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陈红风教授调治乳腺癌术后用药规律的数据挖掘
殷玉莲,范奕伟,吴薇
上海中医药大学附属龙华医院中医乳腺科上海 200032
摘要:
目的通过真实数据采集与机器学习的方法,深入挖掘上海市名中医陈红风教授调治乳腺恶性肿瘤术后的用药特色。方法:从上海中医药大学医院信息系统中收集2011 年8 月—2021 年6 月近10 年的陈教授门诊乳腺癌患者病例资料,再使用python3.7.6 进行数据处理,分别从频次、关联规则、中医理论特色等方面进行归纳,最后将结果联系临床实际进行分析。结果:本次共统计处方13 340 份,药物以性平者居多占比33.55% ;药味以甘味最多(137 683,39.69%);归经多入脾经(100 242,18.45%)。用药频次前5 位从高到低依次为:茯苓、白术、南沙参、生黄芪及石见穿;核心药对为“白术- 茯苓”(置信度97.96%);另外本次研究发现了一组乳腺癌术后基本方药组,由茯苓- 白术- 石见穿- 南沙参- 黄芪- 白花蛇舌草- 莪术组成。结论:陈红风教授调治乳腺癌术后注重调摄中土、攻邪不峻且多施温补之法,通过数据挖掘可为名中医临证经验研究提供新思路。
关键词:  名中医  陈红风  乳腺癌  用药规律  数据挖掘
DOI:10.3969/j.issn.1007-6948.2022.05.020
投稿时间:2022-01-28
基金项目:上海市卫生健康委员会卫生行业临床研究专项(20204Y0167);上海市2021 年度“科技创新行动计划”医学创新研究专项面上项目(21Y11923000);上海中医药大学附属龙华医院第三批优秀青年人才临床能力提升计划(RC-2020-01-10)。
Data Mining of Professor Chen Hongfeng' s Medication Rules for the Patients after Breast Cancer Surgery
YIN Yu-lian,FAN Yi-wei,WU Wei
LongHua Hospital of Shanghai University of Traditional Chinese Medicine,Shanghai 200032, China
Abstract:
Objective Through the method of real data acquisition and machine learning, to explore the medication characteristics of famous Shanghai TCM professor Chen Hongfeng after the operation of regulating breast malignant tumor. Methods The case data of breast cancer patients in Professor Chen' s outpatient department from August 2011 to June 2021 in the past 10 years were collected through the hospital information system of Shanghai University of Traditional Chinese Medicine. Then the data were processed using python 3.7.6 in terms of frequency, association rules and characteristics of traditional Chinese medicine theory. Finally,the results were analyzed based on clinical practice, so as to explore Professor Chen' s medication rules for breast cancer surgery. Results A total of 13 340 prescriptions were counted in this study. The majority of drugs were neutral, accounting for 33.55%. The most delicious was the sweet (137 683, 39.69%). The meridian of tropism mostly entered the spleen meridian (100 242, 18.45%). The top five drug frequencies from high to low were:Poria, Rhizoma Atractylodis Macrocephalae, Radix Adenophorae, raw Radix Astragali seu Hedysari and Radix Salviae Miltiorrhizae. The core drug pair was Rhizoma Atractylodis Macrocephalae–Poria (confidence 97.96%).In addition, a group of basic prescriptions for breast cancer surgery was found in this study, which was composed of Poria–Rhizoma Atractylodis Macrocephalae–Radix Salviae Miltiorrhizae–Radix Adenophorae–Radix Astragali seu Hedyotis–Rhizoma Curcumae. Conclusion Professor Chen Hongfeng pays attention to the regulation of middle-earth and mild attack of pathogenic factors and applies the method of warming and tonifying more after the operation of regulating breast cancer, which can provide new ideas for famous TCM clinical experience research through data mining.
Key words:  Famous doctor of traditional Chinese medicine  Chen Hongfeng  breast cancer  medication rules  data mining

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