摘要
目的:通过收集使用安神补心六味丸(吉茹和-6)住院患者的病历资料,初选本方的临床适应病证并局限治疗范围,为其精准临床定位提供依据.方法:通过内蒙古自治区国际蒙医医院、锡林郭勒盟蒙医医院、呼和浩特市蒙医中医医院等3家医院信息管理系统(HIS),遴选2015年1月1日至2019年12月31日使用过安神补心六味丸所有住院患者的基本信息、诊断信息和用药信息,对收集到的所有信息进行整理和清洗,采用Microsoft Excel 2019做描述性分析,IBM SPSS Mod-eler 18.0做关联规则分析.结果:共收集5 796份病历,通过数据规范化清洗整理后,最终符合标准的病历数为4 524份,其中男性41.95％,女性58.05％;年龄40岁以上占90％以上,以51～70岁居多;主治病种为脑梗死、高血压、冠心病等;主治症状为头晕、头痛、气短、胸闷、心悸等;主治证型有赫依偏盛、希拉偏衰、血偏衰等;以早晚用药为主,常与珍宝丸联用;关联规则分析结果表明,最常合并使用2种蒙成药组合为珍宝丸和檀香三味汤.结论:安神补心六味丸临床适应证为头晕、头痛、气短和胸闷,西医治疗优势病种为心脑血管病合并精神心理障碍,蒙医治疗优势病种为赫依(蒙语,类似于气)偏盛伴希拉紊乱的心赫依病,具有"双心同调"与"心脑同治"的治疗优势.
Abstract
Objective:By collecting and analyzing medical records of hospitalized patients who have used Anshen Buxin Liuwei Pill(Jiruhe-6),we will preliminarily select the clinical indications and limit the scope of treatment for precise clinical positioning.Methods:The hospital information systems(HIS systems)of three hospitals,namely International Mongolian Hospital of Inner Mongolia,Xilingol League Mongolian Medical Hospital,and Hohhot Mongolian Medicine and Traditional Chinese Medicine Hospi-tal,were used to select the basic information,diagnostic data,and medication records of all hospitalized patients who used Anshen Buxin Liuwei Pill from January 1,2015,to December 31,2019.The collected information was organized and cleaned,and descrip-tive analysis was performed using Microsoft Excel 2019.Association rule analysis was conducted using IBM SPSS Modeler 18.0.Results:A total of 5 796 medical records were collected,with 4 524 records meeting the standardization criteria after data cleaning.Among them,41.95％were male and 58.05％were female.Patients aged 40 and above accounted more than 90％,with the major-ity falling in the 51 to 70 age range.The main diseases treated were cerebral infarction,hypertension,and coronary heart disease.The main symptoms treated included dizziness,headache,shortness of breath,chest tightness,and palpitations.The primary syn-dromes included excessive He-Yi pattern,deficient Xi-La pattern,and deficient Blood pattern.The medication was mainly taken in the morning and evening,and was often used in combination with Zhenbao Pill.The results of association rule analysis showed that the most common combination of two Mongolian medicines was Zhenbao Pill and Tanxiang Sanwei Decoction.Conclusion:The clin-ical indications of Anshen Buxin Liuwei pill include dizziness,headache,shortness of breath,and chest tightness.The advantageous Western medical conditions for treatment are cardiovascular diseases combined with mental and psychological disorders,while the advantageous Mongolian medical conditions are He-Yi pattern(a Mongolian term similar to Qi)with Xila disorder in heart-Heyi disease,demonstrating the treatment advantages of"harmonizing both the heart and the heart"and"treating the heart and the brain simultaneously".
万方数据