摘要
诸多研究显示针灸治疗膝骨关节炎疗效显著且副作用小,亟需找到针灸治疗膝骨关节炎的核心处方。目的 基于数据挖掘技术探讨针灸治疗膝骨关节炎的选穴规律,以期为临床治疗提供一定的参考和借鉴。方法 计算机检索中国知网、万方、维普等数据库中针灸治疗膝骨关节炎的随机对照试验,检索时间自各数据库建库至2022年1月。使用Microsoft Excel2019建立针灸处方数据库,进行描述性分析,并用IBM SPSS Statistics 26.0和IBM SPSS Modeler 18.0软件进行聚类分析和关联规则分析。结果 最终纳入122篇文献,122个处方,45个腧穴,总频次895次。高频腧穴(频次>10)为犊鼻、内膝眼、血海、阳陵泉、足三里和梁丘;选穴位置主要集中在下肢部;高频经脉为足阳明胃经和足太阴脾经;特定穴主要是五输穴、八会穴及郄穴;聚类分析得到5个聚类群:犊鼻-内膝眼、足三里-委中、阳陵泉-阴陵泉-血海-梁丘-鹤顶、三阴交-太溪及关元-肾俞-膝阳关;关联规则分析相关性较高的穴位组合:犊鼻-内膝眼、犊鼻-梁丘-内膝眼、犊鼻-足三里-内膝眼、犊鼻-血海-内膝眼、犊鼻-阳陵泉-内膝眼等。结论 针灸治疗膝骨关节炎以下肢部穴位为主,注重局部取穴与循经辨证取穴及五输穴、八会穴、郄穴等特定穴的应用,但临床中也应结合患者的具体证候而辨证施治。
Many studies have shown that acupuncture and moxibustion has a significant effect on the treatment of knee osteoarthritis and its side effects are small.So,there is an urgent need to find a core prescription for acupuncture and moxibustion for knee osteoarthritis.Objective To discusses the rules of acupoint selection in the treatment of knee osteoarthritis by acupuncture and moxibustion in China,based on data mining technology and to provide some reference for clinical treatment.Methods Randomized controlled trials about acupuncture and moxibustion in the treatment of knee osteoarthritis were retrieved from databases of CNKI,Wanfang Data,VIP and so on,from inception to January 2022.Establish a database of acupuncture prescriptions using Microsoft Excel 2019 for descriptive analysis,and the clustering analysis and association rule analysis are carried out by IBM SPSS Statistics 26.0 and IBM SPSS Modeler 18.0 software.Restults Ultimately,122 studies involving 122 prescriptions,45 acupoints,total frequency 895 times were included.High frequency acupoints(frequency>10)are Dubi,Neixiyan,Xuehai,Yanglingquan,Zusanli and Liangqiu;High frequency meridians are the stomach channel of foot-yangming and the spleen channel of foot-taiyin;Specific points are mainly Wushuxue、Bahuixue and Xixue;5 clusters including Dubi-Neixiyan,Zusanli-Weizhong,Yanglingquan-Yinlingquan-Xuehai-Liangqiu-Heding,Sanyinjiao-Taixi and Guanyuan-Sshenshu-Xiyangguan were gotten by cluster analysis.The combination of acupoints with strongest support are Dubi-Neixiyan,Dubi-Liangqiu-Neixiyan,Dubi-Zusanli-Neixiyan,Dubi-Xuehai-Neixiyan,Dubi-Yanglingquan-Neixiyan and so on by relevance principle analysis.Conclusion The rules of acupoint selection in the treatment of knee osteoarthritis with acupuncture and moxibustion showed that main points focus on local points and the lower limbs meridian syndrome differentiation points,and pay attention to local acupoint selection,differentiation of acupoints along meridian and application of special acupoints such as Wu
作者
李玲玲
黄海量
Li Lingling;Huang Hailiang(College of Rehabilitation Medicine,Shandong University of Traditional Chinese Medicine,Jinan,Shandong 250355,China)
出处
《哈尔滨医药》
2022年第5期112-117,共6页
Harbin Medical Journal
基金
2018年山东省高等学校科研发展计划项目(J18KB130)
2018年山东省名老中医药专家刘昭纯传承工作室建设项目
山东中医药大学首批科研创新优秀团队项目(220316)
山东省2017-2018年度中医药科技发展计划项目(2017-2018)。
关键词
数据挖掘
针灸
膝骨关节炎
选穴规律
聚类分析
关联规则分析
data mining
acupuncture and moxibustion
knee osteoarthritis
rules of acupoint selection
cluster analysis
association rule analysis
