基于数据挖掘的灸法和火针疗法临床应用病种的对比研究  

Diseases treated by moxibustion and fire needling in clinical practice based on data mining:a comparison study

作　　者：李伯英[1] 贾春生[1] 王建岭[2] 檀占娜 朱学亮[1] 石晶[3] 孙彦辉[1] 李晓峰[1] 张选平[1] 张莘[1] 徐晶[1] 

机构地区：[1]河北中医学院针灸推拿学院,石家庄050200 [2]河北中医学院公共课教学部,石家庄050200 [3]河北中医学院基础医学院,石家庄050200

出　　处：《中国针灸》2014年第11期1093-1097,共5页Chinese Acupuncture & Moxibustion

基　　金：国家自然科学基金资助项目:81072883;81173342

摘　　要：目的:探讨灸法和火针疗法在临床应用病种的特异性,为临床治疗提供参考依据。方法:采用现代计算机数据挖掘技术,分别建立灸法和火针疗法期刊文献数据库,针对近60年来与灸法和火针疗法相关的文献进行收集、筛选、录入、审核、提取,统计灸法和火针疗法于各科应用率、临床应用病种频次,筛选各科属具有临床应用差异性的病种,比较分析两种治疗方法的各科属应用病种及临床应用的优势。结果:1灸法以内科、外科应用率最高,分别为43.6%、28.1%;火针以外科、皮肤科应用率最高,分别为53.7%、23.8%。2通过对两种疗法在临床应用病种上的比较和分析发现,在妇科临床应用病种中,治疗涉及灸法的26个病种中20个火针疗法未涉及;在儿科病种中,涉及灸法治疗的22个病种中20个火针疗法未涉及,可见妇科、儿科两种疗法在病种的临床应用上差异较其他4个科属显著。3灸法和火针疗法在各科属具有临床应用差异的病种中,仅灸法涉及到的病种,内科为不寐、痞满、虚劳;外科为脉痹、落枕、疝气;皮肤科为瘾疹、皮痹、皮肤癌;妇科为胎位不正、不孕、经闭;儿科为小儿腹泻、小儿食积、小儿腹痛;五官科为睑废、视物不清、燥证。仅火针疗法涉及到的病种,内科为麻木、冷症、急性肾绞痛;外科为脂瘤、软组织损伤、皮肤乳头状瘤;皮肤科为腋臭、雀斑、丹毒;妇科为子宫肌瘤;儿科为婴幼儿脐息肉;五官科为耳郭假性囊肿、聚星障、痰包。结论:灸法在内科和外科应用较多,火针疗法在外科和皮肤科应用较多,且在妇科和儿科的临床应用中,灸法的应用较火针更加广泛。灸法和火针疗法在各科属具有临床应用差异的病种中,灸法更多应用于以虚证为常见临床表现的病种,火针多应用于局部症状较明显的病种。Objective To discuss the specificity of diseases treated by moxibustion and fire needling in clinical practice,so as to provide references for clinical treatment.Methods With data mining of modern computer technique,journal and literature databases regarding moxibustion and fire needling were established,respectively.Literature regarding moxibustion and fire needling for the past 60 years has been collected,screened,included,reviewed and abstracted.The utility rate of moxibustion and fire needling in each department was calculated,frequency of diseases in clinical practice was summarized,and diseases which had differences in clinical practice in each department were screened;also the advantages of disease categories and clinical practice between two kinds of therapies in each department were compared.Results 1The utility rate of moxibustion was highest in department of internal medicine and surgery,which were 43.6%and 28.1%,respectively;the utility rate of fire needling was highest in surgery and dermatological department,which were 53.7%and 23.8%,respectively.2According to the comparison and analysis on diseases treated by two therapies in clinic,among 26 kinds of gynecology diseases that were treated by moxibustion,20 kinds were not involved with fire needling;among 22 kinds of pediatrics diseases that were treated by moxibustion,20 kinds were not involved with fire needling.It was certain that the difference of the two therapies in clinical application was more significant in gynecology and pediatrics than that in the rest four departments.3 Among the diseases which had differences in clinical practice in each department,the ones involved with moxibustion alone were insomnia,distention and fullness,consumptive fatigue in the department of internal medicine,blood-vessel Bi,stiff neck and hernia in surgery department,urticarial,skin Bi and skin cancer in dermatological department,malposition,infertility and amenorrhea in gynecology department,diarrhea,indigestion and stomachache in pediatrics department,blepharo

关 键 词：灸法 火针疗法 临床应用病种 差异性病种 数据挖掘 对比研究 

分 类 号：R245.8[医药卫生—针灸推拿学]