基于数据挖掘分析中药内服治疗骨折术后肿胀的用药规律

Analysis in medication rule of oral administration of Chinese herbs for postoperative swelling after fracture based on data mining

  • 摘要:
      目的  基于数据挖掘分析中药内服治疗骨折术后肿胀的用药规律。
      方法  应用计算机检索国内外主要大型数据库中药内服治疗骨折术后肿胀的临床文献,检索时间为建库至2021年4月1日。应用Excel 2016软件建立数据库,进行频次分析、性味归经分析;应用SPSS Statistics 23.0、SPSS Modeler 18.0软件分别进行高频药物聚类分析、关联规则分析。
      结果  分析得出高频中药主要为当归、红花、桃仁等;药性以温性最多;药味以甘、苦、辛味为主;归经以肝、脾、心、肾经为主。聚类分析结果发现,活血化瘀与补气利水药数量最多,组成桃红四物汤合五苓散加减。关联规则分析结果显示,常用药对及药物组合是当归-红花,红花-当归配伍桃仁,红花-桃仁。
      结论  骨折术后肿胀病机为“气滞血瘀,瘀水内结”,治法尊崇“活血化瘀,补气利水”,选方重视“桃红四物汤合五苓散”。

     

    Abstract:
      Objective  To explore the medication rule of oral administration of Chinese herbs for postoperative swelling after fracture based on data mining.
      Methods  Clinical literatures on the oral administration of Chinese herbs for postoperative swelling after fracture were searched in major large databases at home and abroad by computers, and the retrieval time was from the establishment of the database to April 1, 2021. Excel 2016 software was used to establish the database for frequency analysis as well as nature, taste and meridian tropism analysis. SPSS statistics 23.0 and SPSS modeler 18.0 software were used for high frequency drug cluster analysis and association rule analysis.
      Results  The analysis showed that the main high-frequency traditional Chinese medicines were Danggui, Honghua and Taoren, the dominant nature of drugs was warm, the main flavors of the drugs were sweet, bitter and acrid, and meridian tropism were liver, spleen, heart and kidney meridians. The cluster analysis showed that the number of drugs for promoting blood circulation and removing blood stasis as well as invigorating qi and promoting diuresis was the largest, which was able to form Taohong Siwu Decoction plus modified Wuling Powder. The association rule analysis showed that the common drug pairs and drug combinations were Danggui-Honghua, Honghua-Danggui plus Taoren, and Honghua-Taoren.
      Conclusion  Pathogenesis of postoperative swelling after fracture is "qi stagnation and blood stasis, internal accumulation of stasis and dampness", the therapeutic principle is "promoting blood circulation and removing blood stasis, invigorating qi and promoting diuresis", and the prescription selection attaches importance to "Taohong Siwu Decoction combined with Wuling Powder".

     

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