基于数据挖掘技术探究耳穴治疗单纯性近视的选穴规律  

Study on the Rules of Acupoint Selection in Auricular Therapy of Simple Myopia Based on Data Mining Technology

作　　者：曾铉玲 陈楠 王天琳 杨星月 ZENG Xuanling;CHEN Nan;WANG Tianlin;YANG Xingyue(Beijing University of Chinese Medicine,Beijing 100029,China;Guang’anmen Hospital,Beijing 100053,China)

机构地区：[1]北京中医药大学针灸推拿学院,北京100029 [2]中国中医科学院广安门医院,北京100053

出　　处：《云南中医药大学学报》2023年第3期99-105,共7页Journal of Yunnan University of Chinese Medicine

基　　金：国家自然科学基金项目(81904063)。

摘　　要：目的探索耳穴疗法治疗单纯性近视的选穴规律,并确定适宜刺激方法。方法检索建库以来至2021年9月15日7个数据库收录的耳穴治疗单纯性近视的临床试验研究文献,对纳入文献进行偏倚风险评估,对纳入耳穴处方进行耳穴集合可视化分析、耳穴网络分析、聚类分析等。结果纳入57组耳穴处方,涵盖23个耳穴,眼穴被应用频次最高,达到54次,其次为肝穴、屏间前穴、屏间后穴和肾穴,耳穴配伍以屏间前和屏间后最为常见。在刺激方式方面,最常用的是王不留行耳穴压籽。聚类分析将这些耳穴分成以屏间前-屏间后-眼-肝-肾-脾一心为主的4个聚类群。结论耳穴疗法治疗单纯性近视穴位组方应以眼、屏间前、屏间后为基础,同时根据脏腑、经络等选穴原则辨证选穴。Objective To explore the acupoint selection rules of auricular therapy for simple myopia using association rules and cluster analysis,and to analyze appropriate stimulation methods through statistical analysis.Methods We searched seven databases,including CNKI,SinoMed,WanFang,VIP,PubMed,Cochrane library,and Embase from the inception of the database to September 15,2021,to retrieve clinical trial research literature on auricular acupuncture for simple myopia.We used Microsoft Excel 2019 to establish the database,and Review Manager 5.4 to evaluate the risk of bias of the included literature.We used IBM SPSS Statistics 21 and R 4.2.1 for auricular point set visualization analysis,auricular point network analysis,and cluster analysis.Results A total of 57 groups of auricular points prescription were included in this study,including 23 auricular points.Among them,the auricular points with higher cumulative application frequency were LO354 times(15.00%),CO1249 times(13.61%),TG2149 times(13.61%),AT1147 times(13.06%),CO1044 times(12.22%);the common auricular point combination is TG21 and AT11;the stimulation method used mostly is cowherb seed(78.95%);These Auricular acupuncture can form four groups:TG21-AT11-LO3-CO12-CO10-CO13-CO15,TF4,AT4 and AT3.4i.Conclusion Auricular point therapy for simple myopia is guided by TCM theory and involves the selection of acupoints based on LO3,TG21,and AT11,as well as the individual patient’s condition.Through the analysis of a large dataset,this study explored the feasibility of acupoint selection and compatibility rules for auricular therapy in treating simple myopia,offering valuable insights for clinical research and experimental design.

关 键 词：耳穴疗法 单纯性近视 选穴规律 刺激方法 关联规则 

分 类 号：R246.82[医药卫生—针灸推拿学]