北京中医药大学东直门医院骨科 北京 100700
#穆晓红,女,博士,主任医师、教授,博士生导师。E-mail: muxiaohong2006@163.com
纸质出版日期:2021-03-30,
收稿日期:2020-05-09,
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赵亚林, 曾杰, 任敬佩, 等. 基于聚类分析和关联分析的脑性瘫痪中药用药规律研究[J]. 现代中医临床, 2021,28(2):50-55.
赵亚林, 曾杰, 任敬佩, 等. 基于聚类分析和关联分析的脑性瘫痪中药用药规律研究[J]. 现代中医临床, 2021,28(2):50-55. DOI: 10.3969/j.issn.2095-6606.2021.02.011.
目的
2
分析中药治疗脑性瘫痪的用药规律,为临床用药提供参考依据。
方法
2
检索中国知网、万方、维普、Pubmed、Web of science、Cochrane library等数据库,分别筛选中药内服、外用治疗脑性瘫痪的临床研究类文章,对内服、外用中药分别从使用频次、功效、药性和药味、归经等方面进行统计,并对高频中药进行聚类分析和关联分析。
结果
2
纳入文献205篇,涉及方剂206首,用法分为内服、外用2种。内服中药79首,四君子汤出现频次最多,147味中药纳入统计,使用频次较高的中药为当归、黄芪、茯苓、益智仁、川芎。外用中药方剂126首,108味中药纳入统计,使用频次最高的中药为伸筋草、透骨草、当归、红花、牛膝。内服中药中补虚药所占比例最大,为24.5%,外用中药中祛风湿药所占比例最大,为21.3%。内服及外用中药均以药性为温性者最多,分别占42.9%和46.3%。内服中药中出现频次较高的药物分别是甘味、辛味、苦味,外用中药中出现频次较高的药物分别是辛味、苦味、甘味。内服和外用中药均以归肝经、肾经、脾经为主。对高频药物进行关联分析和聚类分析,高频内服中药得出10对高频药物组合,高频外用中药得出10对高频药物组合。高频内服中药和外用中药均可形成3个聚类方。
结论
2
使用中药治疗脑性瘫痪时,内服中药多用补虚、祛风湿、解表类药物,外用中药则以祛风湿、补虚及活血化瘀药为主。高频中药关联分析和聚类分析的结果,可为临床用药提供一定的参考依据。
Objective
2
To analyze the medication regularity of traditional Chinese medicine in the treatment of cerebral palsy
so as to guide clinical medication.
Methods
2
The databases of CNKI
Wanfang medical network
PubMed
Web of science and Cochrane library were searched to screen the clinical research articles on the treatment of cerebral palsy by oral and external use of traditional Chinese medicine. The statistics were made on the frequency of use
efficacy
property
taste and meridian tropism of internal and external use of traditional Chinese medicine
and the cluster analysis and correlation analysis were conducted on high-frequency traditional Chinese medicine.
Results
2
Two hundred and five research articles were included
involving 206 prescriptions. There were two kinds of usage: oral and external. There were 79 formulas for oral administration
and Sijunzi Decoction appeared most frequently. A total of 147 traditional Chinese medicines were included in the statistics
and Danggui (Angelica sinensis)
Huagnqi(Astragalus membranaceus)
Fulin(Poria cocos)
Yizhiren(Fructus Alpiniae Oxyphyllae) and Chuanxiong(Rhizoma Chuanxiong) were used frequently. There were 126 prescriptions for external use
and 108 herbs were included in the statistics. The most frequently used herbs were Shenjincao(Herba Lycopodii)
Tougucao(Herba Vaccinii Urophylli)
Danggui(Angelica sinensis)
Honghua(Flos Carthami) and Niuxi (Radix Achyranthis Bidentatae). The most frequently-used internal herbs were tonifying drugs
accounting for 24.5%
and The most frequently-used external Chinese medicine were wind-and dampness-dispelling drugs
accounting for 21.3%.The most commonly used Chinese herbal medicines for internal and external use were warm in nature
accounting for 42.9% and 46.3% respectively. The drugs with a higher frequency in oral Chinese medicine were sweet
pungent and bitter in taste
while the drugs with a higher frequency in external Chinese medicine were pungent
bitter and sweet. Both the internal and external use of traditional Chinese medicine were mainly for the liver
kidney and spleen meridians. Through correlation analysis and cluster analysis of high-frequency drugs
10 pairs of high-frequency drug combinations can be obtained from high-frequency oral Chinese medicine and 10 pairs of high-frequency drug combinations can be obtained from high-frequency external Chinese medicine. Both high frequency oral and external Chinese medicine can form three clustering formulas.
