作 者 :李丽,廖星,谢雁鸣,杨薇,王卓月
期 刊 :中国中药杂志 2014年 39卷 18期 页码:3487.
关键词:真实世界 ;医院信息系统 ;异位妊娠 ;关联规则 ;数据挖掘 ;
Keywords:real world , hospital information system , ectopic pregnancy , association rules , data mining ,
摘 要 :该研究选取全国15家三级甲等医院异位妊娠患者的HIS数据,分析真实世界中异位妊娠的临床用药关联情况。结果显示异位妊娠患者在治疗中最常用的西药种类是抗生素、止血药、杀胚药,最常用的中药种类是清热解毒类药、活血化瘀类药、补益气血类药。中西药联合应用常见组合依次为:清热解毒类中药+抗生素,清热解毒类中药+止血药,活血化瘀类中药+抗生素,补益气血类中药+抗生素,活血化瘀类中药+止血药,补益气血类药+止血药,活血化瘀类中药+杀胚药。研究表明异位妊娠患者的临床用药类别比较集中,中西医结合治疗多在西药抗炎、杀胚、止血基础上辩证应用中药清热解毒、活血化瘀、补益扶正治疗。
Abstract:To analyze the reality of ectopic pregnancy patients‘clinical medication, find out the association rules of chemical medicine and traditional Chinese medicine, HIS data from 15 grade Ⅲ-A general hospitals were collected, descriptive statistic methods and association rules were used in analysis of the data. The results showed that the most commonly used western medicine types were antibiotics,hemostatic medicine and killing embryo medicine. The most commonly used traditional chinese medicine types were heat clearing and detoxicating drugs,promoting blood circulation and removing blood stasis drugs,tonifying Qi and blood drugs. The common combinations of western medicine and chinese medicine were heat clearing and detoxicating drug add antibiotics, heat clearing and detoxicating drug add hemostatic medicine, promoting blood circulation and removing blood stasis drug add antibiotics, tonifying Qi and blood drug add antibiotics. In conclusion,the medicine types of ectopic pregnancy were concentrated. For conbined treatment of traditional Chinese medicine and western medicine, heat clearing and detoxicating,tonic righting, promoting blood circulation and removing blood stasis treatment were often used on the basis of anti-inflammatory,killing embryo and hemostasis.
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