基于数据挖掘的耳穴疗法临床应用规律  

Rule of Clinical Application of Auricular Acupuncture Based on Data Mining

作　　者：鲍娜[1] 王琼[1] 孙彦辉[2] 石晶[3] 李晓峰[2] 徐晶[2] 邢海娇[2] 张选平[2] 张莘[2] 杜玉茱[2] 李俊蕾[2] 杨青青[4] 冯欣欣[5] 贾春生[2] 王建岭[6] BAO Na WANG Qiong SUN Yan-hui SHI Jing LI Xiao-feng XU jing XING Hai-jiao ZHANG Xuan- ping ZHANG Xin DU Yu-zhu LI Jun-lei YANG Qing qing FENG Xin-xin JIA Chun sheng WANG Jian-ling(Acupuncture Clinical Teaching and Reasearch Section, Hebei Medical University, Shijiazhuang 050091 , China College of Acu-moccibustion and Tuina , Hebei University of Chinese Medicine, Shijiazhuang 050200 Basic Medical Col- lege of Hebei University of Chinese Medicine, Shijiazhuang 050091 Department of Acupuncture and Moxibustion, Hebei Provincial Hospital of Traditional Chinese Medicine, Shijiazhuang 050032 Eye Hospital of Xingtai City, Hebei Province, Xingtai 054001 Department of Public Course Education, Hebei University of Chinese Medicine, Shijiazhuang 050091)

机构地区：[1]河北医科大学针灸临床教研室,石家庄050091 [2]河北中医学院针灸推拿学院,石家庄050200 [3]河北中医学院基础医学院,石家庄050091 [4]河北省中医院针灸科,石家庄050032 [5]河北省邢台市眼科医院,河北邢台054001 [6]河北中医学院公共课教学部,石家庄050091

出　　处：《针刺研究》2017年第1期90-94,共5页Acupuncture Research

基　　金：国家自然科学基金资助项目(No.81072883;81173342;81473773;81681260237);河北省科技厅计划项目(No.152177212);河北省教育厅科研项目(No.Z 2014145)

摘　　要：目的:发掘耳穴疗法在临床应用中的规律,以期更好地指导临床。方法:以单纯应用耳穴疗法治疗疾病的期刊、学位论文为数据样本,建立耳穴疗法数据库,应用数据挖掘技术,对60多年来与耳穴疗法相关的文献进行下载、筛选、录入、审核、数据提取、统计分析,总结耳穴疗法的病种、刺激方法、治疗效果及针刺角度等运用规律。结果:耳穴疗法适应病症广,在内科疾病中应用频次最高,占48.56%(863/1 777);耳穴刺激方法中以贴压应用最多;耳穴疗法效果显著,外科愈显率最高,达81.41%;内科疾病中使用按压法效果最好,在外科为放血法-贴压,妇科与儿科均为注射法,五官科为放血法,皮肤科为割治法;注射法在所应用科属中疗效显著;除皮肤科,同科属中的放血法与放血法-贴压疗效差异较小;耳穴疗法针刺角度问题研究较少。结论:耳穴疗法治疗疾病广泛且效果显著,刺激方法多,针刺角度问题研究较少,仍有很大发展空间。Objective To explore the rule of clinical application of auricular acupuncture therapy by data mining in order to guide clinical practice.Methods The data base about single auricular acupuncture therapy for different clinical diseases was established by collection,sorting,screening,recording,collation,data extraction,statistic analysis on data samples from journals,academic theses dissertations published in near 60 years.The application rules of auricular therapy including its predominant diseases,stimulus modality,therapeutic effect,and angle of needling were summarized by data mining technique.Results Auricular acupuncture therapy has been widely and mostly used in the internal medicine department,accounting for 48.56%.Of stimulus modalities,auricular point paste and pressure is applied with the highest frequency,accounting for 64%.The highest effective rate is found in the surgery department diseases（81.41%）.Pressure is the most effective stimulus in the internal medicine department,and bloodletting combined with paste and pressure in the surgery department,auricular point injection in the gynecology and pediatrics departments,bloodletting in the ophthalmology and otorhinolaryngology department,and auricular point incision in the dermatology department.Auricular point injection has remarkable effect.Bloodletting combined with paste and pressure has nearly the same effect as bloodletting in the same medical department except dematology department.Otherwise,angle of needling is rarely studied.Conclusion Auricular therapy is widely used and has remarkable effect in treating diseases by using different stimulus modalities.Whereas the angle of needling is rarely studied and future investigation is needed.

关 键 词：耳穴疗法 贴压 刺激方法 针刺角度 数据挖掘 

分 类 号：R245.2[医药卫生—针灸推拿学]