摘要
[目的]基于数据挖掘技术探讨针刺治疗卒中后下肢痉挛的选穴规律.[方法]通过计算机检索中国知网期刊全文数据库(CNKI)、万方学术期刊全文数据库(Wanfang)、维普中文科技期刊全文数据库(VIP)、美国生物医学信息检索系统(PubMed)、荷兰医学文摘(EMbase)、科学网(Web of Science)等数据库,筛选符合纳入标准的文献建立数据库.通过Microsoft Excel 2016、IBM SPSS Statistics 21、IBM SPSS Modeler 18.0软件对数据进行描述性分析、聚类分析和关联规则分析.[结果]①共纳入68条针刺处方,涉及腧穴100个,总使用频次536次;②腧穴使用频次排前5位的分别是阳陵泉、足三里、悬钟、丘墟、三阴交;③核心腧穴配伍为阳陵泉-悬钟,并得到5个有效聚类群,分别为申脉-照海、委中-昆仑、血海-环跳-丰隆-足三里、太溪-阴陵泉-三阴交、解溪-太冲-悬钟-丘墟-阳陵泉.[结论]通过数据挖掘发现,针刺治疗卒中后下肢痉挛多以阳陵泉、足三里、悬钟、丘墟、悬钟为核心,优先考虑足三阳经、五输穴的应用,辨证论治、随证加减,可为临床治疗卒中后下肢痉挛提供参考依据.
Abstract
Objective To explore the acupoint selection rules of acupuncture for the treatment of lower limb spasm after stroke based on data mining technology.Methods Through the computer retrieval of CNKI,Wanfang,VIP,PubMed,EMbase,web of science databases and other databases,the literature that meets the inclusion criteria was selected to establish a database.Descriptive analysis,cluster analysis and association rule analysis were performed on the data through Microsoft Excel 2016,IBM SPSS Statistics 21 and IBM SPSS Modeler 18.0 software.Results(1)A total of 68 acupuncture prescriptions were included,involving 100 acupoints and a total frequency of 536 uses;(2)the top five in terms of frequency of use of acupoints were Yanglingquan(GB34),Zusanli(ST36),Xuanzhong(GB39),Qiuxu(GB40),Sanyinjiao(SP6);(3)the core acupoint pairing was Yanglingquan(GB34)-Xuanzhong(GB39),and five valid clustering clusters were obtained,which were Shenmai(BL62)-Zhaohai(KI6),Weizhong(BL40)-Kunlun(BL60),Xuehai(SP10)-Huantiao(GB30)-Fenglong(ST40)-Zusanli(ST36),Taixi(KI3)-Yinlingquan(SP9)-Sanyinjiao(SP6),Jiexi(ST41)-Taichong(LR3)-Xuanzhong(GB39)-Qiuxu(GB40)-Yanglingquan(GB34).Conclusion Through data mining,it is found that acupuncture treatment of lower limb spasm after stroke is mostly based on Yanglingquan,Zusanli,Xuanzhong,Qiuxu and Xuanzhong.Priority should be given to the application of three yang channels of the foot and five shu acupoint,syndrome differentiation and treatment,and modification should be adjusted according to the syndromes,so as to provide reference for clinical treatment of lower limb spasm after stroke.
基金项目
天津市卫生计生行业高层次人才选拔培养工程-津门医学英才项目(201718)
国家科技期刊平台
NSTL
万方数据