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基于数据挖掘探究分泌性中耳炎用药规律及临床应用

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目的 基于数据挖掘探究分泌性中耳炎用药规律及临床应用.方法 从知网、万方、维普等数据库中搜索并筛出符合标准的文献,采用Excel系统录入并清洗数据,再应用中医传承计算平台(V3.0)对治疗SOM的药物进行数据分析.结果 符合要求的文献共 97篇,方剂140 首,中药 144 味;药物四气以温、寒、平为主;五味以辛、苦、甘为主;归经以肺、脾两经为主;舌象以舌体胖、舌淡苔白、舌边有齿痕、舌红苔黄腻、舌质暗淡舌边有瘀点;脉象以脉浮、脉濡缓、脉弦数、脉细涩为主;证候类型为风邪外袭型、脾虚湿困型、肝胆湿热型、气血瘀阻型为主;功效以补虚类、解表类、利水渗湿类为主;其药物使用频数≥21 的高频药物共 22 味;关联规则分析得到使用频次最高的前三位药物关联组合分别是A(石菖蒲、茯苓)、B(石菖蒲、泽泻)、C(石菖蒲、甘草);聚类分析得出4 个聚类方.结论 SOM以风、湿、虚、瘀等病机为核心,治法以解表祛邪、益气健脾、利湿清热、行气活血为治法的用药规律.
Based on data mining to explore the drug use and clinical application of secretory otitis media
Objective Based on data mining to explore the rule of medication and clinical application of secretory otitis media.Methods The literatures meeting the standards was searched and screened from the databases of Zhi wang,Wanfang and Weipu,and the data were input and cleaned by Excel system.Then the TCM inheritance computing platform(V3.0)was applied to analyze the data of SOM drugs.Results A total of 97 articles,140 prescriptions and 144 traditional Chinese medicines met the requirements.The four drugs are mainly warm,cold and flat;The five tastes are mainly sweet,bitter and sweet.The main channel is lung and spleen.The tongue is characterized by fat body,pale tongue and white fur,tooth marks on the tongue edge,red tongue and yellow greasy tongue,dark tongue and petechiae on the tongue edge.The main pulse features were floating pulse,mild pulse,string number and fine and astringent pulse.The main types of syndrome were external attack of wind evil,dampness of spleen,dampness-heat of liver and gallbladder,and qi and blood stasis.The main effects are tonifying deficiency,relieving surface,and clearing water and dampness.There were 22 high frequency drugs with drug use frequency≥21.Association rule analysis showed that the top three drug association combinations with the highest frequency of use were A(Calamus,Poria),B(calamus,Zexia)and C(calamus,Glycyrrhiza).Four clustering methods were obtained by cluster analysis.Conclusion SOM takes the pathogenesis of wind,dampness,asthenia and stasis as the core,and the medication law of SOM is to dissolving exterior and dispelling evil,supplementing Qi and invigorating spleen,dissolving dampness and clearing heat,and activating qi and blood circulation.

secretory otitis mediamedication rulesdata miningChinese medicine

魏丽琳、刘钢、金龙

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安徽中医药大学研究生院(安徽合肥,230061)

安徽中医药大学第一附属医院耳鼻喉科(安徽合肥)

分泌性中耳炎 用药规律 数据挖掘 中医药

国家中医药管理局"十二五"重点专科专病建设项目安徽省名中医学术经验继承项目2020年安徽省名中医工作室建设项目

卫中医药秘[2014]284号国中医药办[2012]123号中发展[2020]10号

2024

中国中西医结合耳鼻咽喉科杂志
中国中西医结合学会

中国中西医结合耳鼻咽喉科杂志

CSTPCD
影响因子:0.7
ISSN:1007-4856
年,卷(期):2024.32(5)