基于数据挖掘技术分析中医药治疗骨折不愈合及延迟愈合用药规律
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R274.1

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Analysis of Medication Rules of Traditional Chinese Medicine for Nonunion and Delayed Union of Fractures Based on Data Mining Techniques
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    摘要:

    目的:通过数据挖掘技术分析中医药治疗骨折不愈合及延迟愈合的用药规律。方法:系统检索中 国知网、万方数据知识服务平台、维普网及中国生物医学文献数据库自建库至2024年11月收录的相关文献, 运用古今医案云平台的数据挖掘模块,并对有效复方所涉药味进行频次分析,性、味、归经、功效的分析、关 联规则分析、聚类分析及复杂网络分析。结果:共纳入中药处方138首,涉及233种中药。233种中药,药性以温、 平为主,药味以甘、苦、辛为主,归经以肝、肾、脾经为主,功效以补益肝肾、活血化瘀、补气养血为主,续 筋接骨次之。关联规则分析得到14组药对,包含13种中药。聚类分析得出3组核心药物组合。复杂网络分析 得出一个包含11味中药的核心处方。结论:骨折不愈合及延迟愈合的核心病机以肝肾亏虚、气血不足为本, 气滞血瘀为标,治疗应遵循标本同治原则,以补益肝肾、补气养血治其本,活血化瘀、续筋接骨治其标,多药 协同促进骨折愈合;当归、骨碎补、续断、黄芪为核心药物,骨碎补-当归、续断-当归、骨碎补-续断、黄 芪-当归为基础配伍。

    Abstract:

    Abstract:Objective:To analyze the medication rules of traditional Chinese medicine (TCM) in the treatment of nonunion and delayed union of fractures through data mining techniques. Methods: Relevant literature was systematically retrieved from databases including China National Knowledge Infrastructure(CNKI), Wanfang Data Knowledge Service Platform (Wanfang),China Science and Technology Journal Database (VIP),and China Biology Medicine disc (CBM),covering the period from their inception to November 2024. The Ancient and Modern Medical Cases Cloud Platform was employed to perform frequency, nature, flavor, meridian tropism, efficacy statistics, association rule analysis,cluster analysis,and complex network analysis on the medicinal ingredients involved in the effective Chinese medicine compounds. Results:A total of 138 Chinese herbal medicine prescriptions were included, involving 233 distinct herbs. Among these 233 herbs,the predominant natures were warm and neutral;the predominant flavors were sweet,bitter,and pungent;the main meridian tropisms were the liver,kidney,and spleen meridians; the primary therapeutic effects were nourishing the liver and kidney, activating blood and resolving stasis, and tonifying qi and nourishing blood,followed by reuniting tendons and bones. Association rule analysis yielded 14 herb pairs, involving 13 distinct herbs. Cluster analysis identified 3 core herb combinations. Complex network analysis derived a core prescription containing 11 distinct herbs. Conclusion:The core pathogenesis of nonunion and delayed union of fractures is rooted in deficiency of the liver and kidney as well as insufficiency of qi and blood, with qi stagnation and blood stasis as the branch. Treatment should follow the principles of treating both root and branch simultaneously. Specifically,tonifying the liver and kidney,tonifying qi and nourishing blood are used to treat the root, while activating blood and resolving stasis, reuniting tendons and bones are used to treat the branch with synergistic effects of multiple herbs to promote fracture healing. Angelicae Sinensis Radix, Drynariae Rhizoma, Dipsaci Radix, and Astragali Radix serve as the core herbs. The basic compatible herb pairs include Drynariae Rhizoma-Angelicae Sinensis Radix,Dipsaci Radix-Angelicae Sinensis Radix,Drynariae Rhizoma-Dipsaci Radix,and Astragali Radix- Angelicae Sinensis Radix.

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朱小龙,张玮,杨阳.基于数据挖掘技术分析中医药治疗骨折不愈合及延迟愈合用药规律[J].新中医,2026,58(11):124-131

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  • 在线发布日期: 2026-06-10
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