基于数据挖掘技术探讨针灸治疗脓毒症胃肠功能障碍的取穴规律  

Study on the regularity of acupoint selection in the treatment of sepsis with acupuncture and moxibustion based on data mining technology

作　　者：曾圆圆 黄发根 黄亚秀 黄永莲[2] 陈冬杰 李博灵 王评[2] Zeng Yuanyuan;Huang Fagen;Huang Yaxiu;Huang Yonglian;Chen Dongjie;Li Boling;Wang Ping(Department of Critical Care Medicine,Shenzhen Hospital,Bejing University of Chinese Medicine,Shenzhen 518172,China;Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学深圳医院(龙岗)重症医学科,广东深圳518172 [2]北京中医药大学,北京100029

出　　处：《中国中西医结合急救杂志》2024年第4期407-412,共6页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：广东省深圳市龙岗区经济与科技发展专项资金(LGKCYLWS2020069)。

摘　　要：目的分析针灸治疗脓毒症胃肠功能障碍的取穴规律,为脓毒症胃肠功能障碍的临床治疗提供参考.方法计算机检索中国知网(CNKI)、中国学术期刊数据库、中文科技期刊数据库、中国生物医学文献数据库(CBM)、万方数据库、维普数据从建库至2023年9月30日收录的针灸治疗脓毒症胃肠功能障碍的相关文献,采用Excel对纳入的腧穴进行频次分析,并按照腧穴所在十四经分布、所属部位、特定穴属性等加以归类整理,进行相关数据分析和处理;采用SPSS 26.0、SPSS Modeler 18.0软件进行关联规则分析和聚类分析.结果最终选定35篇文献中的35条针灸处方进行频次统计,结果显示,有33个穴位被用于治疗脓毒症胃肠功能障碍,腧穴的总体使用频次达到176次.针灸治疗脓毒症胃肠功能障碍使用频次前10位的腧穴由高到低依次为足三里、天枢、上巨虚、中脘、内关、下巨虚、关元、气海、上脘、下脘,排名前3位的穴位为足三里(16.5%)、天枢(13.6%)、上巨虚(11.9%);经脉选用以足阳明胃经(52.8%)、任脉(23.9%)、足太阴脾经(8.0%)较多;选穴部位主要以下肢(44.9%)、腹部(41.5%)为主;特定穴以下合穴使用最多(35.2%),其次为募穴(27.8%).高频腧穴关联分析结果显示,综合支持度最高的腧穴为足三里、天枢、中脘、上巨虚,聚类分析得出5个有效聚类群(曲池穴-三阴交穴-内庭穴-大横穴-夹脊穴-阴陵泉穴-上脘穴-下脘穴、关元穴-气海穴-内关穴-下巨虚穴、天枢穴-上巨虚穴、中脘穴、足三里穴)及4个常用穴位配伍(关元穴-气海穴-内关穴-下巨虚穴、天枢穴-上巨虚穴、中脘穴、足三里穴).结论针刺治疗脓毒症胃肠功能障碍多从脾胃论治,以局部取穴、循经取穴为主,注重特定穴的应用,尤其是下合穴和募穴.Objective To analyze the acupoint selection rule of acupuncture and moxibustion in the treatment of gastrointestinal dysfunction associated with sepsis,thereby providing a reference for clinical treatment.Methods A systematic search was conducted in several databases,including China national knowledge infrastructure(CNKI),China Science Periodical Database,Chinese Science and Technology Journal Database,Chinese Biomedical literature database(CBM),Wanfang Data,and VIP Database,from the inception of the databases until September 30,2023.The collected literature was organized in an Excel database and subjected to descriptive analysis.Association rule analysis and cluster analysis were performed using SPSS 26.0 and SPSS Modeler 18.0 software.Results Finally,35 acupuncture and moxibustion prescriptions in 35 articles were selected for frequency statistics.The results showed 33 acupoints were used to treat gastrointestinal dysfunction in sepsis,with an overall frequency of use of 176 acupoints.The top 10 acupoints used by acupuncture and moxibustion for the treatment of gastrointestinal dysfunction in sepsis from high to low were Zusanli,Tianshu,Shangjuxu,Zhongwan,Neiguan,Xiajuxu,Guanyuan,Qihai,Shangwan,Xiawan.The top 3 were Zusanli(16.5%),Tianshu(13.6%),Shangjuxu(11.9%).The most commonly used meridians were the Foot Yangming Stomach Meridian(52.8%),Ren Meridian(23.9%),and Foot Taiyin Spleen Meridian(8.0%).The main sites for acupoint selection were the lower limbs(44.9%)and abdomen(41.5%).The most commonly used acupoints were combined acupoints below specific acupoints(35.2%),followed by recruited acupoints(27.8%).The results of high-frequency acupoint correlation analysis showed that the acupoints with the highest comprehensive support were Zusanli,Tianshu,Zhongwan,and Shangjuxu.Cluster analysis identified 5 effective clusters(Quchi acupoint-Sanyinjiao acupoint-Neiting acupoint-Daheng acupoint-Jiaji acupoint-Yinlingquan acupoint-Shangwan acupoint-Xiawan acupoint,Guanyuan acupoint-Qihai acupoint-Neiguan acupoint-Xiajuxu

关 键 词：脓毒症胃肠功能障碍 数据挖掘技术 取穴规律 针灸疗法 

分 类 号：R459.7[医药卫生—急诊医学]