基于数据挖掘的心衰临床医案数据解构研究

Data Deconstruction of Clinical Medical Records of Heart Failure Based on Data Mining

目的通过对各中医临床专家的医案进行文本挖掘,形成医案解析,分析各中医临床专家治疗心衰的经验。方法选择中国知网、维普中文期刊、万方数据知识服务平台为目标数据库,检索建库至2020年10月17日公开发表的中医临床治疗心力衰竭医案类论文,筛选后采用频数分析等数据挖掘方法,从症状、舌苔、脉象、病机、治法、方药配伍等方面对各中医临床专家治疗心衰的医案资料进行分析。结果共纳入医案406则,患者406人次,971诊次,症状123种,舌象31种,脉象21种,病机56条,治法治则29种,药物348种。结论中医临床专家辨治心衰时高频症状为水肿、胸闷等,高频舌象为苔白、质暗等,高频脉象为细、沉等,高频病机为心阳虚、气虚等,高频治法治则为益气、利水等,高频药物为茯苓、黄芪、丹参等。

Objective To analyze the experience of TCM clinical experts in the treatment of heart failure by text mining of medical records of TCM clinical experts.Methods CNKI,VIP Chinese journals and Wanfang data knowledge service platform were selected as the target databases,and the medical records of TCM clinical experts in the treatment of heart failure published from the establishment of the database to October 17,2020 were retrieved.After screening,data mining methods such as frequency analysis were used to analyze the medical records of TCM clinical experts in the treatment of heart failure from the aspects of symptoms,tongue coating,pulse condition,pathogenesis,treatment methods and prescription compatibility.Result A total of 406 medical records were included,including 406 patients,971 visits,123 symptoms,31 tongue manifestations,21 pulse manifestations,56 pathogenesis,29 therapeutic principles and 348 drugs.Conclusion When TCM clinical experts distinguish heart failure,clinical high frequency symptoms are edema,chest tightness,the high frequency tongue image is moss white,dark,the high frequency pulse signs are thin and heavy,the high frequency pathogenesis is heart yang deficiency and qi deficiency,the high frequency treatment is invigorating qi and diuresis,and the high frequency drugs are poria coco,astragalus and salvia miltiorrhiza,etc.