基于数据挖掘探讨针刺治疗脑卒中后感觉障碍选穴规律
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R246.6

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Exploration of Point Selection Rules of Acupuncture for Sensory Disturbance After Stroke Based on Data Mining
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    摘要:

    目的:运用数据挖掘技术探讨针刺治疗脑卒中后感觉障碍的选穴规律。方法:系统检索自建库开 始截止至2022 年12 月31 日中国知网、万方数据库、维普数据库、中国生物医学文献数据库运用针刺疗法治 疗脑卒中后感觉障碍的临床研究文献,将符合标准的文献录入Excel 2007 数据库中,并用SPSS modeler 18.0 中选取Apriori 算法完成关联规则分析,Cytoscape 软件将高频腧穴共现网络图可视化,SPSS26.0 中完成高频腧 穴的聚类分析,Gephi 0.9.2 软件中的Fruchterman-Reingold 算法与K-core 进行复杂网络分析与社团划分。结 果:共筛选出116 篇临床研究文献,共计117 条处方,涉及腧穴136 个,腧穴总频次为1 315 次。穴位使用频 率最多的为足三里、曲池、合谷穴;节点度值、中心性、接近中心性排名均在前三的穴位为合谷、百会、足三 里。经穴使用频次较高,常选手阳明大肠经、足少阳胆经、手阳明胃经。穴位主要分布于上肢部与下肢部。特 定穴占比较高,以交会穴为主。关联分析得出常用的腧穴组合为足三里-曲池,最常用的经络组合为手阳明大 肠经-足阳明胃经。聚类分析得出使用频次>20 的高频腧穴可被分为4 类:第一类为井穴;第二类为丰隆、血 海;第三类为合谷、太冲、足三里、曲池、阳陵泉、肩髃、手三里;第四类为三阴交、内关。网络社团划分得 到合谷、百会、足三里、曲池、外关等47 个核心腧穴,可被分为4 个社团。结论:针刺治疗脑卒中后感觉障 碍具有益气活血、化瘀通络的选穴规律及特色。

    Abstract:

    Abstract:Objective:To explore the point selection rules of acupuncture for sensory disturbance after stroke based on data mining. Methods:The clinical research literature on acupuncture therapy for sensory disturbance after stroke was systematically researched from the establishment of the database to December 31, 2022, including China National Knowledge Infrastructure, Wanfang Database, VIP Database,and China Biomedical Literature Database. The literature that meets the standards were entered into the Excel 2007 database,and the Apriori algorithm was selected from SPSS modeler 18.0 to complete association rule analysis. The high-frequency point co-occurrence network diagram was visualized by using Cytoscape software. The clustering analysis of high-frequency points was completed in SPSS26.0,and the Fruchterman Reingold algorithm and K- core in Gephi 0.9.2 software were used for complex network analysis and community partitioning. Results:A total of 116 clinical research articles were selected,with a total of 117 prescriptions involving 136 points and a total frequency of 1 315 points. The most frequently used points were Zusanli point (ST 36),Quchi point (LI 11),and Hegu point (LI 4). The points with node degree,centrality,and proximity to centrality ranking in the top three were Hegu point (LI 4),Baihui point (GV 20), and Zusanli point (ST 36). The usage frequency of channel point was relatively high, often involving the hand yangming large intestine channel,the foot shaoyang gallbladder channel,and the hand yangming stomach channel. Points were mainly distributed in the upper and lower limbs. The proportion of specific points was relatively high, with intersecting points being the main one. The correlation analysis showed that the commonly used point combination was Zusanli point (ST 36) and Quchi point (LI 11),and the most commonly used channels and collaterals combination was hand yangming large intestine channel and foot yangming stomach channel. Cluster analysis showed that high- frequency points with a usage frequency greater than 20 can be divided into four categories: the first category was Jing points; the second category was Fenglong point (ST 40) and Xuehai point (SP 10);the third category was Hegu point (LI 4),Taichong point (LR 3),Zusanli point (ST 36),Quchi point (LI 11),Yanglingquan point (GB 34),Jianyu point (LI 15),and Shousanli point (LI 10);the fourth category was Sanyinjiao point (SP 6) and Neiguan point (PC 6). The association was divided into 47 core points,including Hegu point (LI 4),Baihui point (GV 20), Zusanli point (ST 36),Quchi point (LI 11), and Waiguan point (TE 5), which could be divided into four associations. Conclusion: Acupuncture for sensory disturbance after stroke has the characteristics and rules of point selection of boosting qi and invigorating blood, and dissolving stasis and unblocking the collaterals.

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丁云,潘斯诺,黎崖冰.基于数据挖掘探讨针刺治疗脑卒中后感觉障碍选穴规律[J].新中医,2023,55(21):126-134

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  • 在线发布日期: 2023-11-14
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