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基于数据挖掘技术探析中药治疗卒中后癫痫的用药规律

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目的:文章基于数据挖掘技术探索中药方剂治疗卒中后癫痫的用药规律,为临床选方用药提供思路.方法:以中国知网数据库、万方数据库及维普数据库为资料来源,检索从建库至2023年5月发表的采用中药有效治疗卒中后癫痫的文献,将文献进行筛选及数据处理后用SPSS Modeler 18、SPSS Statistics 21进行高频用药、性味归经、关联规则等统计分析,并进行高频药物可视化分析.结果:共筛选出69首有效处方,涉及中药113味,出现频次为866,药性以寒、温、平为著,药味以甘、苦、辛居多,归经多为肝经、肺经、心经.其中使用频次>15的药物共计22味,高频药物有石菖蒲(57次,73.91%)、半夏(39次,56.52%)、茯苓(32次,46.38%)等.关联规则较多的药对有11对,其中支持度前三的药对为石菖蒲-茯苓-半夏、半夏-茯苓-石菖蒲、半夏-僵蚕-石菖蒲.聚类分析获得4种药物分类,分别有活血化瘀、息风止痉、燥湿化痰、安神定志之效.结论:卒中后癫痫中医病因以"风、火、痰、瘀、虚"为主,病机属本虚标实,治疗以扶正祛邪为主,治法多为祛风止痉、理气化痰等.常用药物以寒性、甘味、归肝经为主,以醒脑开窍配伍息风止痉药物为主.
Medication rules of traditional Chinese medicine in the treatment of post-stroke epilepsy based on data mining technology
Objective:Based on data mining technology,this paper explores the medication rule of treating epilepsy after stroke with TCM medicine,and provides ideas for clinical prescription selection.Methods:In CNKI database,Wanfang database and VIP database,studies treating epilepsy after stroke with TCM medicine were retrieved from database establishment to May 2023.The literature was screened and included,and the data were processed.SPSS Modeler 18 and SPSS Statistics 21 were used for statistical analysis of high-frequency drugs,sexual taste attribution,association rules,etc.,and high-frequency drug visualization analysis was carried out.Results:A total of 69 effective prescriptions were selected,involving 113 Chinese medicines,and the frequency was 866 times.The medicinal properties were cold,warm and flat,the medicinal flavours were mostly sweet,bitter and spicy,and the meridians were mostly liver,lungs and heart meridians.Among them,a total of 22 drugs were used more than 15 times,and high-frequency drugs included Shichangpu(Rhizoma Acori Tatarinowii,57 times,73.91%),Banxia(Rhizoma Pinelliae,39 times,56.52%),Fuling(Poria,32 times,46.38%),etc.There were 11 pairs of drugs with more association rules,among which the top three drug pairs were Shichangpu-Fuling-Banxia,Banxia-Fuling-Shichangpu,Banxia-Jiangchan(Bombyx Batryticatus)-Shichangpu.Cluster analysis obtained that there were 4 kinds of drugs,which had the effects of invigorating blood and removing blood stasis,relieving wind and spasmodic,drying dampness and reducing phlegm,and calming the nerves.Conclusion:The etiology of epilepsy after stroke in TCM is mainly"wind,fire,phlegm,stasis and deficiency",and the pathogenesis is the original deficiency and the superficial excess The commonly used drugs are cold,sweet,and mostly attributed to the liver meridian to awaken the brain and relieve spasm.

Poststroke epilepsyTraditional Chinese medicineData miningMedication rule

张璟、冯丽莎

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天津中医药大学,天津,300000

天津市中医药研究院附属医院,天津,300000

卒中后癫痫 中药 数据挖掘 用药规律

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(17)