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基于数据挖掘探讨针刺治疗儿童抽动障碍的选穴规律

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目的:基于数据挖掘探讨针刺治疗儿童抽动障碍的选穴规律。方法:检索中国知网、万方医学网、维普数据库、PubMed、EMbase有关针刺治疗儿童抽动障碍的相关文献,检索时限为2002年2月-2022年2月,统计分析针刺治疗儿童抽动障碍的主配穴使用频次、中医证候分布及穴位归经等。结果:最终纳入文献71篇,涉及穴位处方95个,其中主穴94个,配穴99个,主穴总取穴频次为438次,使用频次前10位的依次为百会、太冲、合谷、三阴交、四神聪、风池、印堂、神门、内关、神庭;配穴总取穴频次为427次,使用频次前10位的依次为地仓、迎香、廉泉、太阳、颊车、足三里、丝竹空、攒竹、丰隆、肩井。儿童抽动障碍的中医证型分布频次前5位的依次为肝亢风动证、脾虚肝亢证、阴虚风动证、脾虚痰聚证、风痰扰动证。腧穴归经频次前5位的依次为足阳明胃经、督脉、经外奇穴、足太阳膀胱经、手阳明大肠经。对12个高频主配穴进行聚类分析,共得到6个新组合:百会、风池;太冲、合谷;三阴交、足三里;肝俞;神门、内关;四神聪、神庭、印堂。结论:针刺治疗儿童抽动障碍的选穴规律以调神为主,祛风扶正为辅。
Acupoint Selection Rule of Acupuncture in the Treatment of Tic Disorders in Children Based on Data Mining
Objective:To explore the acupoint selection rule of acupuncture for the treatment of tic disorders in children based on data mining.Methods:The literature of acupuncture treatment for tic disorder in children was searched from CNKI,Wanfang Medical Network,VIP,PubMed,and EMbase,from February 2002 to February 2022.A statistical analysis was conducted to examine the frequency of main acupoints and matching acupoints usage,traditional Chinese medicine(TCM)syndrome distribution,and acupoint meridian selection for treating tic disorders among children.Results:Seventy-one articles were included,involving 95 acupoint prescriptions,including 94 main acupoints and 99 matching acupoints.The total frequency of the main acupoints was 438 times,and the high frequency acupoints of main acupoints were Baihui,Taichong,Hegu,Sanyinjiao,Sishencong,Fengchi,Yintang,Shenmen,Neiguan,and Shenting.The total frequency of the matching acupoints was 427 times,and the top 10 most popular matching acupoints were Dicang,Yingxiang,Lianquan,Taiyang,Jiache,Zusanli,Sizhukong,Zhanzhu,Fenglong,and Jianjing.The top five TCM syndromes were hyperactive liver syndrome,spleen deficiency and liver hyperactivity syndrome,yin deficiency and wind movement syndrome,spleen deficiency and phlegm aggregation syndrome,wind-phlegm disturbance syndrome.The high frequency meridians included the stomach meridian of foot-yangming,governor meridian,extra nerve points,bladder meridian of foot-taiyang,large intestine channel of hand-yangming.By clustering analysis of 12 high frequency main mating points,6 new combinations were obtained:Baihui-Fengchi,Taichong-Hegu,Sanyinjiao-Zusanli,Ganshu,Shenmen-Neiguan,Sishencong-Shenting-Yintang.Conclusion:The selection of acupoints for the treatment of tic disorders in children is mainly based on regulating the spirit,and supplemented by expelling wind and strengthening the body resistance.

tic disorderschildrenacupuncturerules of acupoints selectiondata mining

王艳珍、袁海霞、杨江、韩新民

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南京中医药大学第一临床医学院(南京 210023)

山西省儿童医院(太原 030012)

南京中医药大学附属医院(南京 210029)

抽动障碍 儿童 针刺 选穴规律 数据挖掘

国家自然科学基金青年基金

82004416

2024

中西医结合心脑血管病杂志
中国中西医结合学会 山西医科大学第一医院

中西医结合心脑血管病杂志

CSTPCD
影响因子:1.463
ISSN:1672-1349
年,卷(期):2024.22(6)
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