电针治疗膝骨关节炎腧穴谱及刺激参数的数据挖掘  

Data mining of acupoint spectrum and stimulation parameters in electro-acupuncture treatment of knee osteoarthritis

作　　者：李月馨 刘迪[2] 方志远[3] 李华[2] 崔雨洁 李源 LI Yuexin;LIU Di;FANG Zhiyuan;LI Hua;CUI Yujie;LI Yuan(The Second Clinical Medical College,Beijing University of Chinese Medicine,Beijing100078,China;Department of Acupuncture and Moxibustion,Dongfang Hospital,Beijing University of Chinese Medicine,Beijing100078,China;Department of Orthopedics,Dongfang Hospital,Beijing University of Chinese Medicine,Beijing100078,China)

机构地区：[1]北京中医药大学第二临床医学院,北京100078 [2]北京中医药大学东方医院针灸科,北京100078 [3]北京中医药大学东方医院骨科,北京100078

出　　处：《中国医药导报》2023年第10期17-22,共6页China Medical Herald

基　　金：北京市中医管理局北京中医药“薪火传承3+3工程”滚动建设项目——杨甲三名家研究室;北京中医药大学基本科研业务费青年教师项目(2017-JYB-JS-98)。

摘　　要：目的研究电针治疗膝骨关节炎的腧穴谱及常用刺激参数。方法检索中国知网、万方数据库、PubMed建库至2021年12月收录的电针治疗膝骨关节炎的临床文献,建立膝骨关节炎的电针取穴及刺激参数数据库,对数据进行描述性统计、聚类分析与关联规则分析。结果对纳入的51篇文献中的51首处方进行分析,使用频率高的腧穴依次为犊鼻、内膝眼、血海、梁丘、阿是穴;腧穴归经以足阳明胃经、经外奇穴、足太阴脾经为主;电针最常连接的2个穴对是内膝眼-犊鼻、梁丘-血海;聚类分析得出8个聚类集群;关联规则中支持度最高的穴位组合是犊鼻-内膝眼。最常使用的刺激参数为:疏波、疏密波,2 Hz、2/100 Hz,强度耐受,30 min/次,隔日治疗1次,总治疗时间4周。结论电针治疗膝骨关节炎以局部取穴为主,循经辨证为辅,筋骨并治,注重电针穴对与波形的选择,治疗的间隔时间不可过长,可在安全范围内适当延长留针时间,为临床电针治疗膝骨关节炎取穴及参数选择提供参考。Objective To study the acupoint spectrum and common stimulation parameters of electro-acupuncture treatment of knee osteoarthritis.Methods Clinical literatures on electro-acupuncture treatment of knee osteoarthritis collected from China National Knowledge Infrastructure,Wanfang Data,and PubMed from inception to December 2021 were searched to establish a database of electro-acupuncture point selection and stimulation parameters for knee osteoarthritis.Descriptive statistics,cluster analysis,and association rule analysis were conducted on the data.Results According to the analysis of 51 prescriptions in 51 literatures included,the acupoints with high frequency of use were successively dúbí,nèixīyǎn,xuèhǎi,liángqiū,and ashi point.The main acupoints meridians were the stomach meridian of foot-yangming,extra ordinary point,and spleen meridian of foot-taiyin.The two most commonly connected acupoint pairs of electro-acupuncture were nèixīyǎn-dúbíand liángqiū-xuèhǎi.Cluster analysis results in eight cluster clusters.The highest degree of support in association rules was the combination of dúbíand nèixīyǎn.The most commonly used stimulation parameters were:rarefaction wave,dilatational wave,2 Hz,2/100 Hz,intensity tolerance,30 min/time,once every other day,and total treatment time of four weeks.Conclusion Electro-acupuncture treatment of knee osteoarthritis is mainly based on local acupoint selection,supplemented by syndrome differentiation along channel,and combined treatment of muscles and bones.Attention should be paid to the selection of electro-acupuncture points and waveforms.The treatment interval should not be too long,and the retention time of needles can be extended appropriately within the safe range,so as to provide reference for clinical use of acupoint and stimulation parameter selection of electro-acupuncture in the treatment of knee osteoarthritis.

关 键 词：膝骨关节炎 电针 取穴规律 参数 数据挖掘 时效性 

分 类 号：R246.9[医药卫生—针灸推拿学]