基于数据挖掘针灸治疗脊髓损伤后肢体功能障碍的取穴规律研究  

Study of Acupoint Selection Regularity of Acupuncture and Moxibustion for Limb Dysfunction after Spinal Cord Injury Based on Data Mining Technology

作　　者：杨凯坦 李传鸿 关健斌 刘涛[1] 马昱坤 仇子叶 俞兴 YANG Kaitan;LI Chuanhong;GUAN Jianbin;LIU Tao;MA Yukun;QIU Ziye(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学附属东直门医院,北京100029 [2]不详

出　　处：《世界中医药》2023年第20期2972-2976,共5页World Chinese Medicine

基　　金：国家自然科学基金面上项目(81973882)——携载丹参酮ⅡA缓释微球的组织工程材料促进脊髓损伤后轴突再生的机制研究。

摘　　要：目的:运用数据挖掘技术探索针灸治疗脊髓损伤后肢体运动和感觉功能障碍的取穴规律。方法:检索国家知识基础设施数据库(CNKI)、中国生物医学文献数据库(CBM)、中国学术期刊数据库(CSPD)及中文科技期刊数据库(CCD)对建库以来以针灸作为主要手段治疗脊髓损伤后肢体运动和感觉功能障碍的临床文献进行检索,并进行描述分析、关联分析和聚类分析。结果:纳入了123项研究、136条处方,累计使用俞穴117个,总频次1411次;干预方法以电针为主;使用频率最高的穴位为邻近节段夹脊穴、邻近节段督脉穴位以及其他共15个穴位;使用频率最高的经络为督脉、足阳明胃经、手阳明大肠经、足少阳胆经和足太阳膀胱经;关联度最高的穴位组合是足三里-外关-三阴交、曲池-合谷-阳陵泉、曲池-合谷-外关;有效的穴位组合为曲池-外关-合谷、阳陵泉-足三里、太溪-手三里和命门-大椎。结论:在脊髓损伤后肢体功能障碍的针灸治疗上,主要思路为“通督复阳、补益气血”,通过近端的夹脊穴、督脉穴位与肢体远端的阳经穴位配合,达到治疗目的。Objective:To explore the acupoint selection regularity of acupuncture and moxibustion for limb movement and sensory dysfunction after spinal cord injury based on data mining technology.Methods:China National Knowledge Infrastructure(CNKI),China Biology Medicine(CBM),China Science Periodical Database(CSPD) and Chinese Citation Database(CCD)were searched to get the clinical literature of acupuncture and moxibustion as the main method for limb movement and sensory dysfunction after spinal cord injury since the conception of the databases.Descriptive analysis,association analysis and cluster analysis were performed.Results:A total of 123 studies and 136 prescriptions were included,and 117 acupoints in total with the total frequency of 1411 were used.The main intervention was electroacupuncture.The acupoints used most frequently were Jiaji points of the adjacent segments,governor meridian acupoints of the adjacent segments and other 15 acupoints in total.The meridians used most frequently were governor meridian,stomach meridian of foot-yangming,large intestine meridian of hand-yangming,gallbladder meridian of foot-shaoyang and bladder meridian of foot-taiyang.The acupoint combinations with the most relevant degree were Zusanli-Waiguan-Sanyinjiao,Quchi-Hegu-Yanglingquan and Quchi-Hegu-Waiguan.The effective acupoint combinations were Quchi-Waiguan-Hegu,Yanglingquan-Zusanli,Taixi-Shousanli and Mingmen-Dazhui.Conclusion:On the acupuncture and moxibustion for limb dysfunction after spinal cord injury,the main idea is to “restore yang qi by dredging governor meridian,tonify blood and qi”,achieving the effectthrough the cooperation of the proximal Jiaji points,governor meridian acupoints and the distal yang meridian acupoints of the limbs.

关 键 词：针灸 脊髓损伤 肢体功能障碍 取穴规律 数据挖掘 夹脊穴 督脉 电针 

分 类 号：R245[医药卫生—针灸推拿学]