基于数据分析研究OVCF术后康复的中药治疗
Study on traditional Chinese medicine treatment of OVCF postoperative rehabilitation based on data analysis
  
DOI:10.3969/j.issn.1006-7108.2021.08.003
中文关键词:  骨质疏松性椎体压缩性骨折  术后康复  数据挖掘  中医药
英文关键词:OVCF  postoperative rehabilitation  data mining  traditional Chinese medicine
基金项目:国家自然科学基金(81673786,81674004,81973886); 广州中医药大学学科研究重点项目(XK2019028)。
作者单位
赵宇1 王世浩1 陈桐莹1 刘树华1 邱晶晶2 黄宏兴3 万雷3* 1.广州中医药大学第三临床医学院广东 广州 510405 2.广州中医药大学针灸康复临床医学院广东 广州 510405 3.广州中医药大学第三附属医院广东 广州 510375 
摘要点击次数: 570
全文下载次数: 382
中文摘要:
      目的 利用数据挖掘方式研究分析促进骨质疏松性椎体压缩性骨折(osteoporotic vertebral compression fracture,OVCF)术后康复的中药使用规律。方法 检索中国知网、万方、维普、中国生物科学文献等数据库近20年关于OVCF术后应用中药的文献,经筛选提取后建数据库。运用数据可视化、聚类分析、关联规则分析方法,分析纳入中药的使用频次和药物组合规律。结果 经严格筛选得到相关文献95篇,纳入76个不同处方,含127种中药。其中频次最高的中药为当归、熟地黄、杜仲、骨碎补、黄芪、续断、淫羊藿、茯苓、山药、牛膝、白芍、山茱萸、川芎,“四气”分类中最多为温性药。“五味”中频次最高为:甘味药、苦味药、辛味药。归经分类以归肝经、肾经、脾经最多。功效分类以补阳药、活血化瘀药、补气药、滋阴药、补血药为主。高频中药聚类分析得到4个聚类。关联规则分析2种药的关联有6条,3种中药的关联有4条。高频药物关联网络分析得到3个强关联。结论 中药促进OVCF术后康复多使用补虚药和活血化瘀药,多归于肝、脾、肾三经,药性味多甘、苦、辛味与温性;药物之间配伍的原则总体以“补虚化瘀”为核心,兼以滋阴、壮阳、补气活血、祛瘀止痛等。
英文摘要:
      Objective To explore the medication rule of traditional Chinese medicine in promoting postoperative rehabilitation of osteoporotic vertebral compression fracture (OVCF) based on data mining. Methods The OVCF database was established by searching CNKI database, Wanfang database, VIP database and CBM database for literatures about treatment of osteoporotic vertebral compression fracture with traditional Chinese medicine after operation in recent 20 years. Data visualization, cluster analysis, association rule analysis and other methods were used to analyze the usage frequency and drug combination rule of traditional Chinese medicine. Results Through strict filtering criteria, 95 literatures on the treatment of diabetes combined with osteoporosis by traditional Chinese medicine were screened out, involving 76 different recipes and 127 herbs. The high frequency herbs were Angelica, Radix rehmanniae, Eucommia ulmoides, Rhizoma Drynariae, Astragalus membranaceus, Dipsacus, Longspur epimedium, Poria cocos, Dioscorea bidentata, Paeonia alba, Cornus officinalis, Ligusticum wallichii. In the "four Qis" classification, warm drugs are the most common. In the classification of "five flavors", sweet, bitter and spicy herbs are the most frequent. According to the classification of meridian tropism, most of the drugs belong to liver meridian, kidney meridian or spleen meridian. According to the efficacy classification, the main drug categories were Yang tonifying drugs, blood activating and stasis removing drugs, Qi tonifying drugs, Yin nourishing drugs and blood enriching drugs. Four clusters were identified by cluster analysis of high frequency Chinese medicines. Association rule analysis obtains 6 and 4 association rules for the compatibility of 2 and 3 drugs. Association network analysis of herbal medicine of high frequency results in 3 strong associations. Conclusion In traditional Chinese medicine treatment of OVCF after operation, deficiency-nourishing drugs blood-activiating and stasis-dissolving drugs are the most frequently used, which are mostly compatibility of tastes of sweet, bitter and spicy and nature of warm. The core of the treatment is "tonifying deficiency and removing blood stasis" in the compatibility of drugs, and the treatment includes nourishing Yin, strengthening yang, tonifying qi and activating blood circulation, removing blood stasis and relieving pain.
查看全文  查看/发表评论  下载PDF阅读器
关闭
function PdfOpen(url){ var win="toolbar=no,location=no,directories=no,status=yes,menubar=yes,scrollbars=yes,resizable=yes"; window.open(url,"",win); } function openWin(url,w,h){ var win="toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=yes,resizable=no,width=" + w + ",height=" + h; controlWindow=window.open(url,"",win); } &et=08EE5A5866ACE4400406CEC44C36DD278763EE5BB08E287BAA7A4263E5E914D9DE7AB71FE7AD2DBE4825EB04CDD1B95607FE9C9C9A4F3AF11BBBB843A140E62C1F5D564554BC041FD6844CB297276BFA17B5E0832133A24E0D8671AC1450E583C1C6183A9C251F59B3C2C74BF7805A0B&pcid=A9DB1C13C87CE289EA38239A9433C9DC&cid=527A01A248DACB72&jid=CA678592D11E309E8E3FB3B2BFE9BE1A&yid=9475FABC7A03F4AB&aid=2CE8721B9CD45E9218ACC68E6969146E&vid=&iid=5D311CA918CA9A03&sid=2D52C01434B71375&eid=A6B1729CC57A879A&fileno=202108003&flag=1&is_more=0"> var my_pcid="A9DB1C13C87CE289EA38239A9433C9DC"; var my_cid="527A01A248DACB72"; var my_jid="CA678592D11E309E8E3FB3B2BFE9BE1A"; var my_yid="9475FABC7A03F4AB"; var my_aid="2CE8721B9CD45E9218ACC68E6969146E";