| 摘要: |
| [目的] 应用数据挖掘技术分析安阿玥教授治疗肛瘘术后创面愈合缓慢的用药规律。[方法] 收集2014年7月—2018年6月安阿玥教授收治的肛瘘术后创面愈合缓慢的病例，以“主症、兼症、舌象、脉象、辨证、治法、方药”为项目构建MySQL数据库，利用Python语言搭建分析系统，统计分析获得安阿玥教授治疗肛瘘术后创面愈合缓慢的辨证用药规律。[结果] 共纳入肛瘘术后创面愈合缓慢病例306例，证候多属阴虚内热、气血不足、脾胃不和、热毒内盛、气虚血瘀证，所用方剂多以增液汤、四物汤、青蒿鳖甲汤、半夏泻心汤等加减化裁，用药次数较多的依次为当归、生地、玄参、生黄芪、马齿苋等。[结论] 肛瘘术后创面愈合缓慢以虚证居多，包括阴虚、血虚、气虚等。临床治疗时重视“和血”的辨证思维。数据挖掘技术结果客观反映了安阿玥教授治疗肛瘘术后创面愈合缓慢的临床思路和经验。 |
| 关键词: 肛瘘 愈合缓慢 数据挖掘 安阿玥 |
| DOI：10.11656/j.issn.1673-9043.2019.06.14 |
| 分类号:R657.1 |
| 基金项目: |
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| Data-Mining of Slow healing woundafter anal fistula operation Cases from doctor AN Ayue |
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WANG Chunhui, WANG Xi, FENG Dayong, FENG Yuening, BAI Zhiyong, AN Ayue
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Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China
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| Abstract: |
| [Objective] In order to analyze the medication rule of professor AN Ayue in the treatment of slow wound healing after anal fistula operation on account of data mining technology.[Methods] We collected cases of slow wound healing after anal fistula operation which were treated by Ayue teacher from July 2014 to June 2018. Construct MySQL database based on "main symptoms, concurrent symptoms, tongue manifestation, pulse condition, syndrome differentiation, treatment and prescriptions". Using Python language to build analysis system, statistical analysis was made on the dialectical medication law of professor AN Ayue for slow wound healing after anal fistula surgery.[Results] A total of 306 cases of slow wound healing after anal fistula operation were included. The most common syndromes are yin deficiency inner heat, insufficiency of qi and blood, discordance of spleen and stomach, heat-poison in the interior, qi deficiency and blood stasis syndrome. The most frequently used drugs were angelica, radix rehmanniae, radix astragali, radix astragali, and purslane.[Conclusion] The deficient syndrome is the most common type in slow wound healing after anal fistula operation which includes yin deficiency, blood deficiency, qi deficiency. Dialectical thinking of paying attention to "harmonizing blood" in clinical treatment. The results of data mining objectively reflect the clinical thinking and experience of AN Ayue in treating the slow healing wound after anal fistula operation. |
| Key words: anal fistula slow healing wound data mining AN Ayue |
