首页|基于文献分析活血化瘀法在先兆流产中的运用

基于文献分析活血化瘀法在先兆流产中的运用

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目的:探讨活血化瘀法治疗先兆流产的用药规律,为临床保胎治疗中使用活血化瘀药提供经验.方法:以"先兆流产""胎漏""胎动不安""妊娠腹痛"为关键词进行搜索,收集汇总中国知网、万方、维普、中国生物医学文献数据库2018年1月-2022年12月收录的先兆流产相关期刊文献,对于纳入标准所涵盖的药方,利用Microsoft Excel 2019软件、中医传承辅助平台(V2.5)、IBM SPSS Statistics 26.0等软件进行药物频数、中药分类、四气、五味和归经统计,以及关联规则、核心中药、新方和聚类分析.结果:在符合纳入标准的68个处方中,补虚药出现的频数最高,其次是活血化瘀药和止血药,其中当归、丹参、三七及川芎等具有活血化瘀作用的药物为高频药物,性味以温性、甘味为主,归肝经、脾经者居多;常用药物模式中有8种模式含有具有活血化瘀作用的药物,关联结果显示蒲黄与肉苁蓉、川芎、葛根、五灵脂,川芎与续断、太子参、地榆,丹参与金银花关联紧密,同时得到9个新方组合;聚类分析结果中可分为5类.结论:活血化瘀法治疗血瘀型先兆流产的方剂中,用药以补虚药为主,活血化瘀药和止血药次之,具有活血化瘀功效的药材有当归、丹参、三七及川芎等,多为温甘之品.以上研究结果为保胎过程中使用具有活血化瘀作用的中药树立了信心,为临床中妊娠期用药提供了一定的参考依据.
An analysis of the application of activating blood circulation and removing blood stasis method in treating incipient abortion based on literature method
Objective:To investigate the medication rules of promoting blood circulation to remove blood stasis in the treatment of threatened miscarriage,and to provide experience for the use of blood stasis removal drugs in clinical fetal protection therapy.Methods:Using the keywords of"threatened miscarriage","fetal leakage","fetal restlessness"and"pregnancy abdominal pain",the journal literature related to threatened abortion included in CNKI,Wanfang,VIP,and China Biomedical Literature Database from January 2018 to December 2022 was collected,and Microsoft Excel 2019 software,TCM inheritance assistance platform(V2.5),IBM SPSS Statistics 26.0 and other software were used for the statistics of drug frequency,classification of traditional Chinese medicines,four Qi(气),five flavors and attribution of the prescriptions covered by the inclusion criteria were carried out,as well as association rules,core Chinese medicines,new formulas and cluster analyses.Results:Among the 68 prescriptions that met the criteria,the frequency of deficiency tonic drugs was the highest,followed by blood stasis removal drugs and hemostatic drugs.Danggui(Angelica sinensis),Danshen(Salvia miltiorrhiza),Sanqi(Pseudo-ginseng),and Chuanxiong(Ligusticum wallichii)were high-frequency medicines,which had the effect of activating blood circulation and removing blood stasis,and the main medicinal flavors were warm and sweet,and the liver channel and spleen channel were the majority.Among the commonly used drug patterns,8 patterns contained drugs that had the effect of activating blood circulation and removing blood stasis.The correlation results showed that Puhuang(Cattail pollen)was closely associated with Roucongrong(Cistanche deserticola),Chuanxiong,Gegen(Pueraria lobata),Wulingzhi(Trogopterus Dung),Chuanxiong was closely associated with Xuduan(Teasel root),Taizishen(Radix pseudostellariae),Diyu(Sanguisorba officinalis),Danshen was closely associated with Jinyinhua(Flos Lonicerae Japonicae),and 9 new prescription combinations have been obtained.Cluster analysis outcomes can be divided into 5 categories.Conclusion:Among the prescriptions for the treatment of blood stasis threatened abortion,the main drugs are tonics,followed by blood circulation and blood stasis drugs and hemostatic drugs,and the medicinal materials with the effect of blood stasis removal are Danggui,Danshen,Sanqi and Chuanxiong,etc.,which are mostly warm and sweet products.The above research results establish confidence in the use of traditional Chinese medicine with the effect of blood stasis removal in the process of fetal protection,and provide a certain reference value for clinical medication during pregnancy.

Incipient abortionPromoting blood circulation and resolving stasis methodLiterature analysisMedication pattern

徐振如、刘梅、陈华、陈传燕、高晓艳、刘雪莹

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山东中医药大学,山东 济南,250013

山东中医药大学附属医院,山东 济南,250011

先兆流产 活血化瘀法 文献分析 用药规律

山东省自然科学基金项目山东省中医药科技发展计划项目

ZR2022MH3212019-0118

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)