基于数据挖掘的穴位贴敷治疗慢性阻塞性肺疾病稳定期选穴规律分析  

Analysis of acupoint selection of plaster therapy in treatment of stable chronic obstructive pulmonary disease based on data mining

作　　者：曹庆 苗青[3] 廖星[2] 樊长征[3] 樊茂蓉[3] 范艺龄 马秋晓 王宁[3] 郝娅妮 CAO Qing;MIAO Qing;LIAO Xing;FAN Chang-zheng;FAN Mao-rong;FAN Yi-ling;MA Qiu-xiao;WANG Ning;HAO Ya-ni(Beijing University of Chinese Medicine,Beijing 100029,China;Center for Evidence-based Chinese Medicine y Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences y Beijing 100700,China;Xiyuan Hospital^China Academy of Chinese Medical Sciences y Beijing 100091,China)

机构地区：[1]北京中医药大学,北京100029 [2]中国中医科学院中医临床基础医学研究所循证医学基础研究室,北京100700 [3]中国中医科学院西苑医院,北京100091

出　　处：《中国中药杂志》2020年第22期5356-5361,共6页China Journal of Chinese Materia Medica

基　　金：中国中医科学院“十三五”重点领域研究重点专项(Z0545);中国宋庆龄基金会慢阻肺临床研究专项(2018MZFZY-010)。

摘　　要：该文采用数据挖掘方法分析穴位贴敷治疗慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)稳定期的选穴特征和规律,为临床实践提供参考。通过检索中国知网(CNKI)、中文科技期刊全文数据库(VIP)、中国生物医学文献数据库(CBM)、万方全文数据库(WanFang)、PubMed、EMbase、Cochrane Library等中英文数据库。收集应用穴位贴敷治疗慢性阻塞性肺疾病稳定期的临床研究并进行筛选。最终纳入文献46篇。运用频次统计、聚类分析、Apriori关联分析等方法分析慢性阻塞性肺疾病稳定期穴位贴敷的选穴特征和规律。结果显示,穴位贴敷治疗COPD稳定期的主要腧穴有肺俞、定喘、天突、肾俞、脾俞,所用腧穴主要集中在胸、背部,足太阳膀胱经腧穴使用频率最高,分析腧穴得出关联规则27条,聚类分析将高频选穴聚成5类。结果表明,穴位贴敷治疗慢性阻塞性肺疾病稳定期的腧穴选择相对集中,"局部取穴""前后配穴"是穴位贴敷治疗COPD稳定期的主要选穴规律。穴位配伍体现了扶正祛邪、标本兼顾、既病防变的中医治疗原则。This article analyze acupoint selection and characteristics of plaster therapy for stable chronic obstructive pulmonary di-sease(COPD) by data mining. The CNKI, VIP, CBM, WanFang, PubMed, EMbase, Cochrane Library were retrieved for collecting clinical studies of plaster therapy for stable COPD. After literature screening, a total of 46 systematic reviews were included. Frequency statistics, cluster analysis, and Apriori correlation analysis were used to analyze the pattern and characteristics of plaster therapy for stable COPD. The result showed that the main acupoints for stable COPD were BL13, Dingchuan, CV22, BL23 and BL20. The acupoints used are mainly concentrated on the chest and back. The most frequently used meridian is the bladder meridian. Analysis of the acupoints yielded 27 correlation rules. And cluster analysis grouped the high frequency acupoints into 5 categories. The results of the study showed that the current choice of acupoints is rather concentrated. "Local acupuncture points" and "matching points with front and back" were the main acupoint selection rules. The choice of acupuncture points reflected the traditional Chinese medicine treatment principle of strengthening healthy Qi to eliminate pathogenic factor, treating both manifestation and root cause of disease, and preventing measure taken after the occurrence of disease.

关 键 词：穴位贴敷 慢性阻塞性肺疾病 数据挖掘 选穴 

分 类 号：R246.1[医药卫生—针灸推拿学]