基于数据挖掘分析陈洪宇治疗慢性肾脏病5 期(非透析)用药规律
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R249;R277.5

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浙江省基础公益研究计划项目(LTGY23H2700007);浙江省中医药科技计划项目(2022ZX014,2023ZL110)


Analysis of Medication Rules of CHEN Hongyu in Treating Stage 5 Chronic Kidney Dis⁃ ease(Non-Dialysis)Based on Data Mining
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    摘要:

    目的:通过数据挖掘方法分析陈洪宇教授治疗慢性肾脏病5期(非透析) 的用药规律。方法:收集陈 洪宇教授在杭州市中医院门诊诊治的慢性肾脏病5期(非透析) 病例资料,通过Excel及SPSS等软件统计药物 使用频次、性味归经,并进行关联规则及聚类分析。结果:纳入处方410 张,含中药50 味,总用药频次 5 689次,其中莪术、三棱、桃仁、川芎、当归、丹参、地龙等为高频用药,中药药性以平、温、寒为主,药 味以甘、苦、辛为主,归经以肝、脾、肾经为主,功效依次为活血化瘀药、补虚药、清热药、平肝熄风药。通 过关联规则分析得到26个核心药对,通过聚类分析方法得到2类药物组方。结论:陈洪宇教授治疗慢性肾脏病 5期(非透析) 患者用药温平,多归肝、脾、肾三经,以活血化瘀为主,辅以补虚、清虚热、平肝熄风,酌情 加减收敛固涩药、泻下药、祛风湿药等。

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    Abstract:Objective:To summarize the medication rules of Professor CHEN Hongyu in treating stage 5 chronic kidney disease(non-dialysis)using data mining techniques. Methods: Clinical case records of stage 5 CKD(nondialysis) patients treated by Professor CHEN Hongyu at Hangzhou Hospital of Traditional Chinese Medicine were collected. Excel and SPSS software were employed to analyze herb application frequency, properties, flavors, and meridian tropism , as well as to perform association rules analysis and cluster analysis. Results : A total of 410 prescriptions were analyzed, comprising 50 herbs with a cumulative application frequency of 5 689. Highfrequency herbs included Curcumae Rhizoma,Sparganii Rhizoma,Persicae Semen,Chuanxiong Rhizoma,Angelicae Sinensis Radix, Salviae Miltiorrhizae Radix et Rhizoma, and Pheretima, etc. Herb properties were predominantly neutral,warm,and cold;flavors were mainly sweet,bitter,and pungent;primary meridian tropisms were the liver, spleen,and kidney. Herbal efficacies ranked in descending order of occurrence was as follows:blood-activating and stasis-resolving herbs, deficiency-tonifying herbs, heat-clearing herbs, liver-calming and wind-suppressing herbs. Association rule analysis identified 26 core herb pairs,while cluster analysis yielded 2 categories of herb formulations. Conclusion: Professor CHEN's treatment for stage 5 CKD(non-dialysis)emphasizes the application of neutral and warm herbs in properties, targeting the liver, spleen, and kidney meridians in meridian tropism. The core strategy focuses on blood-activating and stasis-resolving, supplemented by deficiency-tonifying, deficiency-heat-clearing, and liver-calming and wind-suppressing herbs, with modifications using astringents, purgatives, and wind-dampexpelling herbs as clinically indicated.

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祝凤桂,曾佳丽,陈洪宇.基于数据挖掘分析陈洪宇治疗慢性肾脏病5 期(非透析)用药规律[J].新中医,2025,57(19):13-17

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  • 在线发布日期: 2025-10-20
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