基于对调控机体氧化应激的中药的数据挖掘对新冠肺炎中用药的特点分析
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河南中医药大学,郑州 450046


COVID-19-based data mining for Chinese medicine that regulates oxidative stress in the body
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Henan University of Traditional Chinese Medicine, Zhengzhou 450046,China

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    摘要:

    目的 基于数据挖掘分析中药调控机体氧化应激(oxidative stress,OS)的用药特点,为新冠肺炎救治 用药提供参考。 方法 在中国知网和维普数据库的文献专业检索界面中输入 SU= ‘抗氧化应激’至今所有的中国 期刊全文数据库(CNKI)和万方数据库中关于抗氧化应激的研究文献,共检索到文献 478 篇,其中有效文献 123 篇, 提取组方信息,运用 Excel 2013 及 IBM SPSS Statistics 23 软件对筛选出的组方进行频数分析和因子分析,总结所有 可以起到抗氧化应激作用的中药及中药成分,分析抗氧化应激中药的用药特点及配伍规律。 结果 共总结符合标准的文献 123 篇,共含中药 108 味,临床用药 74 味,实验文献用药 67 味。;中药有效成分 50 种,临床使用有效成分 35 种,实验文献 30 种。 ①临床用药使用频次较高的前两个的药分别是丹参(12 次,7. 89%),黄芪(11 次,7. 24%)、 实验文献使用频次较高的前两个的药分别是丹参(21 次,8. 61%),大黄(15 次,6. 15%);②临床用药药味以苦(40 次,33. 90%)和辛(32 次,27. 12%)主;药性多为寒性(22 次,29. 33%),温性(31 次,41. 33%);归经多集中于肝经 (40 次,22. 99%)、脾经(36 次,20. 69%)、实验用药药味以苦(31 次,31. 31%)和甘(36 次,36. 36%)主;药性多为寒 性(25 次,37. 31%),温性(21 次,31. 31%);归经多集中于肝经(31 次,18. 67%)、肺经(26 次,15. 66%)和脾经(24 次,14. 46%)④临床用药功效分类以补虚药(14 次,18. 92%),活血化瘀药(12 次,16. 22%)为主,实验研究用药功 效分类以补虚药(20 次,29. 85%),清热药(15 次,22. 39%)为主。对临床使用频次在前二十的中药进行关联规则 分析中发现关联强度最高的药对组合为 7 种,因子分析提取 7 个公因子。 结论 在抗氧化应激作用研究、临床使 用以及新冠肺炎用药中,以甘草、黄芪、茯苓、白术、半夏、黄芩和柴胡的使用频次较高。 化学成分以白藜芦醇,葛根 素的抗氧化应激作用更显著。

    Abstract:

    Objective Based on data mining, we analyzed the medicinal characteristics of Chinese medicine in regulating oxidative stress in the body to provide a reference for the treatment of COVID-19. Methods Using the advanced retrieval method , taking “oxidative stress” as the subject word, all research documents on antioxidative stress in the CNKI and Wanfang databases were retrieved, totaling 478 documents, 123 of which were valid documents. Composition information was extracted. Frequency and factor analyses were performed on the selected studies using Excel 2012 and IBM SPSS Statistics 23 software. All Chinese medicines and their components that have an antioxidative stress role were summarized, and the medicinal characteristics and compatibility laws of antioxidative stress Chinese medicines were analyzed. Results A total of 123 documents meeting the standards were summarized, including 108 traditional Chinese medicines, 74 clinical medicines, and 67 experimental documents. There are 50 types of active ingredients in traditional Chinese medicine, 35 clinically used active ingredients, and 30 types of experimental documents. The drugs with a higher frequency of clinical use were Salvia miltiorrhiza ( 12 times, 7. 89%), Astragalus membranaceus ( 11 times, 7. 24%), Salvia miltiorrhiza ( 21 times, 8. 61%), and Rheum officinale ( 15 times, 6. 15%). Bitter ( 40 times, 33. 90%) and pungent (32 times, 27. 12%) were the main clinical drugs. The drug properties were mostly han xing (22 times, 29. 33%) and wen xing (31 times, 41. 33%); meridian tropism was mainly concentrated in gan jing (40 times, 22. 99%), pi jing (36 times, 20. 69%), ku wei (31 times, 31. 31%), and gan wei (36 times, 36. 36%) among experimental drugs. The drug properties were mostly han xing ( 25 times, 37. 31%) and wen xin ( 21 times, 31. 31%); meridian tropism was mainly concentrated in gan jing (31 times, 18. 67%), fei jing (26 times, 15. 66%). and pi jing (24 times, 14. 46%). Clinical drug efficacy classification included mainly deficiency-tonifying drugs ( 14 times, 18. 92%) and blood-activating and stasis-removing drugs (12 times, 16. 22%), while experimental drug efficacy classification included mainly deficiency- tonifying drugs (20 times, 29. 85%) and heat-clearing drugs (15 times, 22. 39%). In the association rule analysis of the top 20 traditional Chinese medicines used clinically, it was found that there were seven combinations of drug pairs with the highest association intensity, and seven factors were extracted by factor analysis. Conclusions In antioxidative stress research for the clinical treatment of COVID-19, licorice, astragalus root, Poria cocos, atractylodes rhizome, pinellia tuber, Scutellaria baicalensis, and bupleurum root are frequently used, while resveratrol and puerarin have more significant antioxidant stress effects.

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惠香香,苗明三.基于对调控机体氧化应激的中药的数据挖掘对新冠肺炎中用药的特点分析[J].中国比较医学杂志,2020,30(7):78~84.

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  • 收稿日期:2020-05-18
  • 在线发布日期: 2020-08-25
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