首页|基于数据挖掘和网络药理学的中医药治疗甲状腺结节的用药规律及机制研究

基于数据挖掘和网络药理学的中医药治疗甲状腺结节的用药规律及机制研究

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目的 探索中医药治疗甲状腺结节的用药规律及机制,为临床用药提供参考及为后续研究提供依据。方法 检索中国知网、万方、维普数据库,根据纳排标准筛选、建立中医药治疗甲状腺结节的中药处方数据库,通过IBM SPSS Statistics 26、SPSS Modeler 18。0 综合分析用药规律、探索核心处方,运用网络药理学方法建立"药物-活性成分-靶点"网络、进行GO功能与KEGG通路富集分析。结果 筛选得到处方 98 个,中药189味,累计频次1 312次。筛选出核心中药处方为柴胡、夏枯草、浙贝母、白芍、陈皮、茯苓,药物功效以清化热痰、补气、理气为主;性味多以寒、苦为主,药物以肝经、肺经、脾经居多。关联结果显示,海藻-昆布、夏枯草-栀子经常共同使用。核心中药处方涉及核心靶点为TP53、EGFR、CASP3等,调控核受体活性、配体活化转录因子活性等功能,涉及PI3K-Akt、AGE-RAGE等信号通路。结论 中医药治疗甲状腺结节多从肝论治,用药以清化热痰、补气、理气为主,其核心处方药物通过多成分、多靶点、多通路发挥治疗甲状腺结节的作用。
Research of medication rule and mechanism of traditional Chinese medicine in the treatment of thyroid nodule based on data mining and network pharmacology
Objective To explore the medication rule and mechanism of traditional Chinese medicine in treatment of thyroid nodule,so as to provide references for clinical medication and provide basis for subsequent research.Methods The databases of CNKI,Wanfang and VIP were searched,and the database of traditional Chinese medicine prescriptions for the treatment of thyroid nodule was screened and established according to the inclusion and exclusion criteria.The medication rule was comprehensively analyzed through IBM SPSS Statistics 26 and SPSS Modeler 18.0,and the core prescriptions was explored.The network of"drugs-active ingredients-target"was established using network pharmacological methods,and the GO function and KEGG pathway enrichment analysis were conducted.Results A total of 98 prescriptions were screened,including 189 traditional Chinese medicines,with a cumulative frequency of 1 312 times.The core traditional Chinese medicine prescriptions were selected as Bupleurum chinense,Prunella vulgaris,Fritillaria thunbergii,Radix paeoniae alba,tangerine peel and Poria cocos.The drug efficacy was mainly to clear hot phlegm,replenish Qi and regulate Qi;the sexual taste was mainly cold and bitter,and the drugs was mainly liver meridian,lung meridian and spleen meridian.The correlation results showed that seaweed-kelp and Prunella vulgaris-Fructus Gardeniae were often used together.The core Chinese medicine prescription involved core targets such as TP53,EGFR,CASP3,e tc.,regulating the nuclear receptor activity,ligand-activated transcription factor activity and other functions,and involving PI3K-Akt,AGE-RAGE and other signal pathways.Conclusion Traditional Chinese medicine treatment for thyroid nodule mainly focuses on the liver,with medication mainly focused on clear hot phlegm,replenish Qi and regulate Qi.Its core prescription drugs play a role in treating thyroid nodule through multiple components,target and pathways.

thyroid nodulemedication ruledataminingnetwork pharmacology

孟利亚、杜桂先、鲍陶陶

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安徽中医药大学,安徽 合肥,230012

安徽中医药大学第一附属医院,安徽 合肥,230031

甲状腺结节 用药规律 数据挖掘 网络药理学

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(7)
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