穴位埋线治疗周围性面瘫选穴规律的数据挖掘分析  

Analysis of the Selection of Peripheral Facial Paralysis by Acupoint Thread Embedding Based on Data Mining Technology

作　　者：喻巧云 梁峻铨 刘宇晨 许云祥[2] 陈贵珍 Yu Qiaoyun;Liang Junquan;Liu Yuchen;Xu Yunxiang;Chen Guizhen(Shenzhen Bao'an Traditional Chinese Medicine Hospital,Guangzhou University of Chinese Medicine,Guangdong Shenzhen 518133,China)

机构地区：[1]广州中医药大学附属宝安中医院,广东深圳518133 [2]广州中医药大学,广东广州510405

出　　处：《中国中医急症》2021年第9期1522-1526,共5页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81473755,81574064);深圳市科技计划项目(JCYJ20170306152650625);深圳市宝安中医院资助项目(BAZZY20200609)。

摘　　要：目的探索穴位埋线治疗周围性面瘫的选穴规律,为临床应用穴位埋线治疗周围性面瘫提供理论依据。方法检索CNKI、CBM、VIP、WanFang Data、PubMed、Embase数据库。按照纳入与排除标准筛选穴位埋线治疗周围性面瘫的文献,建立针灸处方数据库,利用Excel 2016、IBM SPSS Modeler 18、SPSS 24.0软件对其进行描述性分析、关联规则分析和聚类分析。结果经筛选共纳入67篇文献,涉及腧穴47个,总频次为548次。发现穴位埋线治疗周围性面瘫累及应用较多的腧穴为地仓、颊车、阳白、太阳、迎香等;常用腧穴分布于足阳明胃经、足少阳胆经和经外奇穴,腧穴配伍以地仓配伍颊车最为常见,取穴多以近端局部取穴为主。关联规则显示5组腧穴关联规则,其中置信度和支持度最高的均为地仓-颊车,聚类分析显示存在6个有效聚类群。结论通过数据挖掘技术,总结出穴位埋线治疗周围性面瘫的腧穴及经脉的内在规律,对临床使用穴位埋线治疗周围性面瘫尤其是顽固性面瘫及面瘫后遗症优化组穴提供参考依据。Objective:To analyze the regularity of the selection of peripheral facial paralysis by acupoint thread embedding so as to provide reference and evidence for clinical application. Methods:6 databases were retrieved,including CNKI,CBM,VIP,WanFang,Pubmed and Embase Data to establish the prescription database.Excel 2016,IBM SPSS Modeler 18 and SPSS 24.0 were applied to conduct the descriptive analysis,association rule analysis and clustering analysis. Results:A total of 67 papers were recruited,47 acupoints were selected in these papers,and the total frequency of acupoints selection was 548 times. The most frequently selected main acupoints for peripheral facial paralysis using acupoint thread embedding were Dicang(ST 4),Jiache(ST 6),Yangbai(GB 14),Taiyang(EX-HN 5),and Yingxiang(LI 20);the most frequently selected channels were the stomach channel,bladder and extra-meridian points. The compatibility of acupoint was the most common with Dicang(ST4)and Jiache(ST6),and most of the combinations were acupoints at the proximal end. Five groups of acupoint association rules were obtained with the analysis of association rules,among which the highest confidence and support of acupoints were Dicang(ST4)and Jiache(ST6). By clustering analysis,6 kinds of effective groups were obtained. Conclusion:This study summarizs the selection of peripheral facial paralysis treated by acupoint thread embedding through data mining technology,giving preference for clinical acupoint thread embedding treatment of peripheral facial paralysis,especially chronic facial paralysis and sequelae of facial paralysis.

关 键 词：周围性面瘫 穴位埋线 取穴规律 关联分析 聚类分析 

分 类 号：R745.12[医药卫生—神经病学与精神病学]