中药治疗成人斯蒂尔病的用药规律研究
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R593.2

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Study of Administration Rule of Chinese Medicine for Adult Onset Still's Disease
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    摘要:

    目的:探讨分析中药治疗成人斯蒂尔病(AOSD)的用药规律。方法:检索中国期刊全文数据库(CNKI)、维普中文科技期刊(VIP)、中国学术期刊数据库(万方数据),通过整理相关文献,建立数据库,并用统计软件对中药治疗AOSD的用药规律进行分析。结果:47篇治疗AOSD的文献中,涉及中药229味,累计使用1 153次;单味药中使用频率较高的前5味药分别是甘草(3.04%)、知母(2.95%)、牡丹皮(2.60%)、黄芩(2.60%)、生地黄(2.60%);按功效归类则清热药(35.76%) 所占比例最大,其次为补虚药(18.48%),解表药(9.38%)、利湿药(9.11%) 和祛风湿药(5.72%)。清热药以清热解毒和清热凉血药为主;补虚药以补气和补阴药为主。结论:AOSD的治疗有其自身的特点,用药以清热药解毒凉血、补虚药益气养阴为主,兼以解表药、利湿药和祛风湿药等共同治疗。

    Abstract:

    Objective:To explore and analyze the administration rule of Chinese medicinefor adult onset still's disease(AOSD).Methods: China national knowledge internet(CNKI), VIP Journal Integration Platform(VIP)and China Science Periodical Database(Wanfang data)were searched to sort out related literatures and establish a database.The administration rule of Chinese medicine for AOSD was analyzed via statistical software.Results:Among 47 pieces of literature for AOSD,229 kinds of Chinese medicine and 1153 times of administration frequency were found.The top 5 medications applied in single medicine in terms of administration frequency were radix glycyrrhiza(3.04%),rhizoma anemarrhenae(2.95%), cortex moutan(2.60%), radix scutellariae(2.60%)and dried radix rehmanniae(2.60%).In terms of efficiency, heat-clearing medicine(35.76%)accounted for the biggest frequency, followed by tonifying medicine(18.48%), exterior-releasing medicine(9.38%), dampness-draining medicine(9.11%), and wind-dampness-dispelling medicine(5.72%).Heat-clearing medicine mainly included heat-clearing and detoxifying medicine as well as heat-clearing and blood-cooling medicine.Tonifying medicine mainly included qi-tonifying medicine and yin-tonifying medicine.Conclusion:Treatment for AOSD has its own characteristics.The medication mainly focuses on heat-clearing medicine to detoxify and cool blood,as well as tonifying medicine to tonify qi and nourish yin,which combined with exterior-releasing medicine, dampness-draining medicine,wind-dampness-dispelling medicine and other medicine.

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严瑶琦,苗丽丽,孙静,谢志军.中药治疗成人斯蒂尔病的用药规律研究[J].新中医,2018,50(3):33-36

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  • 在线发布日期: 2018-03-04
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