基于数据挖掘的膝骨关节炎中药外治用药规律研究
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河南省中医药科学研究专项课题(2019ZY2056;2018ZY2101)


Study on the Regularity of Traditional Chinese Medicine for External Treatment of Knee Osteoarthritis Based on Data Mining
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    摘要:

    目的:膝骨关节炎是临床常见病、多发病。通过收集临床外治法治疗膝骨关节炎的处方及其用药,运用数据挖掘的方法分析其用药规律,为临床中药外治治疗膝骨关节炎提供相关用药指导。方法:通过检索2011年1月至2020年3月于国家知识基础设施数据库(简称中国知网,China National Knowledge Infrastructure,CNKI) 、中国学术期刊数据库(简称万方数据库,China Science Periodical Database,CSPD) 、中文科技期刊数据库(简称维普资讯,Chinese Citation Database,CCD) 收录的关于中药熏洗治疗膝骨关节炎且具有明显治疗作用的学术论文,总结、归纳中药的性味、归经、功效及高频率用药,运用数据分析软件Excel、IBM SPSS Modeler14.1及SPSS Statistics 21.0进行药物关联规则分析和聚类分析。结果:纳入文献共涉及54个外用方,单个中药使用频率≥10的共21味。核心药物包括红花、川芎、乳香、没药、川乌、草乌、当归、伸筋草、透骨草等。以活血化瘀止痛药、祛风湿药为主;以辛、苦味、温性、平性药物为主;归经以肝、脾、心、肾为主。结论:在中药外治治疗膝骨关节炎过程中,应以辛味、温性药为主,肝脾心肾同治,强调祛风湿、止痛和活血化瘀相结合,及时缓解膝骨关节炎患者的相关临床症状,提高患者生命质量。

    Abstract:

    Knee osteoarthritis is a common clinical disease and frequently-occurring disease.To provide relevant medication guidance for clinical treatment of knee osteoarthritis by external treatment by collecting prescriptions and medications for clinical treatment of knee osteoarthritis by external treatment,using data mining methods to analyze the medication rules.Methods:Journals published on CNKI,WanFang,and VIP database from January 2011 to March 2020 on the treatment of knee osteoarthritis with Chinese medicine fumigation and washing and has a significant therapeutic effect were searched.Chinese medicine's taste,meridian,efficacy and high frequency of medication were summarized.Data analysis software Excel,IBM SPSS Modeler 14.1 and SPSS Statistics 21.0 were used to analyze drug association rules and cluster analysis.Results:A total of 54 foreign prescriptions were involved in the included literature,with a total of 21 flavors with a single Chinese medicine used frequency ≥10.The core drugs included Carthami flos,Chuanxiong rhizoma,Olibanum,Myrrha,Aconiti Radix,Aconiti kusnezoffii Radix,Angelicae sinensis Radix,Lycopodii herba,TouGucao,etc.They were mainly activating blood to remove blood stasis and analgesics and anti-rheumatic drugs,mainly based on the medicines with spicy,bitter,warm and mild drugs; meridian was mainly based on liver,spleen,heart and kidney.Conclusion:In the treatment of knee osteoarthritis with external treatment of Chinese medicine,it should be based on pungent and warm medicine,the liver,spleen,heart and kidney should be treated at the same time.We emphasized the combination of dispelling rheumatism,relieving pain,and promoting blood circulation to relieve the related clinical symptoms of knee osteoarthritis patients and improve the quality of life of patients.

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周世博,郑永智,张小燕,蒋燕君,李孟飞,田松云.基于数据挖掘的膝骨关节炎中药外治用药规律研究[J].世界中医药,2021,(04).

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  • 收稿日期:2020-04-15
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  • 在线发布日期: 2021-04-16
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