基于数据挖掘的针药结合治疗中风后吞咽障碍药穴规律研究  

Study on Regularity of Acupoint-selection and Medication for Acupuncture Combined with Chinese Medicine in Treating Dysphagia After Stroke Based on Data Mining

作　　者：冯晔[1] 汤继芹[1] 任健[1] 陈宇[1] FENG Ye;TANG Jiqin;REN Jian;CHEN Yu(Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]山东中医药大学,山东济南250355

出　　处：《山东中医药大学学报》2020年第4期389-395,404,共8页Journal of Shandong University of Traditional Chinese Medicine

基　　金：山东省高校科研计划项目(编号:J14LK08)。

摘　　要：目的:总结针药结合治疗中风后吞咽障碍的选穴用药规律。方法:运用计算机网络对维普网、中国知网、万方数据库、中国生物医学文献数据库等常用文献数据库进行有效检索,检索时间规定为建库至2019年2月,纳入所有针药结合治疗本病的临床研究。用Excel 2016建立针药结合处方数据库,运用SPSS 19.0进行频次分析、系统聚类分析,通过Clementine 12.0软件进行关联规则分析。结果:使用频率最高的前4位穴位和药物分别为廉泉、风池、金津、玉液和石菖蒲、甘草、半夏、远志。使用频率最高的药类分别为补虚药、活血化瘀药、平肝息风药、化痰止咳平喘药、清热药。主要选用经外奇穴以及任脉、胆经、督脉、胃经上的腧穴。出现频率较高药穴的关联程度依次为:金津-玉液,郁金-石菖蒲,川芎-廉泉,胆南星-廉泉。聚类分析得出6个有效聚类群。结论:循行过颈项部和舌咽部的经脉为治疗本病常用经脉,其上腧穴以及经脉交会穴为常用腧穴,用药取穴有一定的组合规律,多以补益气血和活血化瘀药结合应用为主。Objective:To summarize the acupoint selection and medication regularity for acupuncture combined with Chinese medicine in treating dysphagia after stroke.Methods:VIP Data,Chinese National Knowledge Infrastructure(CNKI),Wanfang Data,Chinese Biomedicine(CBM)Data and other common literature databases were searched effectively by computer network,and the retrieval time was set up until February 2019,including all the clinical studies of acupuncture combined with Chinese medicine in treating dysphagia after stroke.The database of acupuncture combined with Chinese medicine was established with Excel 2016,the frequency analysis and cluster analysis was carried out by SPSS 19.0,and the association regularity were analyzed by Clementine 12.0 software.Results:The top four acupoints and Chinese medicinals with the highest frequency were Lianquan(CV23),Fengchi(GB20),Jinjin(EX-HN12),Yuye(EX-HN13),Shichangpu(Acori Tatarinowii Rhizoma),Gancao(Glycyrrhizae Radix et Rhizoma),Banxia(Pinelliae Rhizoma)and Yuanzhi(Polygalae Radix),respectively.The medicinals with highest frequency were medicinals for tonifying deficiency,medicinals for activating blood and resolving stasis,medicinals for calming liver and extinguishing wind,medicinals for resolving phlegm and relieving cough and asthma,medicinals for clearing heat.Extra points and acupoints of conception vessel,gallbladder meridian,governor vessel and stomach meridian were mainly selected.The correlation degree of medicinal-acupoint with high frequency was Jinjin-Yuye,Yujin(Curcumae Radix)-Shichangpu,Chuanxiong(Chuanxiong Rhizoma)-Lianquan,Dannanxing(Arisaema Cum Bile)-Lianquan.Six effective clustering groups were obtained by cluster analysis.Conclusions:The meridians and acupoints along the neck,tongue and throat as well as the convergent acupoints are the common meridians and acupoints for treating dysphagia after stroke.There are certain acupoint selection and medication regularity,mostly combined with medicinals for tonifying and replenishing qi and blood,and medicinals for acti

关 键 词：中风 吞咽障碍 针药结合 颈项部经脉 舌咽部经脉 交会穴 益气活血 数据挖掘 

分 类 号：R277.745.1[医药卫生—中医学]