基于数据挖掘分析赵玲治疗桥本甲状腺炎合并疾病用药规律
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R259;R581

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广东省名中医传承工作室项目(粤中医办函2020-1);广东省中医院名中医药专家学术经验传承工作室项目(Y0054.E54101)


Analysis of ZHAO Ling's Medication Rules in Treating Hashimoto's Thyroiditis-Related Comorbidities Based on Data Mining
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    摘要:

    目的:基于数据挖掘分析赵玲教授辨证论治桥本甲状腺炎相关合并疾病用药规律。方法:本研究 选取2018年1月—2024年12月在广东省中医院大学城医院门诊部接受赵玲教授诊治的桥本甲状腺炎患者作为 研究对象,采集患者信息,依托古今医案云平台分析患者的合并疾病和中医处方用药频次,并结合关联规则筛 选高频药物组合,运用复杂网络分析挖掘核心药方。结果:纳入患者734例,筛选得到桥本甲状腺炎常见相关 合并疾病有4种(甲状腺结节、甲状腺功能亢进、甲状腺功能减退、亚临床甲状腺功能减退),共计474人次, 纳入397条处方。治疗4种合并疾病的处方中,使用频次较高的药物有柴胡、茯苓、炙甘草、丹参和法半夏。 关联规则分析得出治疗4种合并疾病关联程度最高的药对均包含柴胡、法半夏、炙甘草、茯苓、黄芩,复杂网 络分析得出的核心中药组合为:柴胡、茯苓、法半夏、炙甘草、黄芩、苍术、陈皮、白芍、丹参、穿山龙、大 枣、僵蚕。结论:赵玲教授在治疗桥本甲状腺炎合并甲状腺结节、甲状腺功能亢进、甲状腺功能减退、亚临床 甲状腺功能减退4种合并疾病时常用的药物组合,始终遵循“疏肝健脾,化痰祛瘀”的治疗原则。

    Abstract:

    Abstract: Objective: To analyze the medication rules in Professor ZHAO Ling's syndrome differentiation and treatment of Hashimoto's thyroiditis (HT) -related comorbidities based on data mining. Methods: Patients with HT treated by Professor ZHAO Ling at the Outpatient Department of Higher Education Mega Center Hospital,Guangdong Provincial Hospital of Chinese Medicine from January 2018 to December 2024 were enrolled. Patient information was collected. The Ancient and Modern Medical Case Cloud Platform was utilized to analyze the frequency of comorbidities and the herb usage frequency in traditional Chinese medicine (TCM) prescriptions. Association rule analysis was applied to screen high-frequency herb groups, and complex network analysis was used to explore the core herbal combinations. Results: A total of 734 patients were included, and four common HT-related comorbidities were identified( thyroid nodules,hyperthyroidism,hypothyroidism,and subclinical hypothyroidism),involving 474 patient visits, and 397 prescriptions were included. From the prescriptions for these four comorbidities, the most frequently used herbs were:Bupleuri Radix,Poria,Glycyrrhizae Radix et Rhizoma Praeparata cum Melle,Salviae Miltiorrhizae Radix et Rhizoma,and Pinelliae Rhizoma Praeparatum. Association rule analysis revealed that the herb groups with the highest association degree across all four HT-related comorbidities consistently included Bupleuri Radix, Pinelliae Rhizoma Praeparatum,Glycyrrhizae Radix et Rhizoma Praeparata cum Melle,Poria,and Scutellariae Radix. Complex network analysis identified the core herbal combination as:Bupleuri Radix,Poria,Pinelliae Rhizoma Praeparatum, Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, Scutellariae Radix, Atractylodis Rhizoma, Citri Reticulatae Pericarpium, Paeoniae Radix Alba, Salviae Miltiorrhizae Radix et Rhizoma, Dioscoreae Nipponicae Rhizoma, Jujubae Fructus,and Bombyx Batryticatus. Conclusion:The frequently used herbal combinations by Professor ZHAO Ling in treating HT comorbid with thyroid nodules,hyperthyroidism,hypothyroidism,and subclinical hypothyroidism consistently adhered to the therapeutic principle of "soothing the liver, strengthening the spleen, resolving phlegm, and dispelling stasis."

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熊斯楚,赵玲.基于数据挖掘分析赵玲治疗桥本甲状腺炎合并疾病用药规律[J].新中医,2025,57(24):15-22

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  • 在线发布日期: 2025-12-26
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