余德钊教授治疗小儿慢性胃炎的用药规律探讨  

Chinese Medicine Regularity Used by Professor YU De-zhao for Treating Chronic Gastritis

作　　者：张晓露[1] 徐嘉辉[1] 余德钊[2] 

机构地区：[1]广州中医药大学,广州510000 [2]广东省第二中医院,广州510000

出　　处：《中国实验方剂学杂志》2016年第9期213-217,共5页Chinese Journal of Experimental Traditional Medical Formulae

摘　　要：目的：通过数据挖掘方法回顾性分析余德钊教授治疗小儿幽门螺杆菌相关性慢性胃炎的用药规律,为临床小儿幽门螺杆菌相关性慢性胃炎的中医治疗提供更多思路。方法：回顾性选取2014年6月至2015年6月广东省第二中医院儿科门诊77例243份电子病历,采取频数分析、频率分析和Hierarchical Cluster聚类分析办法进行分析评价用药规律。结果：有9味药出现频率超过50.00%,11味药出现频率介于20.00%~50.00%,13味药出现频率低于20.00%。33味中药分为7大类。结论：余德钊教授治疗小儿幽门螺杆菌相关性慢性胃炎以小儿脾胃生理特点为依据,主要从肺脾论治,辅以疏肝理气,运脾和胃,重视湿热病邪及其影响,因地制宜,颇具岭南特色。Objective： To analyze the Chinese medication regularity and experience of professor YU Dezhao for treating the chronic gastritis in children induced by helicobacter pylori,and provide more ideas for clinical treatment of chronic gastritis in children induced by helicobacter pylori. Method： Total 77 pediatric outpatient cases including 243 electronic medical records for chronic gastritis treated by professor Yu from June 2014 to June2015 were collected. Absolute frequency analysis,relative frequency analysis,and Hierarchical Cluster analysis were used to analyze and evaluate the Chinese medicine regularity. Result： The 9 herbs were used with a frequency over 50. 00%,11 herbs were used with a frequency between 20. 00% and 50%,and 13 herbs were used with a frequency below 20. 00%. Moreover,theses 33 herbs could be divided into 7 types by Hierarchical Cluster analysis. Conclusion： The regularity of Chinese medication of professor Yu for treating the chronic gastritis in children induced by helicobacter pylori was based on the physiological characteristics of spleen and stomach in children,focused on the lung-regulating and spleen-tonifying therapy with combination of liver soothing and Qi regulating. At the same time,professor Yu also paid attention to the damp-and-hot accumulate knot,and usually adjusted measures to differing conditions,with local characteristics of Lingnan area.

关 键 词：慢性胃炎 用药规律 数据挖掘 聚类分析 

分 类 号：R287.6[医药卫生—中药学]