据挖掘技术研究朱镇华治疗慢性鼻窦炎的用药规律。方法:收集2022年1月至2023年4月在湖南中医药大学第一附属医院耳鼻咽喉科朱镇华门诊治疗慢性鼻窦炎的中药处方,利用Excel建立数据库。应用IBM SPSS statistics 25。0和IBM SPSS Modeler 18。0软件,进行频数统计、关联规则分析及聚类分析。结果:纳入处方176份,包含59种药物,累计药物频数2 267,用药频数前5位的药物依次为甘草、石菖蒲、桔梗、党参、皂角刺。药性多平、温,药味以甘、辛为主;归经以肺、脾两经为主。关联规则分析得到36个药物组合,2、3、4、5味药物关联组合代表分别为石菖蒲-甘草,桔梗-石菖蒲-甘草,党参-桔梗-石菖蒲-甘草,茯苓-白术-桔梗-甘草-党参;聚类分析得到7类,包括3个处方组合及4味核心中药。结论:朱镇华基于"培土生金"理论从肺、脾论治慢性鼻窦炎,强调补脾气以益肺气,兼顾温阳通窍。
Analysis of ZHU Zhenhua's Medication Rules in the Treatment of Chronic Rhinosinusitis Based on Data Mining
Objective:To study the medication rules of ZHU Zhenhua in the treatment of chronic rhinosi-nusitis using data mining techniques.Methods:The traditional Chinese medicine prescriptions for chronic rhinosinusitis treated in the outpatient department of ZHU Zhenhua in the department of otorhinolaryngology at the First Hospital of Hunan University of Chinese Medicine from January 2022 to April 2023 were collected,and Excel was used to establish a database.IBM SPSS statistics 25.0 and IBM SPSS Modeler 18.0 software were used for frequency statistics,association rule analysis and cluster analysis.Results:A total of 176 prescriptions were included,including 59 kinds of drugs,with a cumulative drug frequency of 2 267.The top 5 drugs with the highest frequency of use were Gancao(Glycyrrhizae Radix),Shichangpu(Acori Tatarinowii Rhizoma),Jiegeng(Platycodonis Radix),Dangshen(Codonopsis Radix),and Zaojiaoci(Gleditsiae Spina).The medicinal properties were mainly mild and warm,and the flavors of medicines were mainly sweet and pungent,and the meridian tropism was mainly lung and spleen meridians.A total of 36 drug combinations were obtained by association rule analysis,and the representatives of 2,3,4 and 5 drug associations were Shichangpu(Acori Tatarinowii Rhizoma)-Gancao(Glycyrrhizae Radix),Jiegeng(Platycodonis Radix)-Shichangpu(Acori Tatarinowii Rhizoma)-Gancao(Glycyrrhizae Radix),Dangshen(Codonopsis Radix)-Jiegeng(Platycodonis Radix)-Shichangpu(Acori Tatarinowii Rhizoma)-Gancao(Glycyrrhizae Radix),and Fuling(Poria)-Baizhu(Atracty-lodis Macrocephalae Rhizoma)-Jiegeng(Platycodonis Radix)-Gancao(Glycyrrhizae Radix)-Dangshen(Codonopsis Radix).Cluster analysis obtained 7 categories,including 3 prescription combinations and 4 core Chinese medicines.Conclusions:Based on the theory of"strengthen metal by way of reinforcing earth",ZHU Zhenhua treated chronic rhinosinusitis from the lung and spleen,emphasizing tonifying spleen to benefit lung Qi,and warming Yang and clearing orifices.

chronic rhinosinusitismedication rulesdata miningexperienceZHU Zhenhua

廖灿、曾辉、邓魏、朱镇华

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湖南中医药大学第一中医临床学院,湖南 长沙 410208

湖南中医药大学第一附属医院,湖南 长沙 410007

慢性鼻窦炎 用药规律 数据挖掘 经验 朱镇华

湖南省中医耳鼻喉临床医学研究中心项目

2020SK4024

2024

中医药导报
湖南省中医药学会 湖南省中医管理局

中医药导报

CSTPCD
影响因子:0.952
ISSN:1672-951X
年,卷(期):2024.30(4)
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