基于中医传承辅助平台的治疗心律失常用药规律分析

An analysis on medication law of arrhythmia based on the TCM inheritance support system

目的:运用中医传承辅助平台(V2.5)软件分析治疗心律失常的用药规律。方法:通过收集2015年1月-2019年10月期间在湖南中医药大学第一附属医院心血管内科住院的临床病例,经过整理、筛选,将符合纳入标准的数据录入中医传承辅助平台(V2.5)软件,运用相关性挖掘分析,研究并总结临床病例中治疗心律失常的用药规律。结果:筛选得到治疗心律失常的方剂179首,涉及203味中药,统计得到治疗心律失常药物的频次、药性、药味、归经、药物组合的关联规则。结论:心律失常病机以"虚、痰、火、气滞、瘀"为主,在治疗上多以本虚为主,兼顾清热化痰、健脾宁心、行气活血化瘀等。

Objective:To analyze the medication law of treating arrhythmia by software of Traditional Chinese Medicine Inheritance Support System(中医传承辅助平台).Methods:Through the collection of clinical cases in the cardiovascular department of the First Affiliated Hospital of Hu’nan University of Traditional Chinese Medicine from January 2015 to October 2019,after sorting out and screening,the data conforming to the inclusion criteria were entered into the software of the Chinese Medicine Inheritance Support System(v2.5),and the use of correlation mining analysis was used to study and summarize the medication rule of treating arrhythmia in clinical cases.Results:179 prescriptions were selected to treat arrhythmia,involving 203 TCM medicines.The association rules of frequency,medicinal properties,taste and tropism,association rules of medicine combinations.Conclsion:The pathogenesis of arrhythmia is mainly the Xu(虚),Tan(痰),Huo(火),Qizhi(气滞)and Yu(瘀).Therapeutic principles of dominated by Benxu(本虚)and taking into account Qingre Huatan(清热化痰),Jianpi Ningxin(健脾宁心)and Xingqi Huoxue Huayu(行气活血化瘀),etc.should were also noticed.