基于数据挖掘的经络收放疗法治疗腰椎间盘突出症中医证型分布特征研究

Research on the distribution characteristics of TCM syndrome type of lumbar intervertebral disc herniation treated by meridian retraction radiotherapy based on data mining

目的:研究腰椎间盘突出症患者的中医证型分布特点。方法:收集整理2019年于新乡经络收放中医院就诊的患有腰椎间盘突出症的患者临床观察表格,使用Excel VBA进行数据提取与处理,运用SPSS Statistics 25及SPSS Modelr 18进行关联性分析和数据挖掘。结果:共纳入560例,其中因故排除证后两种证型,所以最终得到肝肾亏虚型342例,寒湿阻络型129例,气滞血瘀型81例。结论:腰椎间盘突出症中肝肾亏虚型患者最多,治疗时间较长,女性患者寒湿阻络型多于男性;临床诊治中应细分证型,重视肝肾、气血等病理变化与性别、年龄、发病节气、相关疾病等因素间的相关性。

Objective: To study the distribution characteristics of TCM syndrome type in patients with lumbar intervertebral disc herniation. Methods: The clinical observation forms of patients with lumbar intervertebral disc herniation were selected, Excel VBA for data extraction and processing, and SPSS Statistics 25 and SPSS Modelr 18 were applied for correlation analysis and data mining. Results:560 cases were included, of which the latter two types of syndrome were excluded. Therefore, 342 cases of liver and kidney deficiency type, 129 cases of cold dampness blocking collaterals type, and 81 cases of Qi(气) stagnation and blood stasis type were finally obtained.Conclusion: In lumbar disc herniation, the patients with liver and kidney deficiency are the most, and the treatment time is longer. Female patients have more cold and damp collaterals than men;clinical diagnosis and treatment should be divided into syndrome types, paying attention to pathological changes such as liver and kidney, Qi and blood and gender, age, onset solar terms, related diseases and other factors.