[1]潘宝峰,罗春蕾,张伟伟,等.基于病案的感染后咳嗽中医证素分布与用药规律研究[J].西部中医药,2018,31(08):54-58.
　PAN Baofeng,LUO Chunlei,ZHANG Weiwei,et al.Study on the Administration Rules and Syndrome Elements Distribution of Postinfectious Cough Based on Medical Records[J].Western Journal of Traditional Chinese Medicine,2018,31(08):54-58.
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基于病案的感染后咳嗽中医证素分布与用药规律研究()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年08期
页码:
54-58
栏目:
专题·方证类聚
出版日期:
2018-08-15

文章信息/Info

Title:
Study on the Administration Rules and Syndrome Elements Distribution of Postinfectious Cough Based on Medical Records
文章编号:
1004-6852(2018)08-0054-05
作者:
潘宝峰，罗春蕾，张伟伟，张天嵩，李秀娟，张素，骆丽娟，杨克敏，许敏
上海市静安区中心医院/复旦大学附属华山医院静安分院，上海 200040
Author(s):
PAN Baofeng, LUO Chunlei, ZHANG Weiwei, ZHANG Tiansong,LI Xiujuan, ZHANG Su, LUO Lijuan, YANG Kemin, XU Min
Jing′an District Central Hospital of Shanghai Municipality/Jing′an Branch, Huashan Hospital Affiliated to Fudan University, Shanghai 200040, China
关键词:
感染后咳嗽; 病案; 证素; 用药规律; 中医传承辅助平台
Keywords:
postinfectious cough;  medical record;  syndrome elements;  administration rules;  TCMISS
分类号:
R256.11
文献标志码:
A
摘要:
目的：通过对感染后咳嗽现代中医文献资料中病案的回顾性研究，分析并探讨该病中医证素和处方用药的分布、组合规律。方法：以感染后咳嗽的现代中医文献医案为研究对象，建立病案证候数据库，参照“证候辨证素量表”的简化计量权值分别对各个证候权值进行计算，将每个病案的证素判定结果与处方用药录入中医传承辅助平台(版本2.5)，对证素及处方用药规律进行分析。结果：102篇纳入的医案中，证素总计326条，证素类型共计25种，关联规则分析得到常见的证素组合25个(支持度10，置信度0.7)，证素组合关联规则23个，处方中药物总计159种，常见的处方药物组合28个(支持度25，置信度0.8)，处方药物组合关联规则17个，演化出3-4味药核心组合10个(相关度9，惩罚度2)，演化出新方组合5个。结论：通过中医传承辅助平台的多角度分析，提示感染后咳嗽兼有外感咳嗽和内伤咳嗽的特性，在治疗上需要两者兼顾，为临床对本病的中医治疗与研究提供了有益的线索。
Abstract:
Objective: To analyze the syndrome elements of postinfectious cough, the distribution and the combination rules of the prescription by studying medical records in the modern TCM literature of postinfectious cough retrospectively. Methods: Medical records of postinfectious cough in modern TCM literature were collected as the objects of study to establish the database of syndromes of the medical records, the weight values of different syndromes were calculated respectively by consulting simplified measurement weight values in the scales of syndrome differentiation and syndrome elements, the judging results of syndrome elements and the herbs in the prescriptions of each medical record were typed into TCMISS (version 2.5), syndrome elements and the administration rules of the prescriptions were analyzed. Results: Among 102 medical records that included, there were 326 items of syndrome elements altogether, 25 kinds of syndrome elements, the analysis of association rules showed that there were 25 common syndrome elements combinations (support rating 10, confidence level 0.7), 23 syndrome elements association rules, there were 159 kinds of herbs altogether in the prescriptions, 28 kinds of common drug combinations in the prescription (support rating 25, confidence level 0.8), 17 drug combination association rules in the prescription, evolved into ten core drug combinations containing three to four kinds of herbs (support rating 9, punishment degree 2), developed into five new prescription combinations. Conclusion: It is suggested that postinfectious cough possesses the features of exogenous cough and cough due to internal damage by multi - angle analysis of TCMISS, and the treatment should be considered from both, which could provide useful clues to TCM therapy and study for the disease in clinic.

相似文献/References:

[1]王云方,朱佳△.浅述中西医对感染后咳嗽发病机制的认识*[J].西部中医药,2014,27(05):132.
　WANG Yunfang,ZHU Jia.Advances in the Pathogenesis of Postinfectious Cough with Chinese and Western Medicine[J].Western Journal of Traditional Chinese Medicine,2014,27(08):132.

备注/Memo

备注/Memo:
收稿日期：2017-12-25 *基金项目：上海市静安区卫生计生系统第三批十百千卫生人才培养项目(编号JWRC2014G09);上海市静安区中医药事业发展三年行动计划项目(编号JA2015-C003)。 作者简介：潘宝峰(1983—)，硕士学位，主治医师。研究方向：经方治疗常见病、多发病，中西医结合治疗呼吸系统疾病。
更新日期/Last Update: 2018-08-15