基于数据挖掘探讨针刺治疗脑卒中后肩痛选穴规律
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R246.9

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广东省中医院沈宝藩学术经验传承工作室(中医二院〔2018〕101号);广东省医学科研基金项目(A2022239);广东省中医院-香港 中文大学协同创新计划(YN2018HK03);广东省中医院中医药科学技术研究专项(YN2020QN23)


Study on Point Selection Rules of Using Acupuncture to Treat Post- stroke Shoulder Pain Based on Data Mining
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    摘要:

    目的:基于数据挖掘技术探讨针刺治疗脑卒中后肩痛(PSSP) 的选穴规律,为临床针刺治疗PSSP 提供用穴参考。方法:检索中国期刊全文数据库(CNKI)、中国生物医学文献数据库(CBM)、万方数据知识 服务平台、维普中文期刊服务平台(VIP)、PubMed、Cochrane Library 建库至2022 年3 月31 日发表的针刺治 疗PSSP 的临床研究,采用Excel 软件管理数据,应用数据挖掘技术进行频次分析、关联规则分析、系统聚类 分析。结果:共纳入符合条件的文献53 篇,包括75 个腧穴,使用频次排前3 位的腧穴分别为肩髃、肩贞、肩 髎;使用频次排前3 位的经络分别为手阳明大肠经、手太阳小肠经、手少阳三焦经;针刺方式以毫针为主,留 针时间以30 min 多见,疗程以28 d 完成20 次针刺治疗为主;关联规则分析共发现8 个高频腧穴组合及经络组 合;腧穴系统聚类分析得到基础处方3 个。结论:针刺治疗PSSP 以标本兼治为治则,以益气扶正、疏经通 络、活血止痛为治法,选穴以肩部及上肢部腧穴为主,配伍合穴、交会穴等组合以提高临床疗效。

    Abstract:

    Abstract: Objective: To explore the point selection rule of using acupuncture to treat post- stroke shoulder pain (PSSP) based on data mining technology,and to provide reference for clinical practice in using acupuncture to treat PSSP. Methods:Databases including China National Knowledge Infrastructure (CNKI), China Biology Medicine (CBM), Wan fang Data, VIP Chinese Science and Technology Journal Database (VIP), PubMed and Cochrane were searched for clinical researches on using acupuncture to treat PSSP published from the database establishment day to March 31,2022. Excel software was used to manage the data, and data mining technology was applied to carry out frequency analysis, association rule analysis , and systematic cluster analysis. Results : A total of 53 literature were involved , including 75 points. The top 3 points used frequently were Jianyu point (LI 15),Jianzhen point (SI 9) and Jianliao point (SJ 14). The top 3 meridians and collaterals in frequency were the hand taiyang large intestine meridian,the hand taiyang small intestine meridian and the hand shaoyang triple energizers meridian. The main method of acupuncture was filiform needle;the needle retention time was mainly 30 minutes,and the main course of treatment was 20 times of needling in 28 days. A total of 8 high- frequency combinations of points and meridians and collaterals were found by association rule analysis. A total of 3 basic prescriptions were obtained by systematic cluster analysis of points. Conclusion: In the treatment of using acupuncture to treat PSSP,the principle is to treat the root and branch simultaneously,and the methods include boosting qi and reinforcing healthy qi,dredging the meridians and unblocking the collaterals,and invigorating blood and relieving pain. The selected points are mainly on the shoulders and upper limbs,and the clinical effect can be improved if they are combined with he-sea point and intersecting points.

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罗颖,李双飞,貌雯靖,李淑蕾,詹杰,陈红霞.基于数据挖掘探讨针刺治疗脑卒中后肩痛选穴规律[J].新中医,2023,55(21):117-125

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  • 在线发布日期: 2023-11-14
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