首页|基于数据挖掘探讨针刺治疗颅脑损伤后昏迷的选穴规律

基于数据挖掘探讨针刺治疗颅脑损伤后昏迷的选穴规律

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目的:基于数据挖掘探讨针刺治疗颅脑损伤后昏迷的腧穴配伍规律.方法:检索中国知网(CNKI)、万方(Wanfang)、中国生物医学文献数据库(Sinomed)、维普(VIP)和Pubmed建库至2023年10月针刺治疗颅脑损伤后昏迷的随机对照试验.运用Excle 2019软件建立处方数据库,采用R语言对高频药物和腧穴进行频次分析和关联规则分析,SPSS25.0软件进行聚类分析.结果:共提取处方110条,涉及109个腧穴,使用频次921次.高频腧穴依次为水沟、内关与三阴交等,选穴多分布于头颈部及上肢;腧穴归经以督脉、手厥阴心包经为主;特定穴多选用五输穴;关联规则显示水沟-内关-三阴交为核心穴组;高频腧穴通过聚类分析得到5个类群.结论:针刺治疗颅脑损伤后昏迷立足心脑,以水沟-内关-三阴交为核心处方,遵循远近配穴,重用督脉,以达醒脑开窍、化瘀通络之功.
Rules of Acupoints Selection in Treatment of Coma after Craniocerebral Trauma by Acupuncture Based on Data Mining
Objective:To explore the compatibility of acupuncture in treating coma after craniocerebral trauma by using data mining technology.Methods:The randomized controlled trials of acupuncture treatment for coma after craniocerebral trauma were retrieved from the databases of CNKI,Wanfang,SinoMed,VIP and Pubmed starting from the establishment of the database to October 2023.Microsoft Excel 2019 software was used to establish prescription database,R language was used for descriptive analysis and correlation analysis,and SPSS25.0 was used for cluster analysis.Results:A total of 110 prescriptions were included,involving 109 acupoints with a total frequency of 921 times.The high-frequency acupoints were Shuigou(DU26),Neiguan(PC6)and Sanyinjiao(SP6).The acupoints were mainly located on head,neck and upper limbs.Meridians involved were Du meridia and Hand-Jueyin Meridian of Pericardium.Five-Shu points were used mostly.The acupoint association rules showed that DU26-PC6-SP6 was the core acupoint group.Five groups were obtained by cluster analysis of high-frequency acupoints.Conclusion:Acupuncture treatment for post-traumatic coma focuses on revitalizing Heart and Brain,takes DU26-PC6-SP6 as the core prescription,follows the principle of matching distal and local points,attaches great importance to Du meridian,so as to induce resuscitation,resolve stasis and dredge collaterals.

Craniocerebral traumaComaAcupunctureData miningConsciousness restoring for resuscitation

黄倩、李佳徽、邓凯文

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湖南中医药大学第一中医临床学院,湖南长沙 410007

颅脑损伤 昏迷 针刺 数据挖掘 醒脑开窍

国家自然科学基金面上项目湖南省重点研发项目湖南省自然基金

818745072022SK20142022JJ30453

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(6)
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