世界中医药
文章摘要
引用本文:陈佳阳1,李淏2,殷玉琨1,江正龙1,金伟1,冯利1.基于数据挖掘研究辨证论治恶性肿瘤骨转移治则治法[J].世界中医药,2022,(20):.  
基于数据挖掘研究辨证论治恶性肿瘤骨转移治则治法
Data Mining Methods for Analyzing the Therapeutic Principles and Methods for Bone Metastasis of Malignant Tumor Based on Syndrome Differentiation
投稿时间:2020-12-16  
DOI:10.3969/j.issn.1673-7202.2022.20.011
中文关键词:  恶性肿瘤  骨转移  骨癌痛  中医药  数据挖掘  辨证论治  治则治法  用药规律分析
English Keywords:Malignant tumor  Bone metastasis  Bone cancer pain  Traditional Chinese medicine  Data mining  Treatment based on syndrome differentiation  Therapeutic principles and methods  Medication rule analysis
基金项目:首都卫生发展科研专项项目(2020-2-4026);中国医学科学院临床与转化医学研究基金项目(2019XK320072)
作者单位
陈佳阳1,李淏2,殷玉琨1,江正龙1,金伟1,冯利1 1 国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院北京100021 2 北京中医药大学东直门医院北京100021 
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中文摘要:
      目的:基于数据挖掘分析方法探讨中药治疗恶性肿瘤骨转移及疼痛用药规律。方法:检索国家知识基础设施数据库(CNKI)、中国学术期刊数据库(CSPD)和PubMed中药治疗恶性肿瘤骨转移及疼痛的临床研究或经验探析。将所用处方中的药物建立数据库,通过药物、性味归经的频数分析、SPSS聚类分析、Clementine关联规则分析,探索用药规律。结果:共纳入研究144项,获得治疗恶性肿瘤骨转移及疼痛的中药处方150首,中药198味。药物频数分析中熟地黄、补骨脂、甘草、骨碎补、黄芪等应用最多;性味频数分析结果显示,温性药、甘味、苦味及辛味药使用较多;归经以肝、肾2经最多;聚类分析得到药对2对,3味药药组1组,聚类方1首;关联规则分析结果以补骨脂,当归-骨碎补等置信度最高。结论:中药治疗恶性肿瘤骨转移及疼痛遵循和化痰饮、滋补肝肾、通络止痛及专病专药等治疗原则。
English Summary:
      To explore the medication rule of the treatment for bone metastasis of malignant tumor based on syndrome differentiation by data mining analysis.Methods:China National Knowledge Infrastructure(CNKI),China Science Periodical Database(CSPD),and PubMed database were retrieved to collect clinical studies or empirical analyses of Chinese medicine for the treatment of bone metastasis and bone cancer pain of malignant tumor.A database of drugs in prescriptions was established,and the medication rule was explored by using frequency analysis of drugs,natures,flavors,and meridian tropism,SPSS cluster analysis,and Clementine association rule analysis.Results:A total of 144 studies were included.A total of 150 prescriptions and 198 drugs for the treatment of bone metastasis and bone cancer pain of malignant tumor were finally obtained.In the frequency analysis of drugs,Rehmanniae Radix Praeparata,Psoraleae Fructus,Glycyrrhizae Radix et Rhizoma,Drynariae Rhizoma,and Astragali Radix were used the most.The results of the frequency analysis of natures and flavors showed that drugs with warm nature and drugs with sweet,bitter,and acrid flavors were the most common drugs,attributing to the liver and kidney meridians.Two drug pairs,one 3-drug group,and one clustering formula were obtained in the cluster analysis.The results of association rule analysis showed that Psoraleae Fructus and Angelicae Sinensis Radix-Drynariae Rhizoma had the highest confidence.Conclusion:Chinese medicine follows the principles of relieving phlegm,nourishing liver and kidney,relieving pain through collaterals,and special drugs for specific diseases to treat bone metastasis and bone cancer pain of malignant tumor.
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