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基于数据挖掘探索中医药治疗肝硬化腹水的用药规律

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目的:采用数据挖掘方法探索中医药治疗肝硬化腹水的用药规律.方法:计算机检索中国知网、万方、维普数据库关于中医药治疗肝硬化腹水的临床研究,收集并提取其中近10年的中药复方组成数据,运用中医传承计算平台(TCMICS V3.0)软件对中药数据进行频次统计分析、聚类分析及关联规则分析,并总结出核心组合.结果:共检索出文献457篇,最终纳入文献96篇,整理出中药复方103个,包含中药160味,药物四气以温性、寒性、平性为主;五味以甘味、苦味、辛味居多;药物主归脾经、肝经;药物功效以补虚药、利水渗湿药、活血化疼药、理气药为主;关联分析得出常用药物组合16组,关联规则21条;聚类分析得出4类聚类组合.结论:肝硬化腹水多属本虚标实证,肝脾肾三脏俱虚,气滞、血瘀、水停错杂为患.用药以补虚药为主,兼以行气、活血、利水,标本兼治,功补并施.
Exploring the medication pattern of traditional Chinese medicine treatment for liver cirrhosis ascites using data mining
Objective:To explore the rule of traditional Chinese medicine in the treatment of cirrhosis ascites by data mining method.Methods:The clinical studies on the treatment of cirrhosis ascites by traditional Chinese medicine from CNJI,Wanfang and Wipu databases were searched by computer,and the composition data of traditional Chinese medicine compounds in the past 10 years were collected and extracted.The frequency statistical analysis,cluster analysis and association rule analysis of traditional Chinese medicine data were carried out by TCMICS V3.0 software,and the core combinations were summarized.Results:A total of 457 literatures were retrieved,96 literatures were included according to the exclusion criteria,and 103 TCM compounds were sorted out,including 160 TCM flavors.The 4 drugs were mainly warm,cold and flat.The 5 tastes are mainly sweet,bitter and sinuous.The main drugs are spleen channel and liver channel;The main efficacy of the drug was tonifying deficiency,regulating dampness,promoting blood circulation and removing blood stasis,regulating qi.Association analysis showed 16 groups of common drug combinations and 21 association rules.Four types of cluster combinations were obtained by cluster analysis.Conclusion:Ascites of liver cirrhosis is mainly the primary deficiency syndrome,the three viscera of liver,spleen and kidney are deficient,qi stagnation,blood stasis and water stasis are complicated.The medicine is mainly used for tonifying deficiency,and it is also used for qi,blood circulation,water benefit,both symptoms and root causes of treatment,and Gong tonifying and applying.

ascites of cirrhosisdata miningmedication regularity

袁帅朋、马素平

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河南中医药大学第一临床医学院(河南 郑州,450000)

河南中医药大学第一附属医院

肝硬化腹水 数据挖掘 用药规律 文献分析

河南省特色骨干学科中医学学科建设项目河南省中医学"双一流"创建科学研究专项课题

STG-ZYX02-202109HSRP-DFCTCM-2023-3-20

2024

中西医结合肝病杂志
中国中西医结合学会,湖北中医学院

中西医结合肝病杂志

CSTPCD
影响因子:0.908
ISSN:1005-0264
年,卷(期):2024.34(6)