基于数据挖掘技术研究张小玲治疗甲状腺癌用药规律
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R273

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宁波市科学技术局市自然科学基金项目(2023J237);宁波市名中医药专家传承工作室建设项目宁波市张小玲名中医药专家工作 室(甬卫办中医〔2020〕150号);国家中医药管理局“十二五”重点专科建设项目(浙中医药〔2012〕17号)


Study on Medication Rules of ZHANG Xiaoling in Treating Thyroid Cancer Based on Data Mining Techniques
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    摘要:

    目的:基于数据挖掘技术研究张小玲教授治疗甲状腺癌的用药规律。方法:采集2018年10月— 2023年9月在宁波市中医院张小玲教授门诊治疗的甲状腺癌患者的病历资料,得到有效处方1 703首,使用 Excel软件和古今医案云平台(V2.2.1) 统计中药使用频次、性味、归经及功效,对高频中药进行聚类分析,提 取核心药物组成。结果:涉及中药177味,用药总频次29 391次,用药频次≥400次的高频中药有柴胡、百合、 黄芪等21味。药性排名前3的是微寒、温、平性,药味排名前3的是甘、苦、辛味,归经排名前5的是肝、肺、 胃、脾、肾经,功效以清热解毒、活血止痛、强筋骨、生津养血、疏肝解郁为主。通过聚类分析得到4个中药 聚类组合。核心药物组成为柴胡、黄芪、百合、白术、枸杞子、麦冬、丹参、冬凌草、猫爪草、淫羊藿、菟丝 子、甘草。结论:张小玲教授辨治甲状腺癌以疏肝为核心,兼顾五脏。治法上强调清热解毒、活血化痰,用药 平和,温清并用,注重平调阴阳。

    Abstract:

    Abstract: Objective: To study the medication rules of Professor ZHANG Xiaoling in treating thyroid cancer based on data mining techniques. Methods:The data on thyroid cancer patients treated by Professor ZHANG Xiaoling in the outpatient department of Ningbo Municipal Hospital of Traditional Chinese Medicine from October 2018 to September 2023 were collected, and 1 703 effective prescriptions were obtained. Excel software and Ancient and Modern Medical Records Cloud Platform (V2.2.1) were used to count the frequency, natures and flavors, meridian entries and efficacy of Chinese medicinals. The cluster analysis was conducted on highly used Chinese medicinals. Core medicinal combinations were extracted. Results: A total of 177 Chinese medicinals were involved,and the total frequency of medication was 29 391 times. There were 21 high-frequency Chinese medicinals with frequency of medication ≥ 400 times, such as Bupleuri Radix,Lilii Bulbus,Astragali Radix. The top three medicinal properties are slightly cold,warm and neutral, the top three medicinal flavors are sweet, bitter and pungent, and the top five meridian entries are the liver, lung, stomach, spleen and kidney. Their efficacy is mainly clearing heat and detoxifying, activating blood and relieving pain, strengthening muscles and bones, engendering fluid and nourishing blood, and soothing the liver and releasing constraint. Four cluster combinations of Chinese medicinals were obtained by the cluster analysis. The core medicinal combinations were Bupleuri Radix, Astragali Radix, Lilii Bulbus, Atractylodis Macrocephalae Rhizoma, Lycii Fructus, Ophiopogonis Radix, Salvia Miltiorrhizae Radix et Rhizoma,Rabdosiae Rubescentis Herba,Ranunculi Ternati Radix,Epimedii Folium, Cuscutae Semen and Glycyrrhizae Radix et Rhizoma. Conclusion:Professor ZHANG Xiaoling treats thyroid cancer by soothing the liver as the core,taking into account the five internal organs. The treatment method emphasizes clearing heat and resolving toxins,activating blood and resolving phlegm,the medicinals used are neutral,using both warming and clearing method and paying attention to the balance of yin and yang.

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叶晶琳,毛露凤,凌仕良,指导:张小玲.基于数据挖掘技术研究张小玲治疗甲状腺癌用药规律[J].新中医,2024,56(24):141-145

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  • 在线发布日期: 2024-12-27
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