首页|基于数据挖掘研究杨国旺教授治疗肺结节的用药规律和学术探析

基于数据挖掘研究杨国旺教授治疗肺结节的用药规律和学术探析

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目的 基于数据挖掘与回顾性研究的方法,研究杨国旺教授对肺结节的诊疗思路和用药规律.方法 根据纳入和排除标准选取2021年1月1日-2023年7月30日期间首都医科大学附属北京中医医院杨国旺教授门诊收治的肺结节患者临床资料并建立数据库,应用WPS表格、SPSS Modeler 18.0、Origin 2018和Cytoscape 3.9.1对用药频数、关联规则、系统聚类和网络贡献度进行数据挖掘.结果 共收集147诊次,涉及中药148味,累计用药频次2372次.药物使用频次前10为:白术、黄芪、浙贝母、陈皮、炙甘草、海藻、柴胡、莪术、制天南星、远志.高频药物的四气以温、寒为主;五味以为苦、辛、甘为主;归经以肺、脾、肝、心、胃为主.关联规则和高频药物系统聚类反映了杨国旺教授治疗肺结节的药物组合情况.药物网络贡献度前10为炙甘草、白术、黄芪、浙贝母、陈皮、远志、海藻、莪术、制天南星、柴胡,反映了肺结节诊治思路.结论 杨国旺教授治疗肺结节的诊疗思路和用药规律是以病机-体质-病理-病性-病程的五位一体为主线,健脾益气、疏肝理气、化痰散结、软坚破瘀、抗癌消瘤为具体治法,同时擅长以脾入肺、善用反药和寒温并用等达到标本兼治的作用.
Medication Patterns and Academic Exploration of Professor Yang Guowang in Trea-ting Pulmonary Nodules Based on Data Mining
Objective To study Professor Yang Guowang's diagnostic and therapeutic approaches and medication patterns for treating pulmonary nodules using data mining and retrospective research methods.Methods Clinical data of all patients with pulmonary nodules were selected according to inclusion and exclusion criteria,and a database was estab-lished.Data mining was performed using WPS Spreadsheets,SPSS Modeler 18.0,Origin 2018,and Cytoscape 3.9.1 to ana-lyze medication frequency,association rules,system clustering,and network contribution.Results A total of 147 consulta-tions were collected,involving 148 types traditional Chinese medicines,with a cumulative medication frequency of 2372 in-stances.The top 10 most frequently used medicines were Atractylodis macrocephalae rhizoma,Astragali radix,Fritillariae thunbergii bulbus,Citri reticulatae pericarpium,Glycyrrhizae radix et rhizoma praeparata cum melle,Sargassum,Bupleuri radix,Curcumae rhizoma,Arisaematis rhizoma preparatum,and Polygalae radix.The four natures of these high-frequency medicines were primarily warm and cold;the five flavors were mainly bitter,spicy,and sweet;the associated meridians were mainly the lung,spleen,liver,heart,and stomach.The association rules and high-frequency drug system clustering reflec-ted the combination of medications used by Professor Yang in treating pulmonary nodules.The top 10 medications contribu-ting to the network were Glycyrrhizae radix et rhizoma praeparata cum melle,Atractylodis macrocephalae rhizoma,Astragali radix,Fritillariae thunbergii bulbus,Citri reticulatae pericarpium,Polygalae radix,Sargassum,Curcumae rhizoma,Arisaema-tis rhizoma preparatum,and Bupleuri radix,indicating the diagnostic and therapeutic approaches for pulmonary nodules.Conclusion Professor Yang Guowang's diagnostic and therapeutic approaches in treating pulmonary nodules is based on a"five-in-one"framework that considers pathogenesis,constitution,pathology,disease nature,and disease course.His specific treatment methods include tonifying the spleen and strengthening qi,soothing the liver and regulating qi,resolving phlegm and dissipating nodules,softening hardness and dispersing stasis,and applying anticancer therapies.Additionally,he excels in linking the spleen with the lungs,effectively using opposite medicines,and combining cold and warm properties to achieve both symptomatic and root-level treatment.

Pulmonary NodulesData MiningDiagnostic and Therapeutic ApproachesMedication Patterns

曾银、张兴涵、张怀锐、王任远、杨国旺

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首都医科大学附属北京中医医院,北京 100010

肺结节 数据挖掘 诊治思路 用药规律

国家自然科学基金委员会面上项目

82174453

2024

世界中西医结合杂志
中华中医药学会

世界中西医结合杂志

CSTPCD
影响因子:1.053
ISSN:1673-6613
年,卷(期):2024.19(8)
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