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基于数据挖掘探讨中药坐浴治疗慢性非细菌性前列腺炎的用药规律
王 丽,赵瑞成,朱 伟
0
(湖南中医药大学,湖南 长沙,410208;湖南省中西医结合医院,湖南 长沙,410006)
摘要:
目的:基于数据挖掘技术探讨中药坐浴治疗慢性非细菌性前列腺炎(CNP)的用药规律,为中医药治疗CNP提供参考。方法:检索自建库至 2022 年12月7日中国知网(CNKI)、万方数据(WANFANG DATA)、维普中文科技期刊数据库(VIP)、中国生物医学文献服务系统(SinoMed)、PubMed中有关中药坐浴治疗CNP的临床研究文献,建立处方数据库,采用 SPSS Modeler 18.0 Apriori算法进行关联规则分析并绘制高频中药共现网络图;采用 SPSS Statistics 25.0对中药进行层次聚类分析并绘制树状图。结果:共纳入文献129篇,提取中药处方148首,涉及中药201味,累计使用频次1414次,其中高频中药共20味,排前5位的依次为黄柏、丹参、大黄、败酱草、蒲公英;药性以寒为主,药味以苦为主,多归肝、心、胃经;在中药配伍方面,丹参-黄柏支持度最高;高频中药可分为7个聚类群。结论:中药坐浴治疗CNP以清热利湿、活血化瘀为主,兼顾益气扶正,体现了中医扶正祛邪、标本兼顾的治疗原则。
关键词:  慢性非细菌性前列腺炎  中药坐浴  用药规律  数据挖掘
DOI:
Medication rule of traditional Chinese medicine sitz bath in treatment of chronic nonbacterial prostatitis:A study based on data mining
WANG Li,ZHAO Ruicheng,ZHU Wei
(Hunan University of Chinese Medicine,Changsha 410208,Hunan,China;Hunan Hospital of Integrated Traditional Chinese and Western Medicine,Changsha 410006,Hunan,China)
Abstract:
Objective:To investigate the medication rule of traditional Chinese medicine (TCM) sitz bath in the treatment of chronic nonbacterial prostatitis (CNP) based on data mining,and to provide a reference for the TCM treatment of CNP.Methods:CNKI,Wanfang Data,VIP,SinoMed,and PubMed were searched for clinical research articles in TCM sitz bath in the treatment of CNP published up to December 7,2022,and a database was established for the prescriptions.SPSS Modeler 18.0 Apriori algorithm was used to perform association rule analysis and plot the co-occurrence network of high-frequency TCM drugs,and SPSS Statistics 25.0 was used to perform a hierarchical cluster analysis of TCM drugs and plot a tree diagram.Results:A total of 129 articles were included,from which 148 TCM prescriptions were extracted,involving 201 TCM drugs,with a cumulative frequency of use of 1414 times.There were 20 high-frequency drugs,and the top 5 drugs were Phellodendri Chinensis Cortex,Salvia miltiorrhiza,Rheum officinale,Herba Patriniae,and dandelion.Most drugs were cold in nature and had a bitter taste,and they mainly entered the liver,heart,and stomach meridians.As for the compatibility of TCM drugs,the highest degree of support was observed in Salvia miltiorrhiza-Phellodendri Chinensis Cortex.The high-frequency drugs could be clustered into 7 groups.Conclusion:In the treatment of CNP,TCM sitz bath mainly applies the heat-clearing and diuresis-promoting therapy and the blood-activating and stasis-resolving therapy,with consideration to the method of tonifying Qi and strengthening vital Qi,which reflects the TCM treatment principles of strengthening vital Qi,eliminating pathogen,and addressing both the symptoms and root causes.
Key words:  chronic nonbacterial prostatitis  traditional Chinese medicine sitz bath  medication rule  data mining

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