基于数据挖掘分析李亮治疗慢性失眠用药规律
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R256.23

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中山市社会公益科技研究项目(2023B3010)


Analysis on Medication Rules of LI Liang in Treating Chronic Insomnia Based on Data Mining
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    摘要:

    目的:基于数据挖掘分析李亮教授治疗慢性失眠的用药规律。方法:收集李亮教授治疗慢性失眠 的门诊病历资料,使用Excel 2016 建立数据库并分析处方中的药物频次、性味、归经等信息,采用SPSS Modeler 18.0分析核心药物,使用IBM SPSS Statistics 26.0对核心药物进行因子分析及聚类分析。结果:纳入医 案265例,总计308份处方,涉及169味中药,药物使用频次排前5位的中药依次为珍珠母、柴胡、炒酸枣仁、 牡蛎、半夏,药性统计前3位依次为寒、平、温;药味统计前3位依次为甘、苦、辛;归经统计前5位依次为 肝、心、肺、脾、胆,基于关联规则分析得出治疗失眠的核心物组合为牡蛎-龙骨、柴胡-胆南星、柴胡-青皮 等,因子分析提取得到了9个公因子,系统聚类分析得到3个组方。结论:李亮教授治疗慢性失眠运用疏肝清 热化痰、重镇安神、滋阴活血、健运脾胃类中药,多以柴芩温胆汤、酸枣仁汤、交泰丸、六味地黄丸、安神定 志丸为基础方化裁。

    Abstract:

    Abstract:Objective:To analyze the medication rules of Professor LI Liang in treating chronic insomnia based on data mining. Methods: The outpatient medical records of Professor LI Liang in treating chronic insomnia were collected. Excel 2016 was used to establish a database and analyze the frequency, nature and flavor and meridian entries of Chinese medicinals in the prescriptions. SPSS Modeler 18.0 was used to analyze the core medicinals. IBM SPSS Statistics 26.0 was used for factor analysis and clustering analysis of the core medicinals. Results: A total of 265 medical cases were included, with 308 prescriptions, involving 169 Chinese medicinals. The top five Chinese medicinals in the use frequency were Margaritifera Concha,Bupleuri Radix,Fried Ziziphi Spinosae Semen,Ostreae Concha and Pinelliae Rhizoma and the top three in nature were cold,neutral and warm;the top three in flavor were sweet, bitter and pungent; the top five meridian entries were the liver, heart, lung, spleen and gallbladder. The association rule analysis showed that the core medicinal combinations for insomnia were Ostreae Concha-Os Draconis, Bupleuri Radix-Arisaema cum Bile,Bupleuri Radix-Citri Reticulatae Pericarpium Viride,etc. A total of nine common factors were extracted by factor analysis, and three prescriptions were obtained by systematic clustering analysis. Conclusion:Professor LI Liang treats chronic insomnia by using Chinese medicinals for soothing the liver,clearing heat and resolving phlegm, calming mind by heavy settling, enriching yin and invigorating blood, and transporting nutrients in the spleen and stomach. It is to modify the basic prescriptions of Chaiqin Wendan Decoction,Suanzaoren Decoction,Jiaotai Pills,Liuwei Dihuang Pills and Anshen Dingzhi Pills.

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王红,赖康安,贺加贝,指导:李亮.基于数据挖掘分析李亮治疗慢性失眠用药规律[J].新中医,2025,57(10):1-7

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  • 在线发布日期: 2025-05-27
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