首页|基于数据挖掘技术分析近10年针刺治疗压力性尿失禁的选穴规律

基于数据挖掘技术分析近10年针刺治疗压力性尿失禁的选穴规律

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目的:基于数据挖掘技术研究近 10 年针刺治疗压力性尿失禁的腧穴配伍规律,为临床治疗提供思路和选穴依据.方法:运用计算机检索 2012 年 10 月-2022 年 10 月近 10 年中国知网、万方、维普、中国生物医学文献服务系统、PubMed五大数据库中以针刺为主治疗压力性尿失禁的临床研究文献.根据既定的纳入标准和剔除标准,最终筛选出文献 197 篇.利用Excel 2018软件建立以腧穴为主的数据库,分别运用SPSS Modeler 18.0、SPSS Statistics 23.0软件进行关联规则分析和高频腧穴聚类分析,探究腧穴选用规律.结果:共纳入 197 篇文献,涉及腧穴 73 个,腧穴总频次为 994 次.其中,中极穴、关元穴、三阴交穴、气海穴、足三里穴为针刺治疗压力性尿失禁使用频次前 5位的腧穴,归经以足太阳膀胱经、任脉、足太阴脾经腧穴为主,特定穴以募穴应用最多,通过关联规则分析得到 21 组常用腧穴配伍,其中"三阴交穴-足三里穴"组合支持度最高,将使用频次≥9的前 20 个腧穴进行聚类分析,最终得出 4 个有效聚类群.结论:针刺治疗压力性尿失禁多采用局部取穴方法,临床选穴可将关联分析核心处方与聚类分析处方有效结合、随症加减,本研究为临床针刺治疗压力性尿失禁腧穴配伍提供参考依据.
Selection rules of acupoint in acupuncture treatment of stress urinary incontinence in recent 10 years based on data mining analysis
Objective:To explore and analyze the selection rules of acupoints compatibility in acupuncture treatment of stress urinary incontinence in the past 10 years by data mining technology,to provide ideas and a basis for clinical treatment.Methods:The computer was used to search the recent 10 years from October 2012 to October 2022 of CNKI and Wanfang Data,VIP database,Sinomed and PubMed,which included clinical research pieces of literature on acupuncture in the treatment of stress urinary incontinence.According to the established inclusion and exclusion criteria,a total of 197 kinds of literature were selected.Microsoft Excel 2018 was used to establish a database of acupoints,SPSS Modeler18.0 was used for association rule analysis,SPSS Statistics23.0 software was used for cluster analysis of high-frequency acupoints,and the selection rules of acupoints were explored.Results:A total of 197 works of literature were included,involving 73 acupoints,and the total frequency of acupoints was 994 times.Among them,Zhongji(CV3),Guanyuan(CV4),Sanyinjiao(SP6),Qihai(CV6)and Zusanli(ST36)were the top 5 acupoints used frequently by acupuncture in the treatment of stress urinary incontinence.The selected acupoints were mainly the foot-Taiyang(足太阳)bladder meridian,Ren meridian(任脉)and foot-Taiyin(足太阴)spleen meridian,and the specific acupoints were the most commonly used.Through association rule analysis,21 groups of commonly used acupoints were found,among which the combination of Sanyinjiao-Zusanli had the highest support.Cluster analysis was carried out on the first 20 acupoints which were used more than or equal to 9 times,and finally,4 effective cluster groups were obtained.Conclusion:Acupuncture in the treatment of stress urinary incontinence mainly adopts local acupoint selection,and the core prescription of association analysis and cluster analysis are effectively combined,adding and subtraction according to the disease,to provide a reference for clinical acupoint selection compatibility.

Stress urinary incontinenceData miningAcupunctureSelection rules of acupoints

龙微、李莹、梁芳园、万碧江

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湖北中医药大学,湖北 武汉,430065

压力性尿失禁 数据挖掘 针刺 选穴规律

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(1)
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