基于数据挖掘分析针刺治疗中风后小脑性共济失调的选穴规律  

Analyzing Rules of Acupoint Selection in Treatment of Cerebellar Ataxia after Stroke with Acupuncture Based on Data Mining

作　　者：陈洁 井方 李争珍 王敏[1,2] CHEN Ji;JIN Fang;LI Zhengzhen;WANG Min(First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300193,China)

机构地区：[1]天津中医药大学第一附属医院,天津300193 [2]国家中医针灸临床医学研究中心,天津300193

出　　处：《实用中医内科杂志》2025年第4期38-41,I0009,共5页Journal of Practical Traditional Chinese Internal Medicine

基　　金：国家中医药管理局国家中医临床研究基地业务建设科研专项(JDZX2015020)。

摘　　要：通过数据挖掘探讨针刺治疗中风后小脑性共济失调的选穴规律。方法检索中国期刊全文数据库(CNKI)、中国生物医学文献数据库(SinoMed)、万方数据知识服务平台(Wanfang)、维普资讯中文期刊服务平台(VIP)、PubMed、Embase自建库至2024年6月19日收录的相关文献并进行筛选。使用Microsoft Excel 2019(建立数据库)、SPSSS tatistics 27.0(层次聚类分析、绘制树状图)、SPSS Modeler 18.0 Apriori算法(分析关联规则)、Cytoscape 3.9.0软件(高频腧穴共现网络图)完成数据整理分析。结果纳入文献34篇,提取针刺处方37条、腧穴67个,总频次211次;腧穴使用频次最高的前三位分别为风池、百会、脑空;选用经脉主要为足少阳胆经、督脉、足太阳膀胱经;选穴多分布在头面部(局部);在腧穴配伍方面,风池-天柱的支持度最高,前20位高频腧穴可分为3个有效聚类群。结论针刺治疗中风后小脑性共济失调重视头部取穴,以风池、脑空、玉枕、天柱及运动区、平衡区为核心处方。Objective To analyze the acupoint selection rules of acupuncture in the treatment of post-stroke cerebellar ataxia through data mining,so as to provide reference for the clinical application of the disease.Methods The data on acupuncture and moxibustion in the treatment of cerebellar mutual aid after stroke was retrieved from CNKI,VIP,Wanfang,SinoMed,PubMed and Embace self-established databases until January 19,2024.Microsoft Excel 2019 software was used to establish a database and conduct a descriptive analysis of acupoints.SPSS Modeler 18.0 Apriori algorithm was used to analyze association rules.The network diagram of high frequency acupoint co-occurrence was drawn by Cytoscape 3.9.0 software.SPSSS tatistics 27.0 software was used,the hierarchical cluster analysis of high frequency acupoints was carried out and the tree diagram was drawn.Results A total of 34 literatures were included,37 acupuncture prescriptions were extracted,involving 67 acupoints,and the total frequency was 211 times.The top 3 acupoints were Fengchi(GB20),Baihui(DU20)and Naokong(GB19).The selected meridians were foot Shaoyang gallbladder meridian,Du meridian and foot Sun bladder meridian.The acupoints were mostly distributed in the head and face.In terms of the compatibility of acupoints,the top 20 high frequency acupoints with the highest degree of support of Fengchi(GB20)-Tianzhu(BL10)can be divided into 3 effective clustering groups.Conclusion Modern acupuncture and moxibustion in the treatment of post-stroke cerebellar ataxia pays attention to proximal acupoint selection,with Fengchi(GB20)-Naokong(GB19)-Yuzhen(BL9)-Tianzhu(BL10),movement area and balance area as the core prescriptions.

关 键 词：中风后小脑性共济失调 针刺 选穴规律 数据挖掘 

分 类 号：R246.6[医药卫生—针灸推拿学]