基于关联规则与复杂网络探讨针灸治疗痉挛型脑瘫的处方规律  

Study on characteristics of acupuncture and moxibustion formulas for spastic cerebral palsy via association rules and complex network analysis

作　　者：张一丹 马凌慧 马良宵[1] 张洲 母杰丹 孙天祎 钱旭 张秦墉 ZHANG Yidan;MA Linghui;MA Liangxiao;ZHANG Zhou;MU Jiedan;SUN Tianyi;QIAN Xu;ZHANG Qinyong(School of Acupuncture-Moxibustion and Tuina,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学针灸推拿学院,北京100029

出　　处：《中国医药导报》2023年第5期24-27,37,共5页China Medical Herald

基　　金：国家重点研发计划主动健康和老龄化科技应对重点专项(2020YFC2007303)。

摘　　要：目的基于关联规则与复杂网络探讨针灸治疗痉挛型脑瘫的处方规律。方法检索中国知网、万方数据库、维普网、中国生物医学文献数据库、PubMed、Web of Science建库至2022年5月针灸治疗痉挛型脑瘫的临床文献。运用Apriori算法进行关联规则分析核心穴位配伍,Gephi 0.9.6软件进行复杂网络分析核心穴位群及刺灸特点。结果共纳入293篇文献,提取639条针灸处方。关联性最高的传统腧穴为足三里-三阴交,靳三针为四神针-手三针,焦氏头针中足运感区、平衡区、运动区与运用区关联性一致。复杂网络3类处方核心穴位群主要包括百会、足三里、三阴交、合谷、曲池、运动区、平衡区、足运感区、阳陵泉、颞三针等,刺灸方式多样。结论针灸治疗痉挛型脑瘫注重传统腧穴与头针、靳三针的配合,以针对病变根源的头部穴位为主,配合瘫痪肢体局部选穴,达到形神同调的目的。Objective To explore the study on characteristics of acupuncture and moxibustion formulas for spastic cerebral palsy via association rules and complex network analysis.Methods The clinical literatures on acupuncture and moxibustion for spastic cerebral palsy from CNKI,Wanfang Data,VIP,China Biomedical Literature Database,PubMed,and Web of Science were searched until May 2022.The Apriori algorithm was used to analyze the compatibility of core acupoints with association rules.The Gephi 0.9.6 software was used to analyze the core acupoint group and the characteristics of acupuncture and moxibustion through complex network.Results A total of 293 literatures were included,and 639 acupuncture and moxibustion prescriptions were extracted.The traditional acupoints with the highest relevance are zúsānlǐ-sānyīnjiāo,and the Jin’s Three-needling acupoints are Sishen-points,and the sensory area,balance area,movement area,and operation area of the foot in the Jiao’s head needle were consistent with each other.The core acupoint groups of the three types of complex network prescriptions mainly include bǎihuì,zúsānlǐ,sānyīnjiāo,hégǔ,qūchí,movement area,balance area,foot sensation area,yánglíngquán,temporal acupuncture,and moxibustion,etc.There are various acupuncture and moxibustion methods.Conclusion In the treatment of spastic cerebral palsy,acupuncture and moxibustion focus on the coordination of traditional acupoints with tou acupuncture and Jin’s Three-needling,mainly on the head acupoints targeted at the root of the lesion,and with the local selection of acupoints of the paralyzed limbs,so as to achieve the purpose of harmonization of form and spirit.

关 键 词：痉挛型脑瘫 复杂网络 数据挖掘 针灸处方 

分 类 号：R742[医药卫生—神经病学与精神病学]