基于统计学原理针灸治疗产后抑郁症文献的可视化分析  

Visual analysis of treating postpartum depression by acupuncture based on statistical principles

作　　者：康幸子 顾传深 吴椋冰[1] KANG Xingzi

机构地区：[1]广西中医药大学,广西南宁530000

出　　处：《中医临床研究》2023年第11期22-29,共8页Clinical Journal Of Chinese Medicine

基　　金：广西高校中青年科研基础能力提升项目(2021KY0287);校级大学生创新创业训练计划项目(XQJ21139);基于互联网大数据挖掘的针刺联合穴位贴敷治疗抑郁症的穴位配伍规律研究(202110600140)。

摘　　要：目的:对针灸治疗产后抑郁症的文献进行可视化分析,探索临床治疗该病证的辨证模式及配穴规律,为后续科研和临床诊治提供参考。方法:检索2006年1月-2021年12月中国知网数据库中针灸治疗产后抑郁症的文献。利用Cite Space、IBM SPSS Statistics 23、IBM SPSS Modeler 18.0,导入文献数据;进行文献、穴位关键词聚类、时区分析;研究其规律并建立知识结构。结果:纳入针灸治疗产后抑郁症关键词研究文献118篇,复筛后纳入穴位配伍规律研究文献59篇。“数据挖掘”“取穴规律”为高频关键词;相关文献关键词自2006年出现,由2007年起数量逐渐增多,反映此研究领域呈上升趋势发展。取穴时使用频次最高的穴位为太冲穴;所选经络频次最高的为足太阳膀胱经;关联性最强的穴位组合为太冲穴→足三里穴、三阴交穴→足三里穴和太冲穴→四神聪穴和足三里穴→血海穴。对频次≥5的24个腧穴进行聚类分析,分为3类。第一类为百会穴、中脘穴、印堂穴;第二类为心俞穴、肝俞穴、脾俞穴、肾俞穴、太溪穴、气海穴、关元穴、血海穴、膻中穴、行间穴、期门穴;第三类为足三里穴、三阴交穴、内关穴、太冲穴、合谷穴、四神聪穴、神门穴。结论:针灸治疗产后抑郁症的临床辨证以神志不宁、肝郁气滞、气血两虚为主。临床治疗主要根据醒神启闭针刺法、解郁调神针刺法的思路,联合特定穴配伍取穴。受限于样本容量质量,上述结论仍待进一步验证。Objective:To visually analyze the literature on the treatment of postpartum depression,syndrome differentiation pattern and acupoint matching pattern,so as to provide reference for subsequent scientific research and clinical diagnosis and treatment.Methods:CNKI database related to acupuncture for postpartum depression was searched.CiteSpace,IBM SPSS Statistics 23 and IBM SPSS Modeler 18.0 were applied to import literature data.Visual analysis was carried out for literature keywords and acupoint matching rules.Results:A total of 118 articles were included in the keyword study of treating postpartum depression by acupuncture,and 59 articles were included to study the acupoint matching rules after re-screening.Data mining and acupoint matching rule are high-frequency,and acupoint matching rule has the highest emergence strength.Keywords in relevant literature appeared in 2006,and the number increased gradually since 2007,reflecting the gradual upward trend of development in this research field.Taichong(LR3)was the most frequently used acupoint.The highest frequency of selected meridians is bladder meridian.The most correlated acupoint combinations were Taichong→Zusanli(ST36),Sanyinjiao(SP6)→Zusanli,Taichong→Sishencong(EX-HN1)and Zusanli→Xuehai(SP10).The 24 acupoints with frequency greater than or equal to 5 were clustered and divided into 3 categories.The first category is Baihui(DU20),Zhongwan(RN12)and Yintang(EX-HN3).The second category is Xinshu(BL15),Ganshu(BL18),Pishu(BL20),Shenshu(BL23),Taixi(KI3),Qihai(RN6),Guanyuan(RN4),Xuehai,Danzhong(RN17),Xingjian(LR),Qimen(LA14).The third category is Zusanli,Sanyinjiao,Neiguan(PC6),Taichong,Hegu(LI4),Sishencong,Shenmen(HT7).Conclusion:The clinical syndrome differentiation is mainly based on uneasy mind,liver stagnation,Qi(气)stagnation,Qi and blood deficiency.Clinical treatment is mainly based on the idea of Xingshen Qibi(醒神启闭)and relieving depression and regulating mentality,combined with specific points.To some extent,it can be used as an alternative t

关 键 词：针灸 产后抑郁症 配穴规律 辨证模式 可视化分析 

分 类 号：R245[医药卫生—针灸推拿学]