首页|基于Logistic回归模型的针刺蝶腭神经节治疗变应性鼻炎疗效影响因素研究

基于Logistic回归模型的针刺蝶腭神经节治疗变应性鼻炎疗效影响因素研究

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目的:探讨影响针刺蝶腭神经节治疗变应性鼻炎(AR)疗效的医患因素.方法:回顾2017年4月至2018年6月北京地区7个分中心收集的222例AR患者针刺蝶腭神经节治疗的病例报告,提取可能影响疗效的医患因素,计算患者针刺前后症状改善率,采用x2检验对提取因素进行筛选,再采用非条件Logistic回归模型分析筛选因素,并评估该模型的预测价值.结果:患者体质,医师年龄、年门诊量、学历是可能影响针刺疗效的因素,相比阳虚质,气虚质患者获得满意疗效的概率降低了79.489％,而平和质患者该概率增加了 198.937％;相比30岁以下医师,40～49岁医师的患者获得满意疗效的概率降低了76.018％,50～59岁医师的该概率降低了97.472％;相比本科学历医师,研究生学历医师的患者获得满意疗效的概率疗降低了85.925％,该模型ROC曲线的AUC值为0.751.结论:平和质患者针刺治疗效果最佳,规范培训可以帮助针灸医师掌握该项技术,针刺蝶腭神经节治疗AR遵循中医针灸学理论指导.
Study on influence factors of acupuncture sphenopalatine ganglion in treating allergic rhinitis based on Logistic regression model
Objective:To investigate the doctor-patient factors affecting the therapeutic effect of allergic rhinitis(AR)by acupuncturing sphenopalatine ganglion.Methods:From April 2017 to June 2018,222 cases of AR patients receiving sphenopalatine ganglion acupuncture treatment from 7 sub-centers in Beijing area were reviewed.The docter-patient factors that might affect the curative effect were extracted,and the symptom improvement rate of patients before and after acupuncture treatment was calculated.The extraction factors were screened by x2 test.Then,the selection factors were analyzed by unconditioned Logistic regression model,and the predictive value of the model was evaluated.Results:The patient's physique,the physician's age,the number of outpatient visits and the educational background were the factors that may affect the curative effect of acupuncture.Compared with yang deficiency,the probability of obtaining satisfactory curative effect was reduced by 79.489％in patients with qi deficiency,and increased by 198.937％in patients with mild deficiency.Compared with under 30 years old physicians,the probability of satisfactory efficacy was reduced by 76.018％for physicians aged 40～49 years and 97.472％for physicians aged 50～59 years.Compared with doctors with undergraduate degrees,the probability of patients with postgraduates obtaining satisfactory curative effect was reduced by 85.925％,and the AUC value of ROC curve of the Logistic regression model was 0.751.Conclusion:The best effect of acupuncture treatment is achieved in patients with mild condition.Standard training can help acupuncturists master this technique.The treatment of sphenopalatine ganglion follows the theoretical guidance of traditional Chinese medicine acupuncture.

Sphenopalatine ganglionAllergic rhinitisMulticenter studyInfluencing factors of acupunter effectModel of Logistic regression

张鹏、商晓娟、谭翊、杨静、王奎吉、许世闻、汪芗、孙三峰、於堃、赵新雨、舒凝、杨威、陈陆泉

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首都医科大学附属北京同仁医院,北京 100010

北京市平谷区中医医院针灸科,北京 101200

北京市通州区中西医结合医院针灸科,北京 101149

北京市怀柔区中医医院康复科,北京 101400

首都医科大学附属复兴医院月坛社区卫生服务中心,北京 100032

北京市朝阳区中医医院针灸科,北京 100020

北京市丰台区洋桥门诊部,北京 100068

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蝶腭神经节 变应性鼻炎 多中心研究 针刺疗效影响因素 Logistic回归模型

国家重点研发计划国家自然科学基金北京市自然科学基金高层次公共卫生技术人才建设项目首都卫生发展基金自主创新课题北京市中医药科技发展资金项目北京中医药"薪火传承3+3工程"李新吾名老中医工作室首都医科大学附属北京同仁医院院基金

2022YFC2504100822052027212166学科骨干-02-462020-2-2055JJ-2020-182021-YJJ-PY-0152021-YJJ-PY-015

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子：1.135
ISSN：1673-1727
年,卷(期)：2024.39(1)
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