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某医院中药治疗高血压伴睡眠障碍的处方用药规律

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目的 探寻某医院门诊治疗高血压伴睡眠障碍的中药处方用药规律,为医疗机构医生运用中药治疗该类疾病提供参考,以及为医院药师审核该类处方提供依据。方法 收集并筛选出某医院心理睡眠科 3 个月内治疗高血压伴睡眠障碍的中药内服用药处方,建立Excel标准化数据库,将数据导入古今医案云平台进行挖掘,统计分析患者的年龄分布、单味中药频数、中药性味归经、中医证候、常用中药组合、核心组方等。结果 所收集医案处方患者以女性居多;该病高发年龄段为 60~69 岁;出现频次最高的中药为酸枣仁;药性以平、温、微寒为主;药味甘、苦、辛为主;主入心、肝、脾、肺、胃、肾经;中药关联分析得关联规则 24 条;聚类分析得 4 组聚类方;核心网络分析得一组核心组方;总结出各种证候常用基本方及随证加减。结论 某院治疗高血压伴睡眠障碍多根据不同的中医证候采用各种经方随证加减,用药上重视解郁药、健脾药、重镇安神药和宁心安神药的应用。
Prescription medication rule of traditional Chinese medicine in the treatment of hypertension with sleep disorder in a hospital
Objective To explore the rule of traditional Chinese medicine prescription in the outpatient treatment of hypertension with sleep disorder in a hospital,to provide reference for doctors in medical institutions to use traditional Chinese medicine to treat such diseases,and to provide basis for hospital pharmacists to review such prescriptions.Methods Collect and screen the prescriptions of traditional Chinese medicine for treatment of hypertension with sleep disorders in the department of psychological sleep in a hospital within three months,establish an excel standardized database,import the data into the cloud platform of ancient and modern medical records for mining,and statistically analyze the age distribution of patients,the frequency of single traditional Chinese medicine,the nature and taste of traditional Chinese medicine,the syndrome of traditional Chinese medicine,the combination of common traditional Chinese medicine,and the core prescription.Results Most of the patients with medical records and prescriptions were women;The high incidence age of the disease is 60~69 years old;The Chinese medicine with the highest frequency is sour jujube kernel;The drug properties are mainly mild,warm and slightly cold;The medicine tastes sweet,bitter and spicy;It mainly enters the heart,liver,spleen,lung,stomach and kidney channels;24 association rules were obtained from association analysis of traditional Chinese medicine;4 groups of clustering squares were obtained by cluster analysis;The core network is analyzed to obtain a group of core groups;Summarize the common basic formula of various syndromes and add or subtract along with the syndrome.Conclusion The treatment of hypertension with sleep disorders in our hospital is mainly based on the addition and subtraction of various classic prescriptions according to the symptoms.In terms of medication,we should pay attention to the application of antidepressant drugs,spleen-strengthening drugs,sedative drugs and tranquilizing drugs.

Traditional Chinese medicineHypertensionSleep disordersMedication rule

吴艺盛、曾海成

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广州中医药大学第二附属医院(广东省中医院),广州 510120

中药 高血压 睡眠障碍 用药规律

2024

中国处方药
南方医药经济研究所

中国处方药

影响因子:0.649
ISSN:1671-945X
年,卷(期):2024.22(3)
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