本文選題：數(shù)據(jù)挖掘　切入點(diǎn)：頸椎病　出處：《廣西中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：在長期的臨床診治中,中醫(yī)已形成了一套別具特色的診療方案,但對其挖掘還遠(yuǎn)遠(yuǎn)不夠。計算機(jī)是20世紀(jì)的產(chǎn)物,隨著信息技術(shù)的普及,人工智能與數(shù)據(jù)分析技術(shù)發(fā)展迅猛。數(shù)據(jù)挖掘技術(shù)正是將中醫(yī)藥與現(xiàn)代信息技術(shù)有機(jī)結(jié)合起來的紐帶,它的運(yùn)用使古老的中醫(yī)煥發(fā)“新的生命”。目的:收集整理2014年1月1日至2014年12月31日以頸椎病為第一診斷入住于廣西中醫(yī)藥大學(xué)第一附屬醫(yī)院醫(yī)院的電子病例,擬通過數(shù)據(jù)挖掘技術(shù)歸納出廣西中醫(yī)藥大學(xué)第一附屬醫(yī)院醫(yī)院治療頸椎病常用的手段及配伍方法,最終為臨床醫(yī)生決策提供循證醫(yī)學(xué)證據(jù)。方法:本次研究一共收集到有效的共計電子病例827份,其中325份病例符合研究的納入標(biāo)準(zhǔn)。采用數(shù)據(jù)挖掘技術(shù)中頻數(shù)分析、關(guān)聯(lián)規(guī)則、聚類分析等數(shù)理分析方法對電子病例進(jìn)行挖掘整理,并將結(jié)果咨詢各科臨床醫(yī)師、專家,對于有爭議的數(shù)據(jù)挖掘結(jié)果經(jīng)行剔除或修正偏倚,并最終總結(jié)出治療頸椎病的臨床思路。結(jié)果:(1)總結(jié)出燙療、中藥涂搽、牽引等我院治療頸椎病常用治療手段,中藥配伍燙療,以及中藥湯劑、中藥外用涂搽配伍燙療等為我院常用的兩項、三項搭配治療方案;(2)川芎、當(dāng)歸、黃芪等34味我院治療頸椎病常用的中藥,活血化瘀藥、補(bǔ)益藥、解表藥等為我院治療頸椎病常用的中藥的功效歸類,升麻配黃芪、川芎配白芷、羌活配防風(fēng)等16對我院治療頸椎病常用中藥藥對,六君子湯、桂枝湯、桃紅四物湯等為我院治療頸椎病常用的基礎(chǔ)方;(3)足少陽膽經(jīng)、足陽明胃經(jīng)、足太陽膀胱經(jīng)等我院治療頸椎病常用的經(jīng)絡(luò),風(fēng)池、頸夾脊穴、足三里等12個腧穴為我院治療頸椎病的高頻用穴,風(fēng)池配頸夾脊,風(fēng)池配足三里、風(fēng)池配天柱等18組腧穴我院治療頸椎病的常用配穴;(4)治療前后,頸部疼痛、活動不利等癥狀的改善度具有統(tǒng)計學(xué)意義;(5)在綜合治療方案中,中醫(yī)外治項目的使用小于4次時,臨床療效存在疊加效應(yīng)。結(jié)論:(1)通過對我院頸椎病治療項目的挖掘得出目前我院治療頸椎病是以中醫(yī)保守治案為主,西藥、手術(shù)等方案為輔;通過治療手段的合理配伍可以提高臨床療效;(2)通過對中藥、針灸處方的數(shù)據(jù)挖掘得出“扶正祛瘀,散寒通絡(luò)”是中醫(yī)治療頸椎病的核心思想;(3)通過統(tǒng)計計算得出治療前后頸部疼痛、活動不利等癥狀改善明顯。(4)在綜合治療方案中,中醫(yī)外治項目的使用控制在4次左右時,臨床療效較好。
[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.
【學(xué)位授予單位】：廣西中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R274.9

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