摘要
目的:基于数据分析软件"古今医案云平台(V2.1)",挖掘分析及探讨李学麟教授辨治咳嗽变异性哮喘(CVA)的规律及用药特点。方法:依据软件的信息内容要求,将2018年7月-2019年12月就诊于李学麟教授福建省人民医院名医苑门诊且诊断为CVA的病历录入,建立数据库,导入分析池,应用医案标准化模块将医案标准化处理,通过数据挖掘分析模块进行频数分析、关联规则分析及数据挖掘。结果:纳入的243份医案分属于各个年龄段;共涉及中药81味,前10种药物为:五味子、干姜、桂枝、炒苦杏仁、白芍、细辛、蜜麻黄、(炙)甘草、(姜)法半夏、射干;所用中药以温热药最多(共出现药物2 932次,温热药合计1 724次);高频药物组合前5位为:蜜麻黄-炒苦杏仁,桂枝-白芍,细辛-干姜-五味子,法半夏-茯苓,射干-地龙。结论:李学麟教授运用中医药辨治CVA患者无受年龄限制,以五味子、干姜、桂枝、炒苦杏仁、白芍、细辛、蜜麻黄、(炙)甘草、(姜)法半夏为基础方加味,温热药的使用频率最高,高频药物组合精当,其学术思想和临床经验的传承与发展具有可靠的依据和方法。
Objective:Based on the data analysis software "Ancient and Modern Medical Record Cloud Platform (V2.1)",to explore,analyze and discuss the rules and characteristics of medication of Professor Li Xuelin’s in the treatment differentiation of cough variant asthma (CVA).Method:According to the information content requirements of the software,the medical records diagnosed as CVA in the famous medical garden outpatient clinic of Professor Li Xuelin of Fujian Provincial People’s Hospital from July 2018 to December 2019 were entered,the database was established,the analysis pool was imported,the medical record standardization module was used to standardize the medical records.Frequency analysis,association rule analysis,and data mining were carried out by data mining analysis module.Result:The included 243 medical records belonged to various age groups;81 Chinese medicines were involved,the first 10 medicines were fructus schisandrae chinensis,dried ginger,ramulus cinnamomi,semen armeniacae amarum,radix paeoniae alba,herba asari,honey-herba ephedrae,(roasted) radix glycyrrhizae,(ginger) rhizoma pinelliae preparatum,rhizoma belamcandae;warming and heat medicine were the most used in Chinese medicine (there were 2 932 times of medicine,and 1 724 times for warming and heat medicine in total);the top 5 high-frequency medicine combinations were:honey-herba ephedrae-semen armeniacae amarum,ramulus cinnamomi-radix paeoniae alba,herba asari-dried ginger-fructus schisandrae chinensis,rhizoma pinelliae preparatum-poria,rhizoma belamcandae-pheretima.Conclusion:Professor Li Xuelin uses traditional Chinese medicine to treat CVA patients without age restriction,based on fructus schisandrae chinensis,dried ginger,ramulus cinnamomi,semen armeniacae amarum,radix paeoniae alba,herba asari,honey-herba ephedrae,(roasted) radix glycyrrhizae,(ginger) rhizoma pinelliae preparatum;warm and heat medicine is used most frequently,the combination of high-frequency drugs is exquisite,and his inheritance and development of academic thought and clinical experience have reliable basis and methods.
作者
赖长沙
LAI Changsha(The Affiliated People’s Hospital of Fujian University of Traditional Chinese Medicine,Fuzhou 350004,China)
出处
《中外医学研究》
2021年第33期161-164,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
福建省教育厅2018年福建省中青年教师教育科研项目(JT180219)
李学麟福建省名老中医药专家传承工作室建设项目(闽卫办中医发明电[2018]216号)。
关键词
数据挖掘
李学麟教授
咳嗽变异性哮喘
临证经验
Data mining
Professor Li Xuelin
Cough variant asthma
Clinical experience
