首页|基于数据挖掘探讨国家专利中药复方治疗再生障碍性贫血的用药规律

基于数据挖掘探讨国家专利中药复方治疗再生障碍性贫血的用药规律

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目的:通过分析国家专利数据库中用于治疗再生障碍性贫血的中药复方专利的用药及配伍规律,为临床实践及新药研发提供参考。方法:选取国家专利数据库自建库至 2023 年 6 月 30 日用于治疗再生障碍性贫血的中药复方专利,按照纳入与排除标准进行筛选并整理,建立分析数据库。运用古今医案云平台进行四气五味、归经、功效等药物属性分析;应用IBM SPSS Modeler 18。0 软件中的Apriori算法对高频药物进行关联规则分析;应用SPSS Statistics 19。0 软件中的组间连接法对高频药物进行聚类分析。结果:共得到 135 项治疗再生障碍性贫血的中药复方专利,包含中药 395 种,总用药频次 1886 次,其中高频药物有 25 种,如当归、黄芪、熟地黄、枸杞子、鸡血藤和甘草等;所用药物的药性多为温、平,且集中为甘、苦、辛 3 类药味,多归肝、肾、脾经,多以补虚药为主,活血化瘀药为辅,兼用收敛止血药、清热凉血药等,其中补虚药中补气药使用频次最多。4 味以内的药物组合关联规则共22 条,常用药物组合有白术-熟地黄-当归、茯苓-白术-当归-熟地黄、茯苓-熟地黄-当归-白术;聚类分析得到 4 组核心药物组合,第 1 组主要包括白术、茯苓、党参、地黄、阿胶和丹参;第 2 组主要包括女贞子、墨旱莲、枸杞子、菟丝子和甘草;第 3 组主要包括当归、黄芪、淫羊藿、熟地黄、山药、白芍和山茱萸;第 4 组主要包括仙鹤草、鹿角胶和鸡血藤。结论:治疗再生障碍性贫血的国家专利中药复方用药规律多以补虚药为主,同时遵循"补气补血、滋阴壮阳、补血活血、清热解毒、凉血止血"的治疗原则,可为新药研发提供参考依据。
Medication Rules of National Patented Traditional Chinese Medicine Compound in the Treatment of Aplastic Anemia Based on Data Mining
OBJECTIVE:To analyze the medication and compatibility rules of national patented traditional Chinese medicine compound in the treatment of aplastic anemia based on data mining,so as to provide reference for clinical practice and new drug development.METHODS:Patents of traditional Chinese medicine compound in the treatment of aplastic anemia were extracted from the National Patent Database till Jun.30th,2023.According to the inclusion and exclusion criteria,all data were of screened,the analysis database was established.The ancient and modern medical record cloud platform was used to analyze drug attributes such as the four Qi and five flavors,meridian tropism,and efficacy.Apriori algorithm in IBM SPSS Modeler 18.0 software was used to perform association rule analysis on high-frequency drugs.Cluster analysis of high-frequency drugs was performed by the inter group connectivity method in SPSS Statistics 19.0 software.RESULTS:A total of 135 traditional Chinese medicine compound patents were obtained for the treatment of aplastic anemia,including 395 types of traditional Chinese medicine,with a total frequency of 1886 times of use.Among them,there were 25 high-frequency drugs,such as Angelicae sinensis radix,Hedysarum multijugum maxim,Rehmanniae radix praeparata,Lycii fructus,Spatholobus suberectus dunn and licorice.The properties of the drugs used were mostly warm and calm,mainly concentrated in three types of medicinal flavors:sweet,bitter and spicy.The drugs were mostly classified as liver,kidney and spleen meridians,with the main efficacy being tonifying deficiency drugs,supplemented by blood activating and stasis removing drugs,as well as astringent and hemostatic drugs,heat clearing and blood cooling drugs.Among the tonifying deficiency drugs,Qi tonifying drugs were used most frequently.There were 22 association rules for the combination of medicinal flavors within 4 flavors.Commonly used drug combination included Atractylodes macrocephala koidz-Rehmanniae radix praeparata-Angelicae sinensis radix,Poria cocos-Atractylodes macrocephala koidz-Angelicae sinensis radix-Rehmanniae radix praeparata,Poria cocos-Rehmanniae radix praeparata-Angelicae sinensis radix-Atractylodes macrocephala koidz.Cluster analysis obtained 4 groups of core drug combination,the first group mainly included Atractylodes macrocephala koidz,Poria cocos,Codonopsis radix,Rehmanniae radix praeparata,ass hide glue and Radix salviae.The second group mainly included Fructus ligustri lucidi,Ecliptae herba,Lycii fructus,Cuscutae semen and licorice.The third group mainly included Angelicae sinensis radix,Hedysarum multijugum maxim,Epimrdii herba,Rehmanniae radix praeparata,Rhizoma Dioscoreae,Paeoniae Radix Alba and Cornus officinalis sieb.The fourth group mainly included Agrimonia eupatoria,deer antler gum and Spatholobus suberectus dunn.CONCLUSIONS:Medication rules of national patented traditional Chinese medicine compound in the treatment of aplastic anemia mainly focus on tonifying deficiency,while following the treatment principles of"tonifying Qi and blood,nourishing Yin and Yang,nourishing blood and activating blood,clearing heat and detoxifying,cooling blood and stopping bleeding",which can provide reference for the research and development of new drugs.

Aplastic anemiaTraditional Chinese medicine compoundNational patentsData miningMedication rules

向金平、向航、梅全喜、田朝晖、黄华斌

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恩施土家族苗族自治州中心医院血液内科,湖北 恩施 445000

深圳市宝安区中医院药学部,广东 深圳 518100

恩施土家族苗族自治州中心医院医务部,湖北恩施 445000

恩施土家族苗族自治州中心医院药学部,湖北 恩施 445000

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再生障碍性贫血 中药复方 国家专利 数据挖掘 用药规律

湖北省卫生健康委员会中医药科研项目

ZY2019Q021

2024

中国医院用药评价与分析
中国医药生物技术协会,中国药房杂志社

中国医院用药评价与分析

CSTPCD
影响因子:1.142
ISSN:1672-2124
年,卷(期):2024.24(7)