首页|基于数据挖掘探究中医药治疗冠心病合并高脂血症的用药规律

基于数据挖掘探究中医药治疗冠心病合并高脂血症的用药规律

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目的 为了探索中医药治疗冠心病合并高脂血症新思路,研究分析总结中医药治疗冠心病合并高脂血症的用药规律。方法 检索2022年6月1日前发表在PubMed,中国生物医学文献服务系统、维普、万方、中国知网数据库的文献,筛选冠心病合并高脂血症的中医药临床治疗文献且经过随机数对照实验验证明确有效者,使用中医传承辅助平台(V3。0)对纳入的处方进行药物频次分析、关联分析、聚类分析等。结果 研究纳入处方85首,中药148味;高频药物有丹参、山楂、茯苓等,常用药对有丹参-山楂、丹参-陈皮等,药物关联规则中茯苓,陈皮→丹参、山楂→丹参等的置信度较高,最终得到治疗冠心病合并高脂血症的核心药对11个、新候选处方5首。结论 通过对高频药物、功效归类、新候选处方的分析,发现对于冠心病合并高脂血症的治疗,常使用活血化瘀药、补虚药、理气药及利水渗湿药相配伍,标本兼治,增强冠心病合并高脂血症的治疗效果,研究可为冠心病合并高脂血症的中医临床用药和新药研发提供理论支持。
Analysis of the Mechanism of Chinese Medication Rule in Treating Coronary Heart Disease with Hyperlipidemia based on Data Mining
Objective To explore novel treatment approaches of traditional Chinese medicine for coronary heart disease com-bined with hyperlipidemia,and to study,analyze,and summarize the principles of traditional Chinese medicine in treating this condition.Methods Literature published before June 1,2022 in PubMed,China Biomedical Literature Service System,VIP,Wanfang,and CNKI databases was searched to identify relevant studies on traditional Chinese medicine clinical treatment of coro-nary heart disease combined with hyperlipidemia.Only literature verified by randomized controlled trials was considered clear and effective.The Traditional Chinese Medicine Inheritance Assistance Platform(V3.0)was utilized for drug frequency analysis,as-sociation analysis,and cluster analysis of the included prescriptions.Result The study included 85 prescriptions comprising 148 different medicinal ingredients.Salvia miltiorrhiza(Danshen),hawthorn(Shanzha),and Tuckaia were identified as high-fre-quency drugs;while salvia miltiorrhiza paired with tangerine peel(Chenpi)were among the commonly used drug combinations.Notably,strong associations were observed between Tuckaia or tangerine peel with salvia miltiorrhiza or hawthorn respectively.Ultimately,11 core drug pairs and 5 new candidate prescriptions for treating coronary heart disease complicated with hyperlipi-demia were identified.Conclusion Through analyzing high-frequency drugs classification efficacy and proposing new candidate prescriptions,it was found that promoting blood stasis tonifying deficiency regulating qi regulating water dampness are commonly used strategies in combination to enhance therapeutic effects for patients suffering from both coronary heart disease complicated with hyperlipidemia.This study provides theoretical support for the clinical application of traditional Chinese medicine in such ca-ses.

data miningcoronary heart diseasehyperlipidemiamedication lawtraditional Chinese medicine inheritance as-sistance platform

左欣蕾、左莹、刘光辉、王洋

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辽宁中医药大学,辽宁沈阳 110847

辽宁中医药大学附属医院,辽宁沈阳 110032

数据挖掘 冠心病 高脂血症 用药规律 中医传承辅助平台

2024

实用中医内科杂志
辽宁省中医药学会,中华中医药学会,辽宁省中医药研究院

实用中医内科杂志

影响因子:0.421
ISSN:1671-7813
年,卷(期):2024.38(5)