首页|基于数据挖掘的中医药治疗缓慢性心律失常临床用药规律研究

基于数据挖掘的中医药治疗缓慢性心律失常临床用药规律研究

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目的 分析中医药治疗缓慢性心律失常的用药规律,为缓慢性心律失常的治疗提供参考.方法 检索中国知网、万方数据知识服务平台、维普中文科技期刊数据库和PubMed数据库中收录的中医药治疗缓慢性心律失常的临床研究文献,利用Excel 2019、SPSS Modeler 18.0 和SPSS 25.0 等软件,对中医药治疗缓慢性心律失常的方剂进行统计分析,包括关联规则分析、因子分析和聚类分析.结果 共纳入处方 77 首,涉及中药 138 味.排名前 5 位的药物依次为黄芪、桂枝、甘草、丹参和附子,支持度最高的是黄芪-附子.聚类分析得到 7 种药物组合.结论 临床治疗缓慢性心律失常时,以益气温阳和养阴活血为主要治疗方法且更偏于益气,临床中医用药以生脉散和桂枝甘草汤加味为主.
Research on clinical medication patterns of traditional Chinese medicine for the treatment of chronic arrhythmia based on data mining
Objective This study aims to analyze the medication patterns of traditional Chinese medicine(TCM)for the treatment of chronic arrhythmia and provide reference for its clinical management.Methods Relevant clinical research literature on TCM treatment for chronic arrhythmia was retrieved from databases including China National Knowledge Infrastructure,Wanfang Data Knowledge Service Platform,China Science and Technology Journal Database and PubMed.Software such as Excel 2019,SPSS Modeler 18.0,and SPSS 25.0 were utilized for statistical analysis of TCM formulas used in the treatment of chronic arrhythmia,including association rule analysis,factor analysis,and cluster analysis.Results A total of 77 prescriptions were included,involving 138 traditional Chinese medicines.The top 5 ranked medicines were Astragali Radix,Cinnamomi Ramulus,Glycyrrhizae Radix et Rhizoma,Salviae Miltiorrhizae Radix et Rhizoma,and Aconitum carmichaeli Debx.The highest support is for the combination of Astragali Radix and Aconitum carmichaeli Debx.Cluster analysis yielded 7 different combinations of medicines.Conclusion In the clinical treatment of chronic arrhythmia,the main therapeutic approach emphasizes tonifying Qi,warming Yang,nourishing Yin,and promoting blood circulation,with a greater emphasis on tonifying Qi.In TCM clinical practice,Shengmai San and modified Guizhi Gancao Tang are commonly used.

Chronic arrhythmiaTraditional Chinese medicineData miningMedication patterns

夏娟娟

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舟山市中医院急诊科,浙江舟山 316000

缓慢性心律失常 中医药 数据挖掘 用药规律

2024

中国现代医生
中国医学科学院

中国现代医生

影响因子:1.571
ISSN:1673-9701
年,卷(期):2024.62(18)
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