基于数据挖掘研究穴位贴敷治疗面瘫的选穴规律分析  

Analysis of the Acupoint Selection Rule of Acupoint Patching in the Treatment of Facial Paralysis Based on Data Mining Study

作　　者：杨任育 钱自华[2] 袁晨 蔡玉杰 李颖 YANG Renyu;QIAN Zihua;YUAN Chen;CAI Yujie;LI Ying(College of Nursing,Anhui University of Chinese Medicine,Hefei 230012,Anhui,China;Department of Emergency,the First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230601,Anhui,China)

机构地区：[1]安徽中医药大学护理学院,安徽合肥230012 [2]安徽中医药大学第一附属医院急诊科,安徽合肥230601

出　　处：《医学信息》2025年第7期32-37,共6页Journal of Medical Information

摘　　要：目的 基于数据挖掘探讨分析穴位贴敷治疗面瘫的选穴规律,以期为临床实践提供参考。方法 采用主题词和关键词的检索方式,检索中国期刊全文数据库(CNKI)、维普中文科技期刊数据库(VIP)、万方学术期刊全文数据库(Wanfang)、中国生物医学文献数据库(SinoMed)、PubMed等中英文数据库中穴位贴敷治疗面瘫的文献,利用Excel 2016、IBM SPSS Modeler 18、SPSS26.0软件对其进行描述性分析、关联规则分析和聚类分析。结果 最终纳入文献62篇,腧穴38个。总频次311次,高频腧穴依次为翳风、颊车、地仓、太阳、下关。共涉及10条经脉,常用经脉为足阳明胃经、手少阳三焦经、足少阳胆经。其中30个腧穴属于特定穴,且主要集中在面部、头颈部。关联分析显示,符合要求的腧穴组合共16组,其中“阳白-四白”置信度最高、“地仓-阳白”支持度最高、“阳白-四白”的增益度最高。聚类分析结果示有5个有效聚类群,其中翳风属重点要穴。结论 通过数据挖掘发现,穴位贴敷治疗面瘫具有局部选穴、循经远端取穴、重用特定穴的选穴特点,可以为临床选穴提供一定的依据;未来可以对面瘫辨证分型及分期选用穴位进行研究。Objective To explore and analyze the acupoint selection rule of acupoint patching in the treatment of facial paralysis based on data mining,so as to provide reference for clinical practice.Methods The literature of acupoint application in the treatment of facial paralysis in Chinese and English databases such as China National Knowledge Infrastructure(CNKI),VIP Chinese Science and Technology Journal Database(VIP),Wanfang Academic Journal Full-text Database(Wanfang),China Biomedical Literature Database(SinoMed) and PubMed was searched by subject words and keywords.Descriptive analysis,association rule analysis and cluster analysis were performed using Excel 2016,IBM SPSS Modeler 18 and SPSS 26.0 software.Results Finally,62 literatures and 38 acupoints were included.The total frequency was 311 times,and the high-frequency acupoints were Yifeng,Jiache,Dicang,Taiyang and Xiaguan.A total of 10 meridians were involved,and the commonly used meridians were the stomach meridian of foot-yangming,the sanjiao meridian of hand-shaoyang and the gall bladder channel of foot-shaoyang.Among them,30 acupoints belong to specific acupoints,and were mainly concentrated in the face,head and neck.Correlation analysis showed that there were 16 groups of acupoint combinations that met the requirements,among which “Yangbai-Sibai”had the highest confidence,“Dicang-Yangbai”had the highest support,and “Yangbai-Sibai”had the highest gain.The results of cluster analysis showed that there were 5 effective clustering groups,among which Yifeng was the key point.Conclusion Through data mining,it is found that acupoint application in the treatment of facial paralysis has the characteristics of local acupoint selection,distal acupoint selection along meridians and reuse of specific acupoints,which can provide a certain basis for clinical acupoint selection.In the future,we can study the acupoint selection of facial paralysis syndrome differentiation and staging.

关 键 词：面瘫 穴位贴敷 选穴规律 数据挖掘 

分 类 号：R246.6[医药卫生—针灸推拿学]