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针刺治疗慢传输型便秘选穴规律探究

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目的:运用数据挖掘技术分析针刺治疗慢传输型便秘(STC)的选穴规律.方法:检索2013年1月至2023年5月中国知网、万方数据库、维普数据库中关于针刺治疗STC的文献,获取有效处方,利用Office Excel 2019处理数据,运用SPSS Statistics 26.0、IBM SPSS Modeler 18.0对处方选穴进行关联聚类分析.结果:共获取有效针刺选穴处方55个,涉及穴位48个,其中天枢穴使用频次最高(13.86%);涉及经脉13条,其中胃经、任脉、膀胱经中腧穴使用最为频繁(66.78%);胸腹部(40.59%)、下肢部(31.35%)的腧穴选取最多;特定穴中使用频次前三位的为五输穴(27.11%)、募穴(25.35%)和下合穴(19.72%).关联规则分析显示主穴相关性最高穴位组为天枢-足三里.聚类分析显示足三里、上巨虚、天枢多同用于STC的治疗.结论:针刺治疗STC注重特定穴的使用,多包含合募、俞募配穴,远近结合、前后配伍,并根据证型选取对应腧穴.
Regularity of Acupoint Selection in Acupuncture Treatment of Slow Transit Constipation
Objective To analyze the regularity of acupoint selection in acupuncture treatment of slow transit constipation(STC)by using data mining technology.Methods Literatures on acupuncture treat-ment of slow transit constipation(STC)in CNKI,Wanfang database and VIP database from January 2013 to May 2023 were searched to obtain the effective acupuncture prescription,and the data were processed by Office Excel 2019.SPSS Statistics 26.0 and IBM SPSS Modeler 18.0 were used for correlation cluster a-nalysis of acupoints.Results A total of 55 effective acupuncture prescriptions were obtained,involving 48 acupoints,among which Tianshu acupoint was the most frequently used(13.86%).There were 13 chan-nels involved,among which the stomach channel,conception vessel and bladder channel were used most frequently(66.78%).The most acupoints were selected in the chest and abdomen(40.59%)and the lower extremity(31.35%).The top three most frequently used specific acupoints were five transport acupoints(27.11%),alarm acupoint(25.35%)and lower sea acupoint(19.72%).Association rule analysis showed that the highest correlation acupoint group was Tianshu-Zusanli.Cluster analysis showed that Zusanli,Shangjuxu and Tianshu were all used in the treatment of STC.Conclusion The use of specific points are emphasized in acupuncture treatment of STC,including the combination of sea acupoint and alarm acu-point,transport acupoint and alarm acupoint,proximal and distal combination,front and back compatibili-ty,and selecting the corresponding acupoints according to the syndrome.

Slow transit constipationAcupunctureData miningRegularity of acupoint selection

刘安琪、唐学贵

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川北医学院附属医院(四川 南充 637007)

慢传输型便秘 针刺 数据挖掘 选穴规律

国家自然科学基金面上项目

82074429

2024

中国肛肠病杂志
中华中医药学会肛肠分会 山东中医药学会

中国肛肠病杂志

影响因子:0.131
ISSN:1000-1174
年,卷(期):2024.44(5)
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