基于数据挖掘探讨针灸治疗肩袖损伤选穴规律  

Study on Acupoint Selection Law of Acupuncture and Moxibustion Treatment for Rotator Cuff Injury Based on Data Mining

作　　者：张莉霞 易玮[1] ZHANG Lixia;YI Wei(Guangzhou University of Chinese Medicine,Guangzhou 510000,China)

机构地区：[1]广州中医药大学,广东广州510000

出　　处：《中国中医药图书情报杂志》2024年第6期98-103,共6页Chinese Journal of Library and Information Science for Traditional Chinese Medicine

摘　　要：目的采用数据挖掘技术研究针灸治疗肩袖损伤的临床选穴规律。方法检索中国知识资源总库(CNKI)、中国学术期刊数据库(万方数据)、中文科技期刊数据库(VIP)建库至2023年8月1日针灸治疗肩袖损伤相关文献,采用Excel2016、SPSS Statistics 26、SPSS Modeler 18.0软件建立数据库并进行描述性分析、聚类分析及关联规则分析,总结选穴规律。结果共纳入文献57篇,提取处方58首,涉及腧穴42个,使用频次前3位的腧穴是肩髃、肩贞、肩髎,腧穴主要集中在上肢部,以交会穴、五输穴为主,多采用前后配穴法、本经配穴法;高频经脉为手阳明大肠经、手太阳小肠经;关联规则分析得到以肩髃、肩贞、肩髎、肩前为核心的组方。聚类分析获得6类处方,分别为(1)肩髃-肩髎-肩贞-肩前-天宗-阿是穴;(2)曲池-阳陵泉;(3)臂臑-肩井;(4)秉风;(5)条口;(6)巨骨。治疗以针刺或电针结合康复训练为主。结论针灸治疗肩袖损伤取穴集中在上肢部,常用手阳明大肠经、手太阳小肠经腧穴,推荐以肩髃、肩髎、肩贞、肩前、天宗、阿是穴为主穴。Objective To study the clinical acupoint selection law of acupuncture and moxibustion treatment for rotator cuff injury using data mining technology.Methods The literature related to the acupuncture treatment for rotator cuff injury was retrieved from CNKI,Wanfang Database and VIP database from the establishment of the databases to August 1,2023.Excel 2016,SPSS Statistics 26 and SPSS Modeler 18.0 were used to establish the database and perform descriptive analysis,clustering analysis and association rule analysis,Acupoint selection law was summarized.Results A total of 57 articles were included,including 58 prescriptions and 42 acupoints.The top 3 acupoints used were Jianyu,Jianzhen and Jianliao,and the acupoints were concentrated in the upper extremity,mainly Jiaohui acupoints and Wushu acupoints,and the combination of acupoints was mainly adopted anterior and posterior point matching method and the meridian acupoint matching method;the most commonly selected meridians were large intestine meridian and small intestine meridian;association rule analysis obtained that Jianyu,Jianzhen,Jianliao and Jianqian were the core prescriptions.Six types of prescriptions were obtained by clustering analysis:class 1 for Jianyu-Jianliao-Jianzhen-Jianqian-Tianzong-Ashi acupoints;class 2 for Quchi-Yanglingquan acupoints;class 3 for Binao-Jianjing acupoints;class 4 for Bingfeng acupoint;class 5 for Tiaokou acupoint;class 6 for Jugu acupoint.The main treatment was acupuncture or electroacupuncture combined with rehabilitation training.Conclusion The acupoints selected for the treatment of rotator cuff injury were concentrated in the upper extremities.The commonly used acupoints were in the large intestine meridian and the small intestine meridian,and the recommended acupoints were Jianyu,Jianliao,Jianzhen,Jianqian,Tianzong and Ashi acupoints.

关 键 词：肩袖损伤 针灸 数据挖掘 选穴规律 文献研究 

分 类 号：R246.9[医药卫生—针灸推拿学]