首页|基于数据挖掘探讨花宝金调气燥湿法治疗大肠癌术后用药经验

基于数据挖掘探讨花宝金调气燥湿法治疗大肠癌术后用药经验

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目的 对花宝金教授治疗大肠癌根治术后患者的用药经验进行归纳总结。方法 纳入2022年10月至2023年10月就诊于中国中医科学院广安门医院花宝金教授门诊的199例大肠癌根治术后患者,共计464份诊治处方,建立数据库,使用SPSS Modeler 18。0、SPSS 26。0统计学软件进行数据挖掘,对花宝金教授调理大肠癌术后方药的药味频数、用药频次、性味归经、功效、关联规则、复杂网络及核心药物聚类等进行分析。结果 464份处方每剂处方药味数14~39味,平均26味;464份处方中共用药235种,累计用药频次12 109。其中,用药次数最多的为白术;药性使用频次最多的为"平",药味使用频次最多的为"甘",药物归经集中在脾经、胃经和肝经。药物类别频数最多的为补虚药。关联规则、复杂网络及核心药物聚类得到茯苓-白术、藤梨根-蛇莓、木香-砂仁等药对,18个聚类方。结论 花宝金教授基于大肠癌术后本虚(气)、标实(湿、热)的基本病机,以"调气燥湿"为法指导用药,尤重调理气机升降。根据不同兼证辨证施治,用药精当平和,为大肠癌术后患者的防治提供宝贵经验和指导价值。
Discussion on the medication experience of Professor Hua Baojin in the treatment of post-operative colorectal cancer by the method of regulating qi and drying dampness based on data mining
Objective To summarize the medication experience of Professor Hua Baojin in the treatment of patients with colorectal cancer after radical resection.Methods A total of 199 patients with colorectal cancer after radical resection who were treated in Professor Hua Baojin's clinic from October 2022 to October 2023 in Guang anmen Hospital of China A-cademy of Chinese Medical Sciences were included,and a total of 464 prescriptions were included in the study.A database was set up,and data mining was performed by SPSS Modeler 18.0 and SPSS Statistics 26.0 software to analyze the frequency of drug types,the medication frequency,natures,and flavors,efficacy,rules of association,complex networks,and core med-ications of Professor Baojin Hua's medication for post-opera-tive of colorectal cancer.Results The number of prescriptions for each dose of 464 prescriptions ranged from 14 to 39,with an average of 26.A total of 235 drugs were used in 464 pre-scriptions,and the accumulative drug frequency was 12 109.The Atractylodes macrocephala Rhizoma was the herb used Most frequently,"plain"was the drug property used most frequently,"sweet"was the medicinal ingredients used most fre-quently,and the meridians of drug were concentrated in the spleen meridian,stomach meridian,and liver meridian.The supplementing drugs was the drug category frequency used most frequently.The association rules,complex networks,and core drug clustering yielded the medicine pair included Poria-Atractylodis Macrocephalae Rhizoma,Actinidia chinensis Planch-Duchesnea indica(Andrews),Aucklandiae Radix-Amomi Fructus,and 18 clustering formulae.Conclusion In the treatment of post-operative colorectal cancer,Professor Hua Baojin takes deficiency in root(qi)and excess in branch(damp,heat)as the basic pathogensis,and uses the method of"regulating qi and drying dampness"as guidance,especially empha-sizing the regulating ascending and descending of qi movement.The treatment is based on different syndromes and the med-ication is appropriate and calm,which provides certain guiding value for the clinical treatment of patients with colorectal cancer.

Data miningColorectal cancerRegulating qi and drying dampnessHua BaojinExperience

陈雪、胡佳奇、何善泉、杨冰炜、王成磊、花宝金、李卫东

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中国中医科学院广安门医院肿瘤科,北京 100053

江西中医药大学第一附属医院肿瘤科,江西南昌 330000

陕西中医药大学中医学院,陕西咸阳 712000

中国中医科学院广安门医院科研处,北京 100053

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数据挖掘 大肠癌 调气燥湿 花宝金 经验

国家自然科学基金面上项目中国中医科学院科技创新工程重大攻关项目中央高水平中医医院临床科研业务费资助项目

82174464CI2021A01806HLCMHPP2023085

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(21)