摘要
目的:基于数据挖掘探讨针灸治疗卒中后丘脑痛的选穴组方规律。方法:电子检索中国期刊全文数据库(CNKI)、万方数据知识服务平台(Wanfang)、维普资讯中文期刊服务平台(VIP)、中国生物医学文献数据库(SinoMed)和PubMed数据库中针灸治疗卒中后丘脑痛的文献,通过纳排标准对数据进行筛选。利用Microsoft Excel 2019建立数据库;应用SPSS 21.0软件、SPSS Modeler 18.0软件及Cytoscape3.9.1软件进行腧穴频次与归经、特定穴分析、关联规则分析及聚类分析。结果:共纳入34篇有效文献,提取针灸处方34条,涉及腧穴91个,总频次368次;使用频次最高的腧穴为曲池、三阴交;最常涉及的经脉为足少阳胆经、手少阳三焦经与手阳明大肠经;特定穴以交会穴、五腧穴与八脉交会穴使用最多;聚类分析获得7个有效聚类群;核心关联规则分3类:“曲池-环跳-肩髃-外关-风市”、醒脑开窍针刺法主穴和百会-曲鬓,置信度均≥90%、支持度均≥35%。结论:针灸治疗卒中后丘脑痛以水沟-内关-极泉-委中-三阴交为主穴,重视阳经、夹脊穴和郄穴的应用,同时结合头针及肢体腧穴,可取得更加满意的疗效。
Objective:To explore the acupoints selection rules of acupuncture and moxibustion in treatment of post-stroke thalamic pain(PSTP)based on data mining technology.Methods:The literature about acupuncture and moxibustion treating PSTP were searched from the databases of CNKI,Wanfang,VIP,SinoMed and PubMed.The data were screened through the inclusion and exclusion criteria and the database was set up by using Microsoft Excel 2019;SPSS 21.0 software,SPSS modeler 18.0 software and Cytoscape3.9.1 software were used for analyzing frequency of acupoints,meridian tropism,specific acupoints,association rules and clustering analysis.Results:A total of 34 effective articles were included,with 34 prescriptions and 91 acupoints involved.The total frequency of acupoints was 368.The acupoints with high frequency were Quchi(LI11)and Sanyinjiao(SP6).The meridians involved with high frequency were the Gallbladder Meridian of Foot-Shaoyang,the Sanjiao Meridian of Hand-Shaoyang and the Large Intestine Meridian of Hand-Yangming.Intersecting acupoints,five-Shu acupoints and eight confluent acupoints were the most commonly used specific acupoints.7 effective clustering groups were obtained by clustering analysis.The core correlation rules were divided into three categories,i.e.LI11-Huantiao(GB30)-Jianyu(LI15)-Waiguan(TE5)-Fengshi(GB31),acupoints of brain-awakening orifice-opening acupuncture,as well as Baihui(DU20)-Qubin(GB7),with confidence equal to or more than 90%and support equal to or more than 35%.Conclusion:Acupuncture and moxibustion for the treatment of PSTP takes Shuigou(DU26)-PC6-Jiquan(HT1)-Weizhong(BL40)-SP6 as the key points,attaches importance to the application of Yang meridians,Jiaji points and cleft-Xi points combined with scalp points and points in the extremities,which can achieve a more satisfactory effect.
作者
张金胜
史少静
赵紫璇
邹鑫
姜涛
李晶
ZHANG Jinsheng;SHI Shaojing;ZHAO Zixuan;ZOU Xin;JIANG Tao;LI Jing(The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300193,China)
出处
《针灸临床杂志》
2024年第1期53-60,共8页
Journal of Clinical Acupuncture and Moxibustion
基金
国家自然科学基金面上项目,编号:81674056
天津市自然科学基金,编号:18JCYBJC94200。
关键词
中风
丘脑痛
针灸
选穴规律
数据挖掘
Stroke
Thalamic pain
Acupuncture and moxibustion
Acupoints selection rules
Data mining
