| 基于数据挖掘探究危重症患者急性胃肠损伤的中医针灸诊治规律＊ |
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| 引用本文： | 周添奕,钱风华,黄馨云,顾沐恩,安晓菲,郑雪,明树人,杨艳,钱义明,李璟,吴焕淦.基于数据挖掘探究危重症患者急性胃肠损伤的中医针灸诊治规律＊[J].世界科学技术-中医药现代化,2019,21(8):1606-1614. |
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| 作者姓名： | 周添奕 钱风华 黄馨云 顾沐恩 安晓菲 郑雪 明树人 杨艳 钱义明 李璟 吴焕淦 |
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| 作者单位： | 上海中医药大学附属岳阳中西医结合医院 上海 200437,上海中医药大学附属岳阳中西医结合医院 上海 200437,上海中医药大学附属岳阳中西医结合医院 上海 200437,上海中医药大学附属岳阳中西医结合医院 上海 200437,上海中医药大学附属岳阳中西医结合医院 上海 200437,上海中医药大学附属岳阳中西医结合医院 上海 200437,上海中医药大学附属岳阳中西医结合医院 上海 200437,上海市宝山区中西医结 合医院 上海 201999,上海中医药大学附属岳阳中西医结合医院 上海 200437,上海中医药大学附属岳阳中西医结合医院 上海 200437,上海市针灸经络研究所 上海 200030 |
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| 摘 要： | 目的 基于数据挖掘探索文献研究危重症患者急性胃肠损伤（Acute Gastrointestinal Injury,AGI）的中医及针灸诊治规律。方法 检索中文及外文数据库中,中医治疗急性胃肠损伤的文献,并采用Excel、SPSS 21.0及IBM SPSS Modeler 18.0软件进行频数、关联分析、聚类分析实现数据挖掘。结果 本研究共纳入25篇文献,涉及147频次中药使用,50种中药,应用频次前4位的中药依次是大黄、甘草、白术、陈皮,按照功效分为13大类,其中泻下药、补虚药、行气药使用频率较高。二项关联排前4的药对是茯苓-甘草,白术-甘草,芒硝-大黄,党参-甘草;三项关联分析关联度最高的是茯苓-白术-甘草。聚类分析结果共得四类药物组合。本研究涉及36频次穴位使用,穴位共涉及15个,应用频次前3位的穴位依次是天枢、中脘、足三里。按照归经,可知共涉及6条经脉,其中足阳明胃经和任脉使用频率最高。二项关联排前二的是天枢-中脘,中脘-足三里;三项关联排前二的是气海-天枢-中脘,天枢-足三里-中脘。聚类分析结果共得三类穴位组合。结论 中药治疗急性胃肠损伤（AGI）以承气汤与香砂六君子汤为主,体现了AGI的基本病机为本虚标实;治疗急性胃肠损伤（AGI）常用的穴位多为经脉所过胃、肠腑,有三组。本研究为今后临床急性胃肠损伤的患者提供了治疗依据。
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| 关 键 词： | 危重症 急性胃肠损伤 中药 针灸 数据分析 用药特点 取穴规律 |
| 收稿时间： | 2019/4/4 0:00:00 |
| 修稿时间： | 2019/11/25 0:00:00 |
Study on the Rules of Traditional Chinese Medicine and Acupuncture Diagnosis and Treatment of Acute Gastrointestinal Injury in Critically Ill Patients Based on Data Mining |
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| Zhou Tianyi,Qian Fenghu,Huang Xinyun,Gu Muen,An Xiaofei,Zheng Xue,Ming Shuren,Yang Yan,Qian Yiming,Li Jing and Wu Huangan.Study on the Rules of Traditional Chinese Medicine and Acupuncture Diagnosis and Treatment of Acute Gastrointestinal Injury in Critically Ill Patients Based on Data Mining[J].World Science and Technology-Modernization of Traditional Chinese Medicine,2019,21(8):1606-1614. |
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| Authors: | Zhou Tianyi Qian Fenghu Huang Xinyun Gu Muen An Xiaofei Zheng Xue Ming Shuren Yang Yan Qian Yiming Li Jing and Wu Huangan |
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| Institution: | Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China,Shanghai Baoshan District Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai 201999, China,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China,Shanghai Institute of Acupuncture and Moxibustion, Shanghai 200030, China |
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| Abstract: | |
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| Keywords: | Critical disease Acute gastrointestinal injury Traditional Chinese medicine Acupuncture Data analysis Medication rules Acupoint selections |
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