基于神经电生理与调控探讨针灸治疗中风后呃逆的选穴规律  

Rules of Acupoint Selection in Treatment of Postapoplexy Hiccup with Acupuncture and Moxibustion Based on Neuroelectrophysiology and Regulation

作　　者：夏玉 袁爱红[2] 解鸿宇 XIA Yu;YUAN Aihong;XIE Hongyu(The First Clinical Medical College of Anhui University of Chinese Medicine,Hefei 230031,China;The Second Department of Acupuncture Rehabilitation,The First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230038,China)

机构地区：[1]安徽中医药大学第一临床医学院,安徽合肥230031 [2]安徽中医药大学第一附属医院针灸康复二科,安徽合肥230038

出　　处：《云南中医药大学学报》2023年第2期52-57,共6页Journal of Yunnan University of Chinese Medicine

基　　金：全国名老中医药专家杨骏传承工作室建设项目。

摘　　要：目的 基于神经电生理与调控探讨针灸治疗中风后呃逆的临床选穴规律。方法 检索及梳理2000年1月1日-2021年12月31日4个中文数据库(CNKI、Wanfang、VIP、CBM)中针灸治疗中风后呃逆的相关文献,建立中风后呃逆的针灸处方数据库,利用SPSS 21.0和Clementine 12.0软件对数据进行描述性分析和关联规则分析,分析针灸治疗中风后呃逆的选穴规律。结果 经过筛选共有111篇文献符合纳入标准,统计出200条针灸治疗中风后呃逆的针灸处方,共涉及穴位88个,总频次1 143次,穴位使用频次最多的是内关、足三里、中脘,选穴位置以胸腹部为主,任脉穴位使用次数最多。通过关联规则技术得出穴位间相关性最高的是内关-中脘-足三里。结论 针灸治疗中风后呃逆组方具有规律性,且与单纯性呃逆的选穴规律的差别体现在选穴部位和穴位配伍上,中风后呃逆更注重脑腑协同作用及神经功能的调节,本研究为临床上使用针灸治疗中风后呃逆的选穴提供理论支持及参考依据。Objective To explore the rule of clinical acupoint selection for hiccup after stroke based on neuroelectrophysiology and regulation.Methods Literatures related to acupuncture in the treatment of hiccup combined with stroke in four Chinese databases(CNKI,Wanfang,VIP,CBM)from January 1,2000 to December 31,2021 were searched and sorted out,and the acupuncture prescription database for hiccup after stroke was established.The SPSS 21.0 and Clementinel2.0 were used for descriptive analysis and association rule analysis and to analyze the acupoint selection rule of acupuncture treatment for hiccup after apoplexy.Results Filtered with a total of 1ll articles were included in the standard,the statistics of 200 acupuncture prescription of acupuncture and moxibustion treatment of post-stroke hiccups,involved 88 acupoints,the total frequency of 1143 times,the most frequently used acupoints were:Neiguan,Zusanli,Zhongwan.The location of the selected acupoints is mainly the chest and abdomen acupoints,a total of 14 prudes are involved,and acupoints of Conception Vessel are the most frequently used.By using technology of association rule,the highest correlation between acupoints is Neiguan-Zhongwan-Zusanli.Conclusion Acupuncture and moxibustion treatment after stroke hiccup formula has regularity,moreover,it is different from simple hiccup in the selection of points,which is reflected in the compatibility of selected points and acupoints.It pays more attention to brain synergy with visceral and nerve function regulation.This study provides theoretical support and reference for the selection of acupuncture points for the treatment of hiccup after stroke.

关 键 词：针灸 中风后呃逆 选穴规律 数据挖掘 神经电生理 

分 类 号：R245[医药卫生—针灸推拿学] R246.1[医药卫生—中医临床基础]