基于数据挖掘技术分析针灸治疗血管性认知障碍的选穴规律  

Analysis of Acupoint Selection Rules of Acupuncture and Moxibustion in Treatment of Vascular Cognitive Impairment Based on Data Mining Technology

作　　者：余盼 唐纯志 YU Pan;TANG Chun-Zhi(Clinical Medical School of Acupuncture,Moxibustion and Rehabilitation,Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China)

机构地区：[1]广州中医药大学针灸康复临床医学院,广东广州510006

出　　处：《广州中医药大学学报》2021年第12期2694-2700,共7页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：国家自然科学基金青年项目(编号:81303043)。

摘　　要：【目的】运用数据挖掘技术分析针灸治疗血管性认知障碍的选穴规律,为临床治疗该病提供参考。【方法】通过检索中国知网(CNKI)近20年来针灸治疗血管性认知障碍的文献,建立数据库,对纳入文献的腧穴、归经、分布情况等进行频次分析,进一步对高频腧穴进行关联规则分析和聚类分析。【结果】(1)最终纳入90篇文献,共涉及85个腧穴,累计出现频次为594次。(2)使用频次居前6位的腧穴依次为百会、神庭、四神聪、风池、太溪、足三里。(3)选穴以督脉、足少阳胆经、足阳明胃经腧穴最为常见。(4)关联规则分析得到10组常用关联组合,其中置信度最高组合为百会-风池、神庭,支持度最高组合为百会-神庭、百会-四神聪。(5)聚类分析总结出5个有效聚类群,分别为百会-命门-风府-大椎,本神-神庭,悬钟-足三里-神门-太溪-肾俞-丰隆,水沟-三阴交-内关,风池-四神聪-印堂-合谷-太冲。【结论】针刺治疗血管性认知障碍时选穴以阳经和头颈部为主,注重局部与远道取穴相结合、补泻兼施,从而达到调补脾肾、化痰行瘀、醒脑开窍的作用。Objective To analyze the acupoint selection rules of acupuncture and moxibustion in treating vascular cognitive impairment(VCI)by using data mining technology,so as to provide valuable reference for the clinical treatment of this disease. Methods The literatures of acupuncture and moxibustion for VCI in the past 20 years were retrieved from the CNKI to establish a database, and the frequency analysis was carried out on acupoints,meridian tropism,distribution,etc.,and further association rule analysis and cluster analysis were carried out on high frequency acupoints. Results(1)Finally,90 articles were included,involving a total of 85 acupoints,and the cumulative frequency was 594 times.(2) The top 6 acupoints in the frequency of use were Baihui(DU20),Shenting(DU24), Sishencong(EX-HN1), Fengchi(GB20), Taixi(KI3)and Zusanli(ST36).(3) The most common acupoints were on Du meridian, foot Shaoyang gallbladder meridians and foot Yangming stomach meridians.(4)Analysis of association rules showed that there were 10 groups of common association combination,among which the combination with the highest confidence was Baihui(DU20)-Fengchi(GB20)and Shenting,and the combination with the highest support were Baihui(DU20)-Shenting(DU24),and Baihui(DU20)-Sishencong(EX-HN1).(5)Five effective cluster groups were summarized by cluster analysis,which were Baihui(DU20)-Mingmen(DU4)-Fengfu(DU16)-Dazhui(GB14),Benshen(GB13)-Shenting(DU24),Xuanzhong(GB39)-Zusanli(ST36)-Shenmen(HT7)-Taixi(KI3)-Shenyu(BL23)-Fenglong(ST40),Shuigou(DU26)-Sanyinjiao(SP6)-Neiguan(PC6),Fengchi(GB20)-Sishencong(EX-HN1)-Yintang(EX-HN3)-Hegu(LI4)-Taichong(LR3). Conclusion Acupuncture points are mainly selected as yang meridian and head-neck when treating VCI,focusing on the combination of local points and remote points,tonification and purgation in combination,so as to achieve the effect of regulating spleen and kidney, resolving phlegm and dredging stasis, and inducing resuscitation.

关 键 词：针灸 血管性认知障碍 选穴规律 经脉 特定穴 调补脾肾 化痰行瘀 醒脑开窍 数据挖掘 

分 类 号：R246.9[医药卫生—针灸推拿学]