摘要
目的基于数据挖掘探讨针灸治疗非增殖期糖尿病视网膜病变(NPDR)的选穴规律。方法检索中国知网(CNKI)、万方、中国生物医学文献数据库(CBM)、PubMed中关于针灸治疗NPDR的文献,检索时间为建库至2022年9月1日。根据文献纳入及排除标准对纳入文献作进一步筛选,分析治疗方法、选穴情况及特定穴、穴位归经、选穴部位,采用SPSS Modeler18.0行关联规则分析,采用SPSS25.0行聚类分析。结果纳入文献47篇,治疗方法以针刺为主,配合治疗以中药为主,其中针刺+中药最多,其次为单纯针刺、针刺+西药、针刺+激光疗法。涉及穴位57个,包括40个特定穴及17个非特定穴;使用频次达447次,其中频次≥15次的穴位有14个,以睛明、三阴交、攒竹最为多见。频次≥25次的经络依次是足太阳膀胱经(112次)、足阳明胃经(61次)、足少阳胆经(60次)、足太阴脾经(55次)、经外奇穴(50次)、手阳明大肠经(25次)。涉及5个部位,以头颈部最为多见,其次为下肢、腰背部、上肢、胸腹部。关联规则分析得出,穴位配伍主要为攒竹-太阳,三阴交-足三里,睛明-太阳,睛明-风池,睛明-瞳子髎,睛明-足三里,睛明-三阴交。聚类分析得出3个聚类群。结论针灸治疗NPDR穴位选择以头颈部,眼周为主。
Objective To discuss the acupoint selection rule of acupuncture and moxibustion in the treatment of non-proliferative diabetic retinopathy(NPDR)based on data mining.Methods The literatures on acupuncture and moxibustion in the treatment of NPDR in China National Knowledge Infrastructure(CNKI),Wanfang,Chinese BioMedical Literature Database(CBM)and PubMed were searched from the establishment of database to September 1,2022.The included literatures were further screened according to inclusion and exclusion criteria of literature,and the treatment methods,acupoint selection situation and specific acupoint,acupoint meridian and acupoint selection sites were analyzed.SPSS Modeler18.0 was used for association rule analysis,and SPSS25.0 was used for cluster analysis.Results A total of 47 literatures were included,the treatment was mainly acupuncture,and the combined treatment was mainly traditional Chinese medicine,among them,acupuncture+traditional Chinese medicine was the most,followed by simple acupuncture,acupuncture+western medicine,acupuncture+laser therapy.A total of 57 acupoints were involved,including 40 specific acupoints and 17 non-specific acupoints;the frequency of use reached 447 times,including 14 acupoints with frequency≥15 times,most of which were Jingming,Sanyinjiao and Cuanzhu.The meridians with frequency≥25 times were bladder meridian of foot-Taiyang(112 times),stomach meridian of foot-Yangming(61 times),gallbladder meridian of foot-Shaoyang(60 times),spleen channel of foot-Taiyin(55 times),extraordinary points(50 times)and large intestine channel of hand-Yangming(25 times).It involved 5 parts,most of which were head and neck,followed by lower limbs,waist and back,upper limbs,chest and abdomen.Association rule analysis showed that acupoint compatibility mainly included Cuanzhu-Taiyang,Sanyinjiao-Zusanli,Jingming-Taiyang,Jingming-Fengchi,Jingming-Tongziliao,Jingming-Zusanli and Jingming-Sanyinjiao.Three clusters were obtained by cluster analysis.Conclusion The acupoint selection of acupuncture and
作者
井慧侠
樊飞
宋虎杰
JING Huixia;FAN Fei;SONG Hujie(Sun Simiao Hospital of BUCM,Tongchuan 727031;Xi'an TCM Hospital of Encephalopathy,Xi'an 710032,China)
出处
《临床医学研究与实践》
2022年第36期9-13,共5页
Clinical Research and Practice
基金
国家中医药管理局中医药科学技术研究专项课题(No.GZY-KJS-2020-003)。
关键词
非增殖期糖尿病视网膜病变
针灸
数据挖掘
选穴规律
中药
non-proliferative diabetic retinopathy
acupuncture and moxibustion
data mining
acupoint selection rule
traditional Chinese medicine
