基于数据挖掘技术分析针灸治疗小儿脑瘫选穴规律  

Analysis on the Acupoint Selection Law of Acupuncture and Moxibustion for Pediatric Cerebral Palsy Based on Data Mining Techniques

作　　者：陈慧姣 黄永原 赵敏伶 阮冬梅 郭雯静 周梦立 范郁山[1] CHEN Huijiao;HUANG Yongyuan;ZHAO Minling;RUAN Dongmei;GUO Wenjing;ZHOU Mengli;FAN Yushan(College of Acupuncture and Moxibustion,Guangxi University of Chinese Medicine,Nanning 530000,China)

机构地区：[1]广西中医药大学针灸推拿学院,广西南宁530000

出　　处：《中国中医药信息杂志》2025年第3期51-57,共7页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：国家自然科学基金(82260983);广西名中医传承工作室建设项目(2023017-05-07)。

摘　　要：目的基于数据挖掘技术,分析针灸治疗小儿脑瘫的选穴规律。方法检索中国期刊全文数据库(CNKI)、万方数据知识服务平台(Wanfang Data)、维普中文期刊服务平台(VIP)、中国生物医学文献数据库(CBM)、PubMed、Web of Science、Embase、Cochrane Library建库至2024年4月1日收录的针灸治疗小儿脑瘫的临床研究文献。利用Excel2021建立腧穴处方数据库,对腧穴使用频次、归经、部位及特定穴进行统计分析,运用SPSS Modeler 18.0、SPSS Statistics 27.0软件对腧穴进行关联规则分析、因子分析、聚类分析。结果共纳入文献579篇,提取579首处方,包含245个腧穴,腧穴使用总频次为6422。高频腧穴为足三里、百会、合谷、三阴交、曲池等,常用经脉为督脉、足少阳胆经、足阳明胃经、手阳明大肠经和足太阳膀胱经,多选用下肢部、头颈部、上肢部、腰背部腧穴。关联规则分析显示,关联度较高的组合为“合谷-曲池”“足三里-曲池”“足三里-曲池-合谷”“合谷-曲池-足三里”;聚类分析得到6个有效聚类群;因子分析提取出7个有效公因子。结论针灸治疗小儿脑瘫以健脑益智、调补五脏为法则,体现远近配穴的原则,核心腧穴组合为“足三里-曲池-合谷”。Objective To analyze the acupoint selection law of acupuncture and moxibustion for pediatric cerebral palsy based on data mining techniques.Methods Clinical research literature about acupuncture and moxibustion for the treatment of pediatric cerebral palsy was retrieved from CNKI,Wanfang Data,VIP,CBM,PubMed,Web of Science,Embase and Cochrane Library from the establishment of the databases to April 1,2024.Excel 2021 was used to establish a database of prescription acupoints.The frequency of use of acupoints,attributed to the meridians,parts and specific acupoints were under statistically analysis,and SPSS Modeler 18.0 and SPSS Statistics 27.0 were used to conduct the association rules analysis,factor analysis and clustering analysis of acupoints.Results A total of 579 articles were included,579 prescriptions were extracted,containing 245 acupoints with the frequency of 6422 times.The high-frequency acupoints were Zusanli,Baihui,Hegu,Sanyinjiao and Quchi,etc.The commonly used meridians were Governor Vessel,gall bladder meridian,stomach meridian,large intestine meridian and bladder meridian;mostly used acupoints were in the lower limbs,head and neck,upper limbs,waist and back.The association rules analysis showed that the top combinations were“Hegu-Quchi”,“Zusanli-Quchi”,“Zusanli-Quchi-Hegu”,“Hegu-Quchi-Zusanli”;clustering analysis showed that 6 valid clusters were extracted;factor analysis extracted 7 valid common factors.Conclusion Acupuncture and moxibustion treatment for pediatric cerebral palsy is based on the principle of strengthening the brain,improving intelligence and tonifying the five zang organs,reflecting the principle of matching acupoints far and near.The core combination of acupoints is“Zusanli-Quchi-Hegu”.

关 键 词：针灸 数据挖掘 小儿脑瘫 选穴规律 

分 类 号：R272.974.2[医药卫生—中医儿科学] R2-05[医药卫生—中医学]