1.北京中医药大学东直门医院肾病内分泌科(北京 100700)
刘相均,女,硕士研究生,主要从事中医药治疗肾病、内分泌疾病的临床研究工作
王耀献,博士,教授,博士研究生导师;E-mail:wyx3203@sina.com
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刘相均, 滕羽鸥, 王耀献. 基于近现代医家验案数据挖掘儿童肾病综合征用药规律[J]. 上海中医药杂志, 2021,55(5):16-23.
Xiangjun LIU, Yuou TENG, Yaoxian WANG. Mining medication rules of children with nephrotic syndrome based on the data of modern medical cases[J]. Shanghai Journal of Traditional Chinese Medicine, 2021,55(5):16-23.
刘相均, 滕羽鸥, 王耀献. 基于近现代医家验案数据挖掘儿童肾病综合征用药规律[J]. 上海中医药杂志, 2021,55(5):16-23. DOI: 10.16305/j.1007-1334.2021.2009090.
Xiangjun LIU, Yuou TENG, Yaoxian WANG. Mining medication rules of children with nephrotic syndrome based on the data of modern medical cases[J]. Shanghai Journal of Traditional Chinese Medicine, 2021,55(5):16-23. DOI: 10.16305/j.1007-1334.2021.2009090.
目的,2,基于近现代医家验案,挖掘儿童肾病综合征中医用药规律,并探讨高频药物的配伍应用思路。,方法,2,以中国期刊全文数据库(CNKI)、万方医学数据库(Wan Fang Data)、维普中文期刊数据库(VIP)、中国生物医学文献数据库(CBM)建库至2020年4月有关中医药治疗儿童肾病综合征的文献为数据源,进行药味的因子分析、聚类分析和关联分析,探讨高频药物的应用思路。,结果,2,符合纳入标准的116首方剂、212味中药中,以补虚药居多,用药频次较高的有茯苓、黄芪、泽泻、白术等,药物归经以肺、脾、肾居多,特点为寒温并用,且用药剂量偏低。,结论,2,儿童肾病综合征的治疗应重视儿童生理特性,用药以扶正补虚为主,常与利水祛风解表、清热活血、收敛固涩等治法相结合使用。
Objective,2,Based on modern medical cases, this paper explored the rules of traditional Chinese medicine for nephrotic syndrome in children and explored the idea of applying high-frequency drugs in combination.,Methods,2,The literature about Chinese medicine treatment of nephrotic syndrome in children from the database of CNKI, CBM, VIP, and Wan Fang data built to April 2020 was used as the data source, and factor analysis, cluster analysis and association analysis of medicines were applied to explore the idea of application of high frequency drugs.,Results,2,Among the 116 prescriptions and 212 Chinese medicines that met the inclusion criteria, most of them were tonifying deficiency medicine. Among them,Poria, Astragali Radix, Alismatis Rhizoma and Atractylodis Macrocephalae Rhizoma etc. were used more frequently.Most of the channel tropism were spleen, lung and kidney. Using both cold and temperature medicine, the dosage was careful.,Conclusion,2,The treatment of nephrotic syndrome in children should pay attention to the physiological characteristics of children, and the medication should be mainly used to tonify deficiency, often combined with the treatment methods of diuresis, dispelling wind and relieving symptoms, clearing heat and invigorating blood, and astringency and consolidation.
儿童肾病综合征验案用药规律中药数据挖掘
nephrotic syndrome in childrenmedical casesmedication rulestraditional Chinese medicinedata mining
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