首页|基于数据挖掘探讨刘光珍治疗肾性蛋白尿的用药规律

基于数据挖掘探讨刘光珍治疗肾性蛋白尿的用药规律

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目的:探讨刘光珍教授治疗肾性蛋白尿的用药规律,总结归纳其学术思想。方法:收集整理刘光珍教授2021年10月至2023年4月治疗肾性蛋白尿的有效病案和处方资料。通过Excel 2022统计病例的基本情况、证型及药物频数、功效、性味、归经,建立处方数据库。运用SPSS Modeler 18。0和SPSS Statistics 23。0软件对高频药物展开关联规则分析、聚类分析和因子分析。结果:共收集刘光珍教授治疗肾性蛋白尿处方201份,包含174味中药。患者证候分型以脾肾亏虚证最常见,其次为瘀血证、湿热证、水湿证、肾阴阳两虚证和气阴两虚证。使用频数前5位的中药为黄芪、炒白术、防风、豆蔻、砂仁。药性以温、平性为主;药味主要为甘、苦和辛味;归经以脾经为主,其次为肝、肺、肾经。关联规则分析得到24项常用药对,聚类分析得到4类药物组合,因子分析得到5个公因子。结论:刘光珍教授治疗肾性蛋白尿以温补脾肾为核心思想,以补肾健脾方为基础方随症化裁,并配伍活血化瘀、行气化湿、利水通淋之品,标本兼治。
Medication Patterns of Professor LIU Guangzhen in the Treatment of Renal Proteinuria Based on Data Mining
Objective:To explore the medication rules of Professor LIU Guangzhen in the treatment of renal proteinuria based on data mining,and summarize his academic thoughts for clinical reference.Methods:Professor LIU Guangzhen's effective medical records and prescription data for the treatment of renal proteinuria from October 2021 to April 2023 were collected and organized.By using Excel 2022,the basic information and syndrome types of the cases,frequency,efficacy,taste,and meridian distribution of the drugs were statistically analyzed,and a prescription database was established.SPSS Modeler 18.0 and SPSS Statistics 23.0 software were used to conduct association rule analysis,cluster analysis and factor analysis for high-frequency drugs.Results:A total of 201 prescriptions of Professor LIU Guangzhen for the treatment of renal proteinuria were collected,including 174 Chinese herbs.The most common syndrome types in patients were spleen and kidney deficiency syndrome,followed by blood stasis syndrome,damp heat syndrome,water dampness syndrome,kidney yin and yang defi-ciency syndrome,and qi yin deficiency syndrome.The top five herbs were Huangqi(Astragali Radix),Chaobaizhu(Atractylodis Macrocephalae Rhizoma),Fangfeng(Saposhnikoviae Radix),Doukou(Amomi Fructus Rotundus)and Sharen(Amomi Fructus).The drugs used were mainly warm and flat,and most of them were sweet,bitter and spicy.The spleen meridian was the main meridian,followed by the liver,lung and kidney meridian.24 common drug pairs were obtained by association rule analysis,4 drug combinations were obtained by cluster analysis,and 5 common factors were obtained by factor analysis.Conclusion:In the treatment of renal proteinuria Professor LIU Guangzhen takes warming and tonifying spleen and kidney as the core idea,and based on the tonifying kidney and strengthening spleen prescription(补肾健脾方),the prescription is adjusted according to the symptoms,which is compatible with the products of promoting blood circulation,removing blood stasis,gasification dampness,promoting water and removing lymphatic,and treating both symptoms and root causes,and taking overall consideration.

renal proteinuriadata miningtraditional Chinese medicinemedication regularityassociation rulescluster analysisLIU Guangzhen

张瑞、姜楚洋、胡恒毅、李宇玲、侯彦婕、刘光珍

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山西中医药大学,山西 晋中 030619

山西省中医药研究院,山西 太原 030012

肾性蛋白尿 数据挖掘 中药 用药规律 关联规则 聚类分析 刘光珍

山西省重点研发项目国家中医药管理局刘光珍全国名中医传承工作室建设项目山西省中医药管理局科研课题山西省中医药研究院院级科研项目山西省中医药管理局科研课题计划任务书

202102130501012国中医药人教函[2021]202号2023ZYYC0012022162022ZYYZ001

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(6)
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