基于数据挖掘技术探讨针灸治疗中风后假性球麻痹的选穴规律  

Acupoint Selection Rule of Acupuncture Treatment for Post-stroke Pseudobulbar Palsy Based on Data Mining Technology

作　　者：吴启元 赵东科 邵帅 刘志华 殷军辉 WU Qiyuan;ZHAO Dongke;SHAO Shuai;LIU Zhihua;YIN Junhui(Henan University of Chinese Medicine,Zhengzhou 450046,Henan,China)

机构地区：[1]河南中医药大学,郑州450046 [2]河南省中医院,河南中医药大学第二附属医院,郑州450002

出　　处：《中西医结合心脑血管病杂志》2024年第12期2130-2135,共6页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

基　　金：全国名老中医药专家传承工作室建设项目,编号:国中医药人教发〔2018〕134号;河南省中医药科学研究专项课题(No.2022ZY1065)。

摘　　要：目的:通过对针灸治疗中风后假性球麻痹的选穴规律进行数据挖掘,为针灸治疗中风后假性球麻痹提供科学依据。方法:利用计算机检索中国知网、万方、维普、PubMed等数据库,搜索并筛选出符合纳入与排除标准的针灸治疗中风后假性球麻痹的文献,利用Excel、SPSS Modeler 18.0、SPSS Ststistics 25.0软件进行数据挖掘探究其选穴规律。结果:共纳入文献242篇,涉及穴位115个,使用频次1697次。其中使用频次大于60次的高频穴位为廉泉、风池、金津、玉液、完骨、翳风;穴位所涉及归经以足少阳胆经、任脉、督脉较多;特定穴以交会穴为最多;关联分析中出现较多配伍为金津-玉液,风池-完骨,风池-翳风,金津-玉液-廉泉等;聚类分析共得到6组穴位,金津、玉液、咽后壁、完骨、翳风、风池、内关、人中、三阴交,天突、扶突、人迎,哑门、风府、通里、照海、列缺、天柱,上廉泉、脑户、足三里、太冲、太溪、丰隆、合谷、曲池、百会、印堂,治呛、翳明,廉泉、夹廉泉。结论:通过数据挖掘归纳出治疗中风后假性球麻痹的选穴规律,核心穴位处方为廉泉、风池、完骨、翳风、金津、玉液,治疗中多选取足少阳胆经与任督二脉穴位,交会穴的应用较为广泛,为临床治疗中风后假性球麻痹提供了循证依据。Objective:To explore acupoint selection rules for acupuncture treatment of post-stroke pseudobulbar palsy through data mining.Methods:The literature for acupuncture treatment for post-stroke pseudobulbar palsy in China National Knowledge Infrastructure,Wanfang,Weipu,and PubMed were searched.Data mining was conducted using Excel,SPSS Modeler 18.0,and SPSS Statistics 25.0 to explore acupoint selection rule.Results:A total of 242 literatures were included,involving 115 acupoints with a total frequency of 1697.The high-frequency acupoints used more than 60 times include Lianquan,Fengchi,Jinjin,Yuye,Wangu,and Yifeng.The acupoints involved meridian were the foot Shaoyang bile meridian,Ren meridian,and Du meridian.The most specific points were the intersection points.The most common acupoint combinations were Jinjin-Yuye,Fengch-i Wangu,Fengch-i Yifeng,Jinjin-Yuye,and Lianquan.In the cluster analysis,a total of 6 groups of acupoints were obtained,including Jinjin-Yuye-Wangu-Yifeng-Fengch-i Neiguan-philtrum-Sanyinjiao,Tiantu-Futu-Renying,Yamen-Fengfu-Tongl-i Zhaoha-i Lieque-Tianzhu,Shanglianquan-Naohu-Zusanl-i Taicong-Taix-i Fenglong-Hegu-Quch-i Baihu-i Yintang,Zhiqiang-Yiming,Lianquan-Jialianquan.Conclusion:Through data mining,the rule of acupoint selection for the treatment of post-stroke pseudobulbar palsy was summarized.The core acupoint prescriptions were Lianquan,Fengchi,Wangu,Yifeng,Jinjin,and Yuye.The acupoints of Zushaoyang Dan meridian and Rendu meridian were selected frequently,and more attentions were paid to the application of intersection points,which provided evidence-based basis for the clinic.

关 键 词：中风 假性球麻痹 针灸 数据挖掘 选穴规律 

分 类 号：R246.6[医药卫生—针灸推拿学]