基于数据挖掘技术分析针灸治疗脑损伤后意识障碍的选穴规律  

Analysis of acupoint selection rules in acupuncture treatment for disturbance of consciousness after brain injury based on data mining technology

作　　者：李庚 刘双丽 范硕辰 邵露 蒋贤根 曹洋 潘雷 LI Geng;LIU Shuangli;FAN Shuochen;SHAO Lu;JIANG Xiangen;CAO Yang;PAN Lei(The Second Clinical Medical College of Yunnan University of Traditional Chinese Medicine,Kunming 650500,Yunnan,China;Graduate School,Anhui University of Chinese Medicine,Hefei 230012,Anhui,China;Second Affiliated Hospital of Yunnan University of Chinese Medicine,Kunming 650041,Yunnan,China)

机构地区：[1]云南中医药大学第二临床医学院,云南昆明650500 [2]安徽中医药大学研究生院,安徽合肥230012 [3]云南中医药大学第二附属医院,云南昆明650041

出　　处：《右江民族医学院学报》2025年第1期149-155,共7页Journal of Youjiang Medical University for Nationalities

基　　金：云南省科技厅-昆明医科大学联合专项(202101AY070001-277);云南省一流学科建设项目-BK-高等教育“121”工程专项-云南省一流学科-中医学(30371103900)。

摘　　要：目的运用数据挖掘技术分析针灸治疗脑损伤后意识障碍的选穴规律。方法检索中国期刊全文数据库(CNKI)、万方数据知识服务平台(Wangfang)、维普资讯中文期刊服务平台(VIP)、PubMed等数据库自建库至2024年5月31日收录的针灸治疗脑损伤后意识障碍的文献,采用Microsoft Excel软件建立选穴数据库对腧穴进行描述性分析,采用SPSS Modeler 18.0 Apriori算法进行数据关联分析;采用Cytoscape 3.10.0软件绘制高频腧穴关联网络图;运用R语言cluster软件包对高频用穴进行聚类分析并绘制谱系图。结果共纳入92篇文献,获得处方85个,涉及腧穴54个,应用总频次653次;总体用穴频次最高的三穴分别为水沟、内关、三阴交,常选取的经络为督脉、手厥阴心包经,涉及的腧穴多位头颈部及下肢部,以交会穴居多;腧穴配伍方面,内关-水沟-三阴交的支持度最高;前18位高频腧穴聚类分析可分为3个聚类群。结论针灸治疗脑损伤后意识障碍遵循醒脑开窍、调气活血的治疗原则,核心处方为水沟-内关-三阴交-百会-涌泉,可为临床提供参考依据。Objective To analyze the acupoint selection rules in acupuncture treatment for the disturbance of consciousness after brain injury by data mining technology.Methods The databases including China National Knowledge Infrastructure(CNKI),Wanfang Data Knowledge Service Platform(Wangfang),VIP Chinese Journal Service Platform(VIP),PubMed were searched for the articles on the treatment of disorders of consciousness after brain injury by acupuncture from the establishment of the databases to May 31,2024.Microsoft Excel software was used to establish an acupoint selection database for descriptive analysis of acupoints.The Apriori algorithm in SPSS Modeler 18.0 was used for data association analysis.Cytoscape 3.10.0 software was used to draw the correlation network diagram of high-frequency acupoints.The cluster package in R language was used to conduct cluster analysis on the high-frequency acupoints and draw a dendrogram.Results A total of 92 articles were included,85 prescriptions were obtained,involving 54 acupoints,with a total application frequency of 653 times.The three acupoints with the highest overall application frequency were Shuigou,Neiguan,and Sanyinjiao.The commonly selected meridians were the Governor Vessel Meridian and the Pericardium Meridian of Hand-Jueyin.The involved acupoints were mostly located in the head,neck,and lower extremities,and there were more crossing acupoints.In terms of acupoint combination,the combination of Neiguan-Shuigou-Sanyinjiao had the highest support.The cluster analysis of the top 18 high-frequency acupoints could be divided into 3 clusters.Conclusion The acupuncture treatment for the disturbance of consciousness after brain injury follows the treatment principles of awakening the brain and opening orifices,regulating qi and promoting blood circulation.The core prescription is Shuigou-Neiguan-Sanyinjiao-Baihui-Yongquan,which can provide a reference basis for clinical practice.

关 键 词：颅脑损伤 意识障碍 针灸 选穴规律 数据挖掘 

分 类 号：R651[医药卫生—外科学] R749.93[医药卫生—临床医学]