针刺治疗假性延髓麻痹吞咽障碍的取穴规律研究  

Acupoint selection rules of acupuncture for pseudobulbar palsy dysphagia

作　　者：姜泽飞 贾宏彬 岳广晴 申鹏飞[1,2] JIANG Ze-fei;JIA Hong-bin;YUE Guang-qing;SHEN Peng-fei(Clinical Department of Acupuncture and Moxibustion,First Teaching Hospital of Tianjin University of TCM,Tianjin 300380,China;National Clinical Research Center for Acupuncture and Moxibustion of Chinese Medicine,Tianjin 300380)

机构地区：[1]天津中医药大学第一附属医院针灸临床部,天津300380 [2]国家中医针灸临床医学研究中心,天津300380

出　　处：《中国针灸》2022年第4期465-470,共6页Chinese Acupuncture & Moxibustion

摘　　要：目的:运用数据挖掘技术分析针刺治疗假性延髓麻痹吞咽障碍的取穴规律。方法:检索1990年1月1日至2021年5月1日中国期刊全文数据(CNKI)、中国生物医学文献数据库(SinoMed)、万方数据知识服务平台(Wanfang)、维普资讯中文期刊服务平台(VIP)和PubMed中针刺治疗假性延髓麻痹吞咽障碍相关文献,建立针刺处方数据库。使用Microsoft Excel2016进行腧穴使用频次分析;使用Apriori算法进行穴位关联规则分析并绘制高频腧穴共现网络图;采用SPSS21.0进行组间聚类分析。结果:共纳入相关文献87篇,含针刺处方89个,穴位71个。风池使用频次最高,常选经脉为胆经、任脉、督脉、胃经,颈项部腧穴使用频次最高,特定穴多使用交会穴;通过关联规则分析,得到15组腧穴,最常用穴位组合为金津-玉液。结论:现代针刺治疗假性延髓麻痹吞咽障碍取穴以近部取穴为主,注重使用以风池、廉泉为主的颈项部腧穴,前后配穴,针向病所。Objective To analyze the acupoint selection rules of acupuncture for pseudobulbar palsy dysphagia using data mining technology.Methods The literature of acupuncture for pseudobulbar palsy dysphagia published from January 1,1990 to May 1,2021 was retrieved from CNKI,SinoMed,Wanfang,VIP,and PubMed databases.Acupuncture prescription database was established.The frequency of acupoint selection was analyzed by Microsoft Excel 2016;Apriori algorithm was used to analyze the association rules and draw the high-frequency acupoint co-occurrence network diagram;SPSS21.0 was used to perform clustering analysis.Results A total of 87 literature was included,involving 89 acupuncture prescriptions and 71 acupoints.Fengchi(GB 20)was the most frequently-used acupoint;the commonly-selected meridians were gallbladder meridian,conception vessel,governor vessel and stomach meridian;the acupoints located at the neck were the most frequently-used acupoints;the crossing points were commonly selected among the special acupoints.The most commonly-used acupoint combination was Jinjin(EX-HN 12)plus Yuye(EX-HN 13).Conclusion The modern acupuncture for pseudobulbar palsy dysphagia usually selects local acupoints,especially the neck acupoints such as Fengchi(GB 20)and Lianquan(CV 23).The acupoints in the front and back are concurrently selected with needles towards the disease location.

关 键 词：假性延髓麻痹 吞咽障碍 针刺 数据挖掘 选穴规律 

分 类 号：R245[医药卫生—针灸推拿学]