基于数据挖掘探讨中医药治疗放射性肺损伤的用药规律
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R818

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上海市“科技创新行动计划”医学创新研究专项项目(21Y11922400);上海市卫健委卫生行业临床研究专项项目(20214Y0377); 上海中医药大学附属龙华医院“龙医学者”临床科技创新培育项目(PY2022002)


Medication Rules of Chinese Medicine in Treating Radiation-Induced Lung Injury Based on Data Mining
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    摘要:

    目的:基于数据挖掘探讨中医药治疗放射性肺损伤(RILI)的用药规律。方法:检索 1989 年 1 月— 2021 年 12 月中国知网(CNKI)、中文科技期刊数据库、万方数据知识服务平台、中国生物医学文献服务系 统(CBM)、PubMed 收录的有关中医药治疗 RILI 的临床文献。建立处方数据库,运用频次分析、关联规则、 聚类分析等方法进行数据挖掘。结果:共纳入处方 248 首,涉及中药 233 味。临床常见证型有气阴两虚证、热 毒炽盛证、痰瘀互结证等。使用频次较高的中药有麦冬、甘草、生地黄、苦杏仁等;治疗药物以补气、补阴、 清热药为主;主要归经有肺经、肝经、胃经,以苦、甘、辛味药多见,药性以寒性为主。关联规则分析发现常 用药物组合有麦冬-生地黄、甘草-苦杏仁、麦冬-北沙参、玄参-生地黄-麦冬、麦冬-桔梗-甘草等;聚类分析 得到核心处方有桔梗-百合-生地黄-玄参-白芍-川贝母-牡丹皮、丹参-赤芍-当归-川芎-桃仁-瓜蒌、党参-白 术-茯苓-黄芪等。结论:中医药治疗 RILI 多以益气养阴、清热解毒、活血化瘀为治则,注重护阴扶正,临床 常采用参苓白术散、沙参麦冬汤等类方加减治疗。

    Abstract:

    Abstract:Objective:To explore the medication rules of Chinese medicine in treating radiation-induced lung injury (RILI) based on data mining. Methods:The clinical literature on RILI treated by Chinese medicine were retrieved from Chinese National Knowledge Infrastructure (CNKI), Chinese Citation Database, Wanfang Data Knowledge Service Platform, China Biology Medicine (CBM) and PubMed from January 1989 to December 2021. The prescription database was established, and the data mining was carried out by the methods of frequency analysis , association rules and cluster analysis. Results : A total of 248 prescriptions were included,involving 233 kinds of Chinese herbs. The common clinical syndrome types are syndrome of deficiency of both qi and yin,intense heat toxin syndrome and syndrome of phlegm blended with stasis. The most frequently used Chinese herbs were Ophiopogonis Radix,Glycyrrhizae Radix et Rhizoma, Rehmanniae Radix and Armeniacae Semen Amarum. The main therapeutic herbs are for supplementing qi,supplementing yin and clearing heat. The main channels enter into lung,liver,stomach channel,and the main flavors are bitter,sweet and acrid,and the natures are mainly cold. Association rule analysis showed that the commonly used herbal combinations were Ophiopogonis Radix-Rehmanniae Radix,Glycyrrhizae Radix et Rhizoma-Armeniacae Semen Amarum,Ophiopogonis Radix-Glehniae Radix, Codonopsis Radix-Macrocephalae Atractylodis , Scrophulariae Radix-Rehmanniae Radix-Ophiopogonis Radix,Ophiopogonis Radix-Platycodonis Radix-Glycyrrhizae Radix et Rhizoma. Cluster analysis showed that the core prescriptions were Platycodonis Radix-Lilii Bulbus-Rehmanniae Radix-Radix Scrophulariae Paeoniae Radix Alba-Fritillariae Cirrhosae Bulbus-Moutan Cortex, Salviae Miltiorrhizae Radix et Rhizoma- Paeoniae Radix Rubra-Angelicae Sinensis Radix-Chuanxiong Rhizoma-Persicae Semen-Trichosanthis Fructus , Codonopsis Radix-Macrocephalae Atractylodis Rhizoma-Poria-Astragali Radix. Conclusion:In the treatment of RILI by Chinese medicine,the main treatment principles are boosting qi and nourishing yin,clearing heat and resolving toxins,and invigorating blood and dissolving stasis,and the emphasis is on protecting yin and reinforcing healthy qi. Shenling Baizhu Powder, Shashen Maidong Decoction and other prescriptions are often modified in clinical treatment.

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张真,鹿振辉,邱磊,方庆亮,黄星,王蕾.基于数据挖掘探讨中医药治疗放射性肺损伤的用药规律[J].新中医,2023,55(15):28-34

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  • 在线发布日期: 2023-08-13
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