基于数据挖掘的韩平教授治疗海南地区慢性胃炎用药规律分析的研究  

Study on the Analysis of Drug Rule of Professor Han Ping in Treating Chronic Gastritis in Hainan Area Based on Data

作　　者：李芳[1] 钟军华[1] 李天伦 LI Fang;ZHONG Junhua;LI Tianlun(The First Affiliated Hospital of Hainan Medical College,Hainan Haikou 570102)

机构地区：[1]海南医学院第一附属医院,海南海口570102

出　　处：《深圳中西医结合杂志》2024年第11期31-35,共5页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

基　　金：海南省卫生健康行业科研项目(21A200056)。

摘　　要：目的:运用数据挖掘技术探讨韩平教授治疗海南地区慢性胃炎的用药规律。方法:采集韩平教授门诊医案作为数据来源,运用IBM SPSS软件的数据挖掘模块对医案处方进行频次、聚类分析及关联分析。结果:纳入病例151例,处方317首,得出高频证型脾胃湿蕴证、肝郁脾虚证、脾胃湿热证等,高频中药枳实、苍术、川芎、柴胡、栀子、藿香、首乌藤、黄连、干姜等,关联分析出三项组合10组高度关联的中药药对,聚类分析出4大类组方。结论:韩平教授认为慢性胃炎,脾胃功能受损是其本质,即因脾胃运化失司、升降失常而发病,肝郁、气滞、湿蕴、湿热、瘀血为其标,故韩平教授在诊疗中善在调理脾胃的基础上予以辨证施治,常用健脾、疏肝、祛湿及清热为法,以平胃散和四君子汤、泻心汤、柴胡疏肝散加减治疗,临床疗效颇佳。Objective Using data mining technology probes into the medication rule of Professor Han Ping in treating chronic gastritis in Hainan area.Methods Professor Han Ping's outpatient medical records were collected as data sources,and the frequency,cluster and association analysis of medical records prescriptions were carried out by using the data mining module of IBM SPSS software.Results A total of 151 cases were included,and 317 prescriptions were used to obtain high-frequency syndrome of spleen and stomach dampness-accumulated syndrome,liver-yu and spleen-deficiency syndrome,spleen and stomach dampnessheat syndrome,etc.,high-frequency Chinese herbs Fructus aurantii,atractylopathy,Chuanxiong,bupleurum,gardenia,cabouli,Rhizome,Rhizome rhizome,Coptis coptis and dried ginger,etc.,three combinations of 10 groups of highly correlated Chinese medicine pairs were correlated and 4 categories of prescriptions were identified by cluster analysis.Conclusion Professor Han Ping believes that the essence of chronic gastritis is the impaired function of the spleen and stomach,that is,the disease is caused by the dysregulation of the spleen and stomach and the abnormal movement of the spleen and stomach.Liver depression,qi stagnation,dampness,damp-heat and blood stasis are the symptoms.Therefore,Professor Han Ping is good at treating the chronic gastritis on the basis of regulating the spleen and stomach,and commonly uses the methods of strengthening the spleen,soothing the liver,dispelling dampness and clearing heat.The clinical effect is quite good with the addition and reduction of Pingwei Powder,Sijunzi decoction,Xiexin decoction and Bupleurum Shugan powder.

关 键 词：慢性胃炎 数据挖掘 韩平 用药规律 

分 类 号：R573.3[医药卫生—消化系统]