基于数据挖掘分析穴位埋线治疗便秘取穴规律研究  

Analysis of Acupoint Selection Rules of Acupoint Catgut Embedding Treatment for Constipation Based on Data Mining

作　　者：蔡梦涵 谢振年[1] 安晓静 谢雁鸣[2] CAI Menghan;XIE Zhennian;AN Xiaojing;XIE Yanming(Xiyuan Hospital of Chinese Academy of Traditional Chinese Medicine,Beijing 100091,China;Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China)

机构地区：[1]中国中医科学院西苑医院,北京100091 [2]中国中医科学院中医临床基础医学研究所,北京100700

出　　处：《辽宁中医药大学学报》2025年第2期44-49,共6页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：国家自然科学基金(81072813);国家中医药管理局全国第六批名老中医师承项目(JCR2021321868);中国中医科学院科技创新工程项目(C12021A01910)。

摘　　要：目的 使用数据挖掘技术对近10年来穴位埋线治疗便秘的文献进行统计分析,归纳和总结穴位埋线治疗便秘的取穴规律。方法 选用维普数据库、万方数据库、中国知网中2013年1月—2023年7月发表的关于穴位埋线治疗便秘的相关临床文献共779篇,经Note Express查重和人工筛选,共纳入文献147篇,利用Excel 2016建立处方数据库,应用统计软件SPSS 26.0对其进行描述性分析,应用统计软件SPSS Modeler 18.0对数据进行关联规则分析。结果 共纳入处方151条,涉及腧穴55个,使用频次共计797次。结论 穴位埋线治疗便秘的取穴具有一定规律,其中天枢、大肠俞、足三里使用频次较多;足阳明胃经应用频次最多,其次为足太阳膀胱经;特定穴使用频次较多,其中募穴使用频次最多;常于胸腹部取穴,其次为腰背部;临床多使用一次性穴位埋线针进行操作,选用羊肠线,3-0线体;腧穴配伍方面常采用俞募配穴法与前后配穴法;核心腧穴组为天枢-大肠俞-足三里。经过大量的临床实践,证明采用该院特殊埋线方式、特殊线体、固定穴位组合的穴位强化埋线疗法取得较好的临床疗效,可为临床提供参考依据。Objective To conduct statistical analysis on the literature of acupoint embedding therapy for constipation in the past decade using data mining techniques,summarize the rules of acupoint selection for acupoint embedding therapy for constipation.Methods A total of 779 clinical literature articles on acupoint embedding therapy for constipation published from January 2013 to July 2023 were selected from the VIP Database(VIP),WanFang Database and China National Knowledge Infrastructure(CNKI).After duplicate removal and manual screening using Note Express,147 articles were included.A prescription database was established using Excel 2016,and descriptive analysis was conducted using SPSS 26.0.Association rule analysis was performed using SPSS Modeler 18.0.Results A total of 151 prescriptions were included,involving 55 acupoints,and the frequency of use was 797 times.Conclusion There are certain rules for acupoint selection in acupoint embedding therapy for constipation.Among them,the acupoints Tianshu(ST25),Dachangshu(BL25),and Zusanli(ST36)were used more frequently.The most frequently used meridian was the Stomach Meridian of Foot Yangming,followed by the Bladder Meridian of Foot Taiyang.Specific acupoints were used more frequently,with Mu points being the most common.Acupoints were commonly selected on the chest and abdomen,followed by the lumbar and dorsal regions.Disposable acupoint embedding needles were commonly used clinically,with sheep intestine thread and 3-0 thread being selected.In terms of acupoint compatibility,the combination of Shu Mu and front-back pairing methods were commonly used.The core acupoint group was Tianshu(ST25)-Dachangshu(BL25)-Zusanli(ST36).Through extensive clinical practice,we have demonstrated that the use of our hospital's special embedding method,special thread types,and fixed acupoint combinations in acupoint reinforcement embedding therapy achieve good clinical efficacy,providing a reference basis for clinical practice.

关 键 词：穴位埋线 便秘 取穴规律 数据挖掘 关联分析 聚类分析 

分 类 号：R256.3[医药卫生—中医内科学] R245.9[医药卫生—中医学]