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基于数据挖掘研究陈柏楠教授治疗下肢慢性静脉功能不全的用药规律
张筱茜1  范琦琛2  王艮一2  王雁南3
1.山东中医药大学中医学院,山东济南   250014;
2.山东中医药大学第一临床学院,山东济南   250014;
3.山东中医药大学附属医院周围血管病科,山东济南   250014
Study on medication rules of Professor Chen Bainan in treating chronic venous insufficiency of lower limbs based on data mining
ZHANG Xiaoqian1   FAN Qichen2   WANG Genyi2   WANG Yannan3
1.College of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Shandong Province, Jinan   250014, China; 
2.the First Clinical College, Shandong University of Traditional Chinese Medicine, Shandong Province, Jinan   250014, China; 
3.Department of Peripheral Vascular Diseases, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Shandong Province, Jinan   250014, China
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摘要 目的  总结陈柏楠教授治疗下肢慢性静脉功能不全(CVI)的用药规律。 方法 搜集陈柏楠教授2017年1月至2022年3月于山东中医药大学附属医院周围血管病科门诊治疗CVI的临床处方,运用频次分析、关联规则分析、拓扑数据分析、聚类分析方法,分析药物频次、性味归经、新方构建和药物组合,探讨其用药规律。结果 本研究共搜集到符合纳入标准处方520首,中药152味,其中高频中药35味;高频药类为清热药、活血祛瘀药、补虚药,药性多为寒或温,味苦、辛或甘,主入肝经;分析获得强关联规则24条,构建新方1首,得到聚类组合3 组。 结论 陈柏楠教授治疗CVI的用药规律为活血解毒,兼顾扶正,主张调畅气机,调气活血,重视湿邪,擅长灵活祛湿。

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张筱茜1  范琦琛2  王艮一2  王雁南3
关键词 数据挖掘慢性静脉功能不全用药规律名医经验    
Abstract:Objective To summarize the medication rules of Professor Chen Bainan in treating chronic venous insufficiency (CVI) of lower limbs. Methods The clinical prescriptions of Professor Chen Bainan for the treatment of CVI in the Outpatient Department of Peripheral Vascular Disease, Affiliated Hospital of Shandong University of Traditional Chinese Medicine from January 2017 to March 2022 were collected. The methods of frequency analysis, association rule analysis, topological data analysis, and cluster analysis were used to analyze drug frequency, nature and flavour, channel tropism, new prescription construction, and drug combination, and to explore the rule of drug use. Results A total of 520 prescriptions were collected in this study, including 152 traditional Chinese medicine, among which 35 were high-frequency traditional Chinese medicine. High-frequency drugs were clearing heat drugs, promoting blood circulation for removing blood stasis drugs, tonifying drugs. The drug natures were mostly cold or warm, the drug flavours were bitter, pungent or sweet, the drugs main into the liver channel. A total of 24 strong association rules were obtained, one new formula was constructed, and and three cluster combinations were obtained. Conclusion Professor Chen Baonan’s medication rules for CVI treatment is to promote blood and detoxification, taking into account strengthening vital qi, advocating the regulation of qi movement, regulating qi and activating blood, paying attention to dampness pathogen, and being good at removing dampness flexibly.
Key wordsData mining    Chronic venous insufficiency    Medication rules    Experience of famous doctors
    
基金资助:全国名老中医药专家传承工作室建设项目(国中医药人教函〔2022〕75号);
山东省中医药科技发展计划项目(2019-0202);
齐鲁医派中医学术流派传承项目(鲁卫函〔2022〕93号)。
通讯作者: 王雁南(1975-),女,博士,副主任医师,硕士生导师;研究方向:中西医结合诊疗周围血管疾病。   
作者简介: 张筱茜(1997-),女,山东中医药大学中医学院2020级中医外科专业在读硕士研究生;研究方向:中西医结合诊疗周围血管疾病。
引用本文:   
张筱茜1  范琦琛2  王艮一2  王雁南3. 基于数据挖掘研究陈柏楠教授治疗下肢慢性静脉功能不全的用药规律[J]. 中国医药导报, 2023, 20(21): 29-34.
ZHANG Xiaoqian1 FAN Qichen2 WANG Genyi2 WANG Yannan3. Study on medication rules of Professor Chen Bainan in treating chronic venous insufficiency of lower limbs based on data mining. 中国医药导报, 2023, 20(21): 29-34.
链接本文:  
https://www.yiyaodaobao.com.cn/CN/10.20047/j.issn1673-7210.2023.21.06     或     https://www.yiyaodaobao.com.cn/CN/Y2023/V20/I21/29

 

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