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中医药治疗急性脑梗死用药规律的数据挖掘研究

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目的:基于数据挖掘技术探讨中医药治疗急性脑梗死(ACI)的用药规律,为 ACI的临床治疗提供思路。方法:计算机检索中国知网、万方、维普、中国生物医学、PubMed数据库建库至 2022年 9月中医药治疗 ACI的随机对照临床研究药方,运用古今医案云平台(V2。3。5)对筛选出的药方进行药物频次统计、性味归经统计、药物功效统计、关联分析、聚类分析、复杂网络分析等数据挖掘。结果:通过收集与筛选,共纳入符合标准的药方 376首,涉及 211味中药,药物总频次 3 729 次。药物使用频次居前 10 位的分别是川芎、地龙、当归、黄芪、丹参、红花、半夏、桃仁、天麻、赤芍。药物性味归经方面,四气以温性、平性为主;五味以苦味、甘味、辛味为主,归经以肝经为主。药物功效统计中活血化瘀、润肠通便、祛风止痛、燥湿化痰、活血行气、活血通络等功效中药使用频次较高。药物关联有"当归-川芎""川芎-地龙""黄芪-川芎"等。药物聚类可将使用频次≥40次的 24味高频中药聚类成 5 类。复杂网络分析筛选出治疗 ACI的核心组方为:川芎、当归、地龙、桃仁、红花、赤芍、黄芪、丹参、甘草。结论:中医药治疗 ACI多从"瘀、痰、虚、滞"病机着手,注重急则治标,标本兼顾,以通为主,通补兼施,常用活血化瘀、理气活血、益气活血、活血化痰、活血养血、调畅血脉、行滞通络、润肠通腑、清解郁热之品。
Medication Rules of Traditional Chinese Medicine in Treating Acute Cerebral Infarction Based on Data Mining
Objective:Based on the data mining technology,to study the medication rules of traditional Chinese medicine(TCM)for the treatment of acute cerebral infarction(ACI),and provided ideas for the clinical treatment of ACI.Methods:The prescription composition data of randomized controlled clinical studies of TCM in the treatment of ACI from the establishment of China National Knowledge Infrastructure(CNKI),Wanfang Data,Chinese Science and Technology Journal Database(VIP),Chinese Biomedical Literature Database(CBM),and PubMed databases from to September 2022 were retrieved by computer.The Ancient and Modern Medical Records Cloud Platform(V2.3.5)was used to conduct data mining for the selected prescriptions,such as herbal medicine frequency statistics,property,flavors and attributive channel,herbal medicine efficacy statistics,correlation analysis,cluster analysis,and complex network analysis.Results:Through collection and screening,376 prescriptions meeting the criteria were included,involving 211 kinds of herbal medicines,with 3 729 times.The top 10 drugs were Chuanxiong,pheretima,angelica sinensis,astragalus membranaceus,salvia miltiorrhiza,carthamus tinctorius,pinellia ternata,semen persicae,gastrodia elata,and paeonia lactiflora.The four Qi were mainly warm and neutral.The five tastes were mainly bitter,sweet and pungent.The main channel was liver meridian.The drug effects were promoting blood circulation to remove blood stasis,relaxing the bowels,expelling wind and relieving pain,eliminating dampness and resolving phlegm,promoting blood circulation and promoting Qi circulation,and promoting blood circulation to dredge collaterals.Drug associations included"angelica-Chuanxiong","Chuanxiong-pheretima","astragalus-Chuanxiong"and so on.Herbal medicines clustering clustered 24 kinds of high-frequency herbal medicines which were used more than 40 times into 5 categories.Complex network analysis showed the core formula for the treatment of ACI were Chuanxiong,angelica,lumbricus,semen persicae,carthamus tinctorius,radix paeoniae rubra,radix astragali,radix salviae miltiorrhizae,and radix glycyrrhizae.Conclusion:TCM treatment of ACI is mainly based on included the pathogenesis of"blood stasis,phlegm,deficiency,and stagnation",focusing on the treatment both the symptoms and the causes,with priority for dredging,to apply both dredging and tonifying,promoting blood circulation,regulating Qi and activating blood circulation,supplementing Qi and activating blood circulation.

acute cerebral infarctiontraditional Chinese medicinemedication rulesdata mining

刘红喜、梁晓、魏竞竞、石静资、刘悦、申伟、陈云梦、付国静、张允岭

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北京中医药大学(北京 100029)

中国中医科学院西苑医院(北京 100091)

急性脑梗死 中医药 用药规律 数据挖掘

国家中医药管理局中医药传承与创新"百千万"人才工程(岐黄学者)国家中医药领军人才支持计划项目(2018年)国家中医药管理局中医药创新团队及人才支持计划项目中国中医科学院中医药防治脑病传承创新团队中国中医科学院科技创新工程项目

ZYYCXTD-C-202007CI2021B006CI2021A01301

2024

中西医结合心脑血管病杂志
中国中西医结合学会 山西医科大学第一医院

中西医结合心脑血管病杂志

CSTPCD
影响因子:1.463
ISSN:1672-1349
年,卷(期):2024.22(1)
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