基于数据挖掘探讨针刺治疗血管性痴呆的选穴处方特点  

Law of Acupoints Selection in Treatment of VD Based on Data Mining

作　　者：李虹 王猛[1,2] 闫隆 钱玉林 丛珊 王煜 于涛[1,2] LI Hong;WANG Meng;YAN Long;QIAN Yulin;CONG Shan;WANG Yu;YU Tao(The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300193,China;Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China)

机构地区：[1]天津中医药大学第一附属医院,天津300193 [2]国家中医针灸临床医学研究中心,天津300193 [3]天津中医药大学,天津300193

出　　处：《针灸临床杂志》2023年第5期57-63,共7页Journal of Clinical Acupuncture and Moxibustion

基　　金：国家自然科学基金,编号:81704148。

摘　　要：目的:通过数据挖掘探讨临床针刺治疗血管性痴呆(VD)的选穴规律。方法:检索中国期刊全文数据库(CNKI)、中国生物医学文献数据库(CBM)、万方中文数据库、维普中文科技期刊全文数据库(VIP)、PubMed、Embase及Cochrane Library 7个数据库,将合格文献纳入并建立数据库,通过Microsoft Excel 2019软件、IBM SPSS Statistics 26.0软件和IBM SPSS Modeler 18.0软件对数据进行聚类分析和关联规则分析。结果:(1)共纳入164条针刺处方,142个穴位,其中涉及穴位频次1832次;(2)使用频次前5位由高到低依次为百会、足三里、四神聪、内关及三阴交;(3)得到4个有效聚类群:神门-太溪、血海-足三里、三阴交-内关和风池-百会;(4)得到2个类群,分别为内关-三阴交-四神聪-百会-风池-水沟和足三里-血海-丰隆-肾俞-太溪-神门-太冲-神庭。结论:针刺治疗VD多以百会、足三里、四神聪、内关和三阴交为核心,以阳经、特定穴、上下及远近配穴等为主,辨证配伍,为临床VD诊疗提供依据。Objective:To explore the law of acupoints selection in treatment of vascular dementia(VD)based on data mining.Methods:Literature met the inclusion criteria were selected from the databases of CNKI,CBM,Wanfang,VIP,PubMed,Embase and Cochrane Library,and the data were analyzed by Microsoft Excel 2019,IBM SPSS Statistics 26.0 and IBM SPSS Modeler 18.0 to perform cluster analysis and association rule analysis.Results:A total of 164 acupuncture prescriptions with 142 acupoints were included,involving 1,832 acupoints frequencies.The top five points used in descending order were Baihui(DU20),Zusanli(ST36),Sishencong(EX-HN1),Neiguan(P6)and Sanyinjiao(SP6).Four valid clusters were obtained,that is Shenmen(HT7)-Taixi(KI3),Xuehai(SP10)-ST36,SP6-P6 and Fengchi(GB20)-DU20.2 acupoints groups were obtained,namely P6-SP6-EX-HN1-DU20-GB20-Shuigou(DU26)and ST36-SP10-Fenglong(ST40)-Shenshu(BL23)-KI3-HT7-Taichong(LR3)-Shenting(DU24).Conclusion:Acupuncture treatment for VD is mostly based on DU20,ST36,EX-HN1,P6 and SP6,Yang meridian and specific points are mainly selected,the compatibility of upper points and lower points and the compatibility of distant points and local points are applied,which provides a reference for clinical treatment of VD.

关 键 词：血管性痴呆 针刺 选穴规律 数据挖掘 

分 类 号：R246.6[医药卫生—针灸推拿学]