针灸治疗卒中后丘脑痛选穴规律研究  

Acupoint Selection Rules in Acupuncture and Moxibustion Treatment of Post-stroke Thalamic Pain

作　　者：孙兆祺 徐晓玉 刘志华[2] SUN Zhaoqi;XU Xiaoyu;LIU Zhihua(Henan University of Chinese Medicine,Zhengzhou 450046,China;Henan Province Hospital of Traditional Chinese Medicine,Zhengzhou 450002,China)

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

出　　处：《世界中医药》2024年第17期2609-2615,2620,共8页World Chinese Medicine

基　　金：国家自然科学基金项目(81704030,82104833);王松龄全国名老中医药专家工作室建设项目(国中医药人教发[2018]134号);河南省重点研发与推广专项(科技攻关)项目(202102311139)。

摘　　要：目的:运用数据挖掘技术,探讨针灸治疗卒中后丘脑痛的选穴规律。方法:通过多个中英文数据库,检索从建库至2023年7月1日的针灸治疗卒中后丘脑痛的相关文献,筛选后利用Microsoft Excel 2021建立数据库,对相关数据进行统计,利用SPSS Modeler 18.0进行关联规则分析,Cytoscape 3.8.2绘图、SPSS Statistics 26.0进行聚类分析等。结果:最终纳入59篇文献,包含141首针灸处方,涉及131个腧穴,总频次1246次。常用核心腧穴为:内关、水沟、三阴交、委中、极泉,特定穴常用五腧穴、交会穴及阳经郄穴,部位以头颈、上下肢为主,常用经脉为胆经、膀胱经及督脉,得到67条关联分析,分析得出多个核心腧穴组,“水沟-内关”“内关-三阴交”等,得到5首潜在针灸处方,针灸疗程多在10~30 d,以1次/d为主,留针30 min左右,电针以密波和疏密波较多。结论:针灸治疗卒中后丘脑痛,常选择以头部近取穴联合四肢特定穴及经外奇穴,并根据实际病情搭配腧穴,可结合电针以促进康复,可为临床提供穴提供指导。Objective:To explore the acupoint selection rules of acupuncture and moxibustion in treating post-stroke thalamic pain using data mining techniques.Methods:Relevant literature on acupuncture and moxibustion treatment for post-stroke thalamic pain was searched in multiple Chinese and English databases from their inception to July 1,2023.After screening,a database was established using Microsoft Excel 2021.Statistical analysis was performed,including association rule analysis with SPSS Modeler 18.0,and visualizations created with Cytoscape 3.8.2,and clustering analysis with SPSS Statistics 26.0.Results:A total of 59 articles were included,encompassing 141 acupuncture and moxibustion prescriptions and involving 131 acupoints with a total frequency of 1246.Commonly used core acupoints included Neiguan(PC 6),Shuigou(GV 26),Sanyinjiao(SP 6),Weizhong(BL 40),and Jiquan(HT 1).Specific points mainly included the five Shu points,crossing points,and cleft points along Yang meridians,with a focus on the head,neck,and limbs.The most frequently used meridians were the gallbladder,bladder,and governing meridians.A total of 67 association analyses yielded multiple core acupoint combinations such as“Shuigou-Neiguan”and“Neiguan-Sanyinjiao”.Five potential acupuncture and moxibustion prescriptions were identified,with treatment courses typically lasting 10 to 30 days,mostly once per day,with needle retention around 30 min.Electroacupuncture was frequently applied using dense waves and sparse-dense waves.Conclusion:Acupuncture and moxibustion for post-stroke thalamic pain commonly utilizes acupoints located near the head in combination with specific limb points and extraordinary points.Shu point selection based on the patient′s condition,combined with electroacupuncture to enhance recovery,can provide valuable guidance for clinical practice.

关 键 词：针灸 腧穴 卒中 丘脑痛 卒中后丘脑痛 选穴规律 数据挖掘 关联分析 

分 类 号：R245[医药卫生—针灸推拿学] R743[医药卫生—中医临床基础]