基于数据挖掘分析吉兰-巴雷综合征中医证素分布及用药规律
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R745

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国家中医药管理局高水平中医药重点学科建设项目(zyyzdxk-2023154);省部共建中医湿证国家重点实验室(广州中医药大学第二附属医院)(SZ2022KF22)


Analysis of Distribution of Chinese Medicine Syndrome Elements and Medication Patterns in Guillain-Barré Syndrome Based on Data Mining
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    目的:基于数据挖掘方法分析吉兰-巴雷综合征的中医证素分布及用药规律。方法:通过检索中国 知网(CNKI)、万方数据库、维普数据库(VIP)、Pubmed、Web of Science和Embase数据库,建立吉兰-巴雷 综合征的中医证素和中药数据库,对高频中药进行关系网络图形、关联规则和聚类分析。结果:共纳入文献 27篇,涉及中药处方37条。通过频数分析筛选出病位证素4种、病性证素12种,病位证素出现频率最高的前 3位为脾、肾、肝,病性证素出现频率最高的前4位依次是气虚、血瘀、湿、热;治疗该病共涉及中药103味, 累计使用频次371次,使用频次前5的依次是黄芪、当归、甘草、白芍、川芎;使用频次≥5的高频中药有 22 味,对高频中药进行功效分类后共涉及15种,排名前5的依次为补气药、活血化瘀药、利水渗湿药、清热 凉血药、补血活血药;关联分析中符合条件的二项药物组合有10项,符合条件的三项药物组合有21项。聚类 分析得到3个新方组合。结论:吉兰-巴雷综合征病位主要在脾、肾、肝,为本虚标实证,多以气虚为本,湿、 热、瘀血为标,治疗上以补气为基本法则,佐以活血、利湿、清热利湿等治法。

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    Abstract: Objective: To analyze the distribution of Chinese medicine syndrome elements and medication patterns in Guillain-Barré syndrome using data mining technology. Methods: By searching the China National Knowledge Infrastructure (CNKI), Wanfang Database, Chinese Science and Technology Journal Database(VIP), PubMed,Web of Science,and Embase,a database of Chinese medicine syndrome elements and Chinese medicinals for Guillain-Barré syndrome was established. Relational network graphics,association rule,and cluster analyses were performed on high-frequency Chinese medicinals. Results:A total of 27 articles were included,involving 37 Chinese medicinal prescriptions. Frequency analysis identified 4 location of syndrome elements and 12 nature of syndrome elements. The top 3 most frequent location of syndrome elements were the spleen,kidney,and liver,while the top 4 most frequent nature of syndrome elements were qi deficiency, blood stasis, dampness, and heat. A total of 103 Chinese medicinals were used to treat this disease, with a cumulative frequency of 371 times. The top 5 most frequently used medicinals were Astragali Radix,Angelicae Sinensis Radix,Glycyrrhizae Radix et Rhizoma,Paeoniae Radix Alba, and Chuanxiong Rhizoma. There were 22 high-frequency medicinals with a usage frequency of ≥ 5 times, which were classified into 15 categories of therapeutic effects, with the top 5 being tonifying qi, activating blood and resolving stasis, diuretic and dampness-eliminating, clearing heat and cooling blood, and nourishing blood and activating blood. In the association analysis,there were 10 qualified two-item medicinal combinations and 21 qualified three-item medicinal combinations. Cluster analysis yielded 3 new prescription combinations. Conclusion:The main disease locations of Guillain-Barré syndrome are in the spleen,kidney,and liver,characterized as a deficiency at the root and excess at the manifestation, with qi deficiency as the root and dampness, heat, and blood stasis as the manifestations. The treatment is based on tonifying qi,supplemented by activating blood,eliminating dampness,and clearing heat and dampness.

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潘柏延,夏辉,陈桂仙,吴冠敖,詹沂博,欧阳卉莹,杜承浩,招远祺,赵敏.基于数据挖掘分析吉兰-巴雷综合征中医证素分布及用药规律[J].新中医,2025,57(15):27-33

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  • 在线发布日期: 2025-08-11
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