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基于数据挖掘技术分析针灸治疗视神经炎的选穴规律

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目的:采用数据挖掘技术探索分析针灸治疗视神经炎(ON)的用穴思路和配伍规律.方法:计算机检索自建库以来至2023年9月Cochrance Library、Embase、Web of Science、Pubmed、中国生物医学文献数据库(CBM)、万方数据库(WanFang Data)、中国期刊全文数据库(CNKI)和维普数据库(VIP)收录的针灸治疗视神经炎的临床研究文献.按照纳入和排除标准,通过Excel 2019建立数据库,将相关数据导入IBM SPSS Statistics 26.0及SPSS modeler 18.0,进行腧穴与归经关联规则分析及聚类分析.结果:共纳入有效文献173篇,涉及182个针刺处方,129个腧穴,总应用频次1831次,高频应用腧穴排在前10位分别是睛明、风池、球后、太阳、攒竹、合谷、承泣、足三里、光明和三阴交;应用频次排名靠前的经脉为足太阳膀胱经、足少阳胆经、足阳明胃经与手阳明大肠经;特定穴共有68个,应用频次排名前3的是交会穴(518次)、五输穴(240次)和原穴(183次);通过关联规则分析及聚类分析,得到了 11组强关联腧穴关联规则和6组高频经脉关联规则以及3个聚类.针灸治疗视神经炎主要以局部取穴为主,重视远近配穴,多用膀胱经穴及交会穴.结论:通过数据挖掘技术可以从不同角度总结分析运用针灸治疗视神经炎的选穴规律,更好地指导临床运用.
Rules of Acupoints Selection in Treatment of Optic Neuritis Based on Data Mining
Objective:To explore the rules of acupoints selection and acupoints compatibility in treatment of optic neuritis based on data mining technology.Methods:The clinical literature on acupuncture and moxibustion in treatment of optic neuritis collected by Cochrance Library,Embase,Web of Science,Pubmed,CBM,Wanfang Data,CNKI and VIP were searched by computer from the self-built database to September 2023.According to the inclusion and exclusion criteria,a database was established through Excel 2019,the relevant data was imported into IBM SPSS Statistics 26.0 and SPSS modeler 18.0,and the analysis of association rules of acupoints and meridian tropism,as well as the clustering analysis were carried out.Results:A total of 173 pieces of effective literature were included,involving 182 acupuncture prescriptions and 129 acupoints,with a total application frequency of 1831 times.The top 10 points of high frequency application included Jingming(BL1),Fengchi(GB20),Qiuhou(EX-HN7),Taiyang(EX-HN5),Cuanzhu(BL2),Hegu(LI4),Chengqi(ST1),Zusanli(ST36),Guangming(GB37)and Sanyinjiao(SP6).The top meridians with the highest frequency of application included Foot Taiyang Bladder Meridian,Foot Shaoyang Gallbladder Meridian,Foot Yangming Stomach Meridian and Hand Yangming Large Intestine Meridian.There were 68 specific points were used,and the top 3 categories with the highest frequency of application were the intersection points(518 times),the five-Shu points(240 times)and the original-Yuan points(183 times).Through the analysis of association rules and clustering analysis,11 sets of strong association rules of acupoints,6 sets of high frequency meridians and 3 clusters were obtained.Acupuncture and moxibustion treatment for optic neuritis was mainly based on local points selection,paying attention to the compatibility of distal points and local points,and points from the Bladder meridian and the intersection points were most applied.Conclusion:The application of data mining techniques can be utilized to analyze the selection principles of acupoints in treating optic neuritis from various perspectives,thus providing better guidance for clinical practice.

Optic neuritisAcupuncture therapyData miningLaw of acupoints selection

张晚霞、陈龙、唐纯志

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广州中医药大学针灸康复临床医学院,广东广州 510006

广州中医药大学第五临床医学院,广东广州 510095

视神经炎 针灸疗法 数据挖掘 选穴规律

国家自然科学基金

82174479

2024

针灸临床杂志
中华中医药学会 黑龙江中医药大学 中国针灸学会临床分会

针灸临床杂志

CSTPCD
影响因子:1.242
ISSN:1005-0779
年,卷(期):2024.40(5)
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