Conclusions
2
In the treatment of cerebral palsy with traditional Chinese medicine
tonifying deficiency
expelling wind and dampness and relieving exterior syndrome drugs are mainly used for internal use
while dispelling wind-dampness
tonifying deficiency and promoting blood circulation and removing blood stasis drugs are mainly used for external use. The results of high frequency correlation analysis and cluster analysis can provide some reference and guidance for clinical medication.
脑性瘫痪中医药用药规律关联规则聚类分析
cerebral palsytraditional Chinese medicinemedication rulesassociation rulescluster analysis
徐林.脑性瘫痪现代外科治疗与康复[M].北京:人民卫生出版社,2018:2.
高学敏.中药学[M].北京:中国中医药出版社,2007:432-444.
南京中医药大学.中药大辞典[M].上海:上海科学技术出版社,2014:683-2436.
张璐.张氏医通[M].李玉清,校注.北京:中国医药科技出版社,2011:369.
刘昉.幼幼新书[M].幼幼新书点校组,点校.北京:人民卫生出版社,1987:83.
王勇.脑瘫中医辨证思路刍议[J].中华中医药杂志,2012,27(1):205-207.
王洪儒,李培训.脾胃理论与免疫学说关系的研究进展[J].湖南中医杂志,2012,28(3):164-165.
赖莎,蒋永和,陈碧珊,等.补阳还五汤对动脉粥样硬化家兔自噬及炎症反应的影响[J].中药新药与临床药理,2020,31(4):391-395.
董元,王志胜,张金,等.补阳还五汤对局灶性缺血模型大鼠认知能力及PI3/KAKT信号通路的影响[J].世界中医药,2020,15(5):743-747.
刘楠,姜云耀,黄婷婷,等.基于网络药理学方法研究补阳还五汤治疗脑梗死的作用机制[J].中国中药杂志,2018,43(11):2190-2198.
刘天虎.益智仁对大鼠的免疫调节作用[J].临床检验杂志(电子版),2019,8(2):98-99.
陈钰,黄远涛,刘慧青,等.益智乙醇提取物治疗癫痫大鼠的研究[J].世界最新医学信息文摘,2019,19(76):223-224.
崔开宇,王平,游秋云.益智仁挥发油对大鼠快动眼睡眠剥夺恢复后脑组织氨基酸类神经递质含量及其受体表达的影响[J].中国实验方剂学杂志,2013,19(4):223-227.
梁益,孙红斌,喻良,等.全蝎醇提物对慢性癫痫模型大鼠海马GFAP mRNA表达的影响[J].中国药房,2012,23(43):4033-4036.
孔成诚,张传标,方成武,等.不同提取方法全蝎镇痛、镇静、抗惊厥作用的考察[J].中国医药科学,2012,2(4):39-41.
喻良,孙红斌,梁益,等.全蝎醇提物对氯化锂-毛果芸香碱诱导癫癎持续状态模型大鼠海马神经细胞caspase-3表达的影响[J].中国临床神经科学,2009,17(6):567-572.
赵学敏.本草纲目拾遗[M].北京:人民卫生出版社,1963:230.
刘鑫馗,吴嘉瑞,蔺梦娟,等.基于网络药理学的四君子汤作用机制分析[J].中国实验方剂学杂志,2017,23(16):194-202.
江华娟,李杰,何瑶,等.基于网络药理学的四物汤主要成分与作用机制关联分析[J].中药与临床,2019,10(Z2):20-27.
林晨,安红梅.石菖蒲的中枢神经系统药理作用研究[J].长春中医药大学学报,2014,30(2):230-233.
姚谦,敖明章.中医藏象“心”与心-脑关系的现代解析和改革探求[J].科技视界,2016(13):5-7.
李中梓.医宗必读[M].江厚万,点评.北京:中国医药科技出版社,2017:367.
张仲景.金匮要略[M].何任,何若苹,整理.北京:人民卫生出版社,2005:21.
张慧垒.黄芪桂枝五物汤辅助治疗对脑梗死恢复期神经功能及运动功能的影响[J].实用中医内科杂志,2020,34(2):32-34.
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