基于数据挖掘耳穴贴压治疗顽固性呃逆的选穴规律分析  

Analysis of the acupoint selection rule of auricular point sticking applied in the treatment of intractable hiccups based on data mining

作　　者：屠娜飞 张耀虹 徐敏[3] Tu Nafei;Zhang Yaohong;Xu Min(Department of General Surgery,The First Affiliated Hospital of Zhejiang Chinese Medicine University,Hangzhou 310003,China)

机构地区：[1]浙江中医药大学附属第一医院普外科,浙江杭州310003 [2]浙江中医药大学附属第一医院血液内科,浙江杭州310003 [3]浙江中医药大学附属第一医院副院长办公室,浙江杭州310003

出　　处：《护理学杂志》2024年第13期48-51,共4页Journal of Nursing Science

基　　金：浙江省中医药优秀青年人才基金项目(2022ZQ038)。

摘　　要：目的探索耳穴贴压治疗顽固性呃逆的选穴配伍规律,为顽固性呃逆患者耳穴贴压治疗提供参考。方法计算机检索建库至2023年8月18日中国生物医学文献数据库、中国知网、万方数据库、维普数据库、PubMed及Web of Science中有关耳穴贴压治疗顽固性呃逆的文献,对文献中的耳穴数据进行描述性分析及关联分析。结果最终纳入文献75篇,顽固性呃逆分型以周围性呃逆(54.17%)及中枢性呃逆(40.28%)多见。耳穴贴压治疗涉及耳穴28个、频次420次,其中最常用耳穴为耳中穴(16.67%)、胃穴(16.19%)、神门穴(14.52%)、交感穴(12.14%)。耳穴贴压治疗顽固性呃逆的常用配伍耳穴为耳中-皮质下-交感-神门-胃、耳中-交感-神门-胃、耳中-神门-胃、胃-耳中等。结论耳穴贴压治疗顽固性呃逆选穴遵循以传统医学与现代医学互参为主,结合脏腑辨证、随病因加减配穴为辅的方法,可作为临床护理人员选穴参照。Objective To investigate the selection and dispensing rules of auricular point sticking therapy for intractable hiccups and provide reference for auricular point sticking therapy for the patients with intractable hiccups.Methods The literature on auricular point sticking therapy for intractable hiccups was searched in SinoMed,CNKI,Wanfang Database,VIP Database,PubMed and Web of Science from the establishment of the database to August 18,2023,and the data from the available literature were subjected to descriptive and correlation analyses.Results A total of 75 papers were included,and the most common types of intractable hiccups were peripheral hiccups(54.17%)and central hiccups(40.28%).Auricular point sticking therapy involved 28 auricular acupoints and 420 frequency sessions,of which the most commonly used auricular acupoints were Erzhong(HX1)(16.67%),Wei(CO4)(16.19%),Shenmen(TF4)(14.52%),and Jiaogan(AH6a)(12.14%).The commonly matched auricular acupoints were Erzhong-Pizhixia-Jiaogan-Shenmen-Wei,Erzhong-Jiaogan-Shenmen-Wei,Erzhong-Shenmen-Wei,Wei-Erzhong,and so on.Conclusion The selection of acupoints for the treatment of intractable hiccups by auricular point sticking follows the method of mutual reference between traditional Chinese medicine and modern medicine,supplemented by the combination of syndrome differentiation of viscera and addition and subtraction of acupoints according to the etiology of the disease,which can serve as reference for clinical nursing staff in selecting acupoints.

关 键 词：顽固性呃逆 耳穴贴压 王不留行籽 数据挖掘 网络分析 选穴规律 中医护理 循证护理 

分 类 号：R248[医药卫生—中医临床基础] R473.5[医药卫生—中医学]