基于数据挖掘探讨2014年广中医一附院颈椎病治疗常用项目及疗效分析

发布时间：2018-03-06 02:38

本文选题：数据挖掘　切入点：颈椎病　出处：《广西中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：在长期的临床诊治中,中医已形成了一套别具特色的诊疗方案,但对其挖掘还远远不够。计算机是20世纪的产物,随着信息技术的普及,人工智能与数据分析技术发展迅猛。数据挖掘技术正是将中医药与现代信息技术有机结合起来的纽带,它的运用使古老的中医焕发“新的生命”。目的:收集整理2014年1月1日至2014年12月31日以颈椎病为第一诊断入住于广西中医药大学第一附属医院医院的电子病例,拟通过数据挖掘技术归纳出广西中医药大学第一附属医院医院治疗颈椎病常用的手段及配伍方法,最终为临床医生决策提供循证医学证据。方法:本次研究一共收集到有效的共计电子病例827份,其中325份病例符合研究的纳入标准。采用数据挖掘技术中频数分析、关联规则、聚类分析等数理分析方法对电子病例进行挖掘整理,并将结果咨询各科临床医师、专家,对于有争议的数据挖掘结果经行剔除或修正偏倚,并最终总结出治疗颈椎病的临床思路。结果:(1)总结出烫疗、中药涂搽、牵引等我院治疗颈椎病常用治疗手段,中药配伍烫疗,以及中药汤剂、中药外用涂搽配伍烫疗等为我院常用的两项、三项搭配治疗方案;(2)川芎、当归、黄芪等34味我院治疗颈椎病常用的中药,活血化瘀药、补益药、解表药等为我院治疗颈椎病常用的中药的功效归类,升麻配黄芪、川芎配白芷、羌活配防风等16对我院治疗颈椎病常用中药药对,六君子汤、桂枝汤、桃红四物汤等为我院治疗颈椎病常用的基础方;(3)足少阳胆经、足阳明胃经、足太阳膀胱经等我院治疗颈椎病常用的经络,风池、颈夹脊穴、足三里等12个腧穴为我院治疗颈椎病的高频用穴,风池配颈夹脊,风池配足三里、风池配天柱等18组腧穴我院治疗颈椎病的常用配穴;(4)治疗前后,颈部疼痛、活动不利等症状的改善度具有统计学意义;(5)在综合治疗方案中,中医外治项目的使用小于4次时,临床疗效存在叠加效应。结论:(1)通过对我院颈椎病治疗项目的挖掘得出目前我院治疗颈椎病是以中医保守治案为主,西药、手术等方案为辅;通过治疗手段的合理配伍可以提高临床疗效;(2)通过对中药、针灸处方的数据挖掘得出“扶正祛瘀,散寒通络”是中医治疗颈椎病的核心思想;(3)通过统计计算得出治疗前后颈部疼痛、活动不利等症状改善明显。(4)在综合治疗方案中,中医外治项目的使用控制在4次左右时,临床疗效较好。
[Abstract]:In the long-term clinical diagnosis and treatment, Chinese medicine has formed a set of unique diagnosis and treatment plan, but it is not enough to dig it. Computer is the product of 20th century, with the popularization of information technology, Artificial intelligence and data analysis technology are developing rapidly. Data mining technology is the link that combines traditional Chinese medicine and modern information technology. Its application makes the ancient Chinese medicine radiate "new life". Objective: to collect and sort out the electronic cases of cervical spondylosis as the first diagnosis admitted to the first affiliated Hospital of Guangxi University of traditional Chinese Medicine from January 1st 2014 to December 31st 2014. To sum up the common methods and compatibility methods for the treatment of cervical spondylosis in the first affiliated Hospital of Guangxi University of traditional Chinese Medicine through data mining technology. Methods: a total of 827 effective electronic cases were collected in this study, of which 325 cases met the inclusion criteria of the study. Frequency analysis and association rules were used in data mining technology. Clustering analysis and other mathematical analysis methods were used to excavate electronic cases, and the results were consulted with clinicians and experts, and the results of data mining were eliminated or corrected for the disputed data mining results. And finally summed up the treatment of cervical spondylopathy clinical thinking. Results 1) summed up the ironing treatment, Chinese medicine smear liniment, traction and other common treatment of cervical spondylosis in our hospital, traditional Chinese medicine combined with hot treatment, as well as traditional Chinese medicine decoction, External application of traditional Chinese medicine, liniment and ironing therapy are two items and three combinations of treatment programs in our hospital.) 34 kinds of herbs, such as Rhizoma Chuanxiong, Angelica sinensis and Radix Astragali, are commonly used in the treatment of cervical spondylopathy in our hospital, such as promoting blood circulation and removing blood stasis, tonifying medicine, etc. The antitabular drugs are classified as the efficacy of traditional Chinese medicine commonly used in the treatment of cervical spondylosis in our hospital. 16 pairs of traditional Chinese medicine, such as Liujunzi decoction, Guizhi decoction and Guizhi decoction, are commonly used for the treatment of cervical spondylosis in our hospital, such as Astragalus membranaceus, Chuanxiong and Angelica dahurica. Taohong Siwu decoction is the basic prescription for the treatment of cervical spondylopathy in our hospital. It is a basic prescription for the treatment of cervical spondylosis. It is the common meridian, wind pond, and cervical Jiaji points of foot Shaoyang gallbladder Meridian, foot Yang Ming stomach Meridian, foot Sun bladder Meridian and so on. Twelve acupoints, such as Zusanli and other acupoints, are the high-frequency points for the treatment of cervical spondylosis in our hospital. Before and after treatment, the pain in the neck is caused by pain in the neck of 18 groups of acupoints, such as Fengchi and Zusanli, Fengchi and Tianzhu, which are commonly used in our hospital to treat cervical spondylosis before and after treatment. The degree of improvement of symptoms such as adverse activity is statistically significant (5) in the comprehensive treatment scheme, when the external treatment project of TCM is used less than 4 times, Conclusion by excavating the treatment items of cervical spondylosis in our hospital, we can draw a conclusion that the treatment of cervical spondylosis in our hospital is mainly based on conservative cases of traditional Chinese medicine, supplemented by western medicine and surgery. Through the rational compatibility of treatment means can improve the clinical curative effect.) through the data mining of traditional Chinese medicine, acupuncture and moxibustion prescription, we can draw the conclusion that "nourishing and dispelling blood stasis," "dispersing cold and unblocking collaterals" is the core idea of traditional Chinese medicine in the treatment of cervical spondylosis. (3) through statistical calculation, we can find that symptoms such as neck pain and adverse activities are obviously improved before and after treatment. (4) in the comprehensive treatment scheme, the use of external treatment items of traditional Chinese medicine is controlled at about 4 times. The clinical effect is good.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274.9

【参考文献】