首页|基于数据挖掘对针灸治疗混合痔术后尿潴留的取穴规律分析

基于数据挖掘对针灸治疗混合痔术后尿潴留的取穴规律分析

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目的:基于数据挖掘分析针灸治疗混合痔术后尿潴留的取穴特点.方法:以混合痔、术后尿潴留、针刺、针灸、灸法与电针为主题词,检索2000年1月1日-2023年1月1日中国期刊全文数据库(CNKI)、万方数据库和维普网(VIP)数据库关于针灸治疗混合痔术后尿潴留的所有文献,共69篇,针灸处方69个,运用SPSS 20.0、SPSS modeler 18.0软件对针灸治疗混合痔术后尿潴留的取穴特点进行统计分析.结果:针灸治疗混合痔术后尿潴留针刺选穴使用频次从高到低依次为中极、关元、气海、三阴交、阴陵泉、足三里、水道和神阙等;经脉以任脉、脾经、胃经和膀胱经为主;部位以下腹部、下肢及腰背腧穴最多;特定穴以募穴、原穴、合穴及背俞穴最常用;关联分析显示相关性较高的穴位组合:三阴交-阴陵泉、中极-阴陵泉、中极-气海-关元、中极-三阴交、中极-气海、关元-气海、关元-中极-气海和中极-关元;对高频主穴进行聚类分析得到3个聚类群,分别为中极-关元-气海、承山-二白-水道-膀胱俞和血海-太溪-足三里-阴陵泉-三阴交.结论:针灸治疗混合痔术后尿潴留穴位选择以局部取穴为主,配合远近配穴法、俞募配穴法等,符合临床选穴规律.
Acupoints Selection Rules of Acupuncture and Moxibustion in Treatment of Postoperative Urinary Retention of Mixed Hemorrhoids Based on Data Mining
Objective:To analyze the characteristic of acupoints selection in treating postoperative urinary retention of mixed hemorrhoids with acupuncture and moxibustion based on data mining.Methods:The key words,including mixed hemorrhoids,postoperative urinary retention,acupuncture,acupuncture and moxibustion,moxibustion and electro-acupuncture,were used to retrieve the literature on acupuncture and moxibustion in treatment of postoperative urinary retention of mixed hemorrhoids from the databases of CNKI,Wanfang and VIP from January 1,2000 to January 1,2023.A total of 69 pieces of literature and 69 acupuncture prescriptions were obtained in the end.SPSS 20.0 and SPSS modeler 18.0 were used to analyze the characteristic of acupoints selection for postoperative urinary retention of mixed hemorrhoids with the intervention of acupuncture and moxibustion.Results:The frequency of acupoints selection in treatment of postoperative urinary retention of mixed hemorrhoids with acupuncture and moxibustion from highest to lowest included Zhongji(RN3),Guanyuan(RN4),Qihai(RN6),Sanyinjiao(SP6),Yinlingquan(SP9),Zusanli(ST36),Shuidao(ST28)and Shenque(RN8).The main meridians involved included Ren Channel,Spleen Meridian,Stomach Meridian and Bladder Meridian.Most of the acupoints were located in the abdomen,lower limbs,waist and back.The specific acupoints were mainly front-Mu points,source-Yuan points,He-sea points and back-Shu points.The association analysis showed that the acupoint groups with high correlation were SP6-SP9,RN3-SP9,RN3-RN6-RN4,RN3-SP6,RN3-RN6,RN4-RN3-RN6 and RN3-RN4.Cluster analysis of high-frequency main acupoints revealed three clusters,including RN3-RN4-RN6,Chengshan(BL57)-Erbai(EX-29)-ST28-Pangguangshu(BL28),and Xuehai(SP10)-Taixi(KI3)-ST36-SP9-SP6.Conclusion:The acupoint selection for mixed hemorrhoid treated by acupuncture and moxibustion is mainly based on the local points,guided by the distal-proximal points compatibility and back-Shu and front-Mu points compatibility,which is in line with the rules of clinical acupoints selection.

Mixed hemorrhoidUrinary retentionData miningAcupoints selectionAcupuncture and mox-ibustion

崔灿、卢宇畅、周亮、王振宜

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上海中医药大学附属岳阳中西医结合医院,上海 200437

混合痔 尿潴留 数据挖掘 取穴 针灸

国家自然科学基金面上项目

82274531

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(9)