Zhao Shi-Chu, Wei Rui-Li, Xie Yan-Ming, Wang Lian-Xin, Wang Qun, Yi Dan-Hui
Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences Beijing 100700,China Beijing Longfu Hospital Beijing 100100,China.
Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences Beijing 100700,China.
Zhongguo Zhong Yao Za Zhi. 2019 Dec;44(23):5207-5216. doi: 10.19540/j.cnki.cjcmm.20191115.501.
Acute upper respiratory infection is one of the common infectious diseases,especially in the elderly people. Qingkailing Injection has the effect of clearing away heat and detoxifying. It can be used for external wind heat,upper respiratory tract infection,viral cold,etc. Based on 2 147 cases of upper respiratory tract infection patients using Qingkailing Injection in the medical electronic data warehouse of the information system of 16 large class-A hospitals constructed by the Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences,description analysis,Apriori calculation and recurrent network analysis were used to analyze the effect of Qingkailing Injection on upper respiratory tract infection. The clinical characteristics and the law of combined use of drugs can provide reference for the mining of clinical diagnosis and treatment characteristics and the construction of optimal and effective programs and paths. 2 147 patients with upper respiratory tract infection who used Qingkailing Injection were mostly middle-aged and elderly people over 45 years old,often combined with hypertension,ischemic cerebrovascular disease,coronary heart disease,diabetes,etc.; in treatment,it was more common to use Qingkailing Injection in combination with hormones,antipyretics and analgesics,antibiotics,nutritional support agents,antitussive,expectorant and antiasthmatic drugs,as well as traditional Chinese medicine Jiebiao agents and blood management agents. The combination of potassium chloride injection and cephalosporin injection is the most commonly used in combination with two kinds of Western medicine( 33. 2%); the combination of Shuanghuanglian and Ganmao Qingre Granules is the most commonly used in combination with two kinds of traditional Chinese medicine( 9. 13%); through the calculation of complex network group module,it is found that Qingkailing Injection is often associated with antibiotics,antipyretic and analgesic drugs,antitussive,expectorant and antiasthmatic drugs,antiviral drugs and anti infection drugs. Drugs,nutritional support agents,bronchodilators,immunomodulators and other chemical drugs are often used in combination with Chinese medicine,such as Jiebiao agents,expectorants,Qingre agents,resuscitation agents,Qufeng agents,tonics,Liqi agents,which may be related to both the treatment of upper respiratory tract infection and the basic diseases of middle-aged and elderly patients,with the theoretical characteristics of " combination of disease and syndrome,corresponding formula and syndrome". Based on the real world big data complex network group module mining results provide clues for the clinical optimization scheme and path construction,and provide signals and ideas for further causal research.
急性上呼吸道感染是常见的传染病之一,尤其在老年人中多发。清开灵注射液具有清热解毒的功效。可用于外感风热、上呼吸道感染、病毒性感冒等。基于中国中医科学院临床医学基础研究所构建的16家大型三甲医院信息系统的医学电子数据仓库中2147例使用清开灵注射液的上呼吸道感染患者,运用描述性分析、Apriori算法及复杂网络分析,对清开灵注射液治疗上呼吸道感染的疗效、临床特征及联合用药规律进行分析,可为挖掘临床诊疗特点、构建优化有效方案及路径提供参考。2147例使用清开灵注射液的上呼吸道感染患者多为45岁以上的中老年人,常合并高血压、缺血性脑血管病、冠心病、糖尿病等;治疗中,清开灵注射液常与激素、解热镇痛药、抗生素、营养支持剂、止咳祛痰平喘药以及中药解表剂、活血化瘀剂等联合使用。氯化钾注射液与头孢菌素类注射液联合使用是最常用的两种西药联合方式(33.2%);双黄连与感冒清热颗粒联合使用是最常用的两种中药联合方式(9.13%);通过复杂网络群组模块计算发现,清开灵注射液常与抗生素、解热镇痛药、止咳祛痰平喘药、抗病毒及抗感染药物等化学药联合使用,与解表剂、祛痰剂、清热剂、开窍剂、祛风剂、补益剂、理气剂等中药联合使用,这可能与上呼吸道感染的治疗及中老年患者基础疾病有关,具有“病证结合、方证相应”的理论特点。基于真实世界大数据复杂网络群组模块挖掘结果为临床优化方案及路径构建提供线索,为进一步因果性研究提供信号及思路。