基于数据挖掘研究穴位刺激治疗慢传输型便秘选穴规律  

Clinical Study on Acupoint Selection Rules in Treatment of Slow Transit Constipation with Acupoint Stimulation Based on Data Mining

作　　者：李梦涵 江钢辉[2] LI Menghan;JIANG Ganghui(Clinical Medical School of Acupuncture-Moxibustion and Rehabilitation,Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510006,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510405,China)

机构地区：[1]广州中医药大学针灸康复临床医学院,广东广州510006 [2]广州中医药大学第一附属医院,广东广州510405

出　　处：《新中医》2025年第5期100-106,共7页New Chinese Medicine

摘　　要：目的:基于数据挖掘研究穴位刺激治疗慢传输型便秘(STC)的选穴规律。方法:检索中国学术期刊服务平台(CNKI)、万方数据知识服务平(Wanfang)、维普中文期刊服务平台(VIP)、中国生物医学文献服务系统(SinoMed)、Web of Science、PubMed、Embase数据库自建库至2024年5月27日收录的穴位刺激治疗STC临床研究文献。采用Microsoft Excel软件建立数据库;使用R4.4.0软件对腧穴进行关联规则分析和聚类分析;利用Gephi0.10.0软件进行复杂网络分析。结果:共纳入144篇文献,提取核心处方195条,涉及腧穴64个,累计频次1036次。使用频次前5的腧穴为天枢、足三里、大肠俞、上巨虚、支沟;腧穴归经以足阳明胃经、任脉与足太阳膀胱经为主,胸腹部与下肢部腧穴占比较高;募穴为使用最多的特定穴;针刺是常用的干预措施。关联规则分析显示,核心腧穴组合为足三里-天枢-上巨虚-关元;聚类分析得到5组有效聚类群,补泻-腧穴分析显示在治疗过程中操作手法以补法和平补平泻为主。结论:治疗STC针刺部位多选用胸腹部,以募穴为主,多选用足阳明胃经、任脉与足太阳膀胱经,以天枢、足三里、上巨虚、大肠俞为核心腧穴。Objective:To explore the acupoint selection rules for acupoint stimulation therapy of slow transit constipation(STC)based on data mining.Methods:Clinical research literature on acupoint stimulation therapy for STC was retrieved from China National Knowledge Infrastructure(CNKI),Wanfang Data Knowledge Service Platform(Wanfang),China Science and Technology Journal Database(VIP),China Biomedical Literature Database(SinoMed),Web of Science,PubMed,and Embase databases from the establishment of the databases to May 27,2024.A database was established by using Microsoft Excel software;association rule analysis and clustering analysis were performed on acupoints using R4.4.0 software;Gephi0.10.0 software was used for complex network analysis.Results:A total of 144 articles were included,and 195 core prescriptions were extracted,involving 64 acupoints with a cumulative frequency of 1036 times.The top five acupoints with the highest frequency of use are Tianshu(ST5)point,Zusanli(ST36)point,Dachangshu(BL25)point,Shangjuxu(ST37)point,and Zhigou(TE6)point.The acupoints mainly belong to the foot yangming stomach meridian,conception vessel,and the foot taiyang bladder meridian,with a higher proportion of acupoints in the chest,abdomen,and lower limbs;frontmu point is the most commonly used specific acupoint;acupuncture is a commonly used intervention measure.Association rule analysis showed that the core acupoint combination is Zusanli(ST36)point-Tianshu(ST5)point-Shangjuxu(ST37)point-Guanyuan(RN4)point;cluster analysis resulted in five effective clusters,and the analysis of tonifying and purging acupoints showed that the main operative techniques used in the treatment process were supplementing method and even supplementation and drainage method.Conclusion:The acupuncture sites for treating STC are mostly selected in the chest and abdomen,with a focus on the front-mu point.The foot yangming stomach meridian,conception vessel,and the foot taiyang bladder meridian are often selected,with Tianshu(ST5)point,Zusanli(ST36)point,Shang

关 键 词：慢传输型便秘 穴位刺激 数据挖掘 选穴规律 

分 类 号：R248.1[医药卫生—中医临床基础]