首页|基于数据挖掘探讨火针治疗面瘫选穴规律

基于数据挖掘探讨火针治疗面瘫选穴规律

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目的 采用数据挖掘方法探讨火针治疗面瘫临床选穴规律.方法 计算机检索中国生物医学文献数据库(CBM)、中国学术期刊数据库(万方数据)、中国知识资源总库(CNKI)、中文科技期刊数据库(VIP)、PubMed建库至2022年9月30日收录的火针治疗面瘫随机对照试验文献,建立处方数据库,使用SPSS24.0及SPSS Modeler 12.0软件分别进行聚类和关联分析.结果 共纳入文献49篇,处方77首,涉及腧穴49个,总频次为822,高频腧穴为地仓、颊车、阳白、合谷、四白、下关等;选穴部位主要集中在面部、下肢和头部;出现频次最高的经脉为足阳明胃经;特定穴以交会穴及原穴为主.纳入高频腧穴共聚为5类,颧髎、太冲-足三里、三阴交-外关-风池-翳风-牵正-承浆-鱼腰、攒竹-太阳-迎香-下关、四白-合谷-地仓-颊车-阳白.关联规则分析核心处方为阳白-四白-地仓-颊车-下关.结论 火针治疗面瘫重视辨经取穴与辨位取穴,选穴以手足阳经经穴为主,常取交会穴或局部取穴,选穴部位集中于面部、下肢和头部,穴位下多有神经伴行.
Discussion on the Acupoint Selection Rules of Fire Acupuncture for the Treatment of Facial Paralysis Based on Data Mining
Objective To explore the law of clinical acupoint selection of fire acupuncture for the treatment of facial paralysis using data minging methods.Methods Literature about randomized controlled trials(RCTs)of fire acupuncture for facial paralysis was retrieved from CBM,Wanfang Data,CNKI,VIP,and PubMed from the establishment of the databases to September 30,2022.A prescription database was established.Clustering and association analysis were performed using SPSS 24.0 and SPSS Modeler 12.0 software,respectively.Results A total of 49 articles and 77 prescriptions were included,involving 49 acupoints with a total frequency of 822 times.The high-frequency acupoints were Dicang,Jiache,Yangbai,Hegu,Sibai,and Xiaguan etc.;the selected acupoints were mainly located in the face,lower limbs,and the head;the meridian with the highest frequency was stomach meridian;and the specific acupoints were mainly the rendezvous acupoints and the original acupoints.The included high-frequency acupoints clustered into five categories,Quanliao,Taichong-Zusanli,Sanyinjiao-Waiguan-Fengchi-Yifeng-Qianzheng-Chengjiang-Yuyao,Cuanzhu-Taiyang-Yingxiang-Xiaguan,Sibai-Hegu-Dicang-Jiache-Yangbai.The core prescription analyzed by association rules was Yangbai-Sibai-Dicang-Jiache-Xiaoguan.Conclusion Fire acupuncture treatment for facial paralysis emphasizes the identification of meridian acupoints and positional acupoints,and the selection of acupoints is based on the meridian acupoints of the yang meridian of the hand and foot,often taking the rendezvous acupoints or localized acupoints,and the selection of acupoints focuses on the face,lower limbs and head,with nerves accompanying under the acupoints.

facial paralysisfire acupunctureacupoint selection rulesclustering analysisassociation analysisdata mining

张立佳、何采辉、李文纯、梁佩珊、彭楚媚、杨志琼

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广州中医药大学研究生院,广东 广州 510080

广州中医药大学顺德医院,广东 佛山 528300

面瘫 火针 选穴规律 聚类分析 关联分析 数据挖掘

佛山市科技创新项目

2020001005238

2024

中国中医药图书情报杂志
中国中医科学院中医药信息研究所

中国中医药图书情报杂志

影响因子:0.556
ISSN:2095-5707
年,卷(期):2024.48(3)
